35 Burst results for "Mayo Clinic"
Doctor recommends 'routine surveillance' after polyp removed from Biden's colon
"The Pollock removed from president Biden's Colin last week was benign the president's physician says it was a slow growing but potentially pre cancerous lesion that required no further action in a follow up memo doctor Kevin o'connor says the specimen was similar to one removed from Biden in two thousand eight he says routine surveillance which normally calls for another colon Naskapi in seven to ten years was recommended the Mayo clinic's website says most colon polyps are harmless but some can develop into colon cancer over time my
Atlanta Reaches Grim Milestone of Over 100 Murders in 2021
"Reach that 1/100 homicide last year. 2020 is total at 1 57 5 people shot and killed in metro Atlanta just since Friday. Atlanta's murder death toll Now stands at 103. Coronavirus Update. New forecasting. Data from the Mayo Clinic says Georgia will have the highest rate of coronavirus cases
Will Booster Shots Make a Difference?
"On wednesday. The president's top covert advisors cited a few early studies to make the case for boosters from new york from nursing homes from the mayo clinic. Plus there was some data from israel. I see two things. I i see a few canaries in the coal mine. I do see that. The is Specially from based on the us data. There is a diminishing of effectiveness against mild moderate disease. Here's michelle will get. The director of the centers for disease control and prevention on wednesday talking about a mayoclinic analysis of more than eighty thousand vaccinated and unvaccinated. People like we saw in the new york. Dana vaccine effectiveness against infection declined over time. In this case from seventy six percent to forty two percents for those who receive the pfizer vaccine and from eighty six percent to seventy six percents for those who receive. The madonna vaccine are also see that things seem to be holding up against severe disease including hospitalization. More or less which seems great but seems quick which is good. The other thing i see is whenever things are that nuanced. I want to see the whole ishii be process unfold. Who needs the advisory committee on immunization practices. It's a group of fifteen outside advisers. Doctors nurses public health specialists. Who make recommendations to the cdc on vaccines on cova. Yes but on other things too and the committee has a standard deliberative process. That anyone you were me can log on and watch the encouraging thing and something that got lost in a lot of coverage was that the actual verdon of things that came out yesterday was that they are doing this for planning purposes to start with september twentieth bending authorization from fda and bending the advisory committee on immunization practices review. So i as a scientist. I had weighed for the review because things are that nuanced.
Mayo Clinic Joins Others in Requiring Worker Vaccinations
"The Mayo Clinic is the latest employer to require Kovic shots the Mayo Clinic in Rochester Minnesota will require employees to be vaccinated against the corona virus by mid September dozens of other health systems nationwide are doing the same thing now what if you work for the Mayo Clinic and you don't want to get vaccinated you'll have to complete what are called education modules and you'll be required to wear a mask and socially distance at work Mayo C. E. O. says our patients expect to be safe when they come to the Mayo Clinic and we need to do everything we can to protect everybody I'm read a folly
Empowering Individuals Consent Using NFTs and Blockchain Insights From Acoer
"Jim thank you for joining us today. Could you please give a brief introduction to yourself our listeners. We haven't heard our first podcast. I won't eat hurry. Thank you for having me back. I appreciate your kindness. And obviously in perhaps and in retrospect foolishness bag but as you know i'm passionate by work that we do and i think is also important so happy to be back in and just talk to you by some new ideas that we have as you mentioned the core and Basically where a product development company. I really our vision. And our work is all about building useful usable. Real time technologies that can be used largely healthcare space. We have some clients matter spaces as well but but really focus on healthcare as you may remember was Formerly chief software architect centers for disease control in alaska. A number of years particular last couple years coed unfortunately being such a big issue for all of us globally. I've been heavily involved in building technologies around. They just help out. Forms and supporting specifically kind of covert response with over last year so with mayo clinic and somewhere public health so very much in this bays but but really kind of our vision. I think it is no way soon to be more efficient to more effective in i. It's just shameful to me that in the us we are so Wasteful you know when it comes to healthcare where we spent an enormous amount of money united society almost twenty percent of our gross domestic product. It goes to healthcare yet. You know we're at the bottom of the rankings. When it comes to effectiveness the bottle rankings when it comes to expense Medicine
HCA Enters New Partnership With Google Cloud
"Google has struck a deal with hospital. Chain h see a healthcare to develop algorithms to improve care and operations. The company is say they'll consolidate and store data from digital health records and internet connected medical devices. It's google's latest venture into the healthcare space after making deals with other hospital systems including ascension. And the mayo clinic. Our hospital reporter. Melanie evans has more. They are hoping to develop new algorithms for for example patients who have congestive heart failure who are in the hospital in need close monitoring or ways that they might be able to use this information to treat infections more quickly effectively
Randomized Trial of C5a Receptor Inhibitor Avacopan Shows Promise in ANCA-Associated Vasculitis
"C five a receptor inhibitor. Of copan is being studied for the treatment of anti neutral fill. Side of plasma antibody anca associated vascular itis in the advocate randomized trial. Three hundred thirty one patients with anca associated vascular litis were assigned to receive oral evacuate pan at dose of thirty milligrams twice daily or oral prednisone on a tapering schedule. All the patients received cyclophosphamide followed by as thia prynne or toxic. Map remission at week. Twenty six the first primary endpoint was observed in seventy two point. Three percent of patients receiving vacco pan and in seventy point one percent of patients receiving prednisone own sustained remission at week fifty. Two the second primary endpoint was observed in sixty five point. Seven percent of patients receiving vacco pen and in fifty four point. Nine percent of patients receiving prednisone serious adverse events excluding worsening vascular. Lettuce occurred in thirty seven point. Three percent of the patients receiving a vacuum pan and thirty nine percent of those receiving prednisone in this trial involving patients with anca associated vascular. Itis a vacco pen was non inferior but not superior to prednisone taper with respect to remission at week twenty six and was superior to prednisone taper with respect to sustain remission at week fifty two the safety and clinical effects of vacco pan beyond fifty. Two weeks were not addressed in the trial in an editorial kenneth warrington from mayo clinic. College of medicine and science rochester. Minnesota writes that. The advocate trial heralds a change in treatment of anca associated vascular lightest that was previously unthinkable. The possibility of inducing disease remission without glucocorticoid however all patients in this trial did receive a brief course of glucocorticoid during the screening phase or early in the trial. As press own was being tapered off and discontinued and also could receive glucocorticoid as rescue medication. An innovative aspect of the advocate trial was the use of a glucocorticoid toxicity index. That captures common glucocorticoid related. Toxic effects including change in body weight glucose tolerance blood pressure lipids myopathy neuro psychiatric features and infection
Cases of Flu Are Down Globally
"Job. Maybe next time you're here you can present. That would be getting green jobs. So i'm just asking when that happened. Richard trumka who is a friend longtime friend of joe biden says about that day one eastone. He says i wish he. The president has paired that. Were carefully with the thing that he did. second by saying. Here's where we are creating jobs. So there's partial evidence from richard trumka. Well you didn't include all of his interview. Would you like to include. How about this. The international union of north america said the keystone decision will cost one thousand existing union jobs and ten thousand projected construction jobs. Well what mr trump. Also indicated in the same interview was that president biden has proposed a climate plan with transformative investments and infrastructure and laid out a plan that will not only create millions of good union jobs but also helped tackle the climate crisis. That guy was peter doocy from fox news and i always hate his questions because he takes four ever to get to the point he just beats around the bush because his conscience is fighting him the whole time and at least that's what it seems like. It's like that tiny little part of them that still has morals and ethics is trying to tell him. He's being deceiving and a bad journalist. But pete here just wants at fox news money one of the more unexpected biden policies. I would say. Just because. I never thought he would actually do. It is that he announced on friday. That trump wouldn't be eligible to receive intelligence briefings anymore. This is the first time that a former president has been cut out of these briefings. But we've never truly had a president trump have we biden explained in that norah o'donnell interview saying quote. I just think that there's no need for him. To have the intelligence briefings. What value is giving him. An intelligence briefing. What impact does he have at all other than the fact that he might slip and say something and he also said that has shown quote erratic behavior. Well that certainly the polite way to say that. He's been acting crazy honestly if he didn't read them well he was president. Why should he get them now. I mean the way. I imagine it. They practically had to create puppet shows and plays to get him the information that was in those briefings like they probably had to act it out for him. The man doesn't or possibly can't read so the story here as promised is about the flus really bad year sir remember. I talked a couple weeks ago. About how bad well not. How bad how good for us it was that. This year's flu season is almost nonexistent. In that was in new york city as it turns out that sort of the case. Globally this reporting from the atlantic followed a doctor from the mayo clinic in rochester minnesota. And they just sort of talked it over with them. What they're seeing in. Why we might be seeing this really good flu season for us. He said on december first that they began testing all patients with respiratory symptoms for covert and the flu so thousands and thousands of these tests have turned up positive for covid but out of the twenty thousand flu tests that they've run which is ten times. The usual number zero have come back positive for the flu since early fall. Eight hundred thousand flu tests in the. Us have been done and only fifteen hundred have been positive. That's point two percent for context. That's about one hundred times so last year. We had a hundred times more cases at this time when we had done. Eight hundred thousand tests back then. The flu positivity rate was anywhere between twenty and thirty percent twenty and thirty percent a lot of other respiratory viruses have disappeared as well well disappeared in quotes because they're still out there somewhere including ones for the common cold. Obviously the reason for this is the number of restrictions and precautions that we've had to put in place social distancing masks etc and all of those help because the regular flu and covid spread in pretty much the same ways however covert spreads more easily because it can be passed on by people who don't even have symptoms in front example just look at all these super spreader events. That didn't happen before. It's not like if you went to the movie theater and just anyone had the flu. You al- suddenly got the flu. There are also differences at the macroscopic level. Like how it sticks to the particles that we exhale when we breathe or talk like cova sticks more easily so is easier to transmit of course doctors
Health and tech leaders including Microsoft and Mayo Clinic are developing digital COVID-19 vaccination passports
"Oracle and healthcare company. Cigna and mayoclinic are part of a coalition pushing for digital records of those who get vaccinated. It's called the vaccination credential initiative and the idea is to let people get encrypted digital copies of their immunization records stored in a digital wallet of their choice. No smartphone you'd get a paper. Qr
Doses Of Antibody Drugs Remain Unused As They Present Various Challenges
"The federal government says it has delivered more than 300,000 doses of monoclonal antibody drugs to help facilities nationwide. They're designed to treat patients with mild to moderate covert 19. The ideas keep those patients out of the hospital, but Many of those doses are sitting unused, due in no small part to the challenge of administering those drugs. NPR's science correspondent Richard Harris looks at to healthcare systems that have overcome those hurdles and are seeing hopeful results. Monoclonal antibodies present all sorts of challenges. They're given to people who have active infections, but who aren't hospitalized, so it's important to treat them without exposing other patients to risk. The drugs by Regeneron and Eli Lilly are also given by infusion, and that process takes a couple of hours. So when you add all this up, you know it's really a logistical challenge to deliver this therapy to a lot of people. But Dr Howard Long at Houston Methodist Hospital, says they figured out how to do that. They've opened clinics around Houston and doctors affiliated with the hospital are referring eligible patients. That is people who are over 65 or who have health conditions that put them at high risk. So at this point we're doing about 50 to 70 infusions a day, and patients are usually scheduled within a Relatively short period of time. So from the time they call into being infused, it's usually less than two days. The timing is important because these drugs appear to beam or effective early in the course of the disease. Mostly help people who aren't mounting their own strong immune reactions and, well medication sits unused in many locations around the country. That is not the case at his hospital, Hong says. Right now we're constrained more by the drug supply. They use it as fast as they get it. Any doctors nationwide aren't so enthusiastic about these drugs, though treatment guidelines issued by the National Institutes of Health say there's actually not good evidence to know whether they work. That's because the Food and Drug Administration relied on studies of just a few 100 patients to grant these drugs, emergency authorization. So these are very small numbers that under normal conditions nobody would never publish in the journal like New England Journal of Medicine. Yet this is, you know, kind of headline news. Welcome Toko bit time right. But doctors are gaining experience. Houston Methodist is now treated more than 1100 patients, Hong says. We're seeing results that are comparable to what was reported in the clinical trials by Eli Lilly and Regeneron about six or 7% of patients who are treated end up in the hospital or emergency room. He figures that without treatment about 15% of the most high risk patients could end up in the hospital or ER. Doctors affiliated with the Mayo Clinic or also encouraged by their experience. They've dust more than 2000 patients in Minnesota, Wisconsin, Arizona and Florida. Dr. Raymond reasonably has done a preliminary analysis of the 1st 1000 or so patients and finds low hospitalization rates. More importantly, there is some signal that is also reducing death. But again this our preliminary analysis we have to kind of make sure that this are all vetted by pure review. But this is what we're seeing. That's why we're happy. Unlike a clinical trial, this real world experience doesn't have a careful comparison group so doctors can't say for sure that these patients are faring better. Even so, these encouraging findings may be swaying doctors who weren't sure they wanted to refer their patients for treatment. There's nobody says patients are also becoming less skeptical. Initially, there were more declines than accept. But no, we're actually seeing more except than declines, and even though it takes a lot of person power to provide this treatment reasonably and Hong believe they're actually reducing the overall workload. Keeping patients out of the hospital. Richard Harris NPR
"mayo clinic" Discussed on Mayo Clinic Q&A
"You're gonna have to hold back that second dose for that first highest priority group. You mentioned timeline earlier about the secret of who would be receiving vaccine in. I'm curious i work at mayo clinic. And so i know that i'm going to get an email or a message that i can schedule at my vaccine. It is my turn but how will individuals in the publican in the communities in our listeners. Know win it is their turn to get a vaccine that they can approach their healthcare facility. About an which place to go to sure they're going to. They're going to hear that first of all just through local and regional news in terms of vaccine availability in doses. And then they're gonna of course go somewhere to get it and most logically their healthcare provider To to a clinic or institution like mayo clinic for those that are in southeast minnesota for example and so their local physicians can tell them also. When when are they next in line the the thing that may be a little bit difficult people that say well i might want to wait and let others take it first and see that it's quote safe. Will you may lose your place in line. You basically go back to the bottom of the line. So you're going to have to think through that. And i would encourage people to not make decisions based on theoretical fears but make decisions based on what we know about the science what we know. The benefits and the risks are and then look to trusted healthcare providers and healthcare institutions to take your league and one of the things that we know. Greg is that this pfizer vaccine. Which is i to go out has been tested on over. Forty thousand individuals is accurate running. Almost forty four thousand individuals. The only study. I can think of that was ever bigger than that was the rotavirus vaccine which got up in the sixty seventy thousand. But that's because of the lower incidence of disease normally a vaccine would be tested on ten thousand. Maybe twelve thousand something like that here. We've got forty four thousand from pfizer. Another thirty thousand from dirna. You know that's getting towards seventy five thousand people who got a hundred and fifty thousand doses because you get two doses of it and this is a us on balance a safe and effective vaccine. Nothing's perfectly effective. Nothing in life Is this came as close as you can get ninety five percent. Nothing's perfectly.
"mayo clinic" Discussed on Mayo Clinic Q&A
"Eligible. How do they get involved. First of all we thank them for anybody who's Thinking about this typically with has been done until now until we started these non directive donor programs is if a loved one is in need of a liberal and if the chances of that recipients of getting disorganise low than we tell the recipient debt. They will get a time transplant if they have a living donor. So if that's the case then the recipients get in touch with the living donors and then the living donors contact us and we take over so this is The whole evaluation is designed in a way that the evaluation is done by kuwait. We separate teams. So there's no conflict of interests on the recipient of donor perspective. What is done. For donors. A overall a questionnaire i am. I can tell you where to go to for that questionnaires online questionnaire just to make sure they're good health overall. They don't have a personal history of something that would be a complete. You know rule out for donation of liver after that. If they're finding we do a blood type screening because delivers the most important thing is blood type compatibility and if they have a acceptable blood type compatibility than we invite them here to morocco. Chester to come and do a two day. Valuation and that evaluation involves a a thorough physical examination meeting with a epidemiologist liver specialists a surgeon. One oh us so a liver. Surgeon and other members of the team including the social worker. The liver donor advocate psychiatrists. We determine the An atomic suitability with cross sectional imaging such as cat scan or an mri and At the end of those two days we gather all the information. We make a decision whether the donor can donate or not an intense the recovery the donor. You mentioned obviously the liver being indifferent lobes and you can take a certain amount. What's the recovery like for a donor. Four four to five days in the hospital And then afterwards Ah bad typically a few weeks of recuperating at home because it's a open operation with laproscopy assistance. It's a mid line incision which is well tolerated but despite that we caution donors that there is a weight lifting restrictions for about six weeks to allow for their muscle in fashion to heal so they don't come back and most people most owners go back to work with nevada Six weeks to three months somewhere there. This program being available at mayo clinic rochester. What about the other clinic campuses and the clinic arizona is the program that does living donor liver transplantation. Man clinic florida It does not do bidding on our liver transplantation. So the The program that we're starting which is a non directive liver donation will start in may arrive and will proceed with an area zone on down the line. dr tannock. Can you explain to us about the new non directed living liver donation program up till now We used to just accept directed living donation meaning people who would like to donate new the their recipients so knowing that they would come here to get evaluated to be a living donor. What we are starting is a non directed donation and this is in response to Several inquiries we had over the years from people who wanted to donate a part of the liver although they did not know a recipients or they do not have a recipient mind so this is similar to You know when you and i go and donate blood. We don't donate blood to somebody in mind. We know that we trust institution the blood bank to use that Blood for somebody need so. This is similar to data. That's what we're starting here. So when people who would like to donate to a person of the transplant centers choosing within a criteria that we have We accepting that. This is such tremendous work. Dr tennore and thank you for sharing that with us today at thanks to mayor transplant surgeon. Dr taner for joining us today to discuss living liver donation. Thank you very much mayoclinic. Qna is a production of the mayo clinic news network and is available wherever you get and subscribe to your favorite podcasts. To see a list of all male clinic podcasts. Visit news network dot mayoclinic dot org then. Click on podcasts. We hope you'll offer a review of this and other episodes when the option is available comments and questions can also be sent to mayo clinic news network at mayo dot. Edu thanks for listening and be well..
How hospitals in different parts of the country are grappling with COVID-19
"News radio reporter Michael Bauer re capping the latest on the Corona virus outbreak across the country and really what makes this one different, especially when it comes to hospitals. Is the initial wave that we saw in this country back in March and April that was mainly confined to the Northeast and the Northwest. Although there was some spread and other places, not nearly the levels that the Northeast in the Northwest saw, then the summer research into the virus. You have mainly the Sunbelt getting hit pretty hard, but with this round while the Midwest is certainly taking the worst of it at the moment, it is happening all over and that causes problems for resource allocation because you're not able to pull necessary. Really from other parts of the country, whether it's PPE, or whether its staff to help out with those areas that are having the biggest surges. That's really where we might see the strain on the health care system, right? Big part? Yes, you're You're certainly seeing all over the country were hospitals are at capacity right now or just brimming over the rim of capacity. No, the concern there is that in hospitals, maybe that you had only seen in New York. Or certain elements of the Northeast. Or maybe, you know, in the Washington or or California sides of the initial part of the pandemic here, or hospitals were really up against the wall. That's where the focus was solely Now you're seeing that across the country, you're seeing that in states where you hadn't really seen that kind of panic before. This is the first time that they're getting up to those kinds of numbers. That's a concern because people who are having heart attacks or other health issues may not be able to get the health care that they're looking for, because of the vast numbers of people that will be in the hospital, suffering from Cove it and trying to get over that there's there are large numbers here that will affect the health of people going forward, who have just normal health concerns and problems that have nothing to do with covert. But they will be affected by covert because of the hospital's being his packed as they are, and hospitals do have the ability to expand. In fact, they're quite flexible and they Quite creative and setting up new areas that can act as on ICU or different things like that. The key is you have to have the staff to handle all of that. And really what I'm hearing from the experts that I talked to it comes down to the personnel. Is there gonna be enough personnel? I know the Mayo Clinic there were there were over 900 almost 1000 staff members who were out because of Corona virus related issues, whether they were infected or they had to corn. Team because they were in contact with somebody who was infected, and that causes a real strain. And that seems like when you get into that situation, that's where the problems can really arise from. Yeah, and unlike the start of this, where you would have physicians that would come from other states to go and throw support behind New York or Connecticut or New Jersey, whoever was running into problems there, even in California. You don't have that now because those physicians those hospitals, staff Are at their peak where they're located, and or as you pointed out, maybe they're suffering from Cove it. Maybe they're in the hospital that next year because they caught Cove it or maybe their home quarantining because they have tested positive for covert. That's you've seen some hospitals cut 30% other staff because of the exposure to cove it on that front, and that causes a lengthy delay as well. So that's the thing
"mayo clinic" Discussed on Mayo Clinic Q&A
"We are very grateful to have those partnerships. They are certainly familiar with the local resources in protocols so that when we need to escalate care and potentially bring patients into the hospital those care teams at each of our mail sites. are able to know the teams know the providers in can work to make sure we have a very seamless Escalation of care for those patients who are adversely trending at home and are in need of perhaps oxygen support need to start steroids or other antiviral medications winner is this available and is it. Patients who are linked do primary care providers. Or how do they find this kind of care through mayo clinic. You know for any patient any mayo clinic. Patient that has positive for covid nineteen They are assessed by one of the covy team providers for eligibility to participate in the remote patient monitoring program So really i is goes for our primary care empanel patients but also supports those receiving Specialty care as well at at mayo clinic at all of our meal sites throughout the organization. Can you give us a little bit more detail about how patients remotely monitored at home is. Are they on these monitors like twenty four hours a day or just occasionally and then how do you get this equipment to them to us. we partner with the company That works to ship the technology kit to patient Wherever they are planning to self isolate on through their recovery from the onus on so we work together with the patients and the in their caregivers to have the technology shift to either their homer are wherever they may be at. The box is in the kid. Itself is very simple when patients take out the tablets and turn it on it is it is ready to go. It is cellular abled. We don't have to worry about wi fi or connectivity in addition to that The devices that we're using for the biometric train are all bluetooth enabled so again. That information is just passively collected and it's available to our care teens visible in the electronic health record. This part thankfully is quite simple for patients. In fact ninety six percent of our patients in our surveys have said that the technology is extremely easy to use in that something..
Mayo Clinic: 905 staff diagnosed with COVID in past 2 weeks
"Report not having enough doctors and nurses to treat the surging numbers of covert 19 patients over 900 staff members of the Midwest Mayo Clinic system of contracted Cove in 19 in the past two weeks, a Mayo Clinic spokesman says about 1500 staff members currently have work restrictions related to the virus. Governor Greg Abbott is set to speak this
"mayo clinic" Discussed on Mayo Clinic Q&A
"I'm wondering <Speech_Female> how <Speech_Female> do you tell the difference <Speech_Female> in <Speech_Female> in well testing <Speech_Female> between <Speech_Female> whether someone needs an influenza <Speech_Female> test <Speech_Female> or whether <Speech_Female> they need a covid. <Silence> Nineteen test <Speech_Female> and <Speech_Male> Matter <Speech_Male> if you <SpeakerChange> can tell the difference <Speech_Male> in their symptoms <Speech_Male> the symptoms <Speech_Male> overlap and <Speech_Male> this has certainly been concerned <Speech_Male> for <Speech_Male> healthcare. Really <Speech_Male> since the summer <Speech_Male> is what we were going. What <Speech_Male> was going to happen. <Speech_Male> When we hit flu season <Speech_Male> <Speech_Male> Because <Speech_Male> really clinically. You <Speech_Male> won't be able to distinguish <Speech_Male> Influenza <Speech_Male> and other <Speech_Male> upper respiratory <Speech_Male> viruses common <Speech_Male> colds that are going around. <Speech_Music_Male> There will have a lot of overlap <Speech_Male> with kobe. <Speech_Male> And so how would we <Speech_Male> figure out what <Speech_Male> whether someone has influence <Speech_Male> or cove it <Speech_Male> one of the <Speech_Male> things that people <Speech_Male> should know. Is that <Speech_Male> here in <Speech_Male> this. Part of the world <Speech_Male> in the fall <Speech_Male> We typically <Speech_Male> look to what has <Speech_Male> happened in the southern <Speech_Male> hemisphere over the summer <Speech_Male> which is their winter <Speech_Male> and their flu <Speech_Male> season and <Speech_Male> one of the things <Speech_Male> that we have seen this <Silence> year. Is that <Speech_Male> in <Speech_Male> australia. And in the <Speech_Male> southern hemisphere <Speech_Male> the institution of <Speech_Male> masking and social distancing <Speech_Male> basically <Speech_Male> a completely <Speech_Male> blunted their flu season. <Speech_Male> So there's some hope <Speech_Male> that our flu season <Speech_Male> will not be typical. <Speech_Male> It will be less <Speech_Male> less severe <Speech_Male> than than <Speech_Male> normal just because <Speech_Male> of the <Speech_Male> things that we're doing now <Speech_Music_Male> To prevent <Speech_Male> the spread of koga <Speech_Male> a we do <Speech_Male> have testing available <Speech_Male> though so when patients <Speech_Male> come in that are experiencing <Speech_Male> symptoms. <Speech_Male> We've been working to have <Speech_Male> a testing <Speech_Male> available at at <Speech_Male> another <Speech_Male> point of care <Speech_Male> that contest for <Speech_Male> both influenza <Speech_Male> enter kobe. <Speech_Male> And then are <Speech_Male> we have a group <Speech_Male> at male testing <Speech_Male> stewardship group <Speech_Male> that is <Speech_Male> looking specifically <Speech_Male> designing algorithms <Speech_Male> that to make sure that <Speech_Male> we exclude implemented <Speech_Male> before we <Speech_Male> test for kobe <Speech_Male> vice versa. <Speech_Male> So it's really a combination <Speech_Male> of <Speech_Male> having tested <Speech_Male> contests for both flu <Speech_Male> and covid and then <Speech_Male> also understanding <Speech_Male> how providers <Speech_Male> ordered the test. <Speech_Music_Male> If we don't <Speech_Music_Male> want a contest for both so <Speech_Music_Male> that we can make sure <Speech_Male> the <SpeakerChange> patients get <Speech_Female> the test may need. <Speech_Female> I've also seen <Speech_Male> those graphs about <Speech_Female> the distribution <Speech_Female> of flu <Speech_Female> an incidence of flu <Speech_Female> in the southern <Speech_Female> hemisphere. And i'm wondering. <Speech_Female> Is there <Speech_Male> any evidence that <Speech_Male> people <Speech_Male> were seeking immunization <Speech_Male> <Speech_Female> against the flu <Speech_Male> more this year. Does <Speech_Female> that play into that at <Speech_Female> all or is it truly just <Speech_Male> <SpeakerChange> were not <Speech_Male> spreading it so much. <Speech_Male> Well i don't know <Speech_Male> yet. I think it's a bit <Speech_Male> early to know how <Speech_Male> many people have gotten <Speech_Male> gotten their flu vaccine. <Speech_Male> Certainly people <Speech_Male> should Vaccination <Speech_Male> is important <Speech_Male> <Speech_Male> And there is <Speech_Male> some evidence <Speech_Male> suggests that <Speech_Male> the <Speech_Male> turning on <Speech_Male> of of your immune <Speech_Male> system the challenging immune <Speech_Male> system from a flu vaccine <Speech_Male> might actually help you <Speech_Male> if you are exposed <Speech_Male> to covid so <Speech_Male> it'll be interesting <Speech_Male> to see what that flu <Speech_Male> vaccine is actually <Speech_Male> because typically <Speech_Male> we look at the <Speech_Male> strains that are in some <Speech_Male> southern hemisphere <Speech_Male> to guide what should <Speech_Male> be the vaccine for the north <Speech_Male> so <Speech_Male> I'm not sure how <Speech_Male> i'm not. I'm not a vaccine. <Speech_Music_Male> So i don't <Speech_Music_Male> know how that was effective <Speech_Music_Male> but certainly people <Speech_Music_Male> should get their vaccines <Speech_Music_Male> flu <SpeakerChange> vaccines <Speech_Female> as furry report. <Speech_Female> We've been today <Speech_Female> discussing covid. <Speech_Female> <Advertisement> Nineteen and the progress <Speech_Female> <Advertisement> of mayo clinic <Speech_Female> <Advertisement> laboratories with <Speech_Female> <Advertisement> the department chair. <Speech_Music_Female> <Advertisement> Dr bill maurice. <Speech_Music_Female> <Advertisement> Thanks for being with <Speech_Music_Female> <Advertisement> us today. Dr maurice <Speech_Music_Female> <Advertisement> thanks to <Speech_Female> <Advertisement>
Khalifa Bin Salman al-Khalifa, Prime Minister of Bahrain, Dies at 84
"Tonight, one of the world's longest serving prime ministers, has died. In fact, he was the longest serving prime minister of Bahrain. Prince Khalifa bin Salman Al Khalifa died today at the age of 84. Let his government for decades and survived the 2011 Arab spring protests that demanded his ouster and over corruption allegations. Statement says the prints had been receiving treatment at the Mayo Clinic in the United States. Without elaborating.
Bahrain's long-serving prime minister dies at age 84
"The prime minister of Bahrain, one of the world's longest serving prime ministers, has died at the age of 80 for the state news agency reports. Bahrain's King has announced an official week of mourning. Not a home. See has more. France, Khalifa bin Salman and belief as long held rollers. Prime minister was characterized by the patronage and favors given based on loyalty to the family for dynasty, which has ruled by then for more than 200 years. Although given credit for modernizing battle for many, principally first premiership was represented by corruption and state repression in 2011. When the Arab spring protests swept through the Middle East. Demonstrators in Bahrain protested over the chronic corruption allegations surrounding Prince Khalifa, among other things. Those demonstrations were soon crushed. Prince Khalifa had been suffering from unexplained health problems since at least 2015. State media says he had been receiving treatment at the Mayo Clinic
"mayo clinic" Discussed on Mayo Clinic Q&A
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Don't <Speech_Female> give up altogether. Even <Speech_Female> if you <Speech_Female> had one situation <Speech_Female> where you did <Speech_Female> something that was kind of <Speech_Female> outside of your normal routine. <Speech_Female> Well <Speech_Female> said, dr. Is <Speech_Female> there anything else that <SpeakerChange> you <Speech_Female> wanted to add? I think <Speech_Female> that the only other thing <Speech_Female> that I would want to add <Speech_Female> is as we <Speech_Female> approach the holidays <Speech_Female> more <Speech_Female> of us will be <Speech_Female> invited to those <Speech_Female> social Gatherings. <Speech_Female> Those are an <Speech_Female> important part of our Traditions, <Speech_Female> especially <Speech_Female> in the US <Speech_Female> with Thanksgiving and Christmas. <Speech_Female> And <Speech_Female> so encouraging <Speech_Female> people to be very <Speech_Female> creative with those <Speech_Female> if there are ways <Speech_Female> that you can have <Speech_Female> virtual <Speech_Female> Gatherings with family <Speech_Female> instead of the <Speech_Female> large face-to-face <Speech_Female> Gatherings that <Speech_Female> were used to the <Speech_Female> birth center. <Speech_Female> And if you <Speech_Female> do have face-to-face Gatherings <Speech_Female> having <Speech_Female> conversations with your family <Speech_Female> before hand <Speech_Female> to make <Speech_Female> sure that everyone <Speech_Female> practices all <Speech_Female> of the precautions including <Speech_Female> masking <Speech_Female> diligently for <Speech_Female> 15 days <Speech_Female> before they gather <Speech_Music_Female> <Advertisement> to decrease <Speech_Female> <Advertisement> that risk <Speech_Music_Female> <Advertisement> that someone will bring <Speech_Music_Female> <Advertisement> covid-19. The <Speech_Music_Female> <Advertisement> Gathering <SpeakerChange> would <Speech_Music_Female> <Advertisement> be a good idea. Well <Speech_Female> <Advertisement> are things to me open <Speech_Female> <Advertisement> a preventive medicine <Speech_Music_Female> <Advertisement> specialist. Dr. <Speech_Music_Female> <Advertisement> Laura <SpeakerChange> rear for <Speech_Music_Male> <Advertisement> joining a gym. Like <Speech_Music_Male> <Advertisement> Mayo Clinic <Speech_Male> Q&A is a <Speech_Male> production of the Mayo Clinic <Speech_Music_Male> <Advertisement> News Network <Speech_Music_Male> <Advertisement> and is available wherever <Speech_Music_Male> <Advertisement> you get And subscribe <Speech_Music_Male> <Advertisement> to your favorite <Speech_Music_Male> <Advertisement> podcasts <Speech_Music_Male> <Advertisement> to see a list <Speech_Music_Male> <Advertisement> of all male clinic <Speech_Music_Male> <Advertisement> podcasts <Speech_Music_Male> <Advertisement> visit our Network. <Speech_Music_Male> Mayoclinic.org <Speech_Music_Male> <Speech_Music_Male> then click <Speech_Music_Male> on podcasts. <Speech_Music_Male> Thanks for listening and be well.
"mayo clinic" Discussed on Mayo Clinic Q&A
"Welcome to Mayo Clinic Q&A. I'm Deedee Steven as positive cases of covid-19 continue to spike across much of the country the role of contact tracing to prevent further spread becomes even more important when it comes to contact tracing quarantining and isolation timing is critical to prevent further exposures and spread disease joining us to discuss is Mayo Clinic preventive Medicine Specialists. Dr. Lora Brewer. Dr. Brewer is medical director of Occupational Health Services at Mayo Clinic. Welcome to the program with dr. Could you describe contact tracing and what role it plays in preventing further spread of the virus? Yes, I'd be happy to so contact tracing is essential the process of identifying those who may have been exposed to someone with covid-19 doing a risk assessment of that exposure and facilitating quarantine if we do identify that wage, Risk of developing covet and that quarantine make sure that that person stays home does not intern expose others. Should they develop covid-19 that 14 days so early on in this pandemic your team in Occupational Health developed digital tools to conduct contact tracing. Can you explain for our audience how this works our staff really made at the information much more quickly and we needed to be able to assess them as quickly as possible so that we could help them quarantine. So we developed digital tools including a digit off contact list. So we integrated our Occupational Health database to pull in information from our HR database for our employees so that we could send a contact log to a supervisor and they could go through and actually pick the names of their employees send it back to us, and we would have their phone numbers at our fingertips to be able to start reaching out and calling them immediately dead. We also developed a second tool which was an exposed employee assessment form. So when the supervisor submits that contact log every one of those employees who is potentially exposed to get some email in their workplace inbox to ask them certain questions about potential exposure and by doing that we're able to notify anywhere from 1 to 50 people all in a few seconds that they may have been exposed and then we go through and we do the we do the digital assessment and we've created some processes to facilitate the work of multiple different teams with that. We outlined our processes and a paper on Mayo Clinic proceedings so that it can be shared with others if they're interested in looking at that how has a compact racing evolved over these past few months and and does this this current search and Kobe cases that were seeing impact how contact missing works.
"mayo clinic" Discussed on Mayo Clinic Q&A
"With the award and I. It's a great combination just to celebrate all those who of what's so hard lean building on the track record of success of quality improvement. Culture at Mayo Clinic I understand that the quality academy now is looking to potentially teach other institutions. Some of the secret sauce that exists in quality improvement. Can You? Can you talk a little bit about that? We established our mission. Quite a few years ago in Quality Academy's mission is to educate and inspire all of your. Staff to bridge gaps in quality. To us that didn't mean on healthcare staff within our walls. It meant all healthcare workers across the globe. We know that sounds a little bit over the top Barbara would said, we're aspirational and we're going to do it and last year we did a soft launch separate quality fellows, Longitudinal Education and certification program to the external market. So anyone in a healthcare field or even outside the healthcare field who has an interest in quality improvement with an emphasis on healthcare can pursue bronze and silver nail quality fellow certification said. And today we've worked with institutions domestically and internationally from California to Singapore. So Exciting Times. You probably me. Well, that that's wonderful because patient care is patient care and if others can learn. From, Mayo Clinic and what we've learned over the years I, think that's what we're here to do to help others and teach all. Barbara Necker Joe Lean anything else you want to add before we wrap up in two thousand twenty, we launched our campaign to seventy thousand problem solvers. We're really excited that forty one, thousand of our employees have engaged in this education and quality improvement. But that's not enough. We never want to stop encouraging people in their quality journey our goal setting one hundred percents of all employees to teen at the very least that Bronx certification, which really clearly indicates that every single person in and help them understand that job number one is number one, but he needs to improve job number one and. It. We've got the support of leadership We've got a lot of team. So we have a reporting structure where a supervisor can look to see if their team is all bronze certified, and if not, they can find those that education to.
"mayo clinic" Discussed on Mayo Clinic Q&A
"People is something. We're very excited about what our. Deliverables for the conference will include a virtual. Opportunity for abstract or poster. Display we're working to figure that all out I know that there's technology out there and we will figure it out. So that staff have a chance to showcase the work that they don in quality improvement over the year, and I know that lots lots has being done some of that in relation to Kobe and then other. That's just you know the standard of looking for gaps in our practice and research and education in fielding projects and opportunities to close those gaps. So we're very excited I would. I. Would ask to Lean Neka about thoughts about the conference because there. I know that there will have been turning also and we have made the decision to go virtual but what are some of the things we've thought about in addition to just capturing that large audience I think one of the unique and just special things about the conference is it's really serves as a combination of our Mayo Clinic staff's efforts throughout the previous year in terms of all the wonderful quality improvement work that's going on across the organization. At this conference, they have an opportunity to showcase as Barbara said all the improvements that have been made identical sharing the best practices and learnings that are unique to their different to the different parts of of their work. And those participants who engage with the poster presentations learn about all the great things happening at all corners of the of the organization. So particularly interested with this ritual conference because we'll have an opportunity for the first time in a while to have a unified conference that is reflective of all the activities that have been going on across all the sites So there will be an opportunity for dialogue cross sites across campus dialogue that we have not traditionally. So I think that's going to be different for twenty, twenty, one and. That the theme we select will be something that obviously all the groups will reflect on will feel strongly about we try to pick topical issues that are of Relevance to your physician or might be reflective of what's going on you know in the external world as well. So. I think the theme we select as well as the opportunity to showcase work happening across the enterprise will be to unique aspects of the conference. Our quality conference is our way to showcase and celebrate everyone who's been working so hard to close those gaps and to do quality improvement across the institution and that as you had indicated part of the culture. Of Quality at Mayo Clinic in its at celebration and that we provide to them and. One other aspect is we will also be awarding are diamond quality fellows at this conference and many times. Our CEO will be the one who provide them.
"mayo clinic" Discussed on Mayo Clinic Q&A
"WHAT'S THE ETHOS BEHIND QUALITY ACADEMY? Well Quality Academy is a really special group within the clinic quality. Academy occupies a central role whose key missed mission is really to. Teach Mayo Clinic staff, how to see gaps in quality in their work every day and equips them with the tools methods and skills to. Close those gaps in real time practice in the course of their work. So it's a it's a small group that exists within the Education Shield but we touch every single part of the practice and we interface with individuals across Gmail Clinic Enterprise. both inpatient care and across research. And Education as well and helping individuals to defy problems that occur in the course of their daily work, and then be learned how to close those gaps in quality that they encounter in their work every day. Sabra when from your perspective why is quality improvement? So important? Start to come fair mention not only just for the practice but for education and research. REC- quality accrue as A competitive advantage for us at male clinic. If all of us, all seventy thousand, our buds are looking at our work whether we're a an administrator in education and Research Coordinator of Front Desk Staff Person. It doesn't matter gaps gaps gaps deteriorate from efficiency or efficacy, our service and so by. Encouraging our staff to view quality improvement, it's just part of their daily work. The cruel of advantage for male clinic is just exponential. So we take all of us can look at our jobs not only as I'm Barbara Jordan education administrator but my job is also to improve that job and to have the tools and methods to do that is that competitive advantage for Mayo Clinic so we heard seventy thousand employees at Mayo. Clinic Enterprise Joe Lean how many of the workforce have actually been through the quality academy in some way of the other like you said, Male Clinic at seventy thousand employees nearly forty, one, thousand of them have achieved some level of certification. Majority of them have achieved. Braun. Certification and over seventy four hundred are those silver call. The fellows I know I myself am a silver claw fellow. Barbara. Are you silver quality fellow? Road and next year over quality fellow as well. So I'm an OP manager Barbara's administrator and Mecca is there Matala? Just are gold fellows are those who are Highly. qualified. Improvement Professionals when we count on to coach and mentor Meat Quality Improvement Initiatives across the institution and then in two thousand fourteen created a diamond quality fellow, which is our lifetime achievement award. And that's given. So only those who are nominated by their peer. Today we have seventeen diamond fellows in our ranks and it's a pretty prestigious award that people aspire to achieve congratulations. That's That's truly impressive. So dot to compare, we heard about the different levels, bronze, silver gold, and seventeen of his spy to diamond level. Can you tell us to sort of differences of those levels? Yeah. I would say the certification program. That Quality Academy administers is probably the flax. Or the basically a key component of all of our deliverables to Mayo. Clinic Staff. We offer three levels of certification. For most of our employees, the diamond level as a cut above those three levels as you get nominated to that to lifetime achievement award. But we exist that the bronze silver and gold level of the browns level. We're really just the expectation is that employees are Mayo Clinic, staff learn how they understand the value of quality. Within the male context of CARE they learn about gaps in quality, how to see those gaps and then learn about the basic principles of quality improvement tools and methods in how to apply them to to solve problems in Barbara mentioned meet. At the bronze level employees to recognize that their job number one is to do their job and to improve upon their job every day. So at the silver level which is where I would say the bulk of our employees end up settling in at the silver level, they get introduced to specific quality improvement tools, and they learn how go apply those tools, the context of an actual quality improvement. Project. Germane to their area of work. And can actually see how the application of those tools creates or improves specific processes in their work setting. And so two silver level there's Dr Curriculum, and then an experiential component as well. The gold levels really for our experienced quality improvement experts These are individuals for Quality Improvement Advisors, and they are facilitating, training mentoring coaching quality improvement teams across the enterprise who are engaged in the quality improvement process So these individuals are usually teaching a lot of our classes and they are mentoring actively mentoring coaching quality improvement teams. So those are the three levels of certification that exist and we have many staff who aspired to continue to advance their holiday improvement knowledge, and this certification program gives them that added incentive to reach higher and higher in their goals to to expand their knowledge. Well thank you for explaining that because I think when we think of Mayo Clinic we think about the culture and we think about the uniqueness of the culture here at Mayo Clinic about taking care of patients first and foremost and I think with programs such as Quality Academy that truly goes to sort of being the bedrock behind that culture. Now, you talked about the practice what about the medical school the medical students being exposed to Quality Academy and Quality Improvement Tools absolutely in fact, our learners which include medical students, residents, fellows. Are Part of this. Process for their part of our learning organization, and so we start very early with our medical students in their first year, introducing them to quality and quality improvement This becomes part of their signs of healthcare delivery curriculum. They're exposed to the didactics, just the basic fundamentals of quality of quality improvement We introduce them to basic principles introduced into what we call the democratic framework of solving problems or closing equality. Quality dates stands for define measure, analyze, improve, and control, and it's a framework that we employ across institution to improve. Our processes. So they're introduced to that in a simulated way using simulated project examples, and then as we start to as they start to advance into the wards on the floor in the inpatient and outpatient setting, they start to see how the practice works and can actually start to recognize gaps in quality that exists in practice and they advance in their knowledge introduced them to specific tools, quality improvement tools, and methods. And are able to apply that in the practice setting to solve problems as they progress through their training residency and fellowship for our new incoming residents. There's an expectation that they're all brawn certified and Ben. For different residency programs, there's an expectation that they are having silver certification. By the time they complete their residency training. So there are requirements that they go through different levels of the certification program at different stages of their training, but they are not We definitely engage them in the quality improvement process and it helps that our faculty most of them have gone through the Quality Academy Training Welcome Service Role Models and mentors to to the learners. At different stages in their train. Terrific and a lot of these teachings obviously had been face to face and Barbara. Now, with the Kobe, pandemic things have changed a little bit in terms of how we deliver education. How is the Quality Academy moved such that we can still deliver these principles but in the Safeway I'm just so proud of our team I'm proud of the whole college at Madison because the pandemic Kinda caught us off guard but. We didn't miss a step and just like the rest of the College of Medicine Worthy Kala Kademi resides we have risen to the occasion. Can a necessity is the mother of invention and we I believe we'll have some products and services from our transition to unwind virtual. A synchronous asynchronous learning. products are internal staff as well as the potential for some extra motivation of those items. So we have. Transitioned to provide online training virtual training to staff across our our primary products the bronze curriculum is already been online but are silver now virtual, and we're just thrilled about that because it will allow us to continue to serve the needs of our internal audience and has Dr Cohn. Sarah mentioned we really want to see our leaders our ops managers are administrators are project managers, our division and departmental leaders achieved silver. Because, sobers rarely wear you are able to apply the knowledge and really advance quality improvement at Mayo. So again, Dr Fred Meyer, our executive Dean for education.
Connecting with Learners Learner Centered Approaches
"Heard. You talk before a bit about teachers centered and Learner centered and I was wondering if you could maybe definer just Kinda. Let us know what that means to you or so yes, you're right. I do have a an interest both from my work and research even personal work on to the topic of connecting with learners and it's one that's important to me I i. think it's important to talk about what we mean by connecting and connection because that could have so many meanings. From me, I like the definition that's used by John Maxwell they. Miss Author coach. Leadership. Coach. Leadership. Development. where he talks about that connecting is really the ability to be able to identify with people and to relate to them in a way that's able to increase your influence with them. So I think that you know teaching and learning is an ultimate form of influence right between individuals and so to begin with this concept of teacher centered verses, Learner centered, which is again something that I've talked about. Before I really think of both as sort of a spectrum and they're both methodologies right of teaching and learning what they represent is more of a paradigm shift in education Today in approaching learning, that's really more based on needs and styles of contemporary learners. So if we take these individually, we can talk about Teachers Center at first what does that mean? Well, typically, that's when we have become from the perspective that the teacher is the authority in the classroom. So this is typically seen more in approaches that utilize more of the lecture style. So the teacher is talking to the students and the students role is more passive that role is to listen and to learn through listening to the teacher. The goal here in the educational setting or environment is for the teacher to transfer or impart their knowledge. Right. The teacher is their knowledge is seen as the most valued source high in the learning exchange. So like that sage on the stage phenomenon, right? So that's what that's more commonly referred to siege on the stage in contrast if we come from a learner centered perspective. That's where as the teacher or the faculty member we really feel more of a personal responsibility to have ownership for an active learning environment. So in a learner centered environment, the learners are actually encouraged to interact to even some cases challenged the teacher's knowledge perspective. But most of all, they're really encouraged to co create and construct meaning around the material along with the teacher. The teacher is not the only authority, not the only source of expertise what learners bring from their own experiences potentially can help in this sort of co construction of meaning around the material and learners are really encouraged in a more of an independent problem solving approach around the material so that they're learning is live and. Just passive not just listening receiving, but contributing and even on critical analysis right. So in this sense, the teacher is the guide who's providing them with Kayak on the side. From sage on the stage guide and the side are some Particular ways that people kind of reference these little broaches I love that. So easy to remember to that sort of shift with those two phrases sage on the stage to guide on the sides I love a lot for me. I think that a key concept in the framework of Learner centered approach is that you're valuing and therefore being very intentional about connecting with the learner
Caring for COVID-19 positive patients in New York
"Kobe nineteen pandemic has brought with it many trials and tribulations. We're facing them other healthcare systems are too especially those in hub. In this episode, you'll hear from, Dr, Jeffrey Johnson who's one of our critical care physicians in south, West Wisconsin in Rochester and we'll learn about his experience and learning from carrying for Kobe patients in New York City. Welcome to reimagining community care podcast, and thanks for listening in I'm bobby gas style with co hosts, Mary Jo Williamson and ashes the mood. We continue recording the podcast via zoom trying our best to share this conversation as if we were relieved together in our favorite coffeeshop. We can only wish we were together in our favorite coffee shop right now but very excited about the discussion today. Well, the pandemic has no doubt challenged us in many ways and tested our patients and endurance. There is a silver lining. It has created new opportunities for us to serve in unexpected ways and to learn an innovate. It really takes me back to our story Mayo Clinic came to life from a crisis in Rochester and has become a global leader in healthcare from decades of continuous learning and innovation. So today, we'd like to welcome Dr Jeffrey, Johnson an anesthesiologist in critical care in both Lacrosse in. Rochester. Dr Johnson had a really unique opportunity to care for covert patients in New York in the height really of the pandemic. Actor Johnson thank you so much for joining us. Today. We're excited to hear how the Cova crisis became an opportunity for you to help others and also to bring back learnings to Mayo Clinic. Well. Thank you for having me. I appreciate the opportunity to discuss my time in New, York the care of these patients during the pandemic. Definitely was a experience of a lifetime really changed my approach to looking at life in general, truly an eye opening opportunity and I'm looking forward to sharing what I learned during my time there. Texture Johnson, how did that opportunity come about and why did you decide to go? So. You know I have a clinical obligation as well as administrative one and like many of us on this in this call, we're very busy during the early phase of the spring planning for the pandemic in South West Scott's and And so during that time, I've been getting emails from colleagues around the world Italy France discussing what they're experiencing as ice you doctors. They were pretty impressive and so I was seeing those society of crew care medicine early on during the pandemic actually was sending out emails intensiveness asking to come to New York if they're able to go. But clearly during all our planning things, I couldn't make that trip but still wait on the fortunately though you know as it worked out, we hit a lull. We were prepared as much as we could be. So responded to that inquiry after getting support from my local leaders and across. Rochester. And how long from when you decided until you left for New York Think. It was about two weeks when I was another colleague of mine who actually was doing the same thing I didn't know it at the time, but he was already working through the process to get support from high leadership in the organization and so by the time we got approval and by the time I was in Europe is just about two weeks. That, you're Jensen I can't even imagine what it was like to walk into that environment on your first day in New York. Share with us. Some of your very first observations were about the situation. Even, my observations before New, York made an impression on me. You know part of the process this aside of critical care medicine worked it out that they united. Airlines was flying volunteers offer free and so. connected to Rochester Ando hair and all of us for most of them have been hair during normal busy normal times and what struck me as I got off the plane waiting for my connection to New York was the quiet. The hallways were empty. The only people you saw were usually employees related to the airport you look out on the tarmac. Planes lined up in formation that clearly indicated they were. Shut down and not going to be used for any period of time. And then when I flew into New York it was much the same having been in New York, a few other times before really impressed me with again the quiet the lack of people there was no congregating in the park areas really what made in pressure with me my distance from the airport I landed at into the hotel I was staying was about twenty miles and it actually took us about twenty minutes. I can't think of the last time as a New York where that timeline fit distance. So it was pretty surreal to fly into a city that's known for being busy twenty four hours and seeing how quiet it was. and so New York itself as a group or as the city was quiet but and then I made it to the hospital the next day and had different observation deck to new the word quiet, which to me is sort of a calming word. But I suspect that the impression we should associate with that word is more eerie. A good description it really was. It was eerie hang. BEEN IN NEW YORK. was completely different than what I remember. There was an anxiety in the city sense it the Uber driver I interact with you know he was very tense They actually created a plastic barrier between the front seat in the backseat of his private vehicle using duct tape and Saran wrap. And then obviously everybody was wearing Maso. Yeah. The quiet really wasn't required.
"mayo clinic" Discussed on Mayo Clinic Q&A
"You know in <Speech_Male> ultimately patients <Speech_Male> here on <Speech_Male> earth in <Speech_Male> astronauts and space <Speech_Male> will benefit <Speech_Male> from <Speech_Male> the clinical expertise <Speech_Male> in anti platforms <Speech_Male> <Speech_Male> that Mayo Clinic <Speech_Male> has to offer. <Speech_Male> So <Speech_Male> my goal <Speech_Male> is for Mayo Clinic to play <Speech_Male> a role in. <Speech_Male> Contributing. <Speech_Male> Not only <Speech_Male> in upcoming artists <Speech_Male> missions, which is. <Speech_Male> NASA <Speech_Male> goal to send <Speech_Male> human <SpeakerChange> astronauts <Speech_Male> <Advertisement> to the moon. <Speech_Male> <Speech_Male> By twenty, twenty, <Speech_Male> four <Speech_Male> but more ambitiously <Speech_Male> I envisioned <Speech_Male> mayoclinic continues <Speech_Male> legacy <Speech_Male> in space <Speech_Male> medicine <Speech_Male> clean pivotal role <Speech_Male> in assisting <Speech_Male> NASA in <Speech_Male> their plan human <Speech_Male> missions to Mars <Speech_Male> <SpeakerChange> by twenty <Speech_Male> thirty three the number <Speech_Male> of algorithms <Speech_Male> that computers can <Speech_Male> process at <Speech_Male> simply staggering <Speech_Female> and many <Speech_Female> people have asked. <Speech_Female> Do you think <Speech_Female> that <hes> <Speech_Female> people will <Speech_Female> be replaced <Speech_Male> in medicine <Speech_Male> and in research <Speech_Male> through <SpeakerChange> the use <Speech_Male> of AI at <Speech_Male> Mayo Clinic <Speech_Male> when I hear <Speech_Male> from a lot <Speech_Male> of commissions <Speech_Female> and staff <Speech_Male> is that? <Speech_Male> <Speech_Male> Is Actually GonNa <Speech_Male> make our jobs more <Speech_Male> efficient and <Speech_Male> and help us <Speech_Male> in taking <Speech_Male> over those tasks <Speech_Male> that are most mundane <Speech_Male> in time <Speech_Male> consuming. So <Speech_Male> anything actually <Speech_Male> help us in <Speech_Male> our job <Speech_Male> performance and efficiency. <Speech_Male> <Speech_Male> Taking over those laborious <Speech_Male> tasks that <Speech_Male> we <SpeakerChange> never really <Speech_Female> wanted to do, we'll <Speech_Female> have an opportunity <Speech_Male> to learn more about the <Speech_Female> work that you're doing <Speech_Female> at the upcoming <Speech_Female> Virtual Center <Speech_Male> for Individualized Medicine <Speech_Female> Conference <Speech_Female> on October the <Speech_Female> fourteenth, can you <Speech_Male> tell us a <SpeakerChange> little bit about <Speech_Male> that conference? <Speech_Male> The I am conference <Speech_Male> is <Speech_Male> an annual <Speech_Male> conference <Speech_Male> organized by the <Speech_Male> SURF individualized <Speech_Male> medicine, <Speech_Male> and at this year's <Speech_Male> conference I'll be <Speech_Male> <Advertisement> providing a <Speech_Male> <Advertisement> glimpse <Speech_Male> into our current work. <Speech_Male> <Advertisement> In Hey I <Speech_Male> can provide <Speech_Male> <Advertisement> a little more detail <Speech_Music_Male> <Advertisement> about our use of causal <Speech_Music_Male> <Advertisement> inference <Speech_Music_Male> <Advertisement> and causeway methods <Speech_Music_Male> <Advertisement> <SpeakerChange> of for <Speech_Music_Female> <Advertisement> Space Medicine, <Speech_Female> it's been a pleasure <Speech_Female> have Dr John <Speech_Female> Calendar <Speech_Female> with us today talking <Speech_Female> about advances <Speech_Female> in artificial <Speech_Female> <Advertisement> intelligence. <Speech_Female> <Advertisement> I hope that <Speech_Female> <Advertisement> you learned something <Speech_Male> <Advertisement> today I know that I <Speech_Male> <Advertisement> did and <SpeakerChange> we wish you <Speech_Male> a wonderful day.
FDA chief: Emergency plasma order based on "sound science"
"Controversial therapy is in the news. It's plasma therapy, which was just okayed for use in an emergency authorization Now, after taking some heat, the FDA is defending the decision. FDA Commissioner Stephen Han says he could have done a better job explaining how and why it all came about I can assure the American people that this decision was made based upon sound science and data. The move came after President Trump accused the agency of stalling for political purposes, even using the phrase deep state. While some doctors say the use of convalescent plasma hasn't been proven until CBS this morning, Mayo Clinic data show Otherwise. These data totally support the emergency use authorization that we issued Peter King CBS News.
FDA chief apologizes for overstating plasma effect on virus
"The food and drug administration's chief is apologizing for overstating the life saving benefits of treating covert nineteen patients with convalescent plasma on Sunday president trump announced the FDA would issue emergency approval for using convalescent plasma holy get a historic breakthrough that which treatment value has not been established FDA commissioner Steven Hahn echo the president in saying the treatment showed a thirty five percent improvement in survival a hundred people who are sick with co in nineteen thirty five would have been saved that clean the vastly overstated preliminary Mayo Clinic observations and medical experts pushed hard to correct the record today he says the criticism is entirely justified tweeting what he should have said is the data show a relative risk reduction not an absolute one soccer make ani Washington
"mayo clinic" Discussed on Mayo Clinic Radio
"To successfully work remotely from many different domains, and we've invested in technology, management practices necessary really to operate a tele workforce. We really just didn't expect this happen within a few short weeks. We look what you've done in such a short period of time. You've done this relatively seamlessly, so let's switch gears now. You mentioned the new normal. Let's talk about our patients. Pre Pre cove it. Was telehealth part of the of Mayo Clinic practice in in managing patients demands. It absolutely was telehealth environment. has always been something. That Mayo has had the volumes are just different. In recent months pre covid telehealth volumes averaged maybe around one thousand visits per day by the first week of April our telehealth appointments reached around two thousand visits daily. This number continued to double so by the end of April approximately four thousand daily telehealth visits were occurring with actually a few peaks over six thousand daily telehealth visits, so that obviously doesn't happen just on his own. Tell us what's happened in the background to allow. Physicians and Colleagues to interact and enhance connection without patients. Yeah, you know really there's. A couple of things that it had to do here to accomplish this it was a dynamic situation that posed a lot of challenges. To really accommodate this level of demand, and the technology needed. Several things had to happen I. One of the things was that we really had to outfit our our staff with equipment at home to perform remote administrative in clinical work we we anticipated the need for several thousand laptops to support that work from home. This created a challenge due to our own lack of laptop inventory caused by market deficit of around two million units nationwide. which was really caused by the factory shutdowns and China that were occurring in January and earlier parts of the year, so we just didn't have the equipment to deploy that kind of technology to the homes initially. We We made a call to our mayoclinic employees that if anybody had laptops or equipment that wasn't being used that, we could redistribute that, and in once again staff just really stepped up and provided several hundred devices to return. That could be redeployed. But we also made a call out to the industry to our our sales team at Hewlett Packard that one of our partners for laptops and desktops, and they reached out on our behalf to their Minnesota based customers. Unfortunately three M actually responded to our need. three M had several thousand laptops that were unused in their warehouse and provided us an opportunity to purchase two thousand of those devices. So that just as an example that was on a Tuesday and by the end of the week, our staff had over two thousand devices boxed, inventoried, tagged software loaded already for staff to take home, and we also had a significant expansion needed in our infrastructure to support that remote access to our network. The the existing remote access system was architect many years ago and really architect to support a maximum of maybe six thousand concurrent connections. You know this this really served us well for many years, and we rarely exceeded that system capacity, maybe once or twice, or those rare crippling midwest snowstorms that forces us to stay home. But the new level of demand that were seen who's going to require several times that capacity, and from our networking team and telecommunications quickly configured the system for additional speed and capacity, other things that happen in the background that that most people probably didn't see of course was reaching out to our telephone. Systems are local Internet service providers to make them aware that increased demand was going to be coming. And that they were gonNA. See Large increase from the home of Utilization So. Those telecommunication companies and Internet service providers really had to add additional capacity as well to meet that higher demand. You know the other thing that happened to was Mayo Clinic has numerous context centers those are folks taking calls from employees to the help desk, our patients calling appointments call in centers that were related to over questions and many of those call centers also relocated to home, and those are folks that use special equipment for computers and phone systems, and so specially configured systems had to be set up for them to to get ready. It was really a very busy period of long days over several weeks to repair equipment, rewrite. Policies draft setup guides. Your systems answering calls for help and staff across it. Many departments really stepped up to make that happen. Well, that's that's an amazing depiction of what happened behind the scenes as you said as a physician and as an end user, one has no idea this is happening behind the back behind the scenes, and not only just in mayor clinic shows what an interconnected well we have from how these computers are made. And as he said partners stepping up and helping us. It truly is a a success story. You have. Yeah, there's absolutely every day brought something different and. It was. A lot of challenges that were just worked through by everybody. So as you know Mayo Clinic Prides itself not only in patient care, but. In Education and research as well tell us how it is helped our colleagues in education. Also, be able to still educate and continue continue doing research behind the scenes. Yeah, fortunately, the the technology and the tools that are used not only tele visits for patients with providers also works with our students and our research. Colleagues so I know while students were unable to be on campus doing side by side. education with their their colleagues and and educators. They were able to do things using the zoom video technology like we're using today. we leveraged other collaboration tools like black or for the education environment skype. was another popular tool that was used to reach out to colleagues and stay connected research has some unique environments as well with their equipment and through the remote access systems that were set up staff working at home. We're able to reach in through. Those technologies connect to remote systems continue to run the equipment and analyzers and things that they have. And even in some cases. Those equipment that were special in the labs. were taken home to continue their work and maintain productivity, and then brought back into the lab later when when things settle down, but early had a flexible dynamic situation across all fronts at Mayo. Including International. Where we have operations that needed continuing London and Dhabi, and those those technologies allowed us to continue. Those operations is truly is a as you said a national and international effort here he said not only do. We have a sites in the United States but also internationally as well so to bring them on board as just an amazing story and congratulations to you and your department. Well, thank you. I would say an exciting time, not one that we certainly plan for, but it really leveraged a lot of the skills that folks have. Mark. Is there anything else that we didn't cover that you'd like to add? Well. I think the other one. It is just how. Are Patients are reacting to the whole telehealth environment and feedback. I hear from patients has really been positive telemedicine and opportunity to advance our patients access to medical treatments or extended hours through phones and video visits and patients. Tell us that's made access to medical care easier, and I.
"mayo clinic" Discussed on Mayo Clinic Radio
"Many patients have been touched in this manner but we also have to think about awfully have done for the past one. Hundred and fifty years are face-to-face. Practice is absolutely second to none. And that's face to face practice where we bring a patient to Mayo Clinic. We have an itinerary which is very very organized. A very efficient seen multiple providers in a short period of time. That's been our main stay that span an absolute differentiator and I see telemedicine as enhancing that face to face practice in most cases as opposed to replacing it. So we're now hard wiring in for example a couple of examples once we have patients scheduled to come new patients have Mayo Clinic. I see that we will be. I believe that we will use video consoles or telephone consults up front in many cases to connect with the patient ahead of time. I'm Dr Loftus. I'M DR CA-CAR I'm going to be meeting you in a couple of weeks time. I want to ensure that we have everything in place that maybe a provider reaching out of. Maybe unearth reaching out. May maybe another colleague reaching out to ensure that we have at the itinerary as it should be. We're prepared for the patient. Such begin to get as best care at Mayo Clinic. Another example may be established patients. Dr Takhar has operated on them and six their hands. They need to be back here at Mayo Clinic. Or could that be potentially a virtual consultation as opposed to the patient traveling along distance if they don't need additional surgery or diagnostic test but then many patients in the vast majority of our patients was still needs to come to Milton for that? Face to face multidisciplinary practice for the surgery or the procedure for the advanced diagnostic testing. That has always differentiated. Cares me authentic for for century for one hundred fifty years so in summary? Telemedicine is definitely here to say it's an enhancement but I see it has Enhancing the face to face practice as opposed to replacing the face of practice. And I couldn't say that any better as you said the word enhancement is absolutely there and it's extending that human touch to somebody when you can't see them physically it means so much to our patients and I'm so glad that you expanded on that and how it sort of enhancing out practice both face to face and virtually I would just extend tremendous thanks across the board for firstly to to you Dr ca-car into your your colleagues for arranging this interview. Amines extremely important that our patients notice. We're here for them. We're all was here for them. In Times of difficulty. We're here to be a guide to be of help in any way we can mail. Panic is safe safe. And it's we're here to care for all patients needs now I also want to thank any staff members who are listening. Our staff have been absolutely unbelievable in their response across the board to ensure that we are able to continue in our mission our mission in practice our mission in education our mission research to continue to advance medicine to care for all the patients who need us. Thanks to chair of Mayo. Clinic's outpatient practice.
"mayo clinic" Discussed on Mayo Clinic Radio
"The At our desks at Mayo Clinic to ensure that again with the are no symptoms are going to compromise safety. So you can see. It's it's very very very thorough and thankfully has been very effective at all and I would hate tremendous credit to our patients have been so patients. True all of this and they understand. They're willing to go along with all of this to ensure that they are staff members. Remain safe so the screening mechanisms are extremely extremely thorough number. One number two universal. Masking that has been huge. All patients all visitors all employees mask. That's a huge huge change but also very very very important in terms of efficacy and then the other two other big spaces one is management of our patients and facilities as our patients are on campus. We ensure that social distancing is made contained. We ensure that we don't have crowds of patience in waiting areas or in the areas or anyplace else we have a colleagues from are from various teams helping our patients to ensure that they remain masks that they remain socially distance offering a hand sanitizers. And if we do were observing patients as they go through the process as well we observe any patient. It's coughing or maybe symptomatic. We actually asked him to step aside and we put them through an initiative. More thorough screening a mechanism as well so multiple multiple steps in the final step is patients who are coming in for a surgery or for higher risk procedure so if a patient is going to surgery they're tested With a as a foreign shield swab two days before surgery to ensure that they don't have corona virus likewise patients were going through a number of different procedures are tested ahead.
"mayo clinic" Discussed on Mayo Clinic Q&A
"The At our desks at Mayo Clinic to ensure that again with the are no symptoms are going to compromise safety. So you can see. It's it's very very very thorough and thankfully has been very effective at all and I would hate tremendous credit to our patients have been so patients. True all of this and they understand. They're willing to go along with all of this to ensure that they are staff members. Remain safe so the screening mechanisms are extremely extremely thorough number. One number two universal. Masking that has been huge. All patients all visitors all employees mask. That's a huge huge change but also very very very important in terms of efficacy and then the other two other big spaces one is management of our patients and facilities as our patients are on campus. We ensure that social distancing is made contained. We ensure that we don't have crowds of patience in waiting areas or in the area or anyplace else. We have a colleagues from are from various teams helping our patients to ensure that they remain masks that they remain socially distance offering a hand sanitizers. And if we do were observing patients as they go through the process as well we observe any patient. It's coughing or maybe symptomatic. We actually asked him to step aside and we put them through an initiative. More thorough screening a mechanism as well so multiple multiple steps in the final step is patients who are coming in for a surgery or for higher risk procedure so if a patient is going to surgery they're tested With a as a foreign shield swab two days before surgery to ensure that they don't have corona virus likewise patients were going through a number of different procedures are tested ahead.
"mayo clinic" Discussed on Mayo Clinic Q&A
"Of pro team <Speech_Music_Male> move. The small piece of <Speech_Music_Male> nuclear gas in <Speech_Music_Male> your body intrinsic <Speech_Male> was not again <Speech_Male> thing. <Speech_Music_Male> Win The body <Speech_Music_Male> reacts to <Speech_Male> in either <Speech_Male> remorse <Speech_Male> as you get older <Speech_Male> will poverty level <Speech_Music_Male> that bad <Speech_Male> things can occur <Speech_Male> so the virus can <Speech_Male> cause abnormalities. <Speech_Male> That sells <Speech_Music_Male> <Speech_Male> it can use <Speech_Male> a profound inflammatory <Speech_Male> response <Speech_Male> and <Speech_Male> can cause working <Speech_Male> function <Speech_Music_Male> and the <Speech_Male> email. <Speech_Male> Ads are designed to <Speech_Male> stop <Speech_Music_Male> the abnormal <Speech_Male> ceiling. 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And <Speech_Female> how <Speech_Female> long do you expect the work <Speech_Male> of your task force to <Speech_Male> go on <Speech_Male> <Speech_Male> <SpeakerChange> <Speech_Male> <Speech_Male> dollar question? <Silence> <Speech_Male> There's no <Speech_Male> image site <Speech_Male> We're we're <Speech_Male> really at the beginning. <Speech_Male> We now have our <Speech_Music_Male> work streams <Speech_Music_Male> up <Speech_Male> and they're rubbing <Speech_Male> well efficient <Speech_Music_Male> and and <Speech_Music_Male> the due <Speech_Music_Male> processes per <Speech_Male> aim <Silence> <Speech_Male> <Speech_Male> now comes the execution <Speech_Music_Male> phase. <Speech_Music_Male> We're we're <Speech_Music_Male> two months in <Speech_Male> a epidemic <Speech_Male> pointing <Speech_Male> to last <Speech_Male> many many months <Speech_Male> possibly years <Speech_Male> so <Speech_Male> I think that <Speech_Male> a <Speech_Male> an element <Speech_Male> of task <Speech_Male> force will continue <Speech_Male> or <Speech_Male> <SpeakerChange> Munster's <Speech_Male> <Speech_Male> this is. <Silence> I'm paralleled <Speech_Female> experience <Speech_Male> that we <Speech_Male> are living through <Speech_Male> nothing that I think <Speech_Male> most of us probably <Speech_Male> ever thought we would experience <Speech_Male> in our lives <Speech_Male> and and so <Speech_Male> much going on. 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Who <Silence> or <SpeakerChange> <Speech_Female> well <Speech_Female> we certainly appreciate <Speech_Female> all introducing <Speech_Female> just like when I'm <Speech_Male> trying to futz <Speech_Male> with my computer <Speech_Male> our new technology <Speech_Female> <Speech_Female> and when I'm <Speech_Female> listening to you <Speech_Female> I think I am so <Speech_Female> glad. There are so many <Speech_Male> people who are so <Speech_Male> much smarter than <Speech_Male> I am in the world <Speech_Female> and I'm very <Speech_Female> appreciative of all the <Speech_Female> work that you're doing <SpeakerChange> and I'm sure <Silence> our listeners are as <Speech_Male> well over. <Speech_Music_Male> Well thank <SpeakerChange> you so much. <Speech_Female> Thanks so <Speech_Female> much for being with US <Speech_Female> tonight after badly. <Speech_Female> And thank you to all of <Speech_Female> you for tuning in and listening <Speech_Music_Female> to Mayo Clinic. <Speech_Music_Male> Unit <SpeakerChange> at <Speech_Music_Male> <Advertisement> a great day <Speech_Music_Male> <Advertisement> meal clinic <Speech_Music_Male> <Advertisement> and is
"mayo clinic" Discussed on Mayo Clinic Radio
"To both external medical centers but also for us. Because there's been a lot of Idea exchanges between us and and other clinicians so that's been really beneficial and then also we are physically offering on our test to be order -able by Other medical centers across the across the country. And I think that's really beneficial because it allows those hospitals to focus on providing molecular testing. Which is a much more crucial and essential. Need at the moment cinch does Actually diagnose active infection compared to see your logic testing which tells you yes. This individual has been infected at some point in the past. But it's not really to be used as a diagnostic so that urgency and need for a result is not as great as it is for molecular test. When I was a child I remember hearing guy now knows an old wives tale have going to medical school. But if you've had a virus once you can never get it again. In fact I use this example before but my parents sent me to a girlfriend's house when she had the chicken pox hoping that I would get the chicken pox so that I'd never get it again now. I know the chicken pox in covert nineteen are very distinctly different viruses. But I'm wondering what is known about immunity after someone has been infected with covert nineteen. Yet you know that is really one of the key questions right now. After recovery does an individual have complete or partial immunity to Kobe nineteen eighteen. And so how long does that last to be honest because we really only been dealing with this virus for four or five months? We don't have a good sense of the duration of that protective immunity. That you're talking about I think we can say that based on prior studies during the SARS outbreak in the early two thousands we know that protective immunity against that virus which is closely related to SARS Kobe to that protective immunity seemed to be detectable for about two years after infection. And then there's been some preliminary studies in In monkeys suggesting that they have at least short term immunity one month after recovery of from Kobe. Nineteen as we see more and more information I think there will probably be at least some short term and immunity But we really need more studies in this area before we can make any conclusive comments on the duration of that protection from reinfection. I just have one last question for you because this brought it to mind for me. I saw on the news yesterday. I believe it was that some patients were becoming a according to the news that reinfected with cove in nineteen soon after having a suffered from it is that reinfection or is it just persistence or do we know that yet. Yeah I think I think that's a really important thing that we all need to consider whether this is truly reinfection versus whether we're still detecting residual nuke lake acid from these individuals Is is something that we're really learning more about so I think only time will tell to be honest at this point. Thank you very much touch with the owns very informative visiting with Dr led. Today she's the director of our Infectious Disease Serology Laboratory at the Mayo Clinic in Rochester Minnesota..
"mayo clinic" Discussed on Mayo Clinic Q&A
"To both external medical centers but also for us. Because there's been a lot of Idea exchanges between us and and other clinicians so that's been really beneficial and then also we are physically offering on our test to be order -able by Other medical centers across the across the country. And I think that's really beneficial because it allows those hospitals to focus on providing molecular testing. Which is a much more crucial and essential. Need at the moment cinch does Actually diagnose active infection compared to see your logic testing which tells you yes. This individual has been infected at some point in the past. But it's not really to be used as a diagnostic so that urgency and need for a result is not as great as it is for molecular test. When I was a child I remember hearing guy now knows an old wives tale going to medical school. But if you've had a virus once you can never get it again. In fact I use this example before but my parents sent me to a girlfriend's house when she had the chicken pox hoping that I would get the chicken pox so that I'd never get it again now. I know the chicken pox in covert nineteen are very distinctly different viruses. But I'm wondering what is known about immunity after someone has been infected with covert nineteen. Yet you know that is really one of the key questions right now. After recovery does an individual have complete or partial immunity to Kobe nineteen eighteen. And so how long does that last to be honest because we really only been dealing with this virus for four or five months? We don't have a good sense of the duration of that protective immunity. That you're talking about I think we can say that based on prior studies during the SARS outbreak in the early two thousands we know that protective immunity against that virus which is closely related to SARS Kobe to that protective immunity seemed to be detectable for about two years after infection. And then there's been some preliminary studies in In monkeys suggesting that they have at least short term immunity one month after recovery of from Kobe. Nineteen as we see more and more information I think there will probably be at least some short term and immunity But we really need more studies in this area before we can make any conclusive comments on the duration of that protection from reinfection. I just have one last question for you because this brought it to mind for me. I saw on the news yesterday. I believe it was that some patients were becoming a according to the news that reinfected with cove in nineteen soon after having a suffered from it is that reinfection or is it just persistence or do we know that yet. Yeah I think I think that's a really important thing that we all need to consider whether this is truly reinfection versus whether we're still detecting residual nucleic acid from these individuals Is is something that we're really learning more about so I think only time will tell to be honest at this point. Thank you very much touch with the owns very informative visiting with Dr led. Today she's the director of our Infectious Disease Serology Laboratory at the Mayo Clinic in Rochester Minnesota..