Podcasts about Wake Forest Baptist Medical Center

In this episode, Dr. Erik Summers, Chief Medical Officer at Wake Forest Baptist Medical Center, shares his journey from hospitalist to CMO and discusses the importance of relationships in healthcare leadership. He highlights successful initiatives in patient flow and the ongoing challenges in staffing and system integration, providing valuable advice for aspiring physician executives.

In this episode, Dr. Erik Summers, Chief Medical Officer at Wake Forest Baptist Medical Center, shares his journey from hospitalist to CMO and discusses the importance of relationships in healthcare leadership. He highlights successful initiatives in patient flow and the ongoing challenges in staffing and system integration, providing valuable advice for aspiring physician executives.

Everyone loves to talk about kidney transplant success stories but rarely do we talk about what happens if a transplant fails. On today's episode Dori Muench, a post transplant social worker, and Sue George, a kidney warrior with experience losing a transplant, are here to discuss the impact of losing a kidney and how to cope.   Dorothy Muench, LCSW is a post-transplant social worker with the Abdominal Organ transplant department with Wake Forest Baptist Medical Center for the past 7 years. In this capacity, she works with numerous individuals who have received a kidney or pancreas transplant and works to provide concrete and emotional support. Before this, Dori worked in dialysis for close to 10 years and has seen and heard the effects people have while on dialysis. She works hard to advocate for people to be transplant and find living donors so they can decrease as much time on dialysis as possible. Dori lives in North Carolina with her husband, 2 daughters and golden retriever.   Sue George is a kidney patient, with 27 years of experience who started on dialysis in 1997. She received a transplant in July of 1999 but had many setbacks. In October of 2000 she lost her transplanted kidney. Sue went back on dialysis and has been ever since. She now works with NKF as a Peer Mentor and work with KCM of Lincoln as a Mentor and try to improve how dialysis is introduced into patients' lives. She feels she has a lot of understanding of dialysis and transplant to help patients deal with the emotional side of the process. Sue is married to her husband Marty of 17 years, and they have 3 wonderful grown children. They also have 1 dog and 1 cat. She works as a secretary at St John Lutheran Church.  In her free time she loves to read and garden.   Additional resources: NKF Peers   Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.

Marisa Farabaugh is the SVP & Chief Supply Chain Officer at AdventHealth. Marisa joined AdventHealth in July 2019. Prior to this, she held several roles within the healthcare supply chain, most recently as the Chief Supply Chain Officer for Wake Forest Baptist Medical Center. During her career Marisa has also held positions with the University of Florida Health and The Hershey Company.    On this week's episode Marisa and Maria discuss:    The role faith plays in the business decision making process.  How to implement ESG initiatives in a healthcare supply chain. The best way to build meaningful professional relationships.   Make sure to like and subscribe to Transform Talks to never miss the supply chain conversations that matter. New episodes are released every Wednesday. ↓ Marisa Farabaugh ↓ https://www.linkedin.com/in/marisa-farabaugh-43327412/ ↓ FOLLOW US ON LINKEDIN ↓ Maria Villablanca (Host) https://www.linkedin.com/in/mariavillablanca/ Transform Talks  https://www.linkedin.com/showcase/transform-talks/ ↓ FIND US ONLINE ↓ https://futureinsights.org/ https://futureinsights.org/transform-talks/ Get more on-demand supply chain content https://sctvplus.com/pages/sctv-individual Apply to be a guest on the show https://futureinsights.org/speaker-form/ Apply be a sponsor on the show https://futureinsights.org/sponsor-form/

Dr. Summers is the Chief Medical Officer of Atrium Health Wake Forest Baptist Medical Center in Winston Salem, NC. In October 2020, Wake Forest Baptist Health formalized a strategic partnership with Charlotte-based Atrium Health to become one of the largest academic health systems in the U.S.Dr. Summers joined Wake Forest Baptist Health in July of 2010 as a Hospitalist in the Section of General Medicine. By 2012, he was named the first Chief in the Section on Hospital Medicine. In 2014, he was appointed Associate Chief Medical Officer, and in 2018 was promoted to Chief Medical Officer at Wake Forest Baptist Medical Center. As CMO, he holds responsibilities including leadership over the Medical Staff, Advanced Practice Providers, Care Coordination, and the Clinical Documentation Excellence Team.Dr. Summers career has been defined by the ability to implement new processes quickly and efficiently to improve patient care. He has succeeded in three major academic medical centers making change (East Carolina Health, Mayo Clinic, Atrium Health Wake Forest).He brings disciplined leadership to bear on complex issues where clinical expertise, strategic thinking, and organizational savvy are essential. As a leader, he uses experience and insight to provide structure, order, and clarity to help make rapid and lasting progress on critical issues.His work at Atrium Health Wake Forest Baptist Health has changed the organization over the last twelve years. Among the many projects, he has implemented at Wake Forest include the following: The Section of Hospital Medicine, The Patient Flow Operations Center, The Inpatient Diabetes Management Service, The Orthopedic/Hospitalist Co-management Service, Bed Geography for all Inpatient services, the Discharge Lounge, the Discharge holding unit, a new ED triage process to maximize throughput, and a transfer process between network hospitals to maximize bed space.One of Dr. Summers areas of interest is patient flow. His efforts in this area, along with his leadership in Care Coordination and the Physician Advisor Program, have led to one of the lower LOS indexes in the country for academic medical centers.Dr. Summers earned his Bachelor's degree at the University of Virginia and his Medical Degree at the University of Alabama School of Medicine. He is board certified by the American Board of Internal Medicine.Active in professional organizations, Dr. Summers currently serves on the AAMC CMOG Steering Committee. He was also named by Becker's Hospital Review in 2022 as one of the 89 Chief Medical Officers of Hospitals and Health Systems to know.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.

Video: Peterson Tells Millennials Why They CAN'T Change The World.. (8:03) “WATCH OUT! It started…” – Peter Schiff's Last WARNING (10:07) So THIS is how they plan to screw these companies, from inside out | Redacted with Clayton Morris (2:48) Higher vitamin C levels associated with lower mortality risk during 16-year period Chinese Academy of Medical Sciences, November 25, 2022 A study reported in the Journal of Epidemiology and Community Health has uncovered an association between higher plasma vitamin C levels and a lower risk of mortality during more than 16 years of follow-up. The study included 473 men and 475 women between the ages of 53 and 84 who were enrolled in the General Population Nutrition Intervention Trial (NIT) cohort in Linxian, China. Plasma samples collected from 1999 to 2000 were analyzed for vitamin C levels. During the 16.4-year follow-up period, among subjects whose plasma vitamin C concentrations were among the top 25%, the adjusted risk of dying from any cause during follow-up was 25% lower than the risk experienced by subjects whose vitamin C levels were among the lowest quarter. Those whose plasma vitamin C levels were among the highest 25% had an adjusted risk of dying from cancer or stroke that was 28% lower and a risk of dying from heart disease that was 35% lower than subjects whose levels were lowest. When subjects with low vitamin C levels (defined as 28 micromoles per liter or below) and normal levels (greater than 28 micromoles per liter) were compared, a normal level was associated with a 23% lower risk of premature mortality and a 38% lower risk of dying from heart disease, in comparison with low levels. As a possible reason for their findings, Shao-Ming Wang and colleagues note that oxidative stress is lowered by vitamin C. Oxidative stress can promote endothelial dysfunction that underlies heart disease by increasing inflammation and lipid peroxidation and decreasing nitric oxide availability. Oxidative stress also causes DNA damage associated with cancer.”This study is the first to find the general benefits for higher plasma vitamin C concentrations on total and cause-specific mortalities, including cancer and heart diseases, in a long-term prospective cohort from China,” the authors announce. “In this long-term prospective Chinese cohort study, higher plasma vitamin C concentration was associated with lower total mortality, heart disease mortality, and cancer mortality. Our results corroborate the importance of adequate vitamin C to human health.” (next) Cauliflower Prevent Various Cancers: Thanks to Sulforaphane Compounds Rugters University, November 19, 2022 Cauliflower contains glucosinolates and thiocyanates — both sulfur-containing phytonutrients that cleanse the body of damaging free radicals. It also contains a substance called sulforaphane (SFN), a compound known to inhibit the occurrence of some cancers in rats caused by carcinogens, primarily colon cancer. In the Rutger's research, it was found once again that diet does matter in cancer prevention: “Our research has substantiated the connection between diet and cancer prevention, and it is now clear that the expression of cancer-related genes can be influenced by chemopreventive compounds in the things we eat,” said Kong, a professor of pharmaceutics in the Ernest Mario School of Pharmacy at Rutgers, The State University of New Jersey. In this particular study, mice fed a diet high in sulforaphane, the substance naturally occurring in cauliflower and broccoli, enjoyed fewer cancerous tumors, polyps, and smaller tumors in their colons. After three weeks, the mice fed sulforaphane had a 25% decline in tumors and those given double the dose had a 47% decrease in cancerous tumors. The results are obvious, “Our results showed that SFN produced its cancer preventive effects in the mice by inducing apoptosis (programmed cell death) and inhibiting proliferation of the tumors; however, it was not clear what mechanism SFN employs to accomplish this,” Kong said. Kong's team found that SFN suppressed certain enzymes or kinases that are highly expressed both in the mice and in patients with colon cancer. The researchers concluded that this enzymatic suppression activity is the likely basis for the chemopreventive effects of SFN. Along with cauliflower's high levels of SFN, it is also a powerful antioxidant with high levels of vitamin C and vitamin A, also known as cancer inhibitors. Researchers also believe that if you consume cauliflower and turmeric spice together, you can prevent or eradicate prostate cancer totally. The scientists, once again from Rutger's, tested turmeric and it's active compound known as curcumin along with phenethyl isothiocyanate (PEITC), a naturally occurring substance in certain vegetables such as watercress, cabbage, winter cress, broccoli, Brussels sprouts, kale, cauliflower, kohlrabi and turnips. They found cancer-preventative qualities in the duo. (next) Increasing protein intake by 25 g a day could help women reduce hip fracture risk by up to 14% University of Leeds (UK), November 28, 2022 Increasing intake of protein and drinking regular cups of tea or coffee is one way women could reduce their risk of suffering a hip fracture, according to new research. Food scientists at the University of Leeds in the UK have found that for women, a 25 g a day increase in protein was associated with, on average, a 14% reduction in their risk of hip fracture. In a surprise twist, they also discovered that every additional cup of tea or coffee they drank was linked with a 4% reduction in risk. Writing in the journal Clinical Nutrition, the researchers noted that the protective benefits were greater for women who were underweight, with a 25 g/day increase in protein reducing their risk by 45%. The investigation—”Foods, nutrients and hip fracture risk: A prospective study of middle-aged women”—is based on a large observational analysis of more than 26,000 women. As an observational study, the researchers were able to identify associations between factors in diet and health. They could not single out direct cause and effect. “Diet is a factor that people can modify to protect themselves by maintaining healthy bones and muscles. This study is one of the first to investigate relationships between food and nutrient intakes and risk of hip fracture, with hip fractures accurately identified through hospital records.” The recommended protein intake in the UK is 0.8 g per kilogram of bodyweight per day, a limit some nutritional experts believe is too low. As the study revealed, people who had a higher protein consumption had a reduction in the risk of hip fracture. However, intakes of protein which are very high—where intake is greater than 2 to 3 g of protein/kg body weight/day—can have negative health effects. The study was not able to explore these very high protein intake levels. Professor Janet Cade, who leads the Nutritional Epidemiology Group at Leeds and supervised the research, said, “In the UK most people eat an adequate amount of protein, however, certain groups, such as vegetarians or vegans need to check that their protein intakes are high enough for good health.”Tea and coffee both contain biologically active compounds called polyphenols and phytoestrogens which may help to maintain bone health. Professor Cade added, “This is an interesting finding given that tea and coffee are the UK's favorite drinks. We still need to know more about how these drinks could affect bone health but it might be through promoting the amount of calcium present in our bones.” (next) Mindfulness meditation trumps placebo in pain reduction Wake Forest Medical Center – November 11, 2022 Scientists at Wake Forest Baptist Medical Center have found new evidence that mindfulness meditation reduces pain more effectively than placebo. This is significant because placebo-controlled trials are the recognized standard for demonstrating the efficacy of clinical and pharmacological treatments. The research, published in the Journal of Neuroscience, showed that study participants who practiced mindfulness meditation reported greater pain relief than placebo. Significantly, brain scans showed that mindfulness meditation produced very different patterns of activity than those produced by placebo to reduce pain. “We were completely surprised by the findings,” said Fadel Zeidan, Ph.D., assistant professor of neurobiology and anatomy at Wake Forest Baptist and lead investigator of the study. “While we thought that there would be some overlap in brain regions between meditation and placebo, the findings from this study provide novel and objective evidence that mindfulness meditation reduces pain in a unique fashion.”Pain was induced by using a thermal probe to heat a small area of the participants' skin to 49 degrees Centigrade (120.2 degrees Fahrenheit), a level of heat most people find very painful. Study participants then rated pain intensity (physical sensation) and pain unpleasantness (emotional response). The participants' brains were scanned with arterial spin labeling magnetic resonance imaging (ASL MRI) before and after their respective four-day group interventions. The mindfulness meditation group reported that pain intensity was reduced by 27 percent and by 44 percent for the emotional aspect of pain. In contrast, the placebo cream reduced the sensation of pain by 11 percent and emotional aspect of pain by 13 percent. “The MRI scans showed for the first time that mindfulness meditation produced patterns of brain activity that are different than those produced by the placebo cream,” Zeidan said. Mindfulness meditation reduced pain by activating brain regions (orbitofrontal and anterior cingulate cortex) associated with the self-control of pain while the placebo cream lowered pain by reducing brain activity in pain-processing areas (secondary somatosensory cortex). Another brain region, the thalamus, was deactivated during mindfulness meditation, but was activated during all other conditions. This brain region serves as a gateway that determines if sensory information is allowed to reach higher brain centers. By deactivating this area, mindfulness meditation may have caused signals about pain to simply fade away, Zeidan said. Mindfulness meditation also was significantly better at reducing pain intensity and pain unpleasantness than the placebo meditation. The placebo-meditation group had relatively small decreases in pain intensity (9 percent) and pain unpleasantness (24 percent). The study findings suggest that placebo meditation may have reduced pain through a relaxation effect that was associated with slower breathing. “This study is the first to show that mindfulness meditation is mechanistically distinct and produces pain relief above and beyond the analgesic effects seen with either placebo cream or sham meditation,” Zeidan said. “Based on our findings, we believe that as little as four 20-minute daily sessions of mindfulness meditation could enhance pain treatment in a clinical setting. However, given that the present study examined healthy, pain-free volunteers, we cannot generalize our findings to chronic pain patients at this time. (next) Shaking less salt on your food at the table could reduce heart disease risk Researchers found a link between a lower frequency of dietary salt and a reduced CVD risk Tulane University, November 27, 2022 Adding additional salt to foods at a lower frequency is associated with a reduced risk of heart disease, heart failure and ischemic heart disease, according to a new study published in the Journal of the American College of Cardiology. Even among those following a DASH-style diet, behavioral interventions to lessen salt consumption could further improve heart health. “Overall, we found that people who don't shake on a little additional salt to their foods very often had a much lower risk of heart disease events, regardless of lifestyle factors and pre-existing disease,” said Lu Qi, MD, Regents Distinguished Chair at the School of Public Health and Tropical Medicine at Tulane University in New Orleans. “We also found that when patients combine a DASH diet with a low frequency of adding salt, they had the lowest heart disease risk. This is meaningful as reducing additional salt to food, not removing salt entirely, is an incredibly modifiable risk factor that we can hopefully encourage our patients to make without much sacrifice.” In the current study, the authors evaluated whether the frequency of adding salt to foods was linked with incident heart disease risk in 176,570 participants from the UK Biobank. The study also examined the association between the frequency of adding salt to foods and the DASH diet as it relates to heart disease risk. The study used a questionnaire at baseline to collect data on the frequency of adding salt to foods, not including salt used in cooking. Participants were also asked if they had made any major changes to their diet in the last 5 years, as well as complete 1-5 rounds of 24-hour dietary recalls over a three-year period. The DASH-style diet was developed to prevent hypertension by limiting consumption of red and processed meats and focusing on vegetables, fruit, whole grains, low-fat dairy, nuts, and legumes. While the DASH diet has yielded benefits in relation to reducing cardiovascular disease risk, a recent clinical trial found that combining the DASH diet with sodium reduction was more beneficial for certain cardiac biomarkers, including cardiac injury, strain, and inflammation. The researchers calculated a modified DASH score that did not consider sodium intake based on seven foods and nutrients that were emphasized or deemphasized in the DASH-style diet. Overall, study participants with a lower frequency of adding salt to foods were more likely to be women; white; have a lower body mass index; more likely to have moderate alcohol consumption; less likely to be current smokers; and more physically active. They also had a higher prevalence of high blood pressure and chronic kidney disease, but a lower prevalence of cancer. These participants were also more likely to adhere to a DASH-style diet and consumed more fruits, vegetables, nuts and legumes, whole grains, low-fat dietary but less sugar-sweetened drinks or red/processed meats than those with a higher frequency of adding salt to foods. The researchers found the association of adding salt to foods with heart disease risk was stronger in participants of lower socioeconomic status, as well as in current smokers. A higher modified DASH diet score was associated with lower risk of heart disease events. (next) Ten minutes of aerobic exercise with exposure therapy found to reduce PTSD symptoms University of New South Wales, November 25, 2022 Exposure therapy is one of the leading treatments for post-traumatic stress disorder (PTSD), but up to a half of all patients don't respond to it. But now a study led by UNSW Sydney psychologists has found that augmenting the therapy with 10 minutes of aerobic exercise has led to patients reporting greater reduction to PTSD symptom severity six months after the nine-week treatment ended. In the first known single-blind randomized control trial of its kind, researchers in Sydney recruited 130 adults with clinically diagnosed PTSD and assigned them to two groups. People in both groups received nine 90-minute exposure therapy sessions. At the end of each session, one group was put through 10 minutes of aerobic exercises, while members of the control group were given 10 minutes of passive stretching. People in the aerobic exercise group on average reported lower severity of PTSD symptoms—as measured on the CAPS-2 scale—than those who had their exposure therapy augmented by stretching exercises at the six-month follow-up. Interestingly, there were no clear differences between the two groups one week after the treatment program ended, suggesting the benefits take time to develop. The findings were reported in The Lancet Psychiatry.

Two people were killed, including a 5-year-old, and several others were hurt in a crash involving a suspected drunk driver and golf cart in Iredell County, North Carolina late Monday night, police said.  Multiple emergency crews responded to a crash involving a golf car on Fort Dobbs Road near Dobbs Drive in Statesville around 9:45 p.m., the North Carolina Department of Public Safety said. Officers said a 2009 Honda Accord crossed the center line, hitting the golf car head-on.  The driver of the golf cart, Michael Shane Marlowe, 39, of Statesville, died at the scene. A passenger, 5-year-old Bentley Marlowe, also died from his injuries. Four passengers on the golf cart, ages 2, 13, 16, and 26, were critically injured and transported by medical helicopters to Atrium Health Carolinas Medical Center in Charlotte and Wake Forest Baptist Medical Center in Winston-Salem, troopers reported. READ MORE: https://www.wcnc.com/article/news/local/statesville-fatal-crash-golf-cart-nc-highway-patrol/275-409d48f5-767a-4f7d-a878-f8a13f8ec68f Charlotte Hornets forward Montrezl Harrell was cited for a felony drug charge in Richmond, Kentucky, last month, according to police records.  Harrell was pulled over by a Kentucky state trooper for following too closely on May 12. When the trooper walked up to Harrell's car, he smelled marijuana and Harrell admitted to having some in his possession. The police report states Harrell pulled marijuana from his pocket before the trooper searched his vehicle, where approximately three pounds of marijuana was found in vacuum-sealed bags inside a backpack on the backseat. Harrell was cited for trafficking less than 5 pounds of marijuana, which is a felony, according to the Associated Press. During a court appearance on June 13, Harrell pleaded not guilty to the charge. He is scheduled to appear in court again next month.  The Hornets traded two players and a draft pick to Washington for Harrell in February. Harrell is originally from Tarboro, North Carolina, and he played at the University of Louisville before turning pro in 2015. He joined the Wizards in 2021 as part of a trade that sent Russell Westbrook to the Los Angeles Lakers. READ MORE: https://www.wcnc.com/article/news/crime/montrezl-harrell-marijuana-felony-drug-charge-traffic-stop-charlotte-hornets/275-9cfb20a0-8873-436b-b9c9-89d99478067c Watch Wake Up Charlotte each weekday morning from 4:30 to 7 a.m. on WCNC Charlotte, and as always, join the conversation on social media using #WakeUpCLT! 

Two people were killed, including a 5-year-old, and several others were hurt in a crash involving a suspected drunk driver and golf cart in Iredell County, North Carolina late Monday night, police said. Multiple emergency crews responded to a crash involving a golf car on Fort Dobbs Road near Dobbs Drive in Statesville around 9:45 p.m., the North Carolina Department of Public Safety said. Officers said a 2009 Honda Accord crossed the center line, hitting the golf car head-on. The driver of the golf cart, Michael Shane Marlowe, 39, of Statesville, died at the scene. A passenger, 5-year-old Bentley Marlowe, also died from his injuries. Four passengers on the golf cart, ages 2, 13, 16, and 26, were critically injured and transported by medical helicopters to Atrium Health Carolinas Medical Center in Charlotte and Wake Forest Baptist Medical Center in Winston-Salem, troopers reported.READ MORE: https://www.wcnc.com/article/news/local/statesville-fatal-crash-golf-cart-nc-highway-patrol/275-409d48f5-767a-4f7d-a878-f8a13f8ec68fCharlotte Hornets forward Montrezl Harrell was cited for a felony drug charge in Richmond, Kentucky, last month, according to police records. Harrell was pulled over by a Kentucky state trooper for following too closely on May 12. When the trooper walked up to Harrell's car, he smelled marijuana and Harrell admitted to having some in his possession. The police report states Harrell pulled marijuana from his pocket before the trooper searched his vehicle, where approximately three pounds of marijuana was found in vacuum-sealed bags inside a backpack on the backseat.Harrell was cited for trafficking less than 5 pounds of marijuana, which is a felony, according to the Associated Press. During a court appearance on June 13, Harrell pleaded not guilty to the charge. He is scheduled to appear in court again next month. The Hornets traded two players and a draft pick to Washington for Harrell in February. Harrell is originally from Tarboro, North Carolina, and he played at the University of Louisville before turning pro in 2015. He joined the Wizards in 2021 as part of a trade that sent Russell Westbrook to the Los Angeles Lakers.READ MORE: https://www.wcnc.com/article/news/crime/montrezl-harrell-marijuana-felony-drug-charge-traffic-stop-charlotte-hornets/275-9cfb20a0-8873-436b-b9c9-89d99478067cWatch Wake Up Charlotte each weekday morning from 4:30 to 7 a.m. on WCNC Charlotte, and as always, join the conversation on social media using #WakeUpCLT! 

This episode features Dr. Justin Hurie, Associate Chief Medical Officer at Wake Forest Baptist Medical Center. Here, he discusses what it was like to go back to school later in life, trends in vascular surgery, how robics are changing & streamiling surgeries, and more.

This episode features Dr. Justin Hurie, Associate Chief Medical Officer at Wake Forest Baptist Medical Center. Here, he discusses what it was like to go back to school later in life, trends in vascular surgery, how robics are changing & streamiling surgeries, and more.

Season 2 Episode 18- Proactive Symptom Management in MyelofibrosisOn today's episode of The PQI Podcast we welcome Kristyn DiSogra, PharmD, BCOP and Justin Arnall, PharmD, BCOP. Dr. DiSogra and Dr. Arnall worked on a myelofibrosis quality improvement project while clinical pharmacists with the Atrium Health Specialty Pharmacy Service in Charlotte, North Carolina.Dr. DiSogra completed her PGY1 residency at Mayo Clinic Hospital and her PGY2 oncology residency at the University of Washington after graduating from the UNC Eshelman School of Pharmacy. She joined the CMC team in January 2019 after two years with the University of Washington Medical Center/Seattle Cancer Care Alliance as an inpatient Hematopoietic Stem Cell Transplant and inpatient Hematology/Oncology Clinical Pharmacy Specialist. Her professional interests include hematology, oncology, hematopoietic stem cell transplantation, international health, and antimicrobial stewardship in cancer patients. She is currently taking time away from pharmacy and fulfilling the most important role of mother.Dr. Arnall completed his PGY1 and PGY2 oncology residency training at Wake Forest Baptist Medical Center after graduating from the UNC Eshelman School of Pharmacy. Since completing his residency, he has practiced in malignant hematology and bone marrow transplant in both inpatient and outpatient roles. In his current role he works with both non-malignant and malignant hematologic conditions and coordinates the bleeding disorders and non-malignant hematology service line for the specialty pharmacy and rounds daily with the hematology consult team at the primary referral site for the Charlotte Metro health system.Today we discuss myelofibrosis, Atrium Health's myelofibrosis quality improvement project, the Proactive Symptom Management in Myelofibrosis PQI, and how other clinics can implement this telehealth-based project.

If you are in need of a kidney transplant, finding a living donor can sound scary and overwhelming. Where should you start and what's the best way to share your story with the world? In this episode, you will hear from transplant recipients who once stood in your shoes.   In this episode, we spoke with: Dorothy Muench, LCSW Dori Muench is a post-transplant social worker with the Abdominal Organ transplant department with Wake Forest Baptist Medical Center for the past 5 years. In this capacity, she works with numerous individuals who have received a kidney or pancreas transplant and works to provide concrete and emotional support. Before this, Dori worked in dialysis for close to 10 years and has seen and heard the effects people have while on dialysis. She works hard to advocate for people to be transplant and find living donors so they can decrease as much time on dialysis as possible. Dori lives in North Carolina with her husband, 2 daughters and golden retriever. Gisela Delgado At the age of 14, Gisela was rushed to the emergency room after having Coca Cola colored urine. It took 6 months of various testing to eventually be diagnosed with IgA Nephropathy via kidney biopsy. The doctors told her and her parents that there was no cure, no proven treatment and that this disease would likely lead to kidney failure in 20-25 years. This was very upsetting and also left the family with a lot of unanswered questions. At the age of 30, Gisela was then rushed to the emergency room with flu-like symptoms. The doctors flagged GFR and Creatinine levels. She was then put on a course of meds to help with Proteinuria and to treat high blood pressure. At the age of 38 Gisela reached end stage kidney failure requiring a kidney transplant. Luckily she was able to receive a pre-emptive transplant from a living donor (her brother). For those that do not know - a kidney transplant is still considered a type of treatment for kidney failure. Today Gisela is a huge advocate for living donation and volunteers with The IgA Nephropathy Foundation as their Director of Brand + Creative. She looks forward to being “in the room where it happens” as the foundation is working hard with several Pharmaceutical partners to not only finding treatment but a cure for IgA Nephropathy. Morgan Reid Morgan Reid joined the National Kidney Foundation as the Director of Transplant Policy & Strategy in November 2021. In this role, Morgan will implement strategies and help create policies that promote equitable access to quality kidney healthcare and transplantation. Before joining NKF, Morgan worked for two Organ Procurement Organizations and a well-known transplant center. She has a deep passion for improving organ donation and transplant processes. A dear college friend donated a kidney to Morgan on January 9, 2007, after several years of dealing with an IgA Nephropathy diagnosis with nearly two years on peritoneal dialysis. She will use her personal experience and professional expertise to advocate for underserved communities that face barriers to kidney transplantation.   Additional resources: Information on living donation Looking for a living donor Kidney Donation: How to Make the Ask The Top 3 Reasons People Are Afraid to Ask for a Kidney—and How to Overcome Them 5 Ways To Inspire Living Kidney Donation Living Donation: Sample Letter to Family and Friends Episode transcript   Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts!

You probably recognize Dr. Christopher Ohl from the multiple media briefings or maybe even the billboards. As an Infectious Disease Specialist at Wake Forest Baptist Medical Center, he has become the voice and face of the local medical community during the COVID-19 pandemic. Dr. Ohl joins Sheriff Kimbrough at the table for an in-depth discussion on his career and his thoughts on our current situation.

Study: Coconut oil-enriched Mediterranean diet found to improve brain function in Alzheimer's patients University of Valencia (Spain), February 6, 2022 Spanish researchers believe that a Mediterranean diet enriched with coconut oil can help improve cognitive function in Alzheimer's disease (AD) patients. Researchers from the University of Valencia and the Catholic University of Valencia looked to diet as a means of addressing AD. Specifically, they looked at whether a coconut oil-enriched Mediterranean diet would be beneficial for AD patients. The researchers chose coconut oil due to the fact that the medium-chain triglycerides (MCT) in it can be converted into ketones, which brain cells then use as fuel. Previous research had already identified ketone bodies as a possible therapeutic for AD. Following the study, the researchers found that those in the experimental group displayed improvements in temporal orientation as well as their episodic and semantic memory. (NEXT) Calorie restriction rewires metabolism, immunity for longer health span Pennington Biomedical Research Center, February 11, 2022  Calorie restriction improves metabolic and immune responses that help determine both how long a person lives and how many years of good health they enjoy, a new study shows. Two years of modest calorie restriction reprogrammed the pathways in fat cells that help regulate the way mitochondria generate energy, the body's anti-inflammatory responses, and potentially longevity,. In other words, calorie restriction rewires many of the metabolic and immune responses that boost lifespan and health span. The study found that people who cut their calorie intake by about 14 percent over two years generated more T cells, which play a key role in immune function and slow the aging process. (NEXT) Evidence points to fish oil to fight asthma University of Rochester, February 9, 2022 University of Rochester Medical Center scientists have discovered new essential information about omega 3 fatty acids contained in fish oil and how they could be used for asthma patients. In a paper published in the Journal of Clinical Investigation–Insight, researchers using cell cultures from local asthma patients, found that: Omega-3 fatty acid products can reduce the production of IgE, the antibodies that cause allergic reactions and asthma symptoms in people with milder cases of asthma; But in patients with severe asthma who use high doses of oral steroids, the omega-3 fatty acids are less effective because the corticosteroids block the beneficial effects. (NEXT) Study: Mindful adults age with better mental health University of Maine, February 11, 2022 Aging happens to all of us. If you are a mindful person, though, you may be better equipped to handle the effects of growing older. According to a University of Maine study led by associate professor of psychology Rebecca MacAulay, published in the journal Aging & Mental Health, aging adults with high levels of “trait mindfulness,” or a person's innate ability to pay attention to the present moment without judgment, showed measures of greater well-being and mental health. Mindful adults also demonstrated more mental resilience to stressful situations. (NEXT) Plant extract fights brain tumor Max Planck Institute (Germany), February 11, 2022 Cushing Disease, not to be confused with Cushing's Syndrome, is caused by a tumour in the pituitary gland in the brain. The tumour secrets increased amounts of the stress hormone adrenocorticotropin (ACTH) followed by cortisol release from the adrenal glands leading to rapid weight gain, elevated blood pressure and muscular weakness. Patients are prone to osteoporosis, infections and may show cognitive dysfunction or even depression. In 80 to 85 % of the patients the tumour can be removed by uncomfortable brain surgery. For inoperable cases, there is currently only one targeted therapy approved which unfortunately causes intense side effects such as hyperglycemia in more than 20 % of the patients. (NEXT) Daily dose of beetroot juice improved endurance and blood pressure Wake Forest Medical Center,  February 11, 2022  Scientists at Wake Forest Baptist Medical Center have found that a daily dose of beetroot juice significantly improved exercise endurance and blood pressure in elderly patients with heart failure with preserved ejection fraction (HFPEF). The study is published in the current online edition of the Journal of the American College of Cardiology-Heart Failure. Exercise intolerance – shortness of breath and fatigue with normal amounts of exertion — is the primary symptom of HFPEF and is due partly to non-cardiac factors that reduce oxygen delivery to active skeletal muscles. HFPEF is a recently recognized disease that reflects how the left ventricle of the heart pumps with each beat. It occurs primarily in older women and is the dominant form of heart failure, as well as the most rapidly increasing cardiovascular disorder in this country. (VIDEOS) Tricia Lindsay “We have a right to resist, and we have an obligation and duty to do so”  (10:40 minutes) Borad Of Education Meeting RAIR Foundatin: Vaccine is Worse than We Feared, Could be Looking at Hundreds of Thousands More Dead' (4:52 minutes) (OTHER NEWS) Late-night reports suggest CIA collecting more data on Americans CHRIS MILLS RODRIGO – THE HILL. 02/11/22 A late-night release of government reports on two Central Intelligence Agency programs has revealed that the organization is most likely collecting more data on American citizens than previously known. Both reports conducted by the Privacy and Civil Liberties Oversight Board (PCLOB), a watchdog created after 9/11 to ensure counter-terror investigations did not jeopardize privacy or civil liberties, looked into two programs conducted under Executive Order 12333 authority. The Reagan-era presidential directive established a framework for data collection by the intelligence community during foreign missions. When Edward Snowden almost a decade ago revealed the extent of warrantless bulk data collection by the government, Congress responded by banning collection under a separate statute focused on domestic activities, the Foreign Intelligence Surveillance Act (FISA). (NEXT) How the Left betrayed the Truckers MALCOM KYEYUNE. — UNHERD, FEBRUARY 9 2022 They call it “The Honkening”. Ottawa, Canada's capital city, is currently being besieged by a novel kind of protest. Honkening is a fairly appropriate name for what's going on. Thousands of truckers have driven to the capital, and barraged the city with the noise of truck horns creating a cacophony of sound. Elsewhere, on the border between the United States and Canada, truckers, farmers and cowboys have blockaded traffic. As the protests enter another week, Ottawa's mayor has declared a state of emergency. Jim Watson described the truckers — ostensibly protesting against Canada's harsh Covid mandates — as “out of control”. Watson sees anarchy; the truckers fulminate against Covid authoritarianism. But this battle is really about working-class discontent. The naive among us could be forgiven for thinking that this protest signalled something auspicious about “late capitalist” society. For decades, the common folk wisdom for both the Left and the Right was that the West's working classes had been completely neutralised as a political force, and that class conflict itself was a relic of the past. This idea took hold in the Sixties, when Herbert Marcuse theorised that Western workers had been subjected to a “socially engineered arrest of consciousness”. Their vested interest in the existing capitalist order made them impossible to radicalise. Ever since, finding new theoretical models to explain the unreliability (and stodgy conservatism) of workers has been a recurring activity on parts of the Left. Marxists had made a horrific discovery: the working class were not their foot soldiers. As Joan Didion once put it: “The have-nots, it turned out, mainly aspired to having.” Many on the Left came to believe that without their corporatist union structures, and without their shop stewards and political organisers, the working classes were done for. They were little better, to paraphrase Marx, than a “sack of potatoes”. Without proper leadership, the workers would be too inert and stupid to do anything about their plight. As such, the decades after the fall of the Soviet Union (and the defeat of the strike waves of the Eighties) saw many Leftists indulge a wistful nostalgia for a time when the workers stuck it to the powers that be. Celebration of the good old days of the Left, and of “working-class power” in general, was thus central to the aesthetics of the now completely defunct wave of Left populism in the 2010s. With that backdrop in mind, the explosion of worker militancy over vaccine mandates — and, on a related note, high fuel taxes in Europe — ought to have been greeted by enthusiasm by the Leftist activist and organiser set. Yet nothing could be further from the truth. The truckers in Canada have instead triggered a primordial sense of dread in the hearts of the urban classes, in the people who Canadian trucker Gord Magill has dubbed “the email job caste”. This sense of fear and dread at the machinations of the proles is hardly something unique to Canada. Indeed, even the United States saw a large increase of worker militancy and wildcat strikes over oppressive vaccine mandates. Like their compatriots in Canada, America's various professional friends of the working class responded with horror and scorn. The well-known Marxist economist, Richard Wolff, was mobbedon Twitter for suggesting that workers striking over mandates were actually part of something called “class struggle”, rather than merely an expression of “fascism”. Ottawa's truckers are a symptom of the massive class divide that is opening up across the West. Marxists are sticking their heads in the sand about this generational moment, or papering it over with absurd topsy-turvy leaps. In one recent display of moon logic, the Canadian activist, writer and self-described socialist Nora Loreto complained that “labour” was invisible in the resistance to the “fascist” truckers that had occupied Ottawa. An exasperated comrade chimed in with a story of being a shop steward for a teamster (truck driver) union, and — horror of horrors — the painful truth was that many teamsters were more likely to be in the protest themselves than protesting against it. The exchange is modern Western Leftism in a nutshell. Is there a single better illustration of the contradictions of the moment? An “activist” and organiser” recoiling in horror at a bunch of truckers — people who work in the real, material economy, ferrying the foodstuffs and goods we all depend on to survive — staging a political protest, only to then ask “but where is the organised working class in all of this?”. Isn't it obvious to the point of parody that the workers are the people inside the trucks? It's easy to laugh at this sort of absurdity, but the lesson here is anything but a joke. The divorce between “the Left” and “the workers” is now complete and irrevocable. Nora Loreto may not be a person with calloused hands, and she may very well belong to Gord Magill's “email jobs caste”. But for the longest time, the political rhetoric and worldview of the Left depended on the idea that the trucker and the activist were merely two sides of the same coin. Without the activist and the “organiser”, the trucker would never be able to know how to organise himself and his fellows politically; without the trucker, the activist and the organiser would not have a cause for which to organise. Now it seems that the trucker — and by extension, the pilot, the garbage collector, and the bus driver — does not need or want this caste of self-appointed leaders. This divorce has happened all over the world in recent years. After the massive rejection by Red Wall voters of Jeremy Corbyn and his activist base in the smart, urban, and highly credentialed parts of Britain, one started to see a rhetoric of open loathing for the dumb, uneducated gammons and proles. In Germany, the Left party Die Linke has endured several rounds of severe internal fighting and strife. As in the UK, the younger, more urban, more credentialed parts of the Left have fought a running battle — and thrown pies — against pro-worker “racists” such as Sahra Wagenknecht. In Canada, that loathing has now turned into fear — and into outright hatred. The problem of the truckers is not really the honking (which the Guardian sniffily calls “crude behaviour“), because sooner or later, that honking will stop. The state of emergency will end. But the protests, significantly, have shown how confused and weak the opponents of the working classes are today. During the pandemic lockdowns, the email jobs caste loved to talk about essential workers, and luxuriated in public displays of gratitude for them. But this caste of genteel urbanites never realised that this choice of nomenclature was in fact much more meaningful — and ominous – than they understood. Some people, it seems, simply are critical to the functioning of the economy, pandemic or no pandemic. Once those people — and truck drivers are perhaps the most critical of them all — start to demand to be listened to, they have ways to make those demands felt. For the Left, the problem of the truckers is their newfound political independence. Nostalgia really is a thing of the past now; the dinosaurs that were thought long extinct are back now, and they are hungry. Gone are the halcyon days of dreaming about halcyon days – where serious working class militancy was just a distant myth. The real danger of any trucker's strike, or any pilot's walkout, or any fuel tax protest in Europe, is that every new confrontation sets a precedent: a precedent that says that the Gord Magills are done taking orders from the Nora Letos of the world.

"What Can We Learn From Nonaccredited Pain Medicine Fellowships?" by Reda Tolba, MD, Clinical Professor, Anesthesiology Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates; and Janus Patel, MD, Clinical Adjunct Faculty, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina. From ASRA News, August 2021. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted.  

Ryan Geddings, who led the multi-line receiving project at RF-SMART joins Sarah and Bill to discuss the uses for multi-line receiving and the thought he put into developing the functionality. What You'll Learn:What is multi-line receiving?Why did RF-SMART create it?Is MLR right for me?Additional Resources:Listen to the Intro Episode: What's Going on in the Healthcare Supply Chain?Read the Blog: Multi-Line ReceivingSee Demo Video: Oracle Healthcare VideosWho You'll Hear: Ryan Geddings, User Experience Research and Designer, RF-SMART - Ryan has worked with RF-SMART since 2019, and is the principal User Experience specialist for the Oracle Cloud team. He led the design and development of the Multiline Receiving module. Ryan is a University of North Florida graduate, a 12 year Air Force Veteran and is passionate about enhancing user experience.Bill Brewer, Healthcare Product Manager, RF-SMART - Bill Brewer currently serves as Healthcare Product Manager at RF-SMART in Jacksonville, Florida. In this role, Bill is responsible for overseeing RF-SMART's healthcare supply chain strategy and roadmap. Prior to his appointment at RF-SMART, Bill served as Regional Director, Materials Management at USPI/Tenet Healthcare. He has also served in supply chain leadership roles at Wake Forest Baptist Medical Center, UFHealth, and University of Missouri Healthcare. Brewer holds a Master of Health Administration and a Master of Science in Health Informatics. Sarah Archer, Content Marketing Specialist, RF-SMART - Sarah has been a team member at RF-SMART since 2018. She is the host of this podcast, the Taking Inventory Podcast, and the YouTube series Q&A. Sarah is currently pursuing her Master's degree in Communication at the University of North Florida.

Kristen Miles from Oracle joins Sarah and Bill to discuss trends she is seeing in the healthcare supply chain. What You'll Learn:How technology is impacting healthcareHow Oracle is supporting its healthcare customer base through great partnerships (and how you can choose a great partner!)How Oracle and RF-SMART are working together to make recall management easier than ever beforeAdditional Resources:Listen to the Intro Episode: What's Going on in the Healthcare Supply Chain?Read the Blog: The Critical Role Between Healthcare Supply Chain & Patient CareRead the Blog: Adopting Mobile Technology in HealthcareWho You'll Hear: Kristen Miles, Senior Director of Healthcare Supply Chain Product Strategy, Oracle - Kristen Miles has 15+ years supporting supply chain management transformation within healthcare organizations. Her specialization and expertise involve leveraging technology solutions to create operational efficiencies that drive improved results. Currently, Kristen is a key team member with Oracle's healthcare product strategy organization, where she utilizes her knowledge and first-hand experience with supply chain and clinical processes in relation to optimizing enterprise resource planning (ERP) systems and ancillary technologies for health systems around the globe.Bill Brewer, Healthcare Product Manager, RF-SMART - Bill Brewer currently serves as Healthcare Product Manager at RF-SMART in Jacksonville, Florida. In this role, Bill is responsible for overseeing RF-SMART's healthcare supply chain strategy and roadmap. Prior to his appointment at RF-SMART, Bill served as Regional Director, Materials Management at USPI/Tenet Healthcare. He has also served in supply chain leadership roles at Wake Forest Baptist Medical Center, UFHealth, and University of Missouri Healthcare. Brewer holds a Master of Health Administration and a Master of Science in Health Informatics. Sarah Archer, Content Marketing Specialist, RF-SMART - Sarah has been a team member at RF-SMART since 2018. She is the host of this podcast, the Taking Inventory Podcast, and the YouTube series Q&A. Sarah is currently pursuing her Master's degree in Communication at the University of North Florida.

On PAR is a podcast that delves right into the heart of the healthcare system: its supply chain. Join Sarah Archer, Bill Brewer, and Joseph LaRoche as they discuss the impact of 2020 on healthcare supply chain and make predictions about the future of the industry. What You'll Learn:How 2020 changed everything for healthcare supply chain & what that means for youWho is RF-SMART...and how can we help Oracle Cloud users?What technology can you utilize to revolutionize your materials management processes?Additional Resources:Watch the video: COVID-19 & the Healthcare Supply ChainRead the Blog: The Critical Role Between Healthcare Supply Chain & Patient CareRead the Blog: Adopting Mobile Technology in HealthcareWho You'll Hear: Bill Brewer, Healthcare Product Manager, RF-SMART - Bill Brewer currently serves as Healthcare Product Manager at RF-SMART in Jacksonville, Florida. In this role, Bill is responsible for overseeing RF-SMART's healthcare supply chain strategy and roadmap. Prior to his appointment at RF-SMART, Bill served as Regional Director, Materials Management at USPI/Tenet Healthcare. He has also served in supply chain leadership roles at Wake Forest Baptist Medical Center, UFHealth, and University of Missouri Healthcare. Brewer holds a Master of Health Administration and a Master of Science in Health Informatics. Joseph LaRoche, Healthcare Product Owner, RF-SMART - Joseph LaRoche currently serves as the Healthcare Product Owner at RF-SMART in Jacksonville, Florida. In his role, Joey coordinates with our developers to oversee the execution of RF-SMART's Heathcare roadmap. Prior to joining RF-SMART, Joey consulted on and implemented Oracle ERP SCM modules at hospitals while working at Cerner Corporation. Joey is a Certified Materials & Resource Professional as recognized by ARHMM (The Association for Health Care Resource & Materials Management)Sarah Archer, Content Marketing Specialist, RF-SMART - Sarah has been a team member at RF-SMART since 2018. She is the host of this podcast, the Taking Inventory Podcast, and the YouTube series Q&A. Sarah is currently pursuing her Master's degree in Communication at the University of North Florida.

Be the first to hear this new podcast from RF-SMART! Subscribe at www.rfsmart.com/onpar to get notifications for this monthly series.On PAR is a podcast that delves right into the heart of the healthcare system: its supply chain. Join Sarah Archer, Bill Brewer, and Joseph LaRoche as they discuss the impact of 2020 on healthcare supply chain and make predictions about the future of the industry. What You'll Learn:How 2020 changed everything for healthcare supply chain & what that means for youWho is RF-SMART...and how can we help Oracle Cloud users?What technology can you utilize to revolutionize your materials management processes?Additional Resources:Watch the video: COVID-19 & the Healthcare Supply ChainRead the Blog: The Critical Role Between Healthcare Supply Chain & Patient CareRead the Blog: Adopting Mobile Technology in HealthcareWho You'll Hear: Bill Brewer, Healthcare Product Manager, RF-SMART - Bill Brewer currently serves as Healthcare Product Manager at RF-SMART in Jacksonville, Florida. In this role, Bill is responsible for overseeing RF-SMART's healthcare supply chain strategy and roadmap. Prior to his appointment at RF-SMART, Bill served as Regional Director, Materials Management at USPI/Tenet Healthcare. He has also served in supply chain leadership roles at Wake Forest Baptist Medical Center, UFHealth, and University of Missouri Healthcare. Brewer holds a Master of Health Administration and a Master of Science in Health Informatics. Joseph LaRoche, Healthcare Product Owner, RF-SMART - Joseph LaRoche currently serves as the Healthcare Product Owner at RF-SMART in Jacksonville, Florida. In his role, Joey coordinates with our developers to oversee the execution of RF-SMART's Heathcare roadmap. Prior to joining RF-SMART, Joey consulted on and implemented Oracle ERP SCM modules at hospitals while working at Cerner Corporation. Joey is a Certified Materials & Resource Professional as recognized by ARHMM (The Association for Health Care Resource & Materials Management)Sarah Archer, Content Marketing Specialist, RF-SMART - Sarah has been a team member at RF-SMART since 2018. She is the host of this podcast, the Taking Inventory Podcast, and the YouTube series Q&A. Sarah is currently pursuing her Master's degree in Communication at the University of North Florida.

With the summer months coming and the temperatures starting to rise, seniors and the elderly need to protect themselves from the heat. The warm weather can help improve many seniors' daily outlook on life as the effects of Seasonal Affective Disorder go dormant. If you think your loved one may have Seasonal Affective Disorder, or SAD, check out our episode on SAD, Are You Sad? for more information on what SAD is, how it affects seniors, and ways you can help your loved one overcome it.   The long summer months are something most of us look forward to throughout the winter. It is important for seniors to take the necessary precautions when spending time outside in the heat and in the sun. Seniors without air-conditioning are at the highest risk of extreme heat. Without being able to cool off inside, they can easily overheat and suffer from a number of heat-related illnesses and even death. If you know a senior that doesn't have air-conditioning, and can't afford one, the federal Low-Income Home Energy Assistance Program (LIHEAP) helps adults 65 and older who have limited incomes cover the cost of air conditioners and utility bills. You can call the National Energy Assistance Referral hotline at 1-866-674-6327 for more information on this program.   One of the ways our bodies regulate temperature is through sweating. However, adults 65 and older don't sweat nearly as much as younger adults do and are unable to regulate their body temperature through this way, which is why the heat is more dangerous for older adults. From 1999-2009, 40 percent of heat-related deaths occurred in seniors. We hope today's episode can help lower that number in the future. Heat-related illnesses are preventable if you know the facts ahead of time.   What can seniors do to protect themselves from the heat? Stay cool and stay hydrated. Seniors need to drink plenty of water to combat extreme heat. Older adults shouldn't wait until they're thirsty to drink water. If you have medication that requires you to drink less water, talk to your doctor to find out how much water they recommend you drink daily. If you need to cool down quickly, take a cool shower or bath. If you are having trouble overheating and are still feeling the effects of the heat an hour after finding a cool place to rest, please call your doctor.   Older adults should wear loose, lightweight, light-colored clothing that isn't restrictive when outside. Wearing long sleeves and hats can also prevent painful sunburns. Try to limit outdoor and strenuous activities to early morning and or evening when the sun doesn't pose as much risk and it is cooler out. Make sure seniors are getting plenty of rest during warm weather, too. The heat makes us tired and it's important to listen to what our bodies need. As the caregiver, you may be the one to notice when your loved one needs to rest or needs to hydrate if they are unable to recognize it for themselves. You also want to make sure to never leave an older adult in a shut-off vehicle without the windows down, even if you're just running into the post office to drop off an envelope. The effects of the heat can happen fast and if your loved one has any chronic medical conditions, it can quickly become deadly.   Dr. Michael Fitch, M.D., professor of emergency medicine at Wake Forest Baptist Medical Center says “If you have an older relative or neighbor, it's important to keep in frequent touch with them during times of hot weather. Keeping in mind that someone may not even be aware of feeling hot or thirsty, it is very important for others to check on the health and well-being of loved ones and friends.”   Now that you know the dangers of extreme heat, we're going to move on to the three major heat-related syndromes and what you can do to protect your loved one and prevent heat-related sickness. The first, heat cramps, is a condition that involves muscle spasms and pain. It typically occurs during or after strenuous activities, but it commonly occurs in older adults due to dehydration. Making sure the senior is drinking plenty of water is the most important thing you can do to prevent dehydration. If they have trouble drinking water, try giving them foods with high water content, like watermelon, cantaloupe, citrus fruits, tomatoes, cucumbers, and celery. If they become dehydrated and are unable to properly hydrate themselves, they may need IV fluids.   Heat exhaustion is the second heat syndrome. The National Institute on Aging states that heat exhaustion is a warning that your body can no longer keep itself cool. You might feel thirsty, dizzy, weak, uncoordinated, and nauseated. You may sweat a lot. Your body temperature may stay normal, but your skin may feel cold and clammy. Some people with heat exhaustion have a rapid pulse.   If you notice your loved one experiencing heat exhaustion, get them to a cool place immediately and try to hydrate them. If they have high blood pressure or heart problems, call 911 as soon as possible. Also, call 911 if they don't recover quickly after getting them in a cool area and water. If not taken care of, heat exhaustion can quickly become heatstroke.   Heatstroke can occur anywhere from 15 minutes to several days after being exposed to extreme heat. Heatstroke happens when the body heats up faster than it can cool off. The National Institute on Aging lists the signs of heatstroke as fainting or becoming unconscious, a change in behavior, such as confusion, agitation, staggering, being grouchy, or acting strangely, a temperature over 104°F (40°C), dry, flushed skin and a strong, rapid pulse or a slow, weak pulse, and not sweating even if it is hot. Seek medical help immediately if you think your loved one is experiencing heatstroke.   Extreme heat can be dangerous, but as long as you take the right precautions and recognize when your body has had enough, it is easy to prevent any ill effects of heat. We hope that having the tips and information to help avoid potential heat strokes, dehydration, and other health risks can be helpful to you and your loved one and can help seniors and the elderly to enjoy summer and the warmer weather safely.   We want to thank you for joining us here at All Home Care Matters, All Home Care Matters is here for you and to help families as they navigate long-term care issues. Please visit us at allhomecarematters.com there is a private secure fillable form there where you can give us feedback, show ideas, or if you have questions. Every form is read and responded to. If you know someone is who could benefit from this episode and please make sure to share it with them.   Remember, you can listen to the show on any of your favorite podcast streaming platforms and watch the show on our YouTube channel and make sure to hit that subscribe button, so you'll never miss an episode. Join us next time on All Home Care Matters where we will be discussing Understanding Cataracts.   Sources: https://www.cdc.gov/disasters/extremeheat/older-adults-heat.html   https://www.wakehealth.edu/Stories/Tips-to-Keep-the-Elderly-Safe-in-Extreme-Heat   https://www.wakehealth.edu/Stories/How-to-Stay-Cool-When-Its-Hot   https://www.wakehealth.edu/Stories/Heat-Safety-Tips   https://www.nia.nih.gov/health/hot-weather-safety-older-adults#:~:text=Heat%20Stroke%E2%80%94A%20Medical%20Emergency,-If%20you%20have&text=People%20who%20become%20dehydrated%20or,being%20grouchy%2C%20or%20acting%20strangely   https://www.healthinaging.org/tools-and-tips/tip-sheet-hot-weather-safety-tips-older-adults   https://www.lifespan.org/lifespan-living/elderly-and-heat-dangerous-combination   https://www.dripdrop.com/blog/heat/seniors-and-heat-illness-why-the-elderly-are-more-affected-by-the-heat   https://www.acf.hhs.gov/ocs/low-income-home-energy-assistance-program-liheap   https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250#:~:text=Heat%20exhaustion%20is%20a%20condition,heatstroke%20being%20the%20most%20severe.

Dr. Chi Huang is the Executive Director of General Medicine at Wake Forest Baptist Medical Center and an Associate Professor at Wake Forest University School of Medicine. He joins Rob and Mandy to talk about the rise in Asian American and Pacific Islander discrimination, harassment, and attacks. Join us for this important episode. 

Dr. Chi Huang is the Executive Director of General Medicine at Wake Forest Baptist Medical Center and an Associate Professor at Wake Forest University School of Medicine. He joins Rob and Mandy to talk about the rise in Asian American and Pacific Islander discrimination, harassment, and attacks. Join us for this important episode. 

"Regional Anesthesiology Fellowship: A Half a Million Dollar Opportunity Cost?," by James D. Turner, MD, Regional Anesthesiologist, Fellowship Program Director, Personal Finance Blogger; and Jacob Matthews, MD, Chief Anesthesiology Resident (PGY-4); both of Wake Forest Baptist Medical Center, Winston-Salem, North Carolina. From ASRA News, February 2021. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted.

This is She’s On Call, a weekly show hosted by NYC-based doctors ENT specialist Dr. Sujana Chandrasekhar and general surgeon Dr. Marina Kurian. We're talking about gender equity (both challenges & opportunities!) for women in medicine with two trailblazing doctors: Dr. Carol Bradford, VP for Health Sciences at Ohio State, and Dr. Julie Freischlag, CEO of Wake Forest Baptist Medical Center. The physicians and their guests’ views are their own and do not represent any institution. Please contact your doctor for any personal questions. Please hit share and join us live on Facebook, Twitter, Instagram, and YouTube at @shesoncall.

This is She’s On Call, a weekly show hosted by NYC-based doctors ENT specialist Dr. Sujana Chandrasekhar and general surgeon Dr. Marina Kurian. We're talking about gender equity (both challenges & opportunities!) for women in medicine with two trailblazing doctors: Dr. Carol Bradford, VP for Health Sciences at Ohio State, and Dr. Julie Freischlag, CEO of Wake Forest Baptist Medical Center. The physicians and their guests’ views are their own and do not represent any institution. Please contact your doctor for any personal questions. Please hit share and join us live on Facebook, Twitter, Instagram, and YouTube at @shesoncall.

Maria is the manager for the chaplains for staff ministry and the Department of FaithHealth Chaplaincy and Education at Wake Forest Baptist Medical Center. Maria is an ordained UCC minister who serves in a local Methodist church, as well as a full time board certified chaplain. See more about FiathHealth at: https://faithhealthnc.org/

This week Emmalee and Cole talk to Dr Buddy Marterre, MD, MDiv, Assistant Professor of General Surgery and Internal Medicine at Wake Forest Baptist Medical Center. We discuss some important issues surrounding Palliative Care as a part of a care team, as well as helpful tips, for patients, families, and providers . Don't forget to visit our website: hospiceofdavidson.org/community-connections,  for more episodes! 

Host: Hector O. Chapa, MD Guest: Dave McIntosh, PhD, MA Large communities of color and low socioeconomic status communities are often faced with higher mortality rates due to disparities in healthcare. How do these factors impact patient outcomes? Dr. David McIntosh, vice president and chief inclusion and diversity officer at Wake Forest Baptist Medical Center, discusses how social disparities in race and gender affect patients' outcomes.

Host: Hector O. Chapa, MD Guest: Dave McIntosh, PhD, MA Based on the latest research, a zip code is more effective in determining a patient’s health and life expectancy than genetics. Join Dr. David McIntosh, vice president, and chief inclusion and diversity officer at Wake Forest Baptist Medical Center, as he sits down with Dr. Hector Chapa to discuss social determinants of health and the impact they have on patients.

Our first two Common Conversations about Christian Nationalism and Black Burdens lead us now to sit with the trauma created from this history. It is personal and has given us PTSD which we must confront. Our fragile mental health is struggling all the more with a pandemic, political polarization of our communities, images of abuse on black and brown bodies, and a general sense of hopelessness.Listen to Dr. Stephanie Pinder-Amaker, Chief Diversity, Equity, and Inclusion Officer Director, College Mental Health Program, McLean Hospital, and Assistant Professor of Psychology at Harvard University,as she talks with Rev. Sabrina N. Gilchrist (class of '10), NCC, LCMHC, Executive Director of Right Moves For Youth,and Dr. Mark Jensen, Teaching Professor of Pastoral Care and Pastoral Theology at Wake Divinity and Chaplain Supervisor in the Division of FaithHealth at Wake Forest Baptist Medical Center.Moderated by Rev. Laura Barclay (class of ‘08), Licensed Marriage & Family Therapist in Louisville, KY.We received questions from Rev. Jessica Stokes (class of '13) Associate Director of Partners in Health and Wholeness, NC Council of Churches, Renisha Harris Lyon current MD/MA in Counseling student of the class of ‘22, Rev. Clare C. Johnson ('11) mental health therapist in private practice, Spartanburg, SC, Mary Beth Beck-Henderson ('21) family educator, Imprints Cares.Note that the audio version is missing a few components from the video or transcript versions; however, all the conversation is included.Common Conversations are conversations on common topics between experts in our community and members of the Wake Divinity faculty and staff moderated by Wake Divinity alumnus, students, and supporters. CC is sponsored by the Baptist Commons. For our first Common Conversations series in the fall of 2020, we focus on three topics under the theme of “the weight of racism.”As architects of equity, hope, and healing, we feel there is no more important place to begin than to talk about racism in America. The weight of this injustice is on us all.  As our beloved Deacon  Maya Angelou said, “It is impossible to struggle for civil rights, equal rights for blacks, without including whites. Because equal rights, fair play, justice, are all like the air: we all have it, or none of us has it.”In our series, we'll tackleThe Load of Christian Nationalism and Baptist History for our first episode released in October;Black Baptist Burdens | White Baptist Pressures for the second episode released in November; andThe Gravity of Trauma of These Enmeshed Communities for the third episode released in December.Don't worry; you don't need to be a Baptist to engage.We hope, however, you'll do more than watch. We hope you are inspired to start your own conversation after listening to ours. And that you, too, will continue the call for justice, compassion, and reconciliation.

Marisa is the Senior Vice President and Chief Supply Chain Officer for AdventHealth. In this role, she is responsible for all aspects of supply chain within the system, including contracting, field operations, data and analytics, value analysis, affiliates program, corporate pharmacy and RxPlus, and corporate construction management. Farabaugh recently joined AdventHealth and started in July of 2019. Prior to this transition, Farabaugh held several roles within healthcare supply chain, most recently as the Chief Supply Chain Officer for Wake Forest Baptist Medical Center in Winston-Salem, NC. During her time at Wake Forest, she also served as Head of the M&A and led the organization through major corporate initiatives including an overhead study. Prior to joining the healthcare industry, Farabaugh worked as an industrial engineer at The Hershey Company in Hershey, PA. Farabaugh received her bachelor's degree in industrial and systems engineering from the University of Florida and her MBA from Pennsylvania State University. Here in Episode #95 Marisa sets our show in motion with a quote from the immortal words of Maya Angelou; Marisa walks us through her impressive career, going from a literal chocolate factory to the world of healthcare supply chain; Marisa gives us a day in the life of a healthcare supply chain executive; she provides a great overview of healthcare shared services; Marisa shares a dark place moment teaching us that our relationships will always outlast our projects; she builds on the concepts of relationship building by encouraging us to build connections without the asks; Marisa shares a career AHA story that centers us around the need to live our calling as healthcare professionals; Marisa sets a call to action for ambitious professionals to enter the healthcare arena, and she gives her best career advice on how leaders lean in when times get tough. Connect with Marisa on LinkedIn Access The Healthcare QualityCast LinkedIn Group Leaves Us a Rating Earn Your Lean Six Sigma for Healthcare Certification

In this episode, we'll be discussing Adult Brain Tumors with Dr. Roy Strowd, an Associate Professor of Neurology at the Wake Forest Baptist Medical Center who specializes in neuro-oncology. 00:04 - Intro 00:51 - Chief Complaint/Differential 2:14 - Background 4:02 - Intraparenchymal Tumors 6:34 - Extraparenchymal Tumors 9:16 - HPI Questions 11:15 - Other Symptoms 13:03 - Risk Factors 15:06 - Physical Exam 15:38 - Inherited Brain Tumors (NF1, NF2, Tuberous Sclerosis) 16:43 - Diagnostic Work-Up 20:53 - Histology 24:02 - Adjunctive Therapy 26:40 - Common Myths

We are joined again by Dr. James Peacock, Professor Emeritus of Infectious Disease at the Wake Forest Baptist Medical Center. This episode discusses encephalitis with a few minutes at the end dedicated to brain abscesses. 00:04 - Intro 00:37 - Chief Complaint/Differential 1:05 - Background 3:00 - Pathophysiology 6:16 - Symptoms 7:23 - HPI Questions 8:46 - Non-Classic Presentations 9:28 - Risk Factors 10:29 - Physical Exam 12:43 - Diagnostic Work-Up 14:41 - Management 17:00 - Adjunctive Therapy 17:56 - Common Pitfalls 20:04 - Brain Abscess

We are joined by Dr. James Peacock to discuss meningitis, including both bacterial and viral causes. Dr. Peacock is a Professor Emeritus of Infectious Disease at the Wake Forest Baptist Medical Center, and is an esteemed educator and clinician. 00:04 - Intro 00:34 - Chief Complaint/Differential 1:13 - Background 2:36 - Pathophysiology 4:04 - Symptoms 5:37 - HPI Questions 6:47 - Non-Classic Presentations 8:17 - Risk Factors 9:37 - Physical Exam 11:25 - Diagnostic Work-Up 13:59 - Management 15:53 - Antimicrobials 18:59 - CSF Profiles 20:07 - Common Pitfalls

COVID-19 is not the flu.  When folks get ill with COVID-19, it can last a lot longer and adverse effects can linger for months or even years. If folks get ill enough and end up on a ventilator in the ICU, this experience can last a lot longer with more severe issues in and out of the hospital. Someone with COVID can transmit the illness, even if they don’t know they have it, for much longer than the flu. The flu mostly damages the lungs while COVID-19 can travel through the blood causing issues in the gut, kidneys, brain and even the vestibular system which keeps us centered in mind, body and space. In this show you will learn: Why fever may not be the best indicator of COVID in folks over 70 with COVID. What frontline docs especially worry about. How COVID is a blood-clotting illness and which blood type is more prone to blood clots. What you can do at home to naturally vs. pharmaceutically, ward off excess “fibrinogen” a substance that can boost the risk of blood clots. What natural products are helpful and at what dosages. Why you should wear a mask. Why some folks don’t believe in COVID as a viral reality. And so much more like the peer-review citation of the peer review nurse’s article illustrating all the studies that support mask protection. Show Guests Dr. Payam Nabizadeh is an ICU doctor from Jacksonville, Florida. He was a critical care physician at Orange Park Medical Center, a pulmonary and critical care fellow at the University of Florida and also Wake Forest Baptist Medical Center, he was an academic hospitalist at Memorial Health Care University Medical Center and received his MD from Ross University School of Medicine. Dr. Nabizadeh is certified by the American College of Chest Physicians, the American Thoracic Society, and by Fundamental Critical Care. This is just some of his hard elbow grease the list of his credentials goes on and on.   Dr. Eduardo Maristany is a board-certified internal medicine physician who is also trained by the Institute of Functional Medicine, advanced personalized genomic interpretation, and inflammatory diseases.   Pass it Along This is a wealth of important information be sure to pass it along so that others can learn. Additional Links Genetics, Medicine, Nutrition & COVID-19 with Dr. E. Maristany (#178) To Mask or Not to Mask Dr. Berkson: COVID-19 Links Coronavirus Update & Integrative Natural Answers COVID-19: In Light of Historical Pandemics, the Health of Planet Earth, & What We Can Do! (#168) COVID-19 with Dr. Leo Galland (#169) COVID-19: Promising Treatments by Docs on the Frontlines (#172) The FDA’s Role in the “Covid Crisis” and What You Can Do About It. (#173)

You probably recognize Dr. Christopher Ohl from the multiple media briefings or maybe even the billboards. As an Infectious Disease Specialist at Wake Forest Baptist Medical Center, he has become the voice and face of the local medical community during the COVID-19 pandemic. Dr. Ohl joins Sheriff Kimbrough at the table for an in-depth discussion on his career and his thoughts on our current situation.  

We are delighted to interview Dr. Caroline Chiles, thoracic radiologist from Wake Forest Baptist Medical Center and president of the Society of Thoracic Radiology (STR), for a wide-ranging discussion including lung cancer screening and other topics.

"Problem Solved" is live at the Healthcare Systems Process Improvement Conference 2020 at the Hyatt Regency Savannah in Savannah, Georgia, sponsored by the Society for Health Systems. We're talking to attendees, speakers and other participants about their conference experience using three simple questions: Who are you? Why are you attending this conference? And what will be the focus of healthcare in the future? Listen to this brief interview from Feb. 26 with Todd Banks from Wake Forest Baptist Medical Center in Winston-Salem, N.C.

With special guest Vicki Galyean, RN, BSN, CCDS, clinical documentation excellence (CDE) team leader, and Gina Fones-DiCrocco, MEd, CPC, CRCR, director of coding quality review and education at Wake Forest Baptist Medical Center in Winston-Salem, North Carolina. The show is co-hosted by Dawn Valdez, RN, LNC, CDIP, CCDS, a CDI education specialist for ACDIS/HCPro in Middleton, Massachusetts. In the news links: “CDC publishes ICD-10-CM addenda for new vaping code” from CDI Strategies ACDIS update links: ACDIS Achievement Awards nomination form Featured product: Today's featured ACDIS solution is the 2020 ACDIS Conference, which will take place May 5-8 at the Mirage hotel in Las Vegas. With six educational tracks, inspirational keynotes, and unparalleled networking, you won't want to miss our lucky 13th event. If you register by March 27, you'll get the early bird discount rate, so don't hesitate.

Rev. Maria Teresa Jones is the manager for chaplains for staff ministry and the Department of FaithHealth Chaplaincy and Education at Wake Forest Baptist Medical Center. Maria is an ordained UCC minister who serves in a local Methodist church, as well as a full time board certified chaplain. She is a native of Puerto Rico, a veteran, and a former professional dancer with a passion for justice.

"How I Used to Do It: Anesthesia and Analgesia for Total Knee Arthroplasty: Four Decades of Evolution," by James Turner, MD, and Robert Weller, MD, both of the Department of Anesthesiology, Section on Regional Anesthesia and Acute Pain Medicine, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina. From ASRA News, August 2019, pp. 30-34. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted.

Dr. Oona O'Neill stops by to discuss the opening of the new Birth Center at Wake Forest Baptist Medical Center. She also talks about the importance of well checks and caring for mom throughout the entire pregnancy journey, from the three trimesters to childbirth to post-partum wellness.See omnystudio.com/listener for privacy information.

Dr. Oona O’Neill stops by to discuss the opening of the new Birth Center at Wake Forest Baptist Medical Center. She also talks about the importance of well checks and caring for mom throughout the entire pregnancy journey, from the three trimesters to childbirth to post-partum wellness.

Gary Gunderson, Vice President for Faith and Health at Wake Forest Baptist Medical Center. Gary is known for more than two decades of creative work in the field of faith and public health initially at The Carter Center and Emory School of Public Health. In Memphis his ideas found ground through 530 congregational partners showing hard evidence of significant improved outcomes including mortality, cost and dramatically lower hospitalization. He is a frequent speaker and author of several books, including Religion and the Health of the Public, with James Cochrane; Leading Causes of Life, with Larry Pray; Boundary Leaders; and Deeply Woven Roots. He serves as secretary of Stakeholder Health.

Dr. Moskop is a bioethics scholar and teacher whose research interests include ethical issues in emergency medicine, advance directives, care for patients nearing the end of life, and the allocation of health care. He chairs the Clinical Ethics Committee at Wake Forest Baptist Medical Center and he is a core faculty member in the Wake Forest University Bioethics Graduate Program. His recent book Ethics and Health Care: An Introduction was published in 2016 by Cambridge University Press. He also serves on the Ethics Committee of the American College of Emergency Physicians and the Ethical and Judicial Affairs Committee of the North Carolina Medical Society. View full bio at https://school.wakehealth.edu/Faculty/M/John-C-Moskop

This episode is an interactive discussion about Unconscious Bias between Dr. Todd Ponsky, Dr. Julie Freischlag, Dr. Mary Brandt, Dr. Quinn Capers IV, Dr. Alejandra (Alex) Casar Berazaluce, Dr. Rachel (Rae) Hanke, and Dr. Alexander Gibbons. Dr. Julie Freischlag is CEO of Wake Forest Baptist Medical Center and Dean of Wake Forest School of Medicine. Dr. Mary Brandt is a Professor of Surgery, Pediatrics, and Medical Ethics at Baylor College of Medicine and a Pediatric Surgeon and Director of the Adolescent Bariatric Surgery Program at Texas Children’s Hospital. Dr. Quinn Capers IV is the Associate Dean for Admissions, Associate Professor of Medicine (Cardiovascular Medicine), and Program Director of the Interventional Cardiology Fellowship at The Ohio State University College of Medicine. Time stops: 00:01:06:17 Introduction 00:04:05:20 What is unconscious bias? How has it affected your career? 00:16:59:16 How does unconscious bias relate to social identity? 00:21:34:12 How do you approach a colleague putting together a manel? 00:23:23:09 How can we identify talent outside of our immediate group? 00:27:42:05 What can we do to counteract implicit bias? 00:40:05:08 What are your take home messages about discrimination in medicine? 00:50:10:09 How do we use and interpret the results of an Implicit Association Test? 00:51:45:14 How do we bring attention to unconscious bias without being labeled as radicals? 00:56:48:00 Closing remarks Music track is adapted from "I dunno" by grapes, featuring J Lang, Morusque. Artist URL: ccmixter.org/files/grapes/16626

This is the Faith Health Learning Forum Podcast, a podcast series designed to offer insights into the vision of FaithHealth NC, a dynamic partnership between Faith Communities, Wake Forest Baptist Medical Center, and other healthcare providers focused on improving health.

With special guests Tamara A. Hicks, RN, BSN, MHA, CCS, CCDS, ACM, the director of clinical documentation excellence (CDE) at Wake Forest Baptist Medical Center in Winston-Salem, North Carolina, and Yvonne Whitley RN, BSN, CPC, CRC, CDEO, the Manager for the Novant Health Ambulatory Clinical Documentation Improvement team. Co-hosted by Laurie Prescott, MSN, RN, CCDS, CDIP, CRC, the CDI Education Director for ACDIS in Middleton, MA.  To learn more about ACDIS' new CCDS-O certification, please click here.

A person in the c-suite to oversee the wellbeing of employees…sounds awesome right? The concept of a Chief Wellness Officer is a relatively new concept gaining traction at places like the University of Pennsylvania and Stanford. It’s a promising concept but what does a person in this role actually do? Today guest, Dr. Bill Satterwhite, Wake Forest Baptist Medical Center’s first Chief Wellness Officer, breaks it down for us.  Dr. Satterwhite is one of its leaders in redesigning health care to be more proactive about health and wellness rather than reactive about sickness and disease. He develops value-based, customized integrated solutions for self-funded employers -- including Wake Forest Baptist Health’s employees -- designed to improve their overall wellbeing in convenient, cost-effective and health-effective ways. In this interview, we discuss his role as the Chief Wellness Officer, his approach to both employee wellness and the wellness services his team brings to clients, how they address physician burnout (including the violence they face) and of course leaves us with two tangible tips…plus a bonus tip.  You’re Invited! I want to invite you to a free webinar, “7 Critical Steps to Increase Your Impact and Influence as a Wellness Professional” on December 13 at 2 pm EST. Register HERE. Many health promotion efforts are stuck in an old paradigm, operating on outdated thinking or flawed assumptions. This webinar will separate myth from reality – and jump start your path to confidently bringing your organization into the next generation of worksite wellness. You’ll leave with valuable insights and practical takeaways on the following four topics: What it means to move from a biomedical approach to an integrated one Shifting the focus of wellness away from healthcare costs and towards its real value The truth about financial incentives How to increase your influence in your organization You can register for the webinar HERE. For links mentioned in today's episode visit https://redesigningwellness.com/ To join the Redesigning Wellness Community, visit https://www.facebook.com/groups/rdwellnesscommunity/

Missy Stancil joins me to chat about spiritually integrated psychotherapy.  We define spirituality and religion and chat about how trained therapists can use both to help survivors of trauma. Missy discusses how she weaves spirituality into her therapy sessions for those who are interested in including it.  We also chat why spiritually integrated therapy can be highly beneficial for survivors of trauma. Missy Stancil is a Licensed Professional Counselor and National Certified Counselor.  She earned a Master of Arts degree in Mental Health Counseling from Campbell University and a Bachelor's degree in Human Geography from the University of North Carolina at Chapel Hill.  She also completed a three-year postgraduate residency in spiritually integrated psychotherapy from Wake Forest Baptist Medical Center, as well as the FaithHealth Fellowship.  She furthered her training through the Addressing Health Disparities Leadership Program through the National Council for Behavioral Health and the LGBTQ Academy Certificate from the American Counseling Association.

Bobby Milstein, PhD, MPH – Director, System Strategy at Rethink Health.  Bobby Milstein leads several ReThink Health projects focused on large-scale institutional change, including ongoing development of the ReThink Health Dynamics Model and other tools that allow leaders to negotiate their own scenarios for transforming regional health. Previously, Bobby spent 20 years planning and evaluating system-oriented initiatives at the Centers for Disease Control and Prevention (CDC), and was the principal architect of CDC’s framework for program evaluation. He received CDC’s Honor Award for Excellence in Innovation as well as Article of the Year awards for papers published in Health Affairs and Health Promotion Practice. Bobby earned a PhD in public health science from the Union Institute & University, and an MPH from Emory University. He once was a documentary filmmaker and also contributed storylines for The West Wing.  He is interviewed by Gary Gunderson, Vice President for FaithHealth at Wake Forest Baptist Medical Center, Secretary of Stakeholder Health and author of numerous books, including the newly published Speak Life. For a transcript of this conversation go HERE.      

With special guests William E. Haik, MD, FCCP, CDIP, director at DRG Review, Inc. in Fort Walton Beach, Florida, and Tamara A. Hicks, RN, BSN, MHA, CCS, CCDS, ACM, director of clinical documentation excellence (CDE) at Wake Forest Baptist Medical Center in Winston-Salem, North Carolina. Co-hosted by ACDIS CDI Editor Linnea Archibald. To read the article "AMA demands EHR overhaul, calls them 'poorly designed and implemented'" as featured on In the News, please click here.

Solidify your approach to back pain and sciatica with Dr. Chris Miles, Assistant Professor, Family & Community Medicine and Associate Director, Sports Medicine program, Wake Forest Baptist Medical Center. He schools us on red/yellow flags, physical exam maneuvers, when to order imaging, and practical tools and tips for evidence-based management! Correspondent Dr. Shreya Trivedi cohosts! Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Case from Kashlak Memorial: 53 yo M construction worker with a BMI of 29 and PMhx of DM2, HTN, depression presenting with right low back pain. He can't remember any trauma or injury. Denies radiation, no bowel or bladder dysfunction, saddle anesthesia, weakness Case from Kashlak Memorial: 48 yo F nurse who has had intermittent back pain for years presented with acute flare after helping lift a patient. The pain similar to previous episodes but more severe and also radiates to her left foot. She has tried naproxen and exercises/mindful stress reduction for months without improvement. It is unbearable for her to work. Time Stamps 00:00 Intro 02:14 Listener feedback 03:44 Announcements 05:14 Picks of the week 08:20 Millenial learners 10:40 Topic intro and guest bio 12:06 Getting to know our guest 17:30 Clinical case of back pain 20:18 How to hand sensory deficits 21:51 Red and yellow flag symptoms 25:44 How to approach patient with yellow flag symptoms 28:00 Physical exam for back pain 30:00 Special testing: Trendelenburg, Slump test, and Straight leg raise 35:48 Classifying types of back pain and a quick recap of teaching points so far 39:28 How to manage patient expectations 40:42 Treatment of non-radicular back pain 46:33 Home exercises and YouTube training 49:31 When to follow up after initial treatment trial 51:35 The patient with severe acute pain 53:33 Some pearls on muscle relaxants 55:22 Clinical case and how to treat radicular pain 59:40 Invasive treatment of back pain 65:04 Back pain treatments that don’t work 66:06 Take home points 67:34 Outro Tags: back, pain, radicular, radiculopathy, sciatica, lumbar, disk, herniated, facet, arthritis, spine, muscle, relaxant, tramadol, nsaids, exam, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student

Session 33 A lot medical students go through the process end up at a time where they have to submit their rank list and they have no clue what they want to do. And this is a lot of unneeded stress. In this podcast, I talk to a specialist that you can't get hold of so you can understand what is out there for you. Today's guest is Dr. Lauren Strauss, an academic Pediatric Neurologist who specializes in headaches. She is a DO at a large academic medical center for an allopathic residency program. She is currently the Residency Program Director at Wake Forest Baptist Medical Center for Pediatric Neurology. Listen to her thoughts on the field and what you should be looking into. Also check out our other podcasts at MedEd Media. [01:50] Interest in Pediatric Neurology Lauren has an interesting background having started in engineering. She did her major at UPenn in bio-engineering. She has always loved science and math. Her grandfather being an engineer and not having any doctors in the family, Lauren decided to do engineering. She thought bio-engineering would be offering her a big variety. What she found she loved the most was being able to do projects that brought them over to the hospital and allowed them to interact with clinicians. When she decided to do her senior engineering project, she ended up in the Neurology lab where they did research related to vertigo. At that time, she didn't know she wanted Neurology but she knew she liked other things outside of engineering. After graduating in engineering, she decided to take a year off while looking into medicine as an option. She worked at a pediatric practice for her pediatrician. She worked there for a summer which later turned into a whole year. Then she realized she wanted to go to medical school to be a pediatrician. It was during their pediatric subspecialty month that she could rotate through a lot of different specialties and neurology was one of them. It still didn't hit her at that point that it was what she was going to. When she picked a full month in a pediatric specialty, some subspecialties she signed up for were already filled except for pediatric neurology. She did the rotation anyway. "It was the perfect opportunity mixed with meeting the right people at the right time." Then she decided to apply to Pediatric Neurology. Lauren describes it as a hard decision to do.  Nowadays, most programs are categorical where you do your pediatrics and neuro in the same location. But at that time, there were still some where you could train at two separate places. Hence, it was a difficult process. When she talked to her medical school at New York College of Osteopathic Medicine, they never had anyone else who had done Pediatric Neurology. She is very happy she did take the plunge though. Where she ended up doing her training was pediatrics at a larger children's hospital at Long Island Jewish Medical Center. Then she did her child neuro training at Boston Children's Hospital. She then found out that a lot of people will pick an interest within Neurology and academics and go on and subspecialize with fellowship. She initially considered epilepsy since majority of the practice in pediatric neurology is developmental delay epilepsy and headache. Since she had an engineering background, she felt it was best for her to go into epilepsy. The reading of EEG's relies on physics. She soon discovered her love for patient interaction and taking a history from a patient and solving a puzzle. But she didn't love reading an EEG as much and sitting by herself. [06:18] Becoming a Pediatric Headache Specialist Lauren says a lot of people don't know you can subspecialize in headache. As a new emerging specialty, Headache Medicine is part of a UCNS (United Council for Neurologic Subspecialties) fellowship. A lot of people going into the field are adult headache specialists being the paved route. It's much easier from the adult side. "Headache is a new emerging specialty." Lauren notices that headaches in kids can be as young as age two but majority of them are in the pre-teen or teenager years. She loves the challenge of convincing the patient to give her that history. She also loves the overlap with some of the social dynamics and healthy living. She loves how to coach them back towards a better life. She also likes the fact that a lot of headache patients tend to get better if you have the right tools in place. She finds this very satisfying. So when she looked into Headache Medicine, she explored her other options including a pediatric pain fellowship as well as an adult pain fellowship. She likes procedures but realized she didn't like it to the extent that majority of her practice was going to be procedures. So she ultimately settled in doing a headache fellowship. She ended up doing an adult headache fellowship at the Brigham and Women's Hospital, one of the first headache centers established in the country. Their adult headache fellows were very interested that she was doing her child neurology training locally. So they got interested in collaborating with and training a future pediatric headache specialist. Lauren is actually one of the pioneers of the said field. She knew that when she graduated fellowship, she wanted to have all of the necessary tools. If she left the programs in Boston, then she would want to be at a center where there is no other pediatric headache specialist. She is currently at Wake Forest being one of the few fellowship-trained pediatric headache specialists in a several-state-region. Moreover, she is heavily involved, not only in patient interaction, but also in education and community efforts. She is streamlining protocols for the emergency room and educational materials for patients. It's very common but there is also a lot of need in headache since not everyone has gone onto this subspecialty level. [09:07] Traits that Make a Good Pediatric Headache Specialist Lauren illustrates that anyone interested in going to pediatrics has to be a little bit more patient and creative. "You have to be able to adapt to new situations." When you're examining children or taking a history from a child or family, you have to be willing to go out of order. The child might not let you examine at the beginning of the visit until the end of the visit. So you have to be able to charm people. You have to use your communication skills to warm up the child or the parents to what you're trying to ask and what the plan is going to be. In headache, those skills are taken into the extremes. The patients and their families are dealing with a situation where their child is very much in pain. They don't initially know other families are dealing with the same condition. So it can be very isolating and very anxiety-producing. It can be a huge struggle. Moreover, a lot of these patients can be very disabled by their condition. They can look like other children but they're dealing with special issues. They could miss school and have many other challenges. As a specialist, they have to be able to coach them and be firm at times on helping them get back. Hence, communication is very helpful. Lauren adds that you want to be a little bit of a problem-solver. You may want to ask a few more questions to make sure it's migraine and not something else. You have to be able to understand the exam and how that fits into the history. [11:15] Patient Types and Procedures In general neurology, they see all ages up to eighteen in pediatric neurology. In the outpatient setting, they will usually do evaluation for young children who are delayed in walking or talking. They try to understand if it's something they're going to catch up on. Or is it something related to a genetic condition or a metabolic condition? You need to assess if you need to do another workup. How do you help them get the right services they need so they can catch up on their milestones. Additionally, they see first time seizure patients or refractory seizure patients. They try to see how they can help diagnose the right epilepsy condition. They have a lot of patients that get better. They can make a diagnosis of a seizure disorder that they know by the time they're teenager, it may go away or in a few years. So they have to make not only a diagnosis but also be able know whether it fits into an epilepsy syndrome. This way you can help the family understand what the true prognosis is. So epilepsy is a big bulk as well as headache. Since her passion is headache, most of her outpatient practice over time has become headache. Headache patients come in various types. You can see someone with their first headache that may be had some interesting features to it. They can have a visual aura. Children, just like adults, can have very interesting aura symptoms for their migraines. They can see a cracked glass, speckled colors, sparkles, shooting stars and a whole gamut of things. And this can be very scary for the first time it happens. Part of Lauren's expertise is sorting out how consistent it is with migraine or if there's any workup needed. She also sees patients with repeated headaches or those that never go away everyday. Some of the typical medicines they would use over the counter won't seem to stop it. So it's also part of her practice to sort out which medicines they can use to help the patient. Or if there are certain things in your lifestyle that contribute to this such as overuse of caffeine found in local soda or sweet tea. "People don't even realize that they have a young child who's exposed to a lot of caffeine." They also focus on avoiding skipped meals, hydration, exercise, and addressing other concerns like bullying or other things going on at a school setting. Moreover, Lauren is also trained in procedures to help manage pain. They can do  a nerve block. The patient takes a numbing medicine and the specialist injects on the scalp to numb it and give it temporary or long-lasting pain relief. They also do Botox which is a muscle paralyzer which you can use in managing chronic migraine. You inject in 31 places on the scalp and the neck. It affects the nerves locally to prevent them from spreading neuropeptides and inflammatory markers to perpetuate pain. Lauren explains there are a lot of interesting ways to treat headache including coaching and procedure. This keeps her practice very interesting. [15:10] Choosing Academics versus Private Practice Lauren initially thought really long and hard about what she wanted her career to look like. She thought private practice was very attractive because you have more control over your schedule. You might see consistent types of patient population You might have more consistent hours. The reason she ultimately chose academics is she wanted a job where it could grow with her as her interests change. As a young faculty, she knows she loves education but she doesn't really know if that's her path. If she went into private practice, she thinks she would have missed a lot of things - being with the residents and medical students and seeing the collaboration and the discussing of interesting patients. Since she has been at Wake Forest, she started up a Headache Case Conference. They host it once a month where they get together and talk about their most fascinating headache patients. Because of this, they can get back up on patients they need more guidance on as well as be able to hear from other providers. She loves this kind of collaboration and learning all the time. Lauren is glad she chose academics. She has gotten so passionate about education that she is now the Residency Director for their Pediatric Neurology Program. She now helps design curriculum and make sure block schedules look nice. She looks into ways to improve the education for their residents at all stages. "I love education. I can't imagine, now in this role, going back into private practice." Another thing she likes about academics is that it allows you to be part of both the inpatient and outpatient sides of it. She loves being in clinic and it's the majority of what she does in headache managements. But she also loves being occasionally on inpatient service. You see so many different things there that by the time you see them on clinic, they've already been stabilized and they no longer have ongoing concerns. Academic allows you to be varied and depending on where you get hired, you can have all different types of job descriptions. [18:00] Work/Life Balance Lauren stresses this is something very important to look at when choosing a field not only for women, but for anyone when choosing their career. You never know what your home life is going to look like when you're making these big decisions. "Having flexibility or knowing what kind of support you have from your family is helpful." Lauren knew she was going to likely possibly leave the area where her family lived. She would be in an area without initial extended support and friends. She wanted to be in a place where she didn't have to work nights and weekends all the time. Lauren loves the balance in pediatric neurology. She generally works Mondays through Fridays and works one weekend every six weeks. She's not in-house for those calls and works from 9-11 doing patient rounds and then she goes home. She also answers pages from home on the weekends she's on. For Lauren, it's manageable because it ends up being an 8-5 job with lunch breaks. Then she can also squeeze the meetings. But in general, her practice is very manageable for having a family. [19:35] Residency Path and Fellowship Training Lauren explains that a lot of programs have moved towards combining your match into being able to apply once into both pediatrics and child neurology at the same hospital. At Wake Forest, you come for a two-day interview. You will be interviewed by the pediatrics group and then by the child neurology group. But when they make a decision and you get your match result, it's at one program. Lauren did her training at two separate places. It does have its benefits like being able to know all these different hospital systems. But she reckons it's nice to spend all five years (two in pediatrics and three in child neurology) in one place. It allows you to build connections much easier and you spend less time worrying about computer systems. Then you can focus more time on learning as you transition from pediatrics to child neurology. What's different in their field is you spend two years purely in pediatrics. Then when you transition over to child neurology, you will spend a bulk of that first year in adult neurology training. You're treated just like another adult neurology resident. Lauren describes this as a hard transition to go from general pediatrics to dealing with adult patients who may have internal medicine problems. Some of those conditions may have overlaps in pediatrics in ways. Moreover, programs approach problems differently. At their program, their pediatric neurology residents don't do in-house call on the adult neuro side. "You have to be careful when you choose programs that it's a match for your personality and what you're hoping to go into for your career." How competitive Pediatric Neurology is depends on where you want to practice. Some of the top five programs tend to be larger programs but they're biggest hits in the major cities. So several of those programs can be very competitive if you had your heart set on one of those programs. But in general, pediatric neurology every year will have a few spots that are unmatched across the country. Relative to some other specialty fields, Pediatric Neurology is less competitive. Compared to adult neurology, it's also less competitive. The fellowship training is a one-year program. There are programs that offer a two-year program depending on what your research interests are. But usually, it's a one-year clinical fellowship. Then you may add on a second year if you have plans to complete a certain type of research project by the end. [22:50] DOs, Primary Care, and Other Specialties As a DO, Lauren was very worried in some of the programs she was interviewed at being it could be something that was mentioned or asked about. At the program she settled at Boston Children's Hospital, she was worried about it being a Harvard-based program. She was afraid being an osteopath would be seen negatively. But it was a positive to them as their prior residents and chief residents have also been DO's. You would be sometimes be worried that it's going to be a problem in a program. But there are programs that you're unexpectedly amazed that they see that as a strength. She interviewed at a place in New York and she was asked why she didn't go to a real medical school. She thought it was a joke until she realized it was actually happening in real-time. "Your job is to seek out opportunities and use your skill set and your background to keep seeking out additional opportunities." Everyone will have things in their CV that they're very proud about or other people are going to question. If someone says something negative, Lauren says you just have to rise above and say you're proud of where you come from. Explain to them why they should be excited about what you've done in the past. Other than that on interview though, she has never experienced any negativity towards being a DO. She finds this as a huge strength in her clinical practice because she practices an OMM (Osteopathic Manipulative Medicine) or OMT (Osteopathic Manipulative Treatment). She tends to use it on the head and neck in some of her headache patients. And they really appreciate the hands-on approach. Lauren admits she's blessed and happy she chose the training she did. It has opened some doors that would have been opened for someone else. "You have to kill everything with possibility and realize to make decisions which are best for you." Working with primary care, Lauren says it's helpful that as you're going through training, seek out as many opportunities that might be out of your comfort zone. She recommends gaining as much information as you can during rotations. You never know when that knowledge is going to come back into play and be helpful for that one particular patient. She thinks that if you decide to  only do pediatrics, you may have opportunities where you're able to interact with a neurology patient during training. Lauren recommends taking the opportunity to do neurology month or take things you may not always deal with. You never know when you have that one patient in your practice and you feel very uncomfortable with. Moreover, Lauren says it would be helpful to say why you're worried and what you've already discussed to the patient. Other specialties she works the closest with include general pediatrics, neurosurgery, and neuroradiology. [28:33] What She Wished She Knew And What She Likes Best and Least Going into pediatric neurology and headache, what she wished she knew that she knows now is that they have a great work-life balance but their pay is less compared to other pediatric subspecialties or adult colleagues. Nevertheless, she is very happy with her work-life balance and her salary but she just didn't realize this was something in play. She thought that if you treated the same complicated type of cases that you'd be compensated the same. Lauren points out how resources account for this. You're very lucky in academics if you're at a children's hospital that is layered with different administrative support and fund raises. Lauren's favorite thing is when patients get better. She loves it when a patient comes back and they're doing really well. You can't cure everyone but she says it's very rewarding when you hear that someone's life was upside-down and now they're back on course. On the flip side, what she likes the least is the frustration of trying to help your patients but they can't see a path out. They're not willing to improve their lifestyle like cut caffeine or sleep better. If she had to do it all over again, Lauren says couldn't imagine what else that other career would be or what else would she be so excited about. She simply loves her job.There are times that anyone and any job can feel that have a frustrating day or interaction with someone. But in the end, she finds what she does as really fascinating and the opportunities are very rewarding. She says you don't get to have that kind of rewarding and intense job as much. But she would choose the same specialty all over again. "I get to do something really cool everyday and I get to be a part of someone else's life." [34:30] Lauren's Final Words of Wisdom No matter field you're looking at, Lauren says it's always about reaching out to areas you're thinking about and finding out what opportunities are available. It could be spending time with someone in clinics or in the operating room. It could be spending time on the inpatient side or in a research project. "Don't be afraid to reach out to people especially when you're in a training environment." Especially in academics, Lauren says everyone is excited when they have someone reaching out to them. When you see someone young and enthusiastic and looking at what you're doing, it can be contagious. So it's very important to be involved in that process and don't be afraid to reach out. Introduce yourself or maybe attach your resume so they can also understand your background. Be honest to say you don't know if neurology is for you. Then ask if you could schedule a time to be able to spend time with them in the clinic just to see how you're going to love that experience. [36:30] Breaking the DO/MD Stigma It seems that the DO and MD stigma is going away. Lauren is a DO at a large academic medical center for an allopathic residency program. Hopefully, you understand that being a DO is not holding you back. If you're listening to this as a DO student, there are some self-limiting beliefs that you don't actually need. If you are in the Wake Forest area and that triad of medical hospitals and universities looking at pediatric neurology, go reach out. See if there's an opportunity to shadow her or somebody else in the program in that department. [37:31] Compare and Contrast Two weeks ago, we did adult headache medicine and this week we did pediatric headache medicine. Now you're seeing some differences if you're thinking about headache and you're thinking about adults versus kids. Listen to these two episodes. Compare and contrast. If you have a specialist you would like for me to talk to, shoot me an email at ryan@medicalschoolhq.net. Links: UCNS (United Council for Neurologic Subspecialties) Wake Forest Baptist Medical Center adult headache fellowship at the Brigham and Women's Hospital Specialty Stories Episode 31: What Does a Headache Specialist’s Job Look Like? Brigham and Women's Hospital

Note: In this week’s episode we asked doctors about the patients who changed their lives. It was a basic question, and an obvious one – so obvious that we weren’t prepared for how good the responses would be. The stories were powerful and intimate, and a peek into the world we don’t always see. This got us thinking: We have to keep this going. Would you be willing to share this short questionnaire with your networks http://goo.gl/forms/S0940YVFlT? We’d love to hear from anyone who would like to contribute! A big part of a doctor’s job is listening. They listen to our symptoms, pain and life situations. They listen for what patients aren’t telling them. They listen to heartbeats. But give them a mic, like the Annals of Internal Medicine did, and you’ll find out they also have plenty to say. This week we hear from three doctors in what we call a "Doctor Story Slam" – like a poetry slam, except with more stethoscopes and medical degrees. We often hear about how doctors change patients’ lives. We wanted to know: how do patients change their lives?  These are the kind of stories you never hear during your routine check-ups. Doctor 1: Dr. Richard Weinberg Dr. Weinberg is a gastroenterologist at Wake Forest Baptist Medical Center in North Carolina. He talked to us about a patient suffering from stomach pain who he found impossible to diagnose, until he brought up some unlikely subjects that got her talking: bakeries and dreams. When he found out his patient’s actual history – a traumatic incident from when she was a teenager – he continued to listen, even though he knew her problem couldn’t be solved by one of his procedures or prescriptions. Dr. Richard Weinberg in his clinic. (Courtesy of Dr. Richard Weinberg) Doctor 2: Dr. Reeta Mani Dr. Mani is a microbiologist in Bangalore, India. She told us about two patients who came to her with a very strange predicament: they were married, successful,and having problems in their relationship. But there was something even more pressing that she found in their lab results: both had two different kinds of HIV. Dr. Mani said their story surprised her, but not as much as the way they reacted to the news. This story was first published in Pulse - voices from the heart of medicine. Dr. Reeta Mani in Bangalore. (Mary-Rose Abraham) Doctor 3: Dr. Michael LaCombe Dr. LaCombe is a cardiologist in Augusta, Maine. His story goes back decades ago, to the beginning of his residency. He had a six week rotation in the psychiatric ward and had a young patient who was schizophrenic and delusional. He would talk to her every day, two hours in the morning and two hours in the afternoon. When his training was done he promised her he would write to her. He did, for decades, but he never heard from her again. Until 50 years later. Dr. Michael LaCombe in Augusta, Maine. (Courtesy of the LaCombe family) Listen to all of their stories in the player above or anywhere you get your podcasts. 

This week, Emma  is blessed to welcome Christ Following and Kingdom Working couple for Christ, Stephen Mobley and Dr. Feben Girma, MD for Part 2 of an incredible interview last week. They will share how Kingdom Work for Christ can happen in Science today. Feben currently serves as an internal medicine physician providing care to the medically underserved population within a clinic associated with Wake Forest Baptist Medical Center.  Born in Addis Ababa, Ethiopia as the youngest sister to her six older brothers, she moved to the States when she was 6 years old and grew up in Stone Mountain, GA. She attended Tucker High School where she graduated Valedictorian of her class. Subsequently, she attended Duke University as a pre-med and psychology major. She later was accepted into Morehouse School of Medicine where she graduated with her M.D. and completed her internal medicine residency at Wake Forest Baptist Medical Center in Winston-Salem, North Carolina. Stephen currently works as a research engineer intern for Qorvo, a technology company focused on developing devices for the cell phone industry.  Born and raised in Denver, Colorado, he later attended the University of Maryland, Baltimore County, majoring in computer engineering.  He was accepted to graduate school at Georgia Institute of Technology in Atlanta, GA.  His research focus was in the development of biosensors for medical screening applications and this semester he will be graduating with his Ph.D. in electrical & computer engineering. More on this ministry at www.kingdomworkforChrist.com. A very special thanks to Alyce Metallo for her arrangement of Blessed Assurance (My Story), our opening song! Check her out at www.alycemetallo.com.

This week, Host Emma Boa-Durgammah is blessed to welcome Christ Following and Kingdom Working couple for Christ, Stephen Mobley and Dr. Feben Girma, MD. They will share how Kingdom Work for Christ can happen in Science today as an internal medicine Doctor and an Electrical and Computer Engineering PHD Candidate. Stephen currently works as a research engineer intern for Qorvo, a technology company focused on developing devices for the cell phone industry.  Born and raised in Denver, Colorado, he later attended the University of Maryland, Baltimore County, majoring in computer engineering.  He was accepted to graduate school at Georgia Institute of Technology in Atlanta, GA.  His research focus was in the development of biosensors for medical screening applications and this semester he will be graduating with his Ph.D. in electrical & computer engineering. Feben currently serves as an internal medicine physician providing care to the medically underserved population within a clinic associated with Wake Forest Baptist Medical Center.  Born in Addis Ababa, Ethiopia as the youngest sister to her six older brothers, she moved to the States when she was 6 years old and grew up in Stone Mountain, GA. She attended Tucker High School where she graduated Valedictorian of her class. Subsequently, she attended Duke University as a pre-med and psychology major. She later was accepted into Morehouse School of Medicine where she graduated with her M.D. and completed her internal medicine residency at Wake Forest Baptist Medical Center in Winston-Salem, North Carolina. More on this ministry at www.kingdomworkforChrist.com. A very special thanks to Alyce Metallo for her arrangement of Blessed Assurance (My Story), our opening song! Check her out at www.alycemetallo.com.

Universities are moving away from a passive approach to technology transfer to engage with industry in new partnerships, put a greater emphasis on translational research, and nurturing technologies so they can give rise to new products and companies. We spoke to Eric Tomlinson, chief innovation officer of Wake Forest Baptist Medical Center, about these changes, the approach Wake Forest is taking, and how it is forging new relationships with industry and the regional economy.

Pastor Tacuma Johnson is a Messenger. He has accepted God's call to "build the infrastructure for the Kingdom of God." Jesus said, "I AM the vine and you are the branches." As you know, vines have to grow along another structure--unlike a tree they are not strong enough to stand upright on their own. In the same way, our lives grow along the educational, economic, familial, and religious institutions around us. In this season, Pastor Johnson believes that God wants us to rely less on the institutions of this world, and build infrastructure to support Kingdom Living. Pastor Tacuma Johnson, is a native of Winston-Salem, NC. He earned an undergraduate degree at Morehouse College in History . After his 1995 graduation, he returned to North Carolina where he gained business management, sales, and finance experience in the real estate business. However, during this time, he discerned the call of God to Christian ministry. He served as Young Adult Minister then Assistant Pastor for several years. Responding more decisively to his calling, he returned to school and in 2003, earned a Masters of Divinity at Wake Forest Divinity School. He also completed a chaplain residency program at Wake Forest Baptist Medical Center, and interned a homeless shelter and street ministry as well as Hospice. Pastor Johnson was called to Greater First United Baptist Church in 2008, and served as its Senior Pastor through the Fall of 2014. Pastor Johnson’s wife, Dr. Michelle T. Johnson is in Kingdom Partnership with him to accomplish the mission of God. She is a graduate of Spelman College and the University of NC at Greensboro, where she earned her Ph.D. in English. She is the founder of Alabaster Woman Ministries, an international ministry offering education and inspiration across denominational, cultural, and regional lines.  The Johnsons have two young daughters, Mikhayah and Saraiyah who light up their lives and hearts.

Wake Forest Baptist Medical Center is using new neo natal monitors to help parents monitor their babies. WFBMC is also working on ways to develop faster, less expensive therapies. Chapel Hill entrepreneurs are bringing business to our state. And author Katy Simpson Smith talks about her new book.

We continue our look at entrepreneurship in NC with a visit to a water conservation organization. The Innovation Quarter in Winston-Salem is bringing new businesses to the Triad. The Alamance Battlefield historic site preserves our state's history. And author Tom Earnhardt talks about his new book.

Researchers use computer models to study medicines impacts on our bodies. Wake Forest Baptist Medical Center's Cancer Center offers comprehensive care for patients. And we learn about pool safety tips and tools for individuals and families.

A Winston-Salem woman's heart condition is healed with a special pump. The sport of Pickleball is gaining popularity & will be part of the NC Senior Games. Plus a preview of the upcoming Gateway to Science Expo in Greensboro.

A Winston-Salem woman has a special reason to celebrate Heart Health Month. Charlie Rose is the 2014 North Carolinian of the Year. Scott Mason travels the state on the "road less traveled." And author William Chafe talks about his new book.

President Barack Obama speaks on the economy during a visit to NC State University. A new WRAL documentary looks at child poverty in NC. And a Wake Forest Baptist Medical Center team is looking to develop therapies more quickly.

With new understanding about the structures of human organs, scientists are growing miniature human livers, hearts and kidneys and linking them together with a blood substitute, to evaluate the effects of new drugs.

With new understanding about the structures of human organs, scientists are growing miniature human livers, hearts and kidneys and linking them together with a blood substitute, to evaluate the effects of new drugs.

Researchers at Wake Forest Baptist Medical Center and Virginia Tech are collecting data live from the playing field to investigate the causes and lasting effects of concussions. Jeff Smith brings this report.

Researchers at Wake Forest Baptist Medical Center and Virginia Tech are collecting data live from the playing field to investigate the causes and lasting effects of concussions. Jeff Smith brings this report.

Cutting-edge research is helping medical & sports officials better understand concussions. Dr. Josh Bloom continues the discussion as he tells us ways to diagnose, treat, & prevent concussions. Plus Weatherstone Elementary and Providence Day School are receiving national recognition for their STEM programs.

Did you know that African Americans are twice as likely to develop Alzheimer's disease? We need to do all we can to eliminate this appalling health disparity – and the first step is to understand why it exists.Dr. Laura D. Baker discussed her groundbreaking work, including whether things like exercise, diet, and nasal administration of insulin can slow the progression of Alzheimer's disease. Dr. Baker is an Associate Professor of Gerontology and Geriatric Medicine at Wake Forest Baptist Medical Center and affiliate faculty of Wake Forest's Maya Angelou Center for Health Equity.This call was presented by the African American Network Against Alzheimer's and generously sponsored by Patrick Berry, a former Washington DC partner in the law firm of Baker Botts and a founding Board Member of USAgainstAlzheimer's.Support the show (https://www.usagainstalzheimers.org/ways-donate)

A study by Wake Forest Baptist Medical Center found a potential link between salt intake & childhood obesity. The NE Regional Biotech School offers students a unique opportunity. And Native American potter Senora Lynch preserves her tribal heritage through art.