35 Burst results for "Mayo Clinic"
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
"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
"So that's <Speech_Female> kind of <Speech_Female> the worst case scenario <Speech_Female> and it's good <Speech_Female> to plan for that scenario <Speech_Female> in <Speech_Female> general. I <Speech_Female> think it's a good idea to <Speech_Female> have about a <Speech_Female> week supply of groceries on <Speech_Female> hand. I know prior <Speech_Female> to the pandemic <Speech_Female> I would go <Speech_Female> to the grocery store every <Speech_Female> couple days and pick up <Speech_Female> a few things now <Speech_Female> we <Speech_Female> get groceries once a <Speech_Female> week to make sure that we have <Speech_Female> a few more days of supply <Speech_Female> chain grocery <Speech_Female> stores will deliver <Speech_Female> food also, so <Speech_Female> that really helps <Speech_Music_Female> to have <Speech_Female> people comply <Speech_Female> with that quarantine <Speech_Female> and stay home. <Speech_Female> If <Speech_Female> you have someone in the <Speech_Female> household who <Speech_Female> has been <Speech_Female> exposed. That <Speech_Female> person's quarantined <Speech_Female> but their family <Speech_Female> members haven't been exposed <Speech_Female> <Speech_Female> in general keeping <Speech_Female> the quarantine person <Speech_Female> away from everyone <Speech_Female> else is <Speech_Female> a good idea <Speech_Female> so that the other people <Speech_Female> can go about their <Speech_Female> day-to-day lives <Speech_Female> <SpeakerChange> <Speech_Female> know we're seeing the numbers <Speech_Female> they're increasing <Speech_Female> exponentially <Silence> across the country. <Speech_Female> What advice <Speech_Female> do you have for people <Speech_Female> who may just <Speech_Female> want to throw caution <Speech_Female> to the wind <Speech_Female> and take your <SpeakerChange> chances <Speech_Female> with getting a virus. <Speech_Female> So I <Speech_Female> would ask everyone <Speech_Female> to stay strong <Speech_Female> and fight that <Speech_Music_Female> pandemic <Speech_Female> fatigue. <Speech_Female> I think that we <Speech_Female> have all felt <Speech_Female> it at one point <Speech_Female> or another within, <Speech_Female> you know, the last <Speech_Female> nine or ten months <Speech_Female> and <Speech_Female> as much as <Speech_Female> we can stay strong and <Speech_Female> not give in to that. <Speech_Female> I think that we'll <Speech_Female> all get through this <Speech_Female> together. <Speech_Female> That being said <Speech_Female> if someone does <Speech_Female> do something <Speech_Female> like they have a <Speech_Female> gathering with family <Speech_Female> are they have a gathering with <Speech_Female> friends. <Speech_Female> I would urge them <Speech_Female> <Advertisement> to kind of <Speech_Female> <Advertisement> get back on the wagon <Speech_Female> and <Speech_Female> keep wearing their masks <Speech_Female> keep practicing <Speech_Female> social distancing <Speech_Female> <Speech_Female> even after that <Speech_Female> Avengers. 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
FDA issues emergency authorization for COVID-19 plasma treatment
"FDA granted emergency use authorization for convalescent plasma treatment that uses antibodies created by people who recovered from covid nineteen to treat those infected with the virus according to research from the Mayo Clinic the treatment appears reduced mortality in those transfer us within three days copen nineteen
Trump announces plasma treatment authorized for COVID-19
"The U. S Food and Drug Administration has issued an emergency use authorization for the use of convalescent plasma to treat covert 19 convalescent plasma is taken from the blood of people who have recovered from coma 19 as a treatment for others, President Trump says the treatment shows promise We provided $48 Million to fund the Mayo Clinic study that tested the Efficacy of convalescent plasma for patients with the virus. Through this study over 100,000 Americans have already enrolled. To receive this treatment, and it has proven to reduce mortality by 35%. The FDA says. More than 70,000 patients have been treated with convalescent plasma made using the blood of people who have recovered from Kobe
Study hints, can't prove, survivor plasma fights COVID-19
"Mayo Clinic researchers are reporting a strong hint that blood plasma from covert 19 survivors may help other patients recover. AP Correspondent Jackie Quinn has details preliminary data from 35,000 Corona virus patients who received plasma from people who had recovered from Cove in 19 produced signals of efficacy. There were You were deaths among people given plasma within three days of diagnosis and those who got plasma with high levels of antibodies, But this wasn't a formal study and the data comes from a number of hospitals so patients could have simply received different care. I'm Jackie
"Been reading about forgiveness and I came across a simple but pretty powerful article on. The website from the Mayo Clinic Mayo Clinic Dot Org mark, and this is an article that I'll be sharing with you today it's titled Forgiveness letting go of Grudges and bitterness. So this is some insight to take into your meditation today. Holding. A grudge. Can impact you pretty dramatically both physically and emotionally. If you are unforgiving. A Ken. Bring anger and bitterness into your relationships, and also into most any of your experiences, they can always seem a little tinged by bitterness. You can become wrapped up. In, the wrong that was done to you that you have a hard time enjoying the president or it consumes you so much that. Even when you're having fun and you're getting together with people, a lot of times you bond over the issue of the wrong that has been done to you. You can become depressed and anxious. You can feel like your life lacks meaning or purpose. and. You can begin to lose your hope in life your spiritual beliefs. You can lose. Connection with those that mean most to you. Or feel detached from people. That you love because you're hurting so much. So wrapped up in. This bitterness. It's so pervasive around you. And I want to share with you a story that someone in my own spiritual group I meet with every morning. She is a former teacher for special needs children. And she talked about how there was a teacher that she used to work with in the classroom and this person would. Be So negative and so heavy that it was like a dark cloud in the classroom it affected every wine. And people tried to gloss over it and be positive but. She was really bitter. And on days when she was absent from school. It was like a breath of fresh air flowed in the classroom. And she had real sorrow in her life. Her brother. Was a missing person. And I don't believe they ever found him. So, you can imagine the grief and the sorrow. From having no closure over her brother. Suddenly Missing This was heartbreak in her life and it permeated everything and you can understand it. You can have compassion. For what she was going through. But imagine. How she cast such a cloud over so many others. She may have even traumatized many people. Because she was so negative. I'm sure that you have met people like that. So have you can have compassion for. Someone who is struggling they're had dark their negative they're angry. This can help you to soften. The impact of their anger and bitterness. And you might find that you may act in the same way. So. What happens to your mind and body when you forgive Well, there are many things as you can imagine, but I'll share. Some of the positive impacts when you forgive someone from this article. You begin to have healthier relationships. You Improve Your mental health. Anxiety and stress and hostility are lessened. Your blood pressure goes down you have fewer symptoms of depression and your immune system is stronger.
The prohibition against marijuana in the hospital
"Francis has just been hospitalized for the third time for cancer while at home. She's been managing the chemotherapy much better than expected in the hospital. She's frustrated at home. She's treating her nauseousness and her anxiety with marijuana, but in the hospital she's not allowed to use marijuana even if she brings her own edibles or vape pen for Francis, a hospitalization is already an anxiety provoking experience, but is now even more so because she can't use what she knows will calm her down. The majority of states thirty five have legalized marijuana for medicinal uses and millions of Americans use it for. For medicinal purposes, and even more for recreation to relax well many state governments have chilled around marijuana use and focused their drug enforcement efforts elsewhere. Hospitals cling to the past. They feel a strong need to forbid marijuana. No, surely there are a few patients are on medications that might interact with marijuana and doctors and patients should discuss these situations, but what hospitals are doing as forcing patients to be sneaky what Francis has found is that the only way she can reliably relax is with marijuana, so she's forced to act the way she did when she was a teenager and sneak into her hospital room. This is complete nonsense and And it creates a situation where Frances and her doctors are not focused on her best health so now. Doctors don't know what she's taking, so they can't advise her against US marijuana. If there is a really good medical reason for her to abstain, there are many reasons to allow people to use marijuana, the hospital or nursing home if they wish most importantly for conditions, such as chronic pain, anxiety and nausea, it is effective therapy and is often better than prescribed expensive medicines, and if the person is using marijuana and his force to suddenly stop when they come into the hospital, it can cause her symptoms to worsen. Yes, the. The feds are still in the dark ages and consider marijuana a schedule one drug, but they're not pursuing law enforcement at hospitals and healthcare facilities. When a doctor provides a medical need, there are some hospitals, even the Mayo Clinic that have allowed patients to use marijuana in the hospital and in states like California were having. Marijuana is not a crime. There are no state prohibitions on hospital. Use so like much in medicine policies are often remnants of days gone by, and they had not change to keep up with science or demand. Hospitals seemed to be more concerned about upsetting regulators than helping patients, assuming that there's not sound medical. Against Marijuana use a particular person. Francis can't wait to get out of the hospital, but in the meantime she has her stashed marijuana that she takes twice a day and not a single staff member knows about it.
"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
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"mayo clinic" Discussed on Mayo Clinic Talks
"So this is all happened in the last one hundred days Dr Badly. Obviously the everything's changing it's evolving. How do you foresee the next one hundred days moving forward so I heard within the next hundred days there are likely to be drugs? Identify which make meaning all favorable impact into patients who have disease. And it's possible that one or two of those therapies cocoa as far as being approved and therefore made available to everyone be prescribed outside of well. That's an uplifting note absolutely to to end on there and you're anything else that you wanted to add base has been a tremendous response from the entire male immunity. Everybody at every role has come together. The synergy is to move and advance everything. We're doing into clinical and did spend a unbelievable thing to observe and everybody who played A. I believe help. These patients number one number two when we're faced with such devastating illness. It's hard to see his overlying. If there is a silver lining to be had from this. I'd like to thank several things number. One is that will begin to appreciate and recognize and implement practices of public health more widely across. Us number two is that we implement those public health policies that we know make a difference or example we know that influenza vaccination makes a difference and Save Wise I am hopeful that the public option of those interventions will increase time. Those and then number three is we are in the position of having such a depth of scientific understanding today and such a depth of good therapeutic candidates in our disposal that it talk literally weeks to get the first trials in place and that's because obey robust basic and clinical science pipeline. That is so critical and my third hope is that increasingly recognized and basic urged will continue to be patented thanks to Dr Andrew Baddeley chair of Mayo Clinic's covered nineteen research hospitals too badly. Thank you time and hard work. You all Mayo Clinic. Qna is a production of the Mayo Clinic. News Network 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 podcast. Thanks for listening and be well. We hope you'll offer a review of this other episodes when the option is available comments and questions can also be sent to Mayo Clinic News Network at Mayo Dot Edu..
"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..
"mayo clinic" Discussed on Mayo Clinic Talks
"But it but it works. I think we're going to start to see that in other areas of the US as this moves away from the two coasts and more and more into the center of the US. So here's a listener. Who has obviously listening closely? She says two weeks ago you advised us to use contemptuously appropriate levels of protection explained again what that means and does it still apply it. It not only applies but it is a dynamic or moving target based on the context. I is simple analogy. And then we'll apply it If you live in safe area of the country where I do Rochester Minnesota When I go to bed at night I locked the front and back door later one. I closed my first floor. Windows layer to flip outside light on layers tree. That's all I need. If I lived in a in a more difficult area of the nation I might add layer for an alarm system layer. Five window bars. Maybe layer six the panic button. You get the idea. So what does that mean for us in the in the US again? Are you in a high risk or low risk situation and that can change over time? Low risk situation. Tell the work if you can social distance thing being sure in your hands or cling slayers two and three. Nobody comes in your home without him. Sanitizing layer or nobody comes into your home period. And unless it's absolutely necessary you just keep layering things on like that based on your particular context based on the transmission dynamics in your area recognizing they lag by two weeks or so. So you're sticking with that is your motto. You don't have a new one correct. Well the only knew it. I added more cultural and that is and we're beginning to see this. You Know Saint Paul Ramsey hospital up in the twin cities Among their greatest number of VR. Visit not Kobe. Nineteen it's mental health issues and my motto is. We really have to turn from a mean culture to way week culture and you see that in a grassroots through healthcare providers movement where you see them in the hospital with the same thing. I'm staying here. You stay home. If it's every man for himself we will do poorly as history shows in pandemics. I'm to take care of my neighbor. I'm to take care of my community to help at any level that I can and if we all do that and if we all take care of each other we will do better together all right. It's not me it's we all right. Yeah next question. Do Surgical Masks help or not only do surgical masks help but a mask of almost anything helps now the original reason that CDC and other organizations that don't wear masks is because they wanted to preserve those for frontline healthcare workers but you can have an effective mascot of a folded over Bandanna or handkerchief. The way it helps is in disregard. It decreases the risk that you'll breathe in these respiratory droplets that somebody else may have cost coughed or sneezed. And now you're breathing and it is a reminder not put your fingers in your eyes nose or mouth so from that perspective is protective now. It can't do anything against Aristotelian virus but that's probably not the primary mode of transmission air again. I think because they were. They didn't want people to go out and buy all the end ninety five and surgical masks because they were needed for healthcare workers think. That was the motivation behind that. Not Dia- Interesting Hell. Would you like to comment on the cure being worse than the disease thinking? Yeah I think this really get to cultural and personal values. What price a light? How much economic disruption for. How long can we take? What does it mean particularly for the most vulnerable members of our society who are often living paycheck to paycheck? This is where government comes in government is to do for the people what they cannot do for themselves. I'm fine I don't need anything but I know that there are neighbors of mine that do need help and we help them. How how far do you go with it? And how do you balance it? I think it is phased approach. You wait till the curve bent you. Wait till you start saying a great deal munition in case and then you wait two weeks more you begin to loosen restrictions. I with young people because there while they can still want occasion have severe disease. They are dying up there and we watch weight. We do it carefully the same way you might think of sort of the canary in the money's Mindset of you know you don't expose. Everybody wants to open up all the schools and colleges do it all right. Isn't it okay for people with no symptoms or who have tested negative to go back to work your difficult difficult question the no symptoms. You actually don't have any information It is apparent that ace symptomatic transmission. That is you have no symptoms but are still carrying the virus and can transmit it to somebody else does occur the more people you congregate in a building in a room in an area the greater the risk that you re spark that pandemic and start having cases. They get so. It's really important that we know that the other thing that's really important is that we. We begin to have very rapid tests to tell us whether somebody is immune even if it's in the short term so that they can go back to work in in particularly in essential job they can be frontline healthcare workers and responders. If I have a sick family member can I go to work or should I stay home? You should stay on you. Are you are risking. Other people by transmitting that disease I would say that if you're not in ential worker than than you need to be at all right next question the. Us and South Korea apparently had their first detected case of covert one thousand nine on the same day but it appears they have. They have flattened the curve and started the fourteen day timer. What can we learn from on how they have handled the outbreak? You know what the key thing that I know people bring up. Well you know SARS in in two thousand two wasn't like this. That was different. There was not a dramatic transmission. What drives this is that we do. Have people transmitting the disease? Who Don't know they have it. And so when if you really you have two choices in stopping this pandemic and there are only two absent antivirals and vaccines you either. Get everybody infected. In which case you will have millions in the hospital and Lou and and lose tens of thousands to hundreds of thousands of people to the disease or you shut things down now. Both are disrupted both have closed or Kahn. Both are value judgments about what to do but if the goal is stopped widespread transmission. You say everything isn't essential or that is not a part of national security Supply Chain Hospital Workers Federa telework. We are out of time basically but I have one last question. Because I've been getting this on nonstop for the last thirty six hours and it's about Ibuprofen What do we know about Ibuprofen Safety? So we know a lot about. Ib program safety though not in the context of this particular infection so I do pro fin regardless those a context is a drug. That can cause water and salt retention. It can elevate blood pressure and can cause bleeding as well as kidney dysfunction. Now you take a drug like that into somebody with a viral infection. As it help or harm I think despite the warnings of WHO and the government of France. I think most of US scientists recognized there really is not any solid scientific data saying that that represents a unique risk in code nineteen now having said that the only reason to take a drug like that is for fever. Reduction muscle aches and pain uses. See the benefits. Are stapler all right. Well Dr Greg Poland Infectious Disease Expert vaccine expert. Thanks so much again for answering all of our listeners questions on the covert nineteen outbreak We'll be talking to you again soon. We'll look forward to that. But hopefully we'll reach the apex of number of cases pretty soon and number of deaths and start to go on the other down on the other side of the curve. We all go. Yeah thank you moment Mayo Clinic. Qna is a production of Mayo Clinic News Network and is available wherever you get and subscribe to your favorite podcasts to see a list of all mayoclinic. Qna podcast visit news network. Got Mayoclinic Dot Org. Then Lick podcasts. Thanks for listening.