Canadian physician and co-founder of Johns Hopkins Hospital
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4 episodes with William Osler
3 episodes with William Osler
2 episodes with William Osler
Rheumatoid arthritis, lupus, and Crohn’s disease are autoimmune diseases that share a lot of commonalities. This episode covers when and how they were first recognized and described. Research: Aceves-Avila, Francisco Javier et al. “The Antiquity of Rheumatoid Arthritis: A Reappraisal.” The Journal of Rheumatology 2001; 28:4. Arnaud, Laurent et al. “The History of Lupus Throughout the Ages.” Journal of the American Academy of Dermatology. Volume 87, Issue 6, December 2022. https://www.sciencedirect.com/science/article/abs/pii/S0190962220307726 Barber, Megan R W et al. “Global epidemiology of systemic lupus erythematosus.” Nature reviews. Rheumatology vol. 17,9 (2021): 515-532. doi:10.1038/s41584-021-00668-1 Bornstein, Joseph E. and Randolph M. Steinhagen. “History of Crohn’s Disease.” From Crohn’s Disease: Basic Principles. Springer. 2015. Crohn & Colitis Foundation. “IBD before the Foundation.” https://www.crohnscolitisfoundation.org/about/our-beginning Entezami, Pouya et al. “Historical perspective on the etiology of rheumatoid arthritis.” Hand clinics vol. 27,1 (2011): 1-10. doi:10.1016/j.hcl.2010.09. Geller, Stephen A. and Fernando P F de Camposc. “Crohn disease.” Autopsy Case Rep [Internet]. 2015; 5(2):5-8. http://dx.doi.org/10.4322/acr.2015.001 Hyndman, I.J. (2017), Rheumatoid arthritis: past, present and future approaches to treating the disease. Int J Rheum Dis, 20: 417-419. https://doi.org/10.1111/1756-185X.12823 Kirsner, J B. “Historical origins of current IBD concepts.” World journal of gastroenterology vol. 7,2 (2001): 175-84. doi:10.3748/wjg.v7.i2.175 Laberge, Monique, and Philip E. Koth. "Rheumatoid Arthritis." The Gale Encyclopedia of Medicine, edited by Jacqueline L. Longe, 6th ed., vol. 7, Gale, 2020, pp. 4474-4480. Gale In Context: Science, link.gale.com/apps/doc/CX7986601640/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=8b8ee977. Accessed 30 Apr. 2025. Laurent Arnaud - I6 The history of lupus throughout the ages: Lupus Science & Medicine 2020;7:. https://doi.org/10.1136/lupus-2020-eurolupus.6 org. “The History of Lupus.” https://www.lupus.org/resources/the-history-of-lupus Mandal, Dr. Ananya. “Rheumatoid Arthritis History.” News Medical. 7/7/2023. https://www.news-medical.net/health/Rheumatoid-Arthritis-History.aspx Medical News Today. “The History of Rheumatoid Arthritis.” 5/2/2023. https://www.medicalnewstoday.com/articles/rheumatoid-arthritis-history Michniacki, Thomas. “Crohn’s Disease: An Evolutionary History.” University of Michigan Library. 2006-05 http://hdl.handle.net/2027.42/96969 Potter, Brian. “The History of the Disease Called Lupus.” Journal of the History of Medicine and Allied Sciences , JANUARY 1993, Vol. 48, No. 1 (JANUARY 1993). Via JSTOR. http://www.jstor.com/stable/24622869 Sathiavageesan, Subrahmanian, and Suganya Rathnam. “The LE Cell-A Forgotten Entity.” Indian journal of nephrology vol. 31,1 (2021): 71-72. doi:10.4103/ijn.IJN_249_19 Scofield, R Hal, and James Oates. “The place of William Osler in the description of systemic lupus erythematosus.” The American journal of the medical sciences vol. 338,5 (2009): 409-12. doi:10.1097/MAJ.0b013e3181acbd71 "Systemic Lupus Erythematosus." National Institute of Arthritis and Musculoskeletal and Skin Diseases Pamphlets, National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2001, p. 1. Gale Academic OneFile, link.gale.com/apps/doc/A79512544/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=534bac78. Accessed 30 Apr. 2025. Thomas, Donald E. et al. “The first use of “lupus” as a disease.” Lupus. 2025, Vol. 34(1) 3–9. Tish Davidson, and Rebecca J. Frey. "Crohn's Disease." The Gale Encyclopedia of Medicine, edited by Jacqueline L. Longe, 6th ed., vol. 2, Gale, 2020, pp. 1423-1427. Gale In Context: Science, link.gale.com/apps/doc/CX7986600509/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=2687d598. Accessed 30 Apr. 2025. Van Hootegem, Phillippe. “Is Crohn’s A Rightly Used Eponym?” J Crohns Colitis. 2020 Jul 9;14(6):867-871. doi: 10.1093/ecco-jcc/jjz183. See omnystudio.com/listener for privacy information.
Dr. Hoffman continues his conversation with Dr. Kieran Murphy, author of “The Essence of Invention: Medicine and the Joy of Creativity,”
In this episode of the Intelligent Medicine podcast, Dr. Ronald Hoffman interviews Professor Kieran Murphy, an interventional neuro radiologist and prolific inventor from Toronto Western Hospital. Dr. Murphy has developed numerous innovative medical devices and filed 60 patents. He shares insights from his book, “The Essence of Invention: Medicine and the Joy of Creativity,” discussing his work on medical innovation, his unique background, and personal experiences that have driven his creative solutions. The conversation covers various topics, including the importance of creativity, the impact of bureaucracy on modern medicine, and groundbreaking innovations like ozone therapy for herniated discs and a radio-protective supplement for medical personnel. Dr. Murphy emphasizes mindfulness and paying attention to phenomena as key components for fostering creativity and innovation in medicine.
Dr. Richard Schaefer is an orthopedic specialist at Johns Hopkins Medicine and an editor at CLOSLER. Listen to Richard discuss the pillars of CLOSLER, his past writing pieces, and helpful strategies for connecting with patients.
A Way of Life: An Address to Yale Students, Sunday evening, April 20th, 1913 by William Osler
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Today we shall be talking about Pneumonia! What an exciting topic. According to Dr William Osler considered to be the “father of modern medicine” and who trained at McGill, pneumonia is known as “the old man's friend” he wrote, “"Pneumonia may well be called the friend of the aged. Taken off by it in an acute, not often painful illness, the old man escapes those 'cold gradations of decay' so distressing to himself and his friends.” Dr. Olser himself died from complications of pneumonia. Pneumonia has a fascinating history as it has been with humanity for many centuries. Symptoms of pneumonia were first described by Hippocrates around 460 BC, but it wasn't until the 19th century that doctors were aware pneumonia was its own condition and not a symptom of another disease. Interesting tidbits of pneumonia related history, Dr. Edwin Klebs was the first person to observe bacteria causing pneumonia under the microscope in 1875 and the bacterial genus klebsiella was named after him. Strep pneumonia, commonest cause of CAP was the first bacteria to be gram stained to distinguish gram positive from gram negative bacteria by Hans Christian Gram in 1884. Hence the name “Gram” stain. The Spanish Flu in 1918, which was an H1N1 influenza A pandemic, killed more people than the first world war in combat, resulting in approximately 20-50 million deaths, and was the second most deadly pandemic on record. In comparison, Covid19 worldwide deaths stand at around 7 million according to the WHO in November 2023. Alright, we could talk all day about pneumonia history, but its time to focus on CCFP objectives for pneumonia!
THE GROWTH OF TRUTH The 1906 Harveian Oration by William Osler This will interest anyone interested in science or history in general. The Growth of Truth discusses the evolution of knowledge in medicine, using Harvey's pivotal discovery of the circulation of the blood as the prime example of how seemingly sudden advances in medicine and science don't just happen, but come about only when the ground has been plowed and is ready for seed. This masterful lecture was presented by Dr. William Osler, the father of modern clinical medicine, on October 18th 1906 as the Harveian Oration, a yearly lecture held at the Royal College of Physicians in London, first instituted by William Harvey, the discoverer of the circulation of the blood, 1656. Initially mandated to be given in Latin, since 1865 it has been presented in English. The Growth of Truth is presented in full, unabridged form. The Growth of Truth is available for listening at https://on.soundcloud.com/5wQSY Edison McDaniels is a physician and surgeon, as well as an accomplished audiobook narrator. Listen to him everywhere. SOUNDCLOUD: https://soundcloud.com/edisonaudio (Over 20,000 minutes of polished audio content for your enjoyment). PODCAST: https://podcasts.apple.com/us/podcast/the-surgical-fiction-podcast/id1547756675 YOUTUBE: https://www.youtube.com/channel/UCruaBSuh3TsnqnSbk0tcKNQ FACEBOOK: facebook.com/audiobook.narrator.edison.mcdaniels INSTAGRAM: www.instagram.com/surgeonwriter/ AUDIBLE: https://www.audible.com/search?searchNarrator=Edison+McDaniels&sort=pubdate-desc-rank&ref=a_search_c5_sort_1&pf_rd_p=0bf2be0c-e481-4a32-913f-f9ce2af92814&pf_rd_r=TKYKX0ARN95P6DD57ST2
THE GROWTH OF TRUTH The 1906 Harveian Oration by William Osler This will interest anyone interested in science or history in general. The Growth of Truth discusses the evolution of knowledge in medicine, using Harvey's pivotal discovery of the circulation of the blood as the prime example of how seemingly sudden advances in medicine and science don't just happen, but come about only when the ground has been plowed and is ready for seed. This masterful lecture was presented by Dr. William Osler, the father of modern clinical medicine, on October 18th 1906 as the Harveian Oration, a yearly lecture held at the Royal College of Physicians in London, first instituted by William Harvey, the discoverer of the circulation of the blood, 1656. Initially mandated to be given in Latin, since 1865 it has been presented in English. The Growth of Truth is presented in full, unabridged form. The Growth of Truth is available for listening at https://on.soundcloud.com/5wQSY Edison McDaniels is a physician and surgeon, as well as an accomplished audiobook narrator. Listen to him everywhere. SOUNDCLOUD: https://soundcloud.com/edisonaudio (Over 20,000 minutes of polished audio content for your enjoyment). PODCAST: https://podcasts.apple.com/us/podcast/the-surgical-fiction-podcast/id1547756675 YOUTUBE: https://www.youtube.com/channel/UCruaBSuh3TsnqnSbk0tcKNQ FACEBOOK: facebook.com/audiobook.narrator.edison.mcdaniels INSTAGRAM: www.instagram.com/surgeonwriter/ AUDIBLE: https://www.audible.com/search?searchNarrator=Edison+McDaniels&sort=pubdate-desc-rank&ref=a_search_c5_sort_1&pf_rd_p=0bf2be0c-e481-4a32-913f-f9ce2af92814&pf_rd_r=TKYKX0ARN95P6DD57ST2
THE GROWTH OF TRUTH The 1906 Harveian Oration by William Osler This will interest anyone interested in science or history in general. The Growth of Truth discusses the evolution of knowledge in medicine, using Harvey's pivotal discovery of the circulation of the blood as the prime example of how seemingly sudden advances in medicine and science don't just happen, but come about only when the ground has been plowed and is ready for seed. This masterful lecture was presented by Dr. William Osler, the father of modern clinical medicine, on October 18th 1906 as the Harveian Oration, a yearly lecture held at the Royal College of Physicians in London, first instituted by William Harvey, the discoverer of the circulation of the blood, 1656. Initially mandated to be given in Latin, since 1865 it has been presented in English. The Growth of Truth is presented in full, unabridged form. The Growth of Truth is available for listening at https://on.soundcloud.com/5wQSY Edison McDaniels is a physician and surgeon, as well as an accomplished audiobook narrator. Listen to him everywhere. SOUNDCLOUD: https://soundcloud.com/edisonaudio (Over 20,000 minutes of polished audio content for your enjoyment). PODCAST: https://podcasts.apple.com/us/podcast/the-surgical-fiction-podcast/id1547756675 YOUTUBE: https://www.youtube.com/channel/UCruaBSuh3TsnqnSbk0tcKNQ FACEBOOK: facebook.com/audiobook.narrator.edison.mcdaniels INSTAGRAM: www.instagram.com/surgeonwriter/ AUDIBLE: https://www.audible.com/search?searchNarrator=Edison+McDaniels&sort=pubdate-desc-rank&ref=a_search_c5_sort_1&pf_rd_p=0bf2be0c-e481-4a32-913f-f9ce2af92814&pf_rd_r=TKYKX0ARN95P6DD57ST2
THE GROWTH OF TRUTH The 1906 Harveian Oration by William Osler This will interest anyone interested in science or history in general. The Growth of Truth discusses the evolution of knowledge in medicine, using Harvey's pivotal discovery of the circulation of the blood as the prime example of how seemingly sudden advances in medicine and science don't just happen, but come about only when the ground has been plowed and is ready for seed. This masterful lecture was presented by Dr. William Osler, the father of modern clinical medicine, on October 18th 1906 as the Harveian Oration, a yearly lecture held at the Royal College of Physicians in London, first instituted by William Harvey, the discoverer of the circulation of the blood, 1656. Initially mandated to be given in Latin, since 1865 it has been presented in English. The Growth of Truth is presented in full, unabridged form. The Growth of Truth is available for listening at https://on.soundcloud.com/5wQSY Edison McDaniels is a physician and surgeon, as well as an accomplished audiobook narrator. Listen to him everywhere. SOUNDCLOUD: https://soundcloud.com/edisonaudio (Over 20,000 minutes of polished audio content for your enjoyment). PODCAST: https://podcasts.apple.com/us/podcast/the-surgical-fiction-podcast/id1547756675 YOUTUBE: https://www.youtube.com/channel/UCruaBSuh3TsnqnSbk0tcKNQ FACEBOOK: facebook.com/audiobook.narrator.edison.mcdaniels INSTAGRAM: www.instagram.com/surgeonwriter/ AUDIBLE: https://www.audible.com/search?searchNarrator=Edison+McDaniels&sort=pubdate-desc-rank&ref=a_search_c5_sort_1&pf_rd_p=0bf2be0c-e481-4a32-913f-f9ce2af92814&pf_rd_r=TKYKX0ARN95P6DD57ST2
A PDF of the TRANSCRIPT of this episode (including a cool photo of Dave and the featured cartoon) can be obtained by clicking HERE.Dr. William Osler said: To study the phenomena of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all...A patient with unexplained nightmares......a collaborative patient-centered teaching tool......perhaps there's something to be learned from our patients after all...Join Dave on this immersive story about collaboration, navigation of complexity, and the real meaning of health care. Plus! There's a NEW CARTOON :)Our Website: https://www.empoweredsleepapnea.comOfficial Blog: "Dave's Notes" : https://www.empoweredsleepapnea.com/daves-notesTo go to the BookBaby bookstore and view the BOOK, click HERE!
Treat the whole person. This principle of Naturopathic Medicine is quite similar to the William Osler quote, “treat the person, not the disease”. These concepts apply to all cases, and they are especially helpful in treating the whole person health of those with autism spectrum disorders.Join us as we chat with our brilliant friend and colleague Dr. Jon Beatty ND as he dishes out the specifics that help us remodel our understanding of immunology and the gut as it relates to autism spectrum disorders.
Dear readers, the potential of innovative technology is here, and we need to downplay it. In keeping with my ongoing advocacy for “the rules,” I draft this missive.I welcome Everyone in All Psychedelic Medicine Related Endeavors to this newsletter so they can take my excellent advice.*Thank you for reading The Frontier Psychiatrists. This post is public, so feel free to share it.* this advice has not been vetted for excellence.https://open.substack.com/pub/thefrontierpsychiatrists/p/william-osler-md-for-psychedelic?r=1ct8f&utm_campaign=post&utm_medium=web This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit thefrontierpsychiatrists.substack.com/subscribe
The Evolution of Modern Medicine A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913
Drs Michelle Kittleson and Jason N. Katz discuss how to navigate uncertain terrain using a few rules to balance choices, risks, and goals in managing device therapy for individuals with heart failure. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/982158). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Medical Management of Advanced Heart Failure https://pubmed.ncbi.nlm.nih.gov/11829703/ William Osler https://pubmed.ncbi.nlm.nih.gov/3289809/ Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock: A Scientific Statement From the American Heart Association https://pubmed.ncbi.nlm.nih.gov/35862152/ Experience With Univentricular Support in Mortally Ill Cardiac Transplant Candidates https://pubmed.ncbi.nlm.nih.gov/2306148/
Kencan Dengan Tuhan Minggu, 29 Januari 2023 Bacaan: Matius 25:23 "Maka kata tuannya itu kepadanya: Baik sekali perbuatanmu itu, hai hambaku yang baik dan setia, engkau telah setia memikul tanggung jawab dalam perkara yang kecil, aku akan memberikan kepadamu tanggung jawab dalam perkara yang besar. Masuklah dan turutlah dalam kebahagiaan tuanmu." Renungan: Suatu kali, seorang mahasiswa sekolah kedokteran membaca sebuah buku karangan. Thomas Carlyle. Meski demikian, ia hanya mengingat 1 kalimat saja yang pada akhirnya mengantarkan pemuda bernama William Osler itu sukses menjadi pengelola John Hopkins School of Medicine, menjadi profesor ilmu kedokteran di Universitas Oxford dan mendapat gelar kehormatan Sir dari Ratu Inggris. Inilah satu kalimat itu, "Tindakan utama yang harus kita kerjakan bukanlah melihat apa yang terletak samar-samar di kejauhan sana, melainkan melaksanakan apa yang kelihatan dengan jelas di depan mata." Bila direnungkan, banyak hal yang sudah Tuhan letakkan di "tangan kita. Waktu, tenaga, otak yang cerdas, kesehatan, dan sebagainya. Semua itu adalah aset yang berharga, yang bila digunakan dengan maksimal dapat membawa kita pada puncak sukses. Otak kita saja bila dimanfaatkan dengan lebih optimal, akan menghasilkan sesuatu yang luar biasa. Seperti Stephen Hawking, walaupun tubuhnya lumpuh, tetapi ia sanggup menjadi guru besar bahkan menciptakan berbagai rumus fisika dengan otaknya. Ia pun dijuluki sebagai manusia genius kedua setelah Albert Einstein. Itu baru hal otak. Kita masih memiliki kemampuan lainnya yang hebat. Semua orang sudah diberi anugerah untuk menalar dan menciptakan, sehingga mestinya bisa menciptakan sesuatu dengan apa yang telah dimilikinya. Karena itu, mari mulai melihat ke dalam diri kita, apa yang kita punya, apa yang ada di tangan kita sekarang dan jangan pusing dengan keahlian orang lain. Jangan pusing dengan apa yang tidak ada pada kita. Setiap dari kita tidak peduli siapapun dan dalam kondisi apapun, sudah diberikan keahlian dan talentanya masing-masing oleh Tuhan. Ketika kita dapat mengolah dan mempergunakan keahlian dan talenta yang ada pada kita dan mengerjakan apa yang ada pada tangan kita, maka cepat atau lambat keberhasilan akan menjadi milik kita. Tragedi kehidupan yang sesungguhnya bukanlah karena kita hanya diberi satu talenta, melainkan karena kita gagal menggunakan satu talenta itu. Tuhan Yesus memberkati. Doa: Tuhan Yesus, terima kasih untuk setiap talenta yang telah Kau berikan padaku. Mampukan aku untuk mengembangkannya sehingga dapat memberkati banyak orang. Jangan biarkan aku ingin menjadi seperti orang lain tapi mantapkanlah niatku untuk menjadi diriku sendiri dengan apa yang sudah Kau berikan padaku. Amin. (Dod).
This podcast was a little different and, hence, so are the show notes. What follows is the books mentioned during the recording. The list is neither comprehensive nor to suggest we're especially literate: we're not. Instead, we're merely encouraging people to explore books about the wider world of medicine and to bolster your courage when you come to write your own! Feel free to share your favorites, especially those that we missed, via our Twitter or Instagram accounts. Matt Morgan Critical 2019 (history of ICU, personal reflection) One Medicine, 2023 (popular science, comparative physiology) James Maskalyk Life on the Ground Floor, 2017 (emergency medicine in both developed and developing world, personal reflection) Kevin Fong Extreme Medicine, 2014 (popular science, physiology) Rachel Clarke Your Life in My Hands, 2017 (life as a junior doctor, personal reflection) David Nott War Doctor, 2019 (surgery in developing world and war zones), personal reflection) Aoife Abbey Seven Signs of Life, 2019 (ICU physician, personal reflections) Henry Marsh Do no harm, 2014 (neurosurgeon, personal reflections Admissions, 2017 Adam Kay This is Going to Hurt 2017 (obstetrics, personal reflections, diary) Undoctored (2022) Kathryn Mannix With the End in Mind 2017 (end of life, palliative care, insights) Michael Bliss The Discovery of Insulin 1982 (medical history) William Osler: a life in medicine, 1999 Harvey Cushing, 2005 Rose George The Big Necessity, 2008 (the story of human waste) Nine Pints, 2019 (blood and transfusion) Mary Roach Stiff: the curious life of human cadavers, 2021 (self explanatory) Caitlan Doughty Smoke gets in your eyes, 2015 (working in the funeral and cremation business) Sam Keens The tale of the dueling neurosurgeons, 2014 (popular science, neuroanatomy) The Icepick Surgeon, 2021 (the awful things done in the name of medical science) Roy Porter Medicine, a history of healing, 1997 (medical history) The greatest benefit to mankind, 1999 And one we didn't mention but should have Wendy Moore The Knife Man, 2005 (biography of John Hunter and the history of surgery and Victorian medicine)
Equanimity# In Latin - Aequanimitas; Aequanimitas Book by William Osler
Two doctors in the same field have equal years of experience with similar expertise about your condition. Assume you can choose either without needing to wait longer for the other. Does it matter if one of them cares a bit more about you as a person? The answer might surprise you. After this episode you'll know how much emotional intelligence your physicians have on top of their medical intelligence.It's easier to judge a doctor's abilities over a long period of time. If an orthopedic surgeon has done a few thousand knee replacements or if a dermatologist has been seeing melanoma patients for over 30 years, you can be reasonably confident that such professionals are solid at their job. This skill isn't obvious during a random moment in the clinic. In the exam room, however, you can see a few things. The doctor looks into your eyes without typing away on a laptop. The doctor gives bad news about a diagnosis without a soft landing. The doctor listens to your story without interrupting. You might get shamed for being unhealthy. The doctor may encourage you to be active in medical care. There are thousands more interactions showing if your doctor cares about treating a disease as well as treating you, the patient. Immediate behavior gives away much of the doctor's emotional intelligence that a years-long body of work on paper can't explain. What is emotional intelligence (or EI)? It depends who you ask, but in the realm of medicine, EI matters for providers acting based on controlling their emotions, having empathy for a patient when needed, and being aware of their responsibilities. Coaching in sports is a simple but comparable example. Coaches have to adjust their approach based on their players and game plan. How coaches use players and execute a strategy is skill-based. However, interactions with the players have to vary. Some players need to be yelled at to make progress while others are better left alone.In the exam room, certain patients want to participate in their care. Other patients want to just be in and out of the clinic to follow the doctor's instructions without a second thought. Some patients like paternalistic doctors and others want an equalized discussion. Physicians noticing these subtle preferences personalize care for their patients to a new and practical level.Bedside manner is not a new concept in medicine. Johns Hopkins' first medical chief, Dr. William Osler, cared about physicians managing their behavior as well as treating both disease and patients. Dr. Osler's The Principles and Practice of Medicine, which brings up some of these subjects, was published in 1892! Dr. Osler didn't forget about science. The evidence-based medicine we have today is due to his belief that medicine needed a rational and consistent scientific basis. These (at the time revolutionary) ideas led to his famous quip that “practice of medicine is an art based on science.” Doctors are supposed to be patient-focused and not just locked into treating a condition. No surprise there. That being said, there's a massive difference between a clinic saying it's patient-centered, and being patient-focused in reality. There are few moments among many revealing much about the doctor's character and attention for you.As a patient, ask yourself a few questions to help estimate a doctor's emotional intelligence. Are providers being polite with you but with not their staff? If you are due for a hard diagnosis, does the doctor callously lay down the bad news or does the doctor ease into the next phase of your care with grace? If physicians make a mistake, what do they do next? Is the doctor only telling you things to do, or is there some room for collaboration? There's another important question besides asking if the doctor has a competent treatment plan in mind. Are you being heard? You can only find these answers during and after your time at the clinic. An online search may spell out a doctor's track record, but there's no scouting report for situational awareness.Emotions can be imprecise, but that didn't stop a few Indian researchers from conducting a 2018 study in Chennai to measure emotional intelligence. A sample of medical students addressed prompts based on socio-demographic backgrounds, private versus government education, a special EI self-assessment test, and hypothetical situations a doctor may encounter at the clinic. The researchers built their own EI scale ranging from 0-160, with 160 implying that a doctor is the saint of empathy and master of emotional control. The medical students' average grade was 107. Here's the problem—it's hard to screen prospective doctors for emotional intelligence because the participants being tested will report themselves as self-aware and in command of their behavior. Beyond that fact, medical exam scores weren't compared with each student's EI result to put the results in context. Empathy can never make up for bad medicine. If you're having surgery or a complicated procedure, the doctor's skill with a scalpel and stitches matters way more than any kind of social awareness of your pain. It's better to have a trained but mean surgeon rather than a kind but worse surgeon. Even for regular office visits, the doctor's treatment and your response to that treatment will always be the main factor of a successful medical relationship. This Indian study's methods were flawed. However, the results showed (anecdotally) the most common positive and negative payoffs of solid emotional intelligence. I added a screenshot of the study's useful framework on my Substack post which you'll find at rushinagalla.substack.com. Emotional intelligence still matters to patients regardless of how ambiguous it may be. Bedside manners are necessary for higher-level care, but seasoning is no replacement for a dish. Good seasoning improves a meal, but not having a main course, meaning your doctor's lack of actual expertise, means you stay hungry or unwell.Don't wait for a provider to realize they need to treat you as well as your disease. Patients can prompt the doctor to care a little more about them. If the physician didn't introduce themselves to you, ask their name and more about their overall role in the practice. Request the doctor to listen for a moment without typing on a laptop at the same time. Some patients need tough love and paternalistic advice, but it doesn't hurt to ask for being a larger participant in your care. Make sure your expectations of care and the doctor's expectations of treatment line up. Don't hesitate to ask questions like you would for any typical visit, but do so to have your doctor explain a little bit about why they're choosing a particular treatment or assessment for you. All of these prompts help your doctor adjust their care to your preferences.Bedside manners in medicine are usually figurative, but sometimes a doctor indeed sits next to your bed. Physicians apply their knowledge and emotional intelligence anywhere, but their assistance changes if you need medical care for one day versus one week. Whether you are at the clinic for a few minutes or staying at the hospital for a few days, the next pod will tell you exactly what it means to be an inpatient and outpatient. Subscribe and stay tuned to Friendly Neighborhood Patient for all you need to know about partnerships in medicine. I'll catch you at the next episode. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit rushinagalla.substack.com
This is the second part of a two part interview with Dr. Shelly Smith-Acuña. You can read about, or listen to, the first part of this conversationhttps://thirdopinionmd.org/thinking-outside-the-healthcare-box-systems-theory-discussion-with-guest-dr-shelly-smith-acuna-part-1/ ( here). I highly recommend tuning in to part one first. For both parts of this interview, I've proposed that Dr. Smith-Acuña and I take a unique look at the health care system. We are blending her background in Psychology and Systems Theory with my own experience of the healthcare system as a doctor. We set the scene for this discussion by having all of the “family members'' of the healthcare family attend an intensive psychotherapeutic session together. We are sending all the players of healthcare to get therapy because, let's face it, healthcare systems are really dysfunctional. In this episode, Dr. Shelly Smith-Acuña and I discuss: Structure as the fifth principle, and the hierarchy that comes into play within the healthcare system. Structure encompasses sharing power and sharing responsibility, along with good communication. How definition and clarity around the structure of a system gives everyone working within it a better sense of how to interact and work. History and development is the sixth principle of Systems Theory. This involves understanding both the history of the doctor's profession, or health history of an individual patient. Events such as trauma are not always considered when approaching care, and they have an impact on outcomes. The role of transference and countertransference: unconsciously patients and doctors experience and react to one another based on their past personal experiences and what they encountered in their families of origin. Social and cultural narratives is the seventh principle of Systems Theory. Each of us has encountered both social and cultural experiences that inform who we are now, and how we understand any given situation. These narratives also impact language shaping experience and form dominant narratives. One example of this is a dominant narrative around passive-aggressive care. Within a healthcare system, the patient is often expected to be a passive recipient of care, with doctors using aggressive approaches and language around care. Resources https://bookshop.org/books/systems-theory-in-action-applications-to-individual-couple-and-family-therapy/9780470475829 (Systems Theory in Action: Applications to Individual, Couples, and Family Therapy) by Dr. Shelly Smith-Acuña, 2011. https://youtu.be/-UnCu5xgChE%20https://youtu.be/-UnCu5xgChE (Wise Mind), as explained by the founder of DBT (Dialectical Behavioral Therapy), Marsha Linehan in this short YouTube video. This Venn diagram is an amazing summary of where two people can be in healthcare interactions, from successful to polarized. Correction and more information on the 20th-century physician, William Osler. Dr. Osler was actually one of the four founders of The Johns Hopkins Hospital rather than Johns Hopkins University as explained in the episode. For more information about William Osler, click http://www.americanosler.org/about/about-william-osler.php%20http://www.americanosler.org/about/about-william-osler.php (here). https://thirdopinionmd.org/thinking-outside-the-healthcare-box-systems-theory-discussion-with-guest-dr-shelly-smith-acuna-part-2 (Read a transcript, and the full show notes for this episode on my website.) To learn more about Third Opinion MD, please https://thirdopinionmd.org/ (visit my website by clicking here.) I offer one-on-one integrative health consultations blending Eastern and modern medicine philosophies, putting you in charge of your health management and prevention. https://thirdopinionmd.org/consults/ (You can learn more by visiting my website, here. ) Dr. Barbara de la Torre started Third Opinion MD as a way to spark a wave of change in the way we practice medicine, how we care for ourselves,
Seeing Clearly: A Pre-Clerkship's Guide to All Things Ophthalmology
In this episode of Seeing Clearly, Emaan Chaudry and Danielle Solish talk to Dr. Yasser Khan, an oculo-facial plastic, reconstructive and orbital surgeon at McMaster University and the University of Toronto. Dr. Yasser Khan is an internationally renowned ophthalmic surgeon, humanitarian, and entrepreneur. He is an Oculo-Facial Plastic, Reconstructive and Orbital Surgeon residing in the Greater Toronto Area, Canada. He is an Associate Professor of Surgery at McMaster University and the University of Toronto. He teaches cutting-edge and innovative surgical techniques to surgeons nationally and globally. His International fellowship in Oculoplastics and Orbital Surgery has trained over 20 surgeons worldwide. He is also the founder, owner, and Director of Carrot Surgery Clinics– which combine information technology and medicine to provide state-of-the-art health care options for clients/patients. Dr. Khan is devoted to national and global humanitarian medical work. He is a founder and CEO of GIVE – Global Initiative for Vision and Eyecare. GIVE's primary aim is to develop social entrepreneurship solutions to empower local populations and treat blindness. He has worked in this capacity in over 40 different countries and in Northern Ontario with Indigenous communities. Dr. Khan has extensive experience in leadership and Corporate Board positions. He has served as past President and Vice President of the William Osler Health Corporations representing 1500 medical staff over 4 hospitals in one of Canada's best and largest healthcare systems. He has also served as a Member of the Board of Directors at William Osler. His hobbies include trekking and high-altitude alpine/mountain climbing. His highest mountain peak summited was Cotopaxi in the Andes of Ecuador at 20,000 feet. It is one of the highest active volcanoes in the world. In this episode, we discuss: - What drew Dr. Khan to the field of ophthalmology. - The day to day life and “bread and butter” of an oculoplastic surgeon. - The international side of ophthalmology and Dr Khan's experiences practicing, teaching and learning ophthalmology all around the world. . - Dr. Khan's advice for learners. Check out our website: www.eyecurriculum.com Follow us on Instagram: www.instagram.com/EyeCurriculum Follow us on Twitter: www.twitter.com/EyeCurriculum
In this episode, host Dr Laurence Sperling and guests talk about how COVID affected patient-partnered dyslipidemia care, causing clinical teams to innovate. Relevant disclosures can be found with the episode show notes on Medscape.com (https://www.medscape.com/viewarticle/958311). The topics and discussions are planned, produced, and reviewed independently of our advertiser. This podcast is intended only for US healthcare professionals. Resources Patel P, Dhindsa D, Eapen DJ, et al. Optimizing the potential for telehealth in cardiovascular care (in the era of COVID-19): time will tell. Am J Med. 2021;134:945-951. doi:10.1016/j.amjmed.2021.03.007 American Medical Association. Telemedicine and team-based care: improve patient care and team engagement by using team-based care in telemedicine. https://edhub.ama-assn.org/steps-forward/module/2781279 Bhaskar S, Bradley S, Chattu VK, et al. Telemedicine as the new outpatient clinic gone digital: position paper from the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (part 2). Front Public Health. 2020;8:410. doi:10.3389/fpubh.2020.00410 Arevian AC, Springgate B, Jones F, et al. The Community and Patient Partnered Research Network (CPPRN): application of patient-centered outcomes research to promote behavioral health equity. Ethn Dis. 2018;28(Suppl 2):295-302. doi: 10.18865/ed.28.S2.295. Stewart MP, Fink R, Kosirog E, Saseen JJ. Bridging health disparities: a national survey of ambulatory care pharmacists in underserved areas. Pharm Pract (Granada). 2021;19:2359. doi:10.18549/PharmPract.2021.2.2359 Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines [published correction appears in Circulation. 2019 Jun 18;139(25):e1182-e1186]. Circulation. 2019;139(25):e1082-e1143. Golden RL. William Osler at 150: An Overview of a Life. JAMA. 1999;282:2252–2258. doi:10.1001/jama.282.23.2252
La pandemia por la COVID-19 ha supuesto luces y sombras en la asistencia sanitaria. Entre las sombras destaca la pérdida del contacto humano, de un trato muy técnico, pero poco humanizado y esa necesidad de humanización de la medicina es uno de los pilares básicos, junto al fomento de la ciencia y la investigación biomédica, de una institución, la Fundación Lilly, que acaba de cumplir veinte años. Tanto el presidente de la Fundación, Nabil Daoud, como su director general, José Antonio Sacristán analizan en Fórmula Salud algunos de los proyectos de presente y futuro que buscan mejorar la medicina en beneficio de la salud de los ciudadanos. "Desde hace años – señala José Antonio Sacristán– la Fundación Lilly regala a todos los graduados de Medicina de España un libro sobre la vida y la obra de William Osler, médico canadiense que puso los cimientos de la medicina moderna basada en una formación científica pero centrada en la faceta humana inherente al arte de curar".
UK Vaccine Technology - Interesting English Speaking Topics ✔Lesson transcript: https://adeptenglish.com/lessons/english-speaking-topics-7/ The UK has jabbed 74 million arms, with covid-19 vaccinations. Yet most people don't understand the medical science or technology that's being used in these new generation of modern vaccines. So today we are going to use our English-speaking practice lesson as an opportunity to learn what the experts say about the vaccines used in the UK. It's quite tricky talking about Covid-19 related topics. With so much information, both correct and incorrect being shouted at people on the internet it makes you want to just keep your head down and avoid the complete mess. However, I think it's important to listen to my listeners! The one topic I've had a lot of requests for podcast ideas has been on covid-19 vaccines. I'm not an expert on these things, but I've taken time to find the views of experts that I would listen to. I'm only going to talk about the vaccines being used in the UK. Even though there are many others from Russia, China and Germany, for example. I've tried to reference resources that are fact checked or come from official sources. Medicine is a science of uncertainty and an art of probability. ⭐ William Osler, Scientist I know people like to talk about the problems with vaccines, and the unknowable risks. No medicine is perfect, there is always a risk involved. In the UK there are some (about 280,000 out of 74,000,000) unfortunate people who have not reacted well to the vaccines but for 99.6% of the others in the UK the vaccines have nearly completely removed the risk of dying from covid-19. 10 times more people are dying of flu and pneumonia than of Covid-19 in the UK right now.Learn more about our courses here: https://adeptenglish.com/language-courses/ Adept English is here to help with FREE English lessons and language courses that are unique, modern and deliver results. You can learn to speak English quickly using our specialised brain training. We get straight to the point of how you should learn to speak English. We teach you in a fun and simple way that delivers results. If you want to learn to speak English, our approach to learning through listening will improve your English fluency.
“No man is really happy or safe without a hobby.” -William Osler. A surprising way to grow your "author self" - through activities that have absolutely nothing to do with writing. Join the author conversation: https://www.facebook.com/groups/inkauthors/ Learn more about YDWH and catch up on old episodes: www.yourdailywritinghabit.com
Podcast details:In this episode of IMPACT Medicom's podcast series on Precision Medicine in Oncology we discuss:· The evolving role of genomics in a pathologist's tool kit for informing care in oncology· The value of comprehensive genomic profiling (CGP) compared to single-gene tests· The barriers to accessing CGP in Ontario· What factors institutions should consider when deciding how to implement CGP Our guest:Dr. Brandon Sheffield is an anatomical pathologist at William Osler Health System in Brampton, Ontario, where he serves as Medical Director of Immunohistochemistry and Molecular Pathology, and Physician Lead of Research. He received his Doctor of Medicine at the University of Toronto and completed his anatomical pathology residency at the University of British Columbia. Given his interest in molecular genetic pathology, Dr. Sheffield played an integral role in acquiring William Osler's new rapid comprehensive next generation sequencing technology, making Osler the first community hospital in the world to offer this type of genetic testing in-house for their cancer patients. Brandon also served as a steering committee member on IMPACT Medicom's CGP prioritization report. The full report can be downloaded at: https://www.impactmedicom.com/publications/reports This podcast episode was sponsored by AstraZeneca Canada. If you enjoy our podcast, please review and subscribe. For more podcasts and other medical education content, visit our website at: https://www.impactmedicom.com
On this week's Into the Absurd, we celebrate the power of storytelling in narrative medicine with Dr. Tony Errichetti and Ginny Drda, who explore the art in their workshops listening2everyword.com geared to the Simulationist Narrative Medicine Community, professionals in patient simulation who meet regularly to examine, discuss, and write about stories and art in all their forms - narratives, poems, photos, speeches, songs, paintings.Narrative medicine is a fresh discipline of health care that helps patients and health professionals to tell and listen to the complex and unique stories of illness. Arising at Columbia University in 2000 from roots in the humanities and patient-centered care, narrative medicine draws patients, doctors, nurses, therapists, and health activists together to reimagine a healthcare based on trust and trustworthiness, humility, and mutual recognition. “The goal of narrative medicine from its start has been to improve health care,” says Rita Charon, an internist and literary scholar who directs the Program in Narrative Medicine at Columbia University and started the Program at the Columbia University College of Physicians and Surgeons in 2000 to teach future doctors and medical clinicians how to elicit, interpret, and act upon the stories of their patients. “This accounts for the title we have chosen for our book, The Principles and Practice of Narrative Medicine, echoing William Osler’s 1892 The Principles and Practice of Medicine that set the standards for the practice of internal medicine.”
“You’re stressed. You’re busy. You have so much on your plate. Time to read? Other than kids books? Get out of here. Except maybe the latter is the solution to the former. If you want to be less stressed, you gotta make time for yourself--to read, to think, to learn. The great William Osler (founder of John Hopkins University) told his medical students it was important that they turn to literature as a way to nourish and relax their minds. ‘When chemistry distresses your soul,’ he said, ‘seek peace in the great pacifier, Shakespeare, ten minutes with Montaigne will lighten the burden.’”Ryan discusses the importance of learning, and communing with the ‘saints of humanity’, on today’s Daily Dad podcast.We created the New Year, New You Challenge to help you create a better life, and a new you in 2021. Sign up for the challenge at https://dailystoic.com/challenge.***If you enjoyed this week’s podcast, we’d love for you to leave a review on Apple Podcasts. It helps with our visibility, and the more people listen to the podcast, the more we can invest into it and make it even better.Sign up for the Daily Dad email: DailyDad.comFollow Daily Dad:Twitter: https://twitter.com/dailydademailInstagram: https://www.instagram.com/dailydad/Facebook: http://facebook.com/dailydademailYouTube: https://geni.us/DailyDad
Four Indigenous skulls were gifted from one famous doctor to another almost 150 years ago. Could they still exist? From a letter found written by Dr. William Osler, two current day doctors picked up the thread and undertook an investigation that lasted over two years, crossed continents and brought a man to come out of retirement to pick up the case. David Bruser, investigations editor at The Star, joins “This Matters” to discuss the fascinating story.
In this episode of Critical Matters, we will discuss mechanical ventilation. Our guest is Dr. Eduardo Mireles-Cabodevila, a practicing pulmonary critical care physician and Director of the Medical Intensive Care Unit at the Cleveland Clinic. His areas of clinical interest are critical care medicine, application of mechanical ventilation, acute and chronic respiratory failure, and extracorporeal life support. Our conversation covers general concepts related to liberation from mechanical ventilation, weaning from mechanical ventilation, and also examines how these concepts may apply to COVID-19 patients. Additional Resources: Liberation From Mechanical Ventilation in Critically Ill Adults: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline: Inspiratory Pressure Augmentation During Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Noninvasive Ventilation Immediately After Extubation: https://pubmed.ncbi.nlm.nih.gov/27818331/ An Official American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline: Liberation from Mechanical Ventilation in Critically Ill Adults. Rehabilitation Protocols, Ventilator Liberation Protocols, and Cuff Leak Tests: https://pubmed.ncbi.nlm.nih.gov/27762595/ Tracheostomy in the COVID-19 Era: Global and Multidisciplinary Guidance: https://pubmed.ncbi.nlm.nih.gov/32422180/ Lung Ultrasound Allows the Diagnosis of Weaning-Induced Pulmonary Edema: https://pubmed.ncbi.nlm.nih.gov/30863935/ Previous episode of Critical Matters on Prolonged Mechanical Ventilation: https://critical-matters/outliers-and-super-users:-targeting-prolonged-use-of-mv-in-the-icu Books Mentioned in this Episode: William Osler: A Life in Medicine by Michael Bliss: https://www.amazon.com/William-Osler
Welcome to this week's Light Warrior Session, "Immune Boosting" with Dr. Cameron O'Connell!Dr. Cameron O'Connell is a Naturopathic primary care doctor with interests in longevity, cardiology, fertility, and sexual health. She is a provider with Thrive Integrative Medicine in Anchorage, AK. Dr. O'Connell has been a speaker at various plant-based events, such as the, 2020 Climate Healers Health Conference, and is currently the scientific advisor for Switch For Good. In today's episode, we discuss natural ways to boost our immune systems. Sometimes we forget how empowered we are with how our own bodies function. I hope today's episode provides tips, reminders, and wake-up calls to take back control of your immunity.Dr. O'Connell hails from Alaska and spent much of her childhood improving her microbiome by playing in the forest and foraging for snacks among the edible flora. Having had variable life experiences – from working at a ski resort in Montana to acting as the Assistant Medical Director for the Engine2 Immersion Programs in 2016 and 2017 - she loves meeting and helping people with a variety of backgrounds and concerns.Dr. O'Connell graduated with a Doctorate of Naturopathic Medicine from the National University of Natural Medicine in 2015 and completed her subsequent residency with TrueNorth Health Center. She is certified in water-fasting through the International Association of Hygienic Physicians. She served 2 years as the Assistant Medical Director at the Engine2 Immersion Experiences. Her undergraduate degree is a B.A. obtained from George Fox University in Writing/Literature with a Biology Minor. Dr. O'Connell is confident that these two degrees sum her up well as an individual.One of Dr. O'Connell's objectives is to meet the patient where they are at and help them to further their own health goals. She believes that the patient is an active partner in determining future wellness and it is Dr. O'Connell's job to help them cultivate and create both patient-driven preventative medicine and client-motivated treatment for chronic conditions. She believes that a quote from William Osler underlines her clinical approach: “The good physician treats the disease; the great physician treats the patient who has the disease.”Learn more here: https://www.drcameronoconnell.com/ https://www.plantbaseddoctors.org/cameron-oconnellToday's episode is brought to you by Dance Driven. Dance Driven was created to provide more opportunities to the local dance community and youth that previously weren't there. With an aim to make opportunities to learn from professional dancers, teachers, and choreographers an affordable option for any dancer that wants to have that opportunity. Dance Driven is constantly trying to bring new ways to help not just the dance community but the general Alaskan community as well. Learn more about their upcoming dance events here:https://dance-driven.com/ https://www.instagram.com/dance_driven/
"Dr. William Osler was a giant of the medical field in the late 19th and early 20th centuries. He was also a fan of the Stoics. He was a deep reader who advised his students to read Shakespeare before bed to clear and refresh their minds. He was one of the founding members of Johns Hopkins University and impacted millions of lives through his research.It was an incredible career that eventually ended, as Marcus Aurelius said of all doctors, on the same humble deathbed that Osler had spent tirelessly working around his whole life."Find out the lesson that Dr. Osler's life and death has for all of us on today's Daily Stoic Podcast.***If you enjoyed this week’s podcast, we’d love for you to leave a review on Apple Podcasts. It helps with our visibility, and the more people listen to the podcast, the more we can invest into it and make it even better.Sign up for the Daily Stoic email: http://DailyStoic.com/signupFollow @DailyStoic:Twitter: https://twitter.com/dailystoicInstagram: https://www.instagram.com/dailystoic/Facebook: http://facebook.com/dailystoicYouTube: https://www.youtube.com/dailystoic
What is success? What does a successful life look like? What does it mean to be a success? For too many urologists including myself the primary way we measure our lives as successful is through the building of a large and lucrative practice. For the record, I believe these are important things to measure. A medical practice is after all a business and we must always pay attention to the bottom line. Ultimately, it's not about how many patients did you see, but about how many patients received excellent medical care. In 1889, William Osler called the “Father of Modern Medicine”, who would himself become a world-famous physician and educator by working long days and nights, had this to say to graduating medical students at the University of Pennsylvania in his most famous Speech “Aequanimitas.” Remember, this was in 1889… “…I would warn you against the trials of the day soon to come to some of you—the day of large and successful practice. Engrossed late and soon in professional cares, getting and spending, you may so lay waste your powers that you may find, too late, with hearts given away, that there is no place in your habit-stricken souls for those gentler influences which make life worth living.” There is a book I read by an author called Cal Newport. The title of the book is “so good they can't ignore you.” The book is about how to build a career that you love through skill development, not by pursuing of a “passion.” The title comes from a Steve Martin quote. Here is his simple message. Focus on being good. Really good. Undeniably good. The rest will probably follow. The successful physicians, the ones I look up to, seem to be able to juggle the demands of being both “good” and “busy”. They possess that certain “Aequanimitas” that William Osler describes in his famous speech. They have developed skills through years of deliberate practice that allow them to be efficient and effective. They do not forget what makes life worth living. Here is a poem written in 1904 by Bessie Stanley of Lincoln Kansas as an entry into a magazine contest. The requirement of the contest was to define success in 100 words or less. He achieved success who has lived well, laughed often, and loved much; Who has enjoyed the trust of pure women, the respect of intelligent men and the love of little children; Who has filled his niche and accomplished his task; Who has never lacked appreciation of Earth's beauty or failed to express it; Who has left the world better than he found it, Whether an improved poppy, a perfect poem, or a rescued soul; Who has always looked for the best in others and given them the best he had; Whose life was an inspiration; Whose memory a benediction
Welcome to Episode 14 of our MacEmerg podcast. In this episode we feature: 1) Dr. Leila Salehi from William Osler is interviewed (by our Bramptonian Correspondent Dr. Prashant Phalpher) about her research on ED overcrowding. 2) Dr. Lauren Cook-Chaimowitz (PGY4 and chief resident)talks about her Point-of-Care Ultrasound fellowship experience with Dr. Joana Dida. 3)We also feature another Teaching that Counts (segment 6) by Drs. Alim Nagji and Teresa Chan. This time they discuss the Anatomy of Feedback.
In this episode, Dr’s J and Santhosh continue their tale of the cast of characters who created modern residencies. Along the way, they cover drug addiction, William Osler, facial hair, medical pranks, penis captivus, alliterative teaching, harry potter houses, house officers, the creation of chief residents, ICD9 codes, the diagnostic elevator pitch, the hidden role of women in medical school and more! So Sit back, relax, and learn the history of how doctors get trainedSupport Us spiritually, emotionally or financially here! Twitter: @doctorjcomedy @toshyfro Instagram: @travelmedicinepodcast Spotify: https://open.spotify.com/show/28uQe3cYGrTLhP6X0zyEhTFacebook: facebook.com/travelmedicinepodcast Squarespace: travelmedicinepodcast.squarespace.com Patreon: https://www.patreon.com/travelmedicinepodcast Gmail: travelmedicineinfo@gmail.com
About Today's Show In this episode, Professor Nafeesa Jalal talks about her classes, and shares her journey as a professional with her own consulting firm. As well, Professor Jalal shares how being prepared, and working hard, can overcome virtually any barrier. Also in this episode: 1. The importance of doing what you truly want to do in life. 2. The value of "taking the leap," and pursuing the road less travelled. 3. The importance of having mentors. About Today's Guest, Professor Nafeesa Jalal In addition to teaching three courses in the Honours Healthcare Management Program at Seneca, Dr. Jalal founded her own consulting firm that specializes in health research projects that focus on diversity, equity, and inclusion (known as DEI), and as well have a strong focus on cultural competency. Outside of Seneca, her current consulting work with Trillium Hospital's Institute for Better Health is centred on the experiences of patients from diverse backgrounds with their breast cancer journey. She is also a Certified Faculty with the Institute for Health Communication and works with the William Osler Health System to deliver training to health professionals. Trillium and William Osler are two of the largest community hospitals in Canada, serving an incredibly diverse population. With her passion for public health, she is also the host of her own T.V. show, Health and Wellness with Dr. Nafeesa Jalal. Recorded in studio in Canada, it is available globally. You can connect with Dr. Jalal's consultancy here This Podcast is available on Apple Podcasts, Spotify, and Google Podcasts! #SenecaProud Podcast is available on Apple Podcasts, which means it's available pretty much wherever you get your podcasts. Click here to subscribe. While you're there, please give us a rating and leave a comment. It really helps get our podcast found. Thanks for listening! Pat Perdue
At the end of 2019, William Osler’s legacy is stronger than ever; he has been called the “Father of Modern Medicine” and held up as the paragon of the modern physician. In this episode, I’m going to explore the historical Osler -- just who was William Osler in the context of rapidly changing scientific medicine at the dawn of the 20th century, and how did he become so influential? But I’m also going to explore Osler the myth -- what does the 21st century obsession with the man say about us, a century after his death? Sources: Bliss M, William Osler: A Life in Medicine. Bryan CS, Osler goes viral: “The Fixed Period” revisited, Proc (Bayl Univ Med Cent). 2018 Oct; 31(4): 550–553. Cooper B, Osler’s role in defining the third corpuscle, or “blood plates”, Proc (Bayl Univ Med Cent). 2005 Oct; 18(4): 376–378. Davis E, Vaginismus, The medical news, 1884. Retrieved online from: https://archive.org/details/medicalnews45philuoft/page/672 Flint AF, A Treatise on the Principles and Practice of Medicine. Retrieved from: https://books.google.com/books?id=1mvmA1ajwfUC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false Justin MS, "The Entry of Women into Medicine in America: Education and Obstacles 1847-1910". Retrieved from: https://www.hws.edu/about/blackwell/articles/womenmedicine.aspx Ludmerer KM, Cultural origins of residency training, OUP Blog, retrieved from https://blog.oup.com/2015/05/cultural-origins-residency-training/. Ludmerer KM, Learning to Heal: The Development of American Medical Education (New York: Basic, 1985). National Library of Medicine, The William Osler Papers, retrieved from: https://profiles.nlm.nih.gov/spotlight/gf/feature/biographical-overview Osler W, Aequanamitas. Retrieved from: https://medicalarchives.jhmi.edu:8443/osler/aequessay.htm Osler W, An Alabama Student and Other Biographical Essays, retrieved from: https://medicalarchives.jhmi.edu:8443/osler/alabacontents.htm Periyakoil VS, What Would Osler Do? J Palliat Med. 2013 Feb; 16(2): 118–119. Rezaie S, From Hippocrates to Osler to FOAM, retrieved from: https://rebelem.com/hippocrates-osler-foam/. Sokol D, Doctors: use social media with restraint, STAT 2019 Jun 10. Retrieved from: https://www.statnews.com/2019/06/10/doctors-social-media-restraint/ Warner JH, The Therapeutic Perspective: Medical Practice, Knowledge, and Identity in America, 1783-1784.
In this passage John challenges us to “abide in Him” in order that we be prepared for the Day of Judgment. Persevering all the way to the end can seem overwhelming! We consider the practical approach of Dr. William Osler, a famous Christian physician who advocated living life in separate day-by-day compartments. We also examine John’s challenge to “practice righteousness” in light of the popular claim (based on Romans 3) that “no one is righteous”. Finally, John tells us the reason Jesus came was “to destroy the works of the devil”, a concept foundational to having a full picture of the gospel message.
在卡內基的著作《怎樣克服憂慮和開始生活》中，透過約翰霍普金斯大學醫學院創辦人之一 William Osler 的智慧，提醒我們「每天都要活在一個完全獨立的今天」。
在卡內基的著作《怎樣克服憂慮和開始生活》中，透過約翰霍普金斯大學醫學院創辦人之一 William Osler 的智慧，提醒我們「每天都要活在一個完全獨立的今天」。
"Beyler, size şunu söylemek isterim ki; öğrendiğiniz şeylerin yarısı yanlış ve o yarının hangisi olduğunu bilmiyoruz." - William Osler, Oxford tıp mezunlarına hitaben 1960’lı yıllarda orta halli bir Anadolu evinde, evin annesi üstü dantelle örtülü bugüne göre bir hayli iri sayılacak radyosundan eve yayılan programı dinlemekteydi. “Çocukların her yaş için olmaları gereken boy aralıkları vardır”, diyordu konuşmacı -elbette- didaktik bir ses tonuyla. “Bu boy aralıkları şöyledir...” Bir yandan radyoyu pür dikkat dinlerken, bir yandan da bir odadan diğerine koşturup oyunlar oynayan henüz 5 yaşındaki büyük oğluna takıldı gözleri. Acaba çocuğunun boyu sağlıklı aralıkta mıydı? “5 yaşındaki bir çocuğun boyu en az…., en çok…. olmalı.” cümlesini duyduğu gibi yerinden fırladı ve mezurayı kaptığı gibi çocuğunu yakalayarak boyunu ölçtü. Eyvah! Çocuğunun boyu radyoda belirtilenden tam 5 cm uzundu. Bunu bir sağlıksızlık alameti görerek korktu ve radyo programında boyu çok uzun olanlarda sütü kesmek gerekeceğini duyduğu anda, çocuğunun her gün iştahla içtiği sütü kesmeye karar verdi. Yeniden süt içmesine izin vermesi için, oğlunun Marshall yardımlarıyla gelen süt tozu paketini boşalttığı bir tabağa büyük bir heyecanla su koyup “süt” yapmaya çalıştığını görmesi gerekecekti. Babamın bu hikayesini her duyduğumda, aklıma - hadi kabul edelim - birazcık hoyratça, kendi malımızmış gibi kullandığımız “bilim” kavramının aslında ne kadar çok boyutlu ve çok paydaşlı bir kavram olduğu gelir. Bilimde çoğunlukla bir konuda kesin bir doğru yoktur. Bilim, bir “bilgi edinme ve yöntemli araştırma sürecidir”. Bilim çürütülebilmeli ve tekrarlanabilmelidir. Bilimde, korelasyon nedensellik belirtmez: Yatıp uyuduğunuz her gecenin peşinden güneş doğması, siz uyuduğunuz için güneşin doğduğunu göstermez (post hoc ergo propter hoc). Hepsinden öte, bir şeyin bilimsel olarak doğru olması, günlük pratikte uygulanabilir olduğunu göstermez. Günlük pratikte uygulanabilir olması, “vatandaşın” onu doğru anlayabileceğini ve kullanabileceğini göstermez. Jetgillerde, 2000’li yıllarda uçan arabalarla gezildiğini hatırlarsınız. Hepimiz bunu hayal etmiyor muyduk? Aslında yaklaştık da... 1988’de uçan araba prototipi haberlere konu olmuştu. O zamandan beri “eli kulağında”. Ama hala kullanımda değil. Yüz yıldır “kansere çözüm” bulunuyor, ama hala gidecek çook yolumuz var. Bilimsel bir çok çalışmada böyle “ama”lar varken, insan belki de doğası gereği kesin konuşmayı seviyor. “Şu anki bilgilerimize göre doğrusu şu...” demek ile “Doğrusu şu...” demek arasındaki fark; “2000’lerde uçan arabalar yapmak mümkün olacak” ile “2000’lerde bütün insanlar uçan arabalarla seyahat edecek” kadar büyük. Bilimin ne olduğunu, yöntemlerini ve süreçlerini doğru kavrayamadığımızda; “Dün domates yiyin diyorlardı, bugün yemeyin diyorlar”, “Haberlerde okudum, kanseri bir hapla yok edebilirler ama etmiyorlar”, “Bu aşılarla bizi hasta ediyorlar” gibi lümpen muhabbetlerine meze ediyoruz bilimi. Daha önce yüz yıl geriye giderek “Bir Zamanlar Acil Tıp” ile acil tıbbın geçmişine yolculuk yapmış, “Basının Gözüyle Türkiye’de Tıbbın Yakın Tarihi”nde ise gazete ve dergi küpürleriyle ülkemizde tıbbın geçmişine bir göz atmıştık. “Sci-Hub: Kahraman mı? Hırsız mı?”da bilime açık erişim felsefesinden Sci-Hub’a uzanmış, “Nazilerin Mahkum Kadavraları ve Pernkopf Atlası”nda ise etiği aradan çıkaranların bilim adı altındaki vahşetlerine göz atmıştık. Bu yazımızda ise, geçmişte bilimsel olarak kabul görmüş, hani o döneme gidip hastalarınıza uygulasanız makul karşılanacak, ancak bugün -neyse ki- uygulamadığımız yöntem ve tedavilerden bahsedeceğiz. Resüsitatif Lavman Özene bezene hazırlanmış bu alet çantası, resüsitasyon için kullanılıyordu. 18. yüzyılın sonlarında Londra’da boğulanları, başka şanssızlıklar da bekliyordu. Halktan biri yardıma koşabilir ve bilincini kaybetmiş kişinin rektumundan sigara dumanı vermeye çalışabilirdi. Yanlış duymadınız. “Sigara dumanı lavmanı”,
“Beyler, size şunu söylemek isterim ki; öğrendiğiniz şeylerin yarısı yanlış ve o yarının hangisi olduğunu bilmiyoruz.” – William Osler, Oxford tıp mezunlarına hitaben 1960’lı yıllarda orta halli bir Anadolu evinde, evin annesi üstü dantelle örtülü bugüne göre bir hayli iri sayılacak radyosundan eve yayılan programı dinlemekteydi. “Çocukların her yaş için olmaları gereken boy aralıkları vardır”, …
Welcome back to another awesome episode of Nerd pop culture delivered in a friendly manner by those loose gooses, the Nerds. This week we would like to say that since China hasn’t offered us any money to sell our self-respect or virtue that we support the protestors in Hong Kong. Viva la revolution! Now if we do not have an episode in the near future you know that they took us out like Hillary Clinton helps her opposition to have fatal accidents… Just going to leave this here and see who comes after us first.Now onto the episode, first up is the Professor with a look at the Australian Video Game Archive. What is this you ask, well it is an amazingly cool idea and we hope it gets sorted out soon. Now if you love playing awesome games, love Australia, and are just a tragic nerd like our boys then you will love this. To know exactly what it is you are going to have to listen in and find out. But let us know on Facebook what game you think should go into the archive.Next up we have finally achieved printed electronics that you can wear. That’s right, wear. Are you tired of not being able to hold your torch and need an extra hand, but don’t want to wear one of those straps around your head with a light on it? We have the solution for you, tattoo light systems. Want to stand out in the crowd and really be noticed? We can help you shine a light on your darkest corners. Sounds interesting right? Well listen up as this is our second featured topic for the week.Do you wish that reality television had more things like axe throwing in it? Are you tired of shows like survivor where there is no chance of them dying? Well we have a show that is moving in the right direction, True Viking! The show with the potential to form a crew and going pillaging in a foreign monastery… um, maybe we are getting carried away here, oh well, it sounds better than the sewage from the Kardashians. This is our third topic of the week.Then we have the games played, shout outs, remembrances, birthdays, and special events. We hope you enjoy the show and that we entertain you and maybe even educate you on some of the topics we discuss. Now, we need to watch out for those Chinese hack…er um, gamers with better computer systems. Take care, stay safe, look out for each other and stay hydrated.EPISODE NOTES:Australian Video Game Archive - https://www.canberratimes.com.au/story/6408217/national-film-and-sound-archive-to-start-collecting-video-games/Printed Electronics - https://www.scienceandtechnologyresearchnews.com/printed-electronics-open-way-for-electrified-tattoos-and-personalized-biosensors/True Viking the survival series - https://deadline.com/2019/10/game-of-thrones-star-kristofer-hivju-takes-on-vikings-in-non-scripted-entertainment-co-production-1202753816/Games currently playingBuck– World of Warships - https://worldofwarships.com/Rating – 4.5/5Professor– Creeper World 3 - https://store.steampowered.com/app/280220/Creeper_World_3_Arc_Eternal/Rating – 9/10DJ– Magic the Gathering Arena - https://magic.wizards.com/en/mtgarenaRating - 3.5/5Other topics discussedThe Good Place (American fantasy comedy television series)- https://en.wikipedia.org/wiki/The_Good_PlaceUntitled Goose Game available on PC, Mac & Nintendo Switch- Info - https://en.wikipedia.org/wiki/Untitled_Goose_Game- Game website - https://goose.game/Blizzard bans Hearthstone player for Hong Kong protest support- https://www.engadget.com/2019/10/08/blizzard-bans-hearthstone-player-for-hong-kong-protest/Games added into the Australian video game archive- Alien Carnage, originally released as Halloween Harry - https://en.wikipedia.org/wiki/Alien_Carnage- The Hobbit - https://en.wikipedia.org/wiki/The_Hobbit_(1982_video_game)- Hollow Knight - https://en.wikipedia.org/wiki/Hollow_KnightAn Aspie Life (Adventure game that deals with the topic of Asperger's Syndrome)- https://store.steampowered.com/app/786410/An_Aspie_Life/Glow in the dark tattoos- https://authoritytattoo.com/glow-in-the-dark-tattoos/Tormund Giantsbane (Game of Thrones character)- https://gameofthrones.fandom.com/wiki/TormundTormund & Brienne of Tarth : A love story better than twilight- https://i.imgflip.com/14yqst.jpgThe Island with Bear Grylls (British reality television programme)- https://en.wikipedia.org/wiki/The_Island_with_Bear_GryllsThe Grand Tour (British motoring television series)- https://en.wikipedia.org/wiki/The_Grand_TourThe Colony (British reality television program)- https://en.wikipedia.org/wiki/The_Colony_(2005_TV_series)Back in Time For… (British lifestyle television series)- https://en.wikipedia.org/wiki/Back_in_Time_for...Creeper World 4 alpha gameplay video- https://www.youtube.com/watch?v=BuVp2eF9AaU&feature=youtu.beEvery game company Tencent invested in- https://www.pcgamer.com/au/every-game-company-that-tencent-has-invested-in/Death of Edgar Allen Poe- https://en.wikipedia.org/wiki/Death_of_Edgar_Allan_PoeAssault of Precinct 13 (2005 French-American action thriller film)- https://en.wikipedia.org/wiki/Assault_on_Precinct_13_(2005_film)My Songs Suck (TNC Podcast)- https://thatsnotcanon.com/mysongssuckpodEverybody Wants to be a Cat (TNC Podcast)- https://thatsnotcanon.com/ewtbacpodcastFloof and Pupper Podcast (TNC Podcast)- https://thatsnotcanon.com/floofandpupperpodcastShoutouts5 Oct 2019 – Monty Python turns 50 - "Monty Python’s Flying Circus" first aired on BBC1 – going on to run for four series, spawning four original films, numerous live shows and several albums.- https://www.montypython.com/news_mp50announce/494- https://www.theguardian.com/tv-and-radio/2019/oct/04/monty-python-at-50-a-half-century-of-silly-walks-edible-props-and-dead-parrots6 Oct 2019 – R.I.P Ginger Baker – Ginger Baker, English drummer and a co-founder of the rock band Cream with Eric Clapton in 1966. His work in the 1960s and 1970s earned him the reputation of "rock's first superstar drummer", for a style that melded jazz and African rhythms and pioneered both jazz fusion and world music. Baker's drumming is regarded for its style, showmanship, and use of two bass drums instead of the conventional one. Baker was an inductee of the Rock and Roll Hall of Fame as a member of Cream, of the Modern Drummer Hall of Fame in 2008, and of the Classic Drummer Hall of Fame in 2016. Baker was noted for his eccentric, often self-destructive lifestyle, and he struggled with heroin addiction for many years. He was married four times and fathered three children. He died from illness on 6 October 2019 at the age of 80, at a hospital in Canterbury. - https://en.wikipedia.org/wiki/Ginger_Baker7 Oct 1959 – The Soviet probe Luna 3 transmits the first-ever photographs of the far side of the Moon. To achieve this, the probe was equipped with a dual-lens 35mm camera, one a 200mm, f/5.6 aperture, the other a 500mm, f/9.5. The photo sequencing was automatically triggered when Luna 3's photocell detected the sunlit far side, which occurred when the craft was passing about 40,000 miles above the lunar surface. The radio-controlled Luna 3 was part of the Soviet Union's highly successful lunar program, which completed 20 missions to the moon between January 1959 and October 1970. - https://www.wired.com/2011/10/1007luna-3-photos-dark-side-moon/Remembrances2 Oct 2019 - John Kirby, American attorney. He was most notable for his successful defense for Nintendo against Universal City Studios over the copyrightability of the character of Donkey Kong in 1984, from which Nintendo subsequently named the character Kirby to honour him. Kirby was considered to have "saved Nintendo" during its early growth into video games into the American market. In thanks for aiding them, Nintendo gave Kirby a $30,000 sailboat christened the Donkey Kong along with "exclusive worldwide rights to use the name for sailboats." He died from myelodysplastic syndrome at the age of 79. - https://en.wikipedia.org/wiki/John_Kirby_(attorney)7 Oct 1849 - Edgar Allan Poe, American writer, editor, and literary critic. Poe is best known for his poetry and short stories, particularly his tales of mystery and the macabre. He is widely regarded as a central figure of Romanticism in the United States and of American literature as a whole, and he was one of the country's earliest practitioners of the short story. He is generally considered the inventor of the detective fiction genre and is further credited with contributing to the emerging genre of science fiction. He was the first well-known American writer to earn a living through writing alone, resulting in a financially difficult life and career. Poe and his works influenced literature around the world, as well as specialized fields such as cosmology and cryptography. He and his work appear throughout popular culture in literature, music, films, and television. Several of his homes are dedicated museums today. The Mystery Writers of America present an annual award known as the Edgar Award for distinguished work in the mystery genre. He died at the age of 40 in Baltimore, Maryland - https://en.wikipedia.org/wiki/Edgar_Allan_Poe7 Oct 1939 - Harvey Cushing, American neurosurgeon,pathologist, writer and draftsman. A pioneer of brain surgery, he was the first exclusive neurosurgeon and the first person to describe Cushing's disease. He wrote a biography of William Osler in three volumes. In the beginning of the 20th century, Dr. Cushing developed many of the basic surgical techniques for operating on the brain. This established him as one of the foremost leaders and experts in the field. Under his influence neurosurgery became a new and autonomous surgical discipline. He was the world's leading teacher of neurosurgeons in the first decades of the 20th century. Arguably, Cushing's greatest contribution came with his introduction to North America of blood pressure measurement. Cushing's name is commonly associated with his most famous discovery, Cushing's disease. In 1912 he reported in a study an endocrinological syndrome caused by a malfunction of the pituitary gland which he termed "polyglandular syndrome." He published his findings in 1932 as "The Basophil Adenomas of the Pituitary Body and Their Clinical Manifestations: pituitary Basophilism". Cushing developed many surgical instruments that are in use today, most notably Cushing forceps and the Cushing ventricular cannula. Cushing was also a candidate for the Nobel Prize in Physiology or Medicine, nominated at least 38 times. He died from a heart attack at the age of 70 in New Haven, Connecticut - https://en.wikipedia.org/wiki/Harvey_CushingFamous Birthdays7 Oct 1943 - Austin Stoker, Trinidadian-American actor known for his role as Lt. Ethan Bishop, the police officer in charge of the besieged Precinct 9, Division 13, in John Carpenter's Howard Hawks-inspired, 1976 film, Assault on Precinct 13. This was one of the few heroic starring roles for a black actor in an action film of the 1970s outside of the blaxploitation genre. Prior to his role as Lt. Bishop, Stoker appeared in several blaxploitation films, often playing police detectives. Among these films were Abby, Combat Cops, and Sheba, Baby, in which he played Pam Grier's love interest. Some of Stoker's other notable acting roles were in Battle for the Planet of the Apes, Horror High, Airport 1975, Victory at Entebbe, and the 1977 television mini-seriesRoots. Stoker is known to Mystery Science Theater 3000 fans for his role as Dr. Ken Melrose in the 1982 B-movie,Time Walker, in which he appeared with Darwin Joston, his co-star from Assault on Precinct 13. He was born in Port of Spain, Trinidad and Tobago - https://en.wikipedia.org/wiki/Austin_Stoker7 Oct 1947 - Lightning Bear, Native American stuntman, stunt coordinator and special effects artist. He performed stunts on Star Trek: The Original Series, as well as Star Trek: The Motion Picture, Star Trek II: The Wrath of Khan, and Star Trek III: The Search for Spock. He did not receive on-screen credit for his work. Lightning Bear did stunt work on several other television programs, including The Green Hornet, The Six Million Dollar Man, and Bonanza. He is perhaps most noted for his stunt work on the three original Star Wars films (A New Hope, 1977; The Empire Strikes Back, 1980; Return of the Jedi, 1983). Among the many other feature film productions, he worked on were Planet of the Apes (1968), Tora! Tora! Tora!, Diamonds Are Forever, The Poseidon Adventure, Saturday Night Fever, Ragtime, Conan the Barbarian, and Rocky IV. Lightning Bear says he has been very lucky in his life as the industry is and always has been his first love. He likes the way it is always changing with new methods and technology, never having the same circumstance or conditions and the ability to travel and see different countries, cultures, people and locations. He was born in Houston, Texas- https://memory-alpha.fandom.com/wiki/Lightning_Bear- https://www.imdb.com/name/nm0510019/7 Oct 1885 - Niels Henrik David Bohr, Danish physicist who made foundational contributions to understanding atomic structure and quantum theory, for which he received the Nobel Prize in Physics in 1922. Bohr was also a philosopher and a promoter of scientific research. Bohr developed the Bohr model of the atom, in which he proposed that energy levels of electrons are discrete and that the electrons revolve in stable orbits around the atomic nucleus but can jump from one energy level (or orbit) to another. Although the Bohr model has been supplanted by other models, its underlying principles remain valid. He conceived the principle of complementarity: that items could be separately analysed in terms of contradictory properties, like behaving as a wave or a stream of particles. The notion of complementarity dominated Bohr's thinking in both science and philosophy. He predicted the existence of a new zirconium-like element, which was named hafnium, after the Latin name for Copenhagen, where it was discovered. Later, the element bohrium was named after him. He was involved with the establishment of CERN and the Research Establishment Risø of the Danish Atomic Energy Commission and became the first chairman of the Nordic Institute for Theoretical Physics in 1957. He was born in Copenhagen - https://en.wikipedia.org/wiki/Niels_BohrEvents of Interest6 Oct 2009 - The Maze Runner a young adult dystopian science fiction novel written by American author James Dashner was first published. His publisher wanted him to write another book, but he decided he would try for a national book market instead. In November of that year he had an idea when going to be "about a bunch of teenagers living inside an unsolvable Maze full of hideous creatures, in the future, in a dark, dystopian world. It would be an experiment, to study their minds. Terrible things would be done to them – awful things; completely hopeless – until the victims turn everything on its head." Dashner wrote the book from December 2005 to March 2006. - https://en.wikipedia.org/wiki/The_Maze_Runner7 Oct 1856 - Cyrus Chambers Jr patents folding machine that folds book & newspapers- http://www.mainlinetoday.com/Main-Line-Today/July-2017/Inventor-Cyrus-Chambers-Transformed-the-17th-Century-Milling-Industry/– Patent (s) - https://patents.google.com/patent/US164904- https://patents.google.com/patent/US30910- https://patents.google.com/patent/US104621A/en- https://patents.google.com/patent/US234457 Oct 1988 – A Inupiaq hunter Roy Ahmaogak discovered three gray whales trapped in pack ice in the Beaufort Sea near Point Barrow in the U.S. state of Alaska; the situation becomes a multinational effort to free the whales. The whales' plight generated media attention that led to the collaboration of multiple governments and organizations to free them. The operation was called operation breakthrough. The National Oceanic and Atmospheric Administration sent a team of whale biologists, and the United States Department of State requested the help of two icebreakers from the Soviet Union, the Vladimir Arseniev and the Admiral Makarov. - https://en.wikipedia.org/wiki/Operation_Breakthrough7 Oct 2011 – Sanctuary final season was aired, the fourth season was the 64th most watched cable show in 2011 - https://tvseriesfinale.com/tv-show/sanctuary-season-four-19069/IntroArtist – Goblins from MarsSong Title – Super Mario - Overworld Theme (GFM Trap Remix)Song Link - https://www.youtube.com/watch?v=-GNMe6kF0j0&index=4&list=PLHmTsVREU3Ar1AJWkimkl6Pux3R5PB-QJFollow us onFacebook - https://www.facebook.com/NerdsAmalgamated/Twitter - https://twitter.com/NAmalgamatedSpotify - https://open.spotify.com/show/6Nux69rftdBeeEXwD8GXrSiTunes - https://itunes.apple.com/au/podcast/top-shelf-nerds/id1347661094RSS - http://www.thatsnotcanonproductions.com/topshelfnerdspodcast?format=rssGeneral EnquiriesEmail - Nerds.Amalgamated@gmail.com
Treponema pallidum, kleine korkenzieherförmige Bakterien, lösen die Syphilis (syn. Lues) aus, die 1493 plötzlich in Europa auftauchte. Kaum eine andere Erkrankung ist historisch so stigmatisiert und hat eine so vielfältiges klinisches Erscheinungsbild. Wie schon William Osler wusste: “He who knows syphilis knows medicine”. Till Koch und Thomas Meyer sprechen über die Syphilis. PD Dr. Thomas … „Infektiopod#06 – Syphilis“ weiterlesen
Listen to episode 396 of the Inspirational Living podcast: A Way of Life | A Success Philosophy for Daily Living. Edited and adapted from A Way of Life by Dr. William Osler, a founding professor of Johns Hopkins Hospital. Inspirational Podcast Excerpt: Every person has a philosophy of life in thought, in word, or in deed — one that has been worked out in themselves unconsciously. Among the very best, they may not know of its existence. With the very worst, they may pride themselves as some kind of paragon. As this philosophy grows with our growth through adulthood, it cannot be taught to the young in formal lectures. Why then should I trouble you? Because I have a message that may be helpful. It is not philosophical, nor is it strictly moral or religious, and yet in a way it is all three. It is the oldest and the freshest, the simplest and the most useful. My message is but a word, a Way, an expression of the experience of a plain man whose life has never been worried by any philosophy higher than that of a farmer or shepherd. I simply wish to point out a path in which the wayfaring soul, though a fool, cannot err. Not a system to be worked out painfully, only to be discarded; not a formal scheme; simply a habit as easy or as hard to adopt as any other habit, good or bad. Visit Our Sponsor Blinkist at Blinkist.com/living to start a free 7 day trial.
William Osler é um dos ícones da medicina, sendo inclusive por alguns referido como o pai da medicina moderna. Em 1889, no discurso de despedida da Universidade da Pensilvânia, intitulado “Aequanimitas”, destaca duas características do médico necessárias para a boa prática clínica, para o bom desempenho na vida em geral e que contribuiriam para o sucesso profissional tanto quanto auxiliariam no trato com os infortúnios e insucessos. São elas a imperturbabilidade e a equanimidade.
By far the most dangerous foe we have to fight is apathy - indifference from whatever cause, not from a lack of knowledge, but from carelessness, from absorption in other pursuits, from a contempt bred of self-satisfaction. ~William Osler
Doctors are burned out. William Osler warned us of this is his Speech Aequanimitas that I highlighted a couple of episodes back. In a speech given in 1889 to the graduation medical students at the University of Pennsylvania: “…I would warn you against the trials of the day soon to come to some of you—the day of large and successful practice. Engrossed late and soon in professional cares, getting and spending, you may so lay waste your powers that you may find, too late, with hearts given away, that there is no place in your habit-stricken souls for those gentler influences which make life worth living.” Here are some stats from the physician's foundation 2018 survey of american physicians. These stats are from 8,774 physician responses. 80% of physicians are at full capacity or are overextended. 78% sometimes, often or always experience feelings of burnout. 55% describe their morale as somewhat or very negative. 46% plan to change career paths. 49% would not recommend medicine as a career to their children 23% of physician time is spent on non-clinical paperwork. Physicians indicate electronic health records (EHR) are their greatest source of professional dissatisfaction. Why should we as patients care if our physicians are burning out? Physicians who are burned out make more mistakes, are less productive, have worse patient outcomes and patient satisfaction scores, leave medicine in favor of other jobs or retirement, become depressed, may do harm to themselves and generally aren't any fun to be around. https://physiciansfoundation.org/research-insights/the-physicians-foundation-2018-physician-survey/?gclid=EAIaIQobChMIuuTFsK3w3gIVR57ACh0NaARwEAAYASAAEgJrjPD_BwE
Health Barriers can emerge early in medical school when the balance between “work and life-balance” shifts away from patient care and healthcare value. This podcast will highlight the erratic pendulum swings from the Flexner Report of 1910 to the long working hours demanded by Dr. William Osler’s hospital residency programs, to the tragic collision between the Libby Zion death in 1984, resulting in a Grand Jury investigation of two medical residents for murder, and ended with a shift of billions of dollars away from hospital training programs to the creation of Hospitalists.
Thou must be like a promontory of the sea, against which, though the waves beat continually, yet it both itself stands, and about it are those swelling waves stilled and quieted. Marcus Aurelius In Latin “Aequanimitas” refers to a state of mind and soul—a balanced state of peace, clarity, health, wisdom and insight. William Osler is generally thought to be the Father of Modern medicine. In 1889, in a speech given to the graduating medical students at the University of Pennsylvania, where Osler had himself become a popular professor and well-known physician, Osler would use the phrase "Aequanimitas." In that speech Osler would introduce the term to describe two essential qualities of a successful physician. The speech “Aequanimitas” would later be memorialized when reprinted as an essay. Osler would say that imperturbability (outward, steel-cold composure) and equanimity (inner calm, controlled emotion) are traits that the physician should try to develop, two essential traits that, in his words, “may make or mar our lives.” In this episode I read my edited version of the speech, the full version of which can easily be found online and was once required reading at some medical schools. References http://www.medicalarchives.jhmi.edu/osler/aequessay.htm http://www.baylorhealth.edu/Documents/BUMC%20Proceedings/1999%20Vol%2012/No.%204/12_%204_%20Bryan.pdf https://en.wikipedia.org/wiki/William_Osler “William Osler: A Life in Medicine,” Michael Bliss, Oxford University Press, 1999.
Do you spend time finding out what the “why” is for your patient? Have you considered it’s not what is the matter with the patient but what matters to the patient? What the patient thinks their purpose is? Or at the very least, what they wish for during the next part of life, however short that may be? In this episode American intensivist, Dr Wes Ely, tells us how he deeply cares about the whole patient – the body, the mind and the spirit. He is passionate about really getting to know his patients. And to do that he thinks we need to be heavily focused on both ICU liberation and good listening. The ICU liberation bit sounds easy. It's removing the patient from the sedatives, the ventilator and whatever other harmful interventions are no longer needed when their situation is improving. But it's harder than we think. And to help with this, he has led the development of the ABCDEF bundle. With the assistance of many colleagues, and based on high quality science, he has progressively developed a simple 6 factor approach that has been shown to speed up ICU liberation and improve patient outcomes. And in this podcast he describes how he uses it, and how you can too. Listening to our patients also sounds easy. But how many of us spend the time required, and really be there for that person with grace and humility, so we can truly find out what matters to them, and respect their spiritual faith. Wes will be well known to many of you. He is a Pulmonary and Critical Care specialist who conducts patient-oriented, health services research as a Professor of Medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University School of Medicine, in Tennessee, USA. He is also a practicing intensivist with a focus on Geriatric ICU Care, as the Associate Director for Research for the VA Tennessee Valley Geriatric Research and Education Clinical Center. His research has focused on improving the care and outcomes of critically ill patients with ICU-acquired brain disease. Wes has built the ICU Delirium and Cognitive Impairment Study Group and his team have developed the primary tool by which delirium and health-related quality of life outcomes are measured, the CAM-ICU. He has over 350 peer-reviewed publications and over 50 published book chapters and editorials. In this conversation, Wes and I cover many other topics including: How he chose medicine after observing family illness as he grew up The enjoyment he receives from holding the hands of and looking into the eyes of patients How good doctors are not distracted by technology A Wall St journal and a CNN.com article he has penned which display his ability to find out what really mattered to 2 of his patients The importance of reading - and the 3 types of reading we should do How his ICU ward round is patient-centric and heavily nurse-focused The need to understand our unconscious biases and to have humility The concept of becoming the best version of our selves That life balance requires exercise, sleep and healthy eating His passion for triathlons, including the ironman How he balances family and work How his spiritual faith helps him to minimize stress His understanding that there is something bigger than us happening around us How burnout is simply an imbalance in the fundamentals of life The Nietzsche quote “He who has a why to live can bear any how” His appreciation of the work of the 3 Wishes Project (links below) What happened when he read the Jabberwocky poem (link below) to one of his patients His advice that young clinicians should be patient and truthful What the mnemonic DR-DRE means to him My genuine hope with the Mastering Intensive Care podcast is to inspire and empower you to bring your best self to the ICU by listening to the perspectives of such thought-provoking guests as Wes Ely. I passionately believe we can all get better, both as carers and as people, so we can do our absolute best for those patients whose lives are truly in our hands. Please help me to spread the message by simply emailing your colleagues, posting on social media or subscribing, rating and reviewing the podcast. If you wish to connect, leave a comment on the Facebook “mastering intensive care” page, on the LITFL episode page, on twitter using #masteringintensivecare, or by sending me an email at andrew@masteringintensivecare.com. Wes Ely is a genuine leader of our specialty and is a wise, philosophical and compassionate doctor with a refreshing spiritual perspective. Please enjoy listening to the podcast. Andrew Davies -------------------- Show notes (people, organisations, resources and links mentioned in the episode): Wall St journal article about bringing a swimming pool to the ICU: https://www.wsj.com/articles/a-swimming-pool-in-the-icu-1466117000 This article was published in the medical literature too: https://link.springer.com/article/10.1007/s00134-016-4434-0 CNN.com article about patient Paul: https://edition.cnn.com/2018/03/20/opinions/caregiving-what-its-like-to-be-me-wes-ely-opinion/index.html The ABCDEF bundle: http://www.iculiberation.org/Bundles/Pages/default.aspx Lancet article on an RCT of no sedation: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)62072-9/abstract New England Journal of Medicine article on RCT of daily interruption of sedative infusions: https://www.ncbi.nlm.nih.gov/pubmed/10816184 New England Journal of Medicine article on RCT of spontaneous breathing: https://www.ncbi.nlm.nih.gov/pubmed/8948561 Lancet article on Awakening and Breathing Controlled RCT: https://www.ncbi.nlm.nih.gov/pubmed/18191684 Lancet article on RCT of early physical and occupational therapy: https://www.ncbi.nlm.nih.gov/pubmed/19446324 Critical Care Medicine article about the ABCDEF bundle: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830123/ Critical Care Medicine article about a single-centre ABCDE bundle trial: https://www.ncbi.nlm.nih.gov/pubmed/24394627 Critical Care Medicine article about a multi-centre ABCDEF bundle trial: https://www.ncbi.nlm.nih.gov/pubmed/27861180 William Osler: https://en.wikipedia.org/wiki/William_Osler Dalai Lama: https://www.dalailama.com/ Matthew Kelly: http://www.matthewkelly.com/ Fulton Sheen: https://www.fultonsheen.com/ David Bennett: https://www.rushu.rush.edu/faculty/david-bennett-md The Merton prayer: https://reflections.yale.edu/article/seize-day-vocation-calling-work/merton-prayer Friedrich Nietzsche: https://en.wikipedia.org/wiki/Friedrich_Nietzsche Viktor Frankl: https://en.wikipedia.org/wiki/Viktor_Frankl Annals of Internal Medicine article on the 3 Wishes Project: https://www.ncbi.nlm.nih.gov/pubmed/26167721 Another article on the 3 Wishes Project: https://www.ncbi.nlm.nih.gov/pubmed/27525361 Poem “Jabberwocky” by Lewis Carroll: https://www.poets.org/poetsorg/poem/jabberwocky Mother Teresa: http://www.motherteresa.org/index.html Mastering Intensive Care podcast: http://masteringintensivecare.libsyn.com Mastering Intensive Care page on Facebook: https://www.facebook.com/masteringintensivecare Mastering Intensive Care at Life In The Fast lane: https://lifeinthefastlane.com/litfl/mastering-intensive-care Twitter handle for Andrew Davies: @andrewdavies66 Instagram handle for Andrew Davies: @andrewdavies66 Email Andrew Davies: andrew@masteringintensivecare.com
Introduction Welcome to another edition of Portable Practical Pediatrics! I'm your host Dr. Paul Smolen, also known as Doc Smo. From gestation all the way to graduation, if it involves children, we discuss it here. Today we are going to take on the question of what trait or traits make a great physician? How do you know if you have a just an average pediatrician or you've got one that is a cut above? Are the best doctors the ones that got the highest scores on exams in med school or the ones who have seen the most patients? Or are the best doctors the ones that are the friendliest, best looking, and have the best bedside manner? Since I have been practicing and teaching pediatrics now going on 36 years, the question of good doctoring traits is one that I have pondered for some time. Certainly, excellence involves a lot of factors but here is what I have concluded after a my long career in medicine; the doctors who are the best observers, take sufficient time and attention to get a thorough understanding of the child's symptoms, and then judiciously do testing to either confirm or deny their conclusions--those are the best physicians. In short, the best physicians are the ones that are the best listeners. The famous physician of the 19th century, William Osler who help found the Johns Hopkins Medical Center, said it best when he remarked, "Listen to your patient, he is telling you the diagnosis." In medicine, this is called getting a good history. Today we are going to explore the art of diagnosis from a doctor's perspective. I am going to pull the curtain back on the diagnostic process behind your child's visit to the pediatrician and explore things you can do to maximize the value of your child's next visit to their health care provider. Musical Intro Most parents are really good observers. I have found that most parents are excellent observers of their children and their physical symptoms. Most can give an accurate, detailed, and useful description of their children's signs and symptoms. I must say however, that this is often more true of Mom's than it is of Dad's. Generally speaking, mothers can give a more accurate description than can fathers because they often, spend more time with their children. That only makes sense to me. Now here is something to consider before your child's next pediatric visit; Doc Smo Pearl: "Anything that gets in the way of your pediatrician's careful history taking process weakens your child's visit." This reality is particularly important when a child is brought to the doctor for a more complex problem such as chronic stomachaches, a prolonged fever, or an unusual rash. Asking the right questions, getting an accurate description of the child's symptoms, and carefully listening to their answers is what good medicine is all about and what the best doctors do well. Being a good doctor is synonymous with being a good engaged listener and observer. Things that get in the way of a good history: But parents need to understand that there are many things that can get in the way of their pediatrician being able to obtain a really good and accurate history. Let's go through a few of them: -Multiple children at a visit-You can imagine the scene-- 4 kids of various ages in am 8X10 exam room, fighting over a few books or toys. This often means chaos and not only is the doctor distracted from the issue at hand, but so is the parent history giver. -A very anxious or exhausted parent-These emotional states often distort and hinder a parent's accurate recall of their child's symptoms. Additionally, now, instead of focusing on the child and their symptoms, the pediatrician is now dealing with Mom or Dad's anxiety rather than the symptom at hand. In these situations, much of my energy is going toward defusing the parent's emotional state rather than learning more about the child's symptom. -Similarly, a parent who is mad at whoever or whatever is often not able to describe their child's sympto...
Professor David Cranston tells the story of William Osler's life and career. Sir William Osler was a Canadian physician and one of the four founding professors of Johns Hopkins Hospital. Osler created the first residency programme for specialty training of physicians, and he was the first to bring medical students out of the lecture hall for bedside clinical training. He has frequently been described as the "Father of Modern Medicine" and one of the "greatest diagnosticians ever to wield a stethoscope".
Michael Bliss' award-winning books introduced readers around the world to Canada’s greatest medical achievements and heroes, from the discovery of insulin to the "secular saint" Dr. William Osler, a founding father of modern medicine. For these and other contributions to the canon of medical history, Bliss will be inducted into the Canadian Medical Hall of Fame on April 14. In this podcast, he shares lessons from Canada's medical past.
Why is important that our seniors matter? Our seniors are the fabric that holds a community together. They laid the foundation for the success of our communities, and are still a vital and important part of it’s ongoing success. We thought it was important that seniors and their caregivers have a place to ‘go’ weekly to learn, share ideas, share experiences and create a new online community for the betterment of everyone, especially seniors. On “Making Our Seniors Matter” today: We chat with Jennifer and Tracy from the Geriatric care team at William Osler about depression; And Dr. Kathleen Brasher from the World Health Organization (WHO) drops by to discuss age friendly communities; This and more on today’s Making Our Seniors Matter! To nominate a senior for the “Shining Senior Award”, suggest a story idea, request a song or just comment on a show segment, call us at 1-866-269-6155 Ext. 3. Making Our Seniors Matter is a presentation of: Wow Living TV & Radio Real Estate For Seniors Blue Willow Consulting for Seniors Listen UP! Talk Radio The following incredible sponsors have stepped up to the plate to give this important show much needed financial support, and we’d appreciate if you could check them out. Dr. Melanie Abbott-Cambridge Chiropractor Medical Acupuncture Rehabilitation Phone: 905-453-0032 Lindsey John Croft 519-307-1344 lindsey@thehomeupdaters.ca www.thehomeupdaters.com Renovations for Life’s Stages Elizabeth Cunningham Blue Willow Consulting for Seniorsinfo@BlueWillowforSeniors.com 647-982-4052 Solterra Shelley Raymond shelley0007@gmail.com Solterra Co-housing Ltd. | Shared home ownership Gary Booth Chartered Professional Accountants Chartered Accountants 555 Burnhamthorpe Rd. – Suite 406, Toronto, ON, M9C 2Y3 Tel. No. 416-626-2727 Fax No. 416-621-7136 E-mail: admin@garybooth.com Kate M. Salhanha, B.A. (Hons.), J.D. 905-451-6610 Toll free 1-877-217-4732 ksaldanha@pdclawyers.ca www.pdclawyers.ca Leslie Booker Downsize Moving and More 647-888-0459 downsizemovemore@aol.com Limited sponsor opportunities across Canada still exist, please feel to reach out if you or your business would like to support us and help us spread the word across Canada. 1-866-269-6155 Ext 3 or listenup@Talk-Radio.ca. Listen LIVE here each Monday at 2pm and repeated at 8p ET, but if you miss it, it will be podcast below each Tuesday: PODCAST PLAYER soundcloud.com/rtds/sets/making-our-seniors-matter #seniors, #makingseniorsmatters, #wowlivingtv, #wowlivingradio, #realestate, #thebestyears, #thegoldenyears, #nursinghome, #reversemortgages, #renovations, #safety, #Remax, #GTA, #Toronto, #MakingOurSeniorsMatter, #MOSM, #podcast, #peelpolice, #scam, #scamalert, #cohousing, #housing, #thehomeupdaters, #peelregionpolice, #finance, #investments, #money, #investing
SynTalk thinks about health & healing, while constantly wondering whether health has a fixed meaning. Is health an anxiety? The concepts are derived off / from Hippocrates, Charaka, Patanjali, Voltaire, Nietzsche, Foucault, William Osler, BKS Iyengar, Dean Ornish, & Atul Gawande, among others. When & why did the health of the population become a concern for the state, and why was this a significant historical turn? How, when & why did health enter national budgets, and create an industrial force? What is the difference between healing (subjective?) and cure (objective?)? Is healing largely phenomenological, & subjectively realized? Is ‘cure sometimes, relief often, and comfort always’ a possible underlying ethical principle? How the ‘breath’ (prana), as the universal entity within us, unifies the body and the mind when both have a history (situated in time), and are ‘ours’? Is the body a river of energy, & is it possible to understand this energy more specifically & at the molecular level? Does the medical system address the ‘whole self’ and not just the body, & what is the journey from yama to samadhi? Does every part of our body have an expression? How can we make effective therapy safer? Is the doctor a facilitator for nature to cure the person, & is Placebo Effect the most significant healer? How then is the physician the king (& not the consumer), unlike in other transactions? The distinction between the legal & the ethical responsibilities of the doctor? Is it a part of the modern condition to be perennially anxious, & the scope is then extended to treat the ‘risk’? Are the alternatives such as ayurveda & yoga also being recycled under the framework of ‘healthism’? Is it important for the alternatives to have their own systemicity, and not be read solely in terms of the dominant system? Is the crisis of medicine external to a ‘good central core’? Why is cure more important than healing for the modern medical system, and is the underlying logic solely commercial? Is the iatrogenicity (in some ways) a part of the design of the healthcare system, and does this design have to change? Is internal intervention as (if not more) important than the external intervention? The links between witches, apothecaries, acupuncture, Nitric Oxide, endorphins, 21600 breaths, 2 pegs of whisky, statins, ether, and laughter. In the journey of healing, is comfort the starting point or the ending point? Does healthcare need to integrate the notion of ‘space’ into its metaphysic? Is health a personal challenge or (largely) a technical issue? Does the system currently have our complete faith, and does the equivalent of the ‘God is dead’ need to happen? Is it possible to be a non believer of the current dominant industrial medical system? The SynTalkrs are: Dr. R.D. Lele (nuclear medicine, Lilavati Hospital, Mumbai), Prof. Susie Tharu (cultural studies, philosophy, EFLU, Hyderabad), & Zubin Zarthoshtimanesh (yoga, Iyengar Yogabhyasa, Mumbai).
The RAGE team discuss 'what's bubbling up' in the critical care and #FOAMcc worlds, consider the role of thrombolysis in a case of suspected submassive pulmonary embolism, talk about humans in the resus room and resus room management ('when your back-up gets your back up'), have a 'blast from the past' in the form of WW2 hero Edgar Pask and finish with some 'words of wisdom' from John Hunter and William Osler.
Guest: Andrea Doria, MD, PhD, MSc Host: Jason Birnholz, MD In 1888, William Osler wrote in the Lancet the following: "In patients with suspected acute appendicitis, one should urge towards laparotomy. The indications for surgical interference are not always clear, but in my experience I have been taught that the abdomen is much more frequently left untouched than it should be, and that an operation is too often deferred until practically useless." Clearly, diagnosis of acute appendicitis has come a long way since then. But challenges remain in selecting the safest, most timely, and cost-effective diagnostic modalities for this condition. Dr. Andrea Doria, associate professor in the department of medical imaging at the University of Toronto School of Medicine, clarifies the use of ultrasound versus CT for evaluation of acute appendicitis in children. Dr. Jason Birnholz hosts.
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