39 Burst results for "Medical Center"

Hospitals desperate for nurses and doctors amid virus surge

All Things Considered

00:52 sec | 14 hrs ago

Hospitals desperate for nurses and doctors amid virus surge

"It's ah, problem that's been discussed across the country having enough beds. One thing but having enough people to staff them another right. So how are hospitals and medical centers doing is far is nurses and doctors were concerned? Yeah, That's a really important point. The limitation is not space. The limitation is qualified people. We can create a bunch of new beds. Who's going to take care of patients in those beds, So we are You know, I think many hospitals, including ours are Redistributing workforce from less critical areas to more critical areas. We are attempting the best we can tow onboard traveling physicians and nurses, but that's really hard when everybody's doing that at the same time. S O. There is and you know, ultimately, if things get overwhelmed, then you start having relatively unqualified people delivering care, because there's no one left to do it. And that's what you're trying to avoid. With the shutdown,

Fresh update on "medical center" discussed on KYW 24 Hour News

KYW 24 Hour News

00:41 min | 1 hr ago

Fresh update on "medical center" discussed on KYW 24 Hour News

"Very disappointing Jobs numbers this morning. The U. S. Labor Department says employers added just 245,000 jobs in November. The expectation was that employers had added 450,000 jobs, so this is way way lower than what they had hoped by about 200,000 jobs. The unemployment rate, though, was expected to drop 1/10 of a percentage 0.26 point 8%. But This is the weekly weakest monthly hiring since April, and it's even worse than what they had expected. Well, we will have more on this coming up in business news in about 20 minutes, well, more now on the House hospital staffing crisis that Pennsylvania is facing. Some hospitals in the Southwest and south central part of the state have already run out of ICU beds. And health officials warn that a third of the region's hospitals could see a shortage in staffing by the end of the month. Health Secretary Dr Rachel Levine says they're doing everything they can to keep up. Hospitals have been converting general medical surgical beds and other units as intensive care units and adding a crew the equipment in the staff to do that, because they have to take care of covert 19 patients and then other intensive care unit station. She says the National Guard is not available to help since they're fully deployed, helping out in long term facilities. PIA Department of Health officials reported more than 11,000 people tested positive for covert 19 yesterday. That's the highest daily increase since the start of the pandemic. Dredging job on the Skull Co. River has come up well, pretty much empty despite six months trying to do that, Okay. One of you, City Hall bureau chief Pat Lope tells us they may have to go back to the drawing board for the entire project. Scougall Navy Vice Commodore Bonnie Muley remains hopeful The river will be dredged by the end of next year. But she admits the current situation is a letdown. We worked really hard for more than five years to raise the money until work The contract and Soto have the contractor Fallon this way, and to be where we are is incredibly disappointing and frustrating that kind Tractor A S. I began work in June and was supposed to be done this month. But the Army Corps of Engineers, which is managing the contract, says only about 5% of the work is done and s. I has pulled its equipment out in a dispute about the debris it encountered on the river Bottom, Of course, Spokesman says s. I received almost a million dollars of what was estimated to be a $4.5 million budget before stopping. It's work local universities in the city or sharing the cost, Miller says. What comes next is not clear, but nothing can happen until next June because of environmental Reese. Directions. All you can do is take one stroke at a time and move forward. Yes, I did not respond to requests for comment. Pat Lobe k y W News radio shoot out in the Bronx leaves one person dead. Several U. S marshals injured, Okay. What W is Marla Diamond reports. One of those marshals was shot in the arm. The other two unclear if they were shot but also injured all three Red Jacoby Medical Center, and there has been one fatality. 32 year old Andre Sterling, identified by the NYPD. He was wanted for shooting a Massachusetts state trooper during a traffic stop in high Anis about a week ago. The Marshall's injuries are described as non life threatening. Got a pile of now on 95 north bound just before Cotman aval checking with the traffic center. Just a few minutes a port Richmond.

Dr Rachel Levine Bonnie Muley Pia Department Of Health U. S. Labor Department Army Corps Of Engineers Southwest Skull Co Pat Lope City Hall Pat Lobe Red Jacoby Medical Center Richmond Nypd Andre Sterling Massachusetts Pennsylvania House Hospital Secretary
Hospitals desperate for nurses and doctors amid virus surge

Rush Limbaugh

00:27 sec | 21 hrs ago

Hospitals desperate for nurses and doctors amid virus surge

"Corona virus outbreaks of two hospitals in New Jersey Dozens have gotten coronavirus that Palisades Medical Center in North Bergen. Debbie White is with the nurses union and calls this alarming these nurses and other health care professionals. Out of commission are going to greatly impact the ability to care for the peak of this search. Now recently about 100 employees tested positive for corn, a virus that Ocean Medical Center in brick. I'm Scott Pringle, WR news across the

Palisades Medical Center Nurses Union Debbie White North Bergen New Jersey Ocean Medical Center Scott Pringle
Fresh update on "medical center" discussed on Wisconsin's Morning News with Gene Mueller

Wisconsin's Morning News with Gene Mueller

00:41 min | 1 hr ago

Fresh update on "medical center" discussed on Wisconsin's Morning News with Gene Mueller

"Social Media. Wtmj news time is 7 36 Yonas Watch continues for the Bucks and you and you w have added tonight in downtown Milwaukee. The day in sports with Brandy happens at 7 45 Shootout with the suspect in the Wakefield section of the Bronx in New York leaves one person dead. Several U. S marshals injured that with you, CBS reporter Marla Diamond is there Those marshals was shot in the arm, the other two unclear if they were shot but also injured all three or at Jacoby Medical Center. And there has been one fatality 32 year old Andre Sterling, identified by the NYPD. He was wanted for shooting a Massachusetts state trooper during a traffic stop. Hi Anis. About a week ago. The Marshall's injuries are described as non life threatening in a year. That's been tougher race relations in America. Former Green Bay Packer bill Curries remembering the way legendary coach Vince Lombardi handle race during the turbulent 19 sixties, and that time much like this time, there was a lot of racial strife. And his strongest suit in terms of personnel. Hey, doesn't get credit for this, but it's the truth. As I witnessed it, he would not tolerate racism. There was no prejudice in that locker room. None ever even hear Johnny Cures conversation with Bill Crease Sunday at 11 A.m. right here. I'm Wtmj Airbnb. Already Looking ahead to New Year's Eve. Airbnb is putting out the word. It plans to do all it can to shut down Large New Year's Eve parties in rentals as Corona virus rages nationwide. It's warning of legal action against unauthorized December.

Vince Lombardi Airbnb Andre Sterling Milwaukee Jacoby Medical Center Bucks Bill Crease New York Nypd Marla Diamond Massachusetts Wakefield Reporter Marshall Green Bay CBS America
Nebraska Doctor Craves More Help, Less Hero Talk

Short Wave

03:45 min | 1 d ago

Nebraska Doctor Craves More Help, Less Hero Talk

"As of yesterday nebraska is considered one of the highest risk states in the country and some of alberta. Those patients have ended up in the hospital at the university of nebraska medical center. Where his partner. Dr jasmine marcellin is an infectious disease specialist. This particular hospital is known as one of the most pandemic ready hospitals in the entire country. Back in twenty fourteen. The hospital had one of only a handful of biocontainment units that were prepared to take in a bowl of patients and now it's taking in hundreds of covert patient's doctor merlin. How are things looking right now at the hospital at this point in time well we have been going through a pattern of a surge the last several weeks and we we were noticing that we're seeing more and more patients that are coming through all of that leading up to the hospital becoming more and more full and that was something that we were seeing across nebraska and my understanding is that you started with to covert units last spring But you have a lot more now. Yeah so our our hospital is. We still have a little bit of room. Not much room left how it has progressed over. The last several months has made it so that we a by early last week we had been up to ten covid units that we stood up in the hospital and so several floors of One tower we had to jump to another tower to create more covid units. And we seem to have just need for more and more units being opened. Yeah so. I know that you know. Even though that nebraska has a tremendous amount of cases per capita one of the highest in the country. Right now it does not have a mask mandate in place Many schools remain in person. You know restaurants and bars are open for indoor dining. I think you know it's safe to assume. Many people gathered in in groups over the thanksgiving holiday. What are you anticipating for the trajectory of cases in the region and capacity at the hospital. So usually we expect to see that you know when you see numbers doubling maybe every fourteen to twenty one days we can expect to see that after major events or large gatherings would be anticipating surges. And so as a whole as health care professionals in nebraska. We have all been pretty anxious about the holiday season knowing that. It's really such an integral part of a society to gather together but what we're concerned about is what the impact of people continuing to gather indoors is going to have and i'm just sad for what we could have prevented with more definitive actions. You know quite frankly. Sometimes it's devastating seeing the extent of the damage that this does to individuals and the death that it can cause all of that is just. It's preventable thing. That is the biggest tragedy me is is. It didn't have to be

Nebraska Dr Jasmine Marcellin University Of Nebraska Medical Infectious Disease Alberta
Fresh "Medical Center" from Mike McConnell

Mike McConnell

01:04 min | 1 hr ago

Fresh "Medical Center" from Mike McConnell

"Serve our community during this time and always visit no fear, Dennis Don kam, mostly cloudy skies for the day as some stray showers make their way through the tri state. And it won't be raining all day. But it will be a big gloomy temperatures only top out in the mid forties. Tonight we continue to see isolated showers, with a few flurries possible the weekend we'll try and bring some nicer weather, though, from a severe weather station nine mine first morning meteorologist Austin Winfield News radio 700 WLW 39 degrees Right now. There were several Southwest Ohio counties on the watch list heading into yesterday, but none moved up to the level for purple when Governor Mike DeWine unveiled the New cove in 19 Heat Index map. Have five new purple counties of Medina Portage, but no Cincinnati area counties were moved to the highest purple level of the state's coronavirus Heat map, and none are on the watch list. They're also three new counties on the watch list their back hug again Fairfield and Madison counties. After two weeks of purple Franklin County, the Columbus area was moved back to the less severe red level. But Dr Andrew Thomas, who is chief clinical officer of OS use, Wexner Medical Center, warned. This does not mean.

Dennis Don Kam Wexner Medical Center Austin Winfield Medina Portage Dr Andrew Thomas Mike Dewine Franklin County Ohio Fairfield Officer Columbus Cincinnati Madison
CDC to shorten COVID-19 quarantine to 10 days, 7 with test

WBZ Midday News

00:45 sec | 1 d ago

CDC to shorten COVID-19 quarantine to 10 days, 7 with test

"For those who've been exposed to people who have covert 19. After reviewing and analyzing analyzing new new research research and and polling polling data, data, CDC CDC has has identified identified two two acceptable acceptable alternative alternative quarantine quarantine periods. periods. We're We're announcing announcing today. today. Under Under these these options. options. Quarantine Quarantine can can end end after after 10 10 days days without without a a covert covert 19 19 test. test. If If the the reports reports if if the the person person has has reported reported no no symptoms. Henry Walk is the covert 19 incident manager for the CDC, he says the time for quarantine is shorter, based on new data on when the virus is more likely to be transmittable. Those who've been exposed to the virus and, if tested negative, can now quarantine for seven days. Doctors are quick to point out. The quarantine rules have not changed if someone develops covert symptoms. Visitations are being curtailed A tough medical center in

CDC Quarantine Quarantine Henry Walk
Fresh update on "medical center" discussed on 10 10 WINS 24 Hour News

10 10 WINS 24 Hour News

00:46 min | 2 hrs ago

Fresh update on "medical center" discussed on 10 10 WINS 24 Hour News

"For the first time since May, New Jersey has recorded AH high 4900 cases, Hospitalizations and deaths are up again levels not seen since spring on the asked the governor Murphy Show last night, next two or three months really tough. We can impact that with our behavior, but I think it's gonna be tough. In any event, we could make it less stuff and then I think really, really good news followed. I hope by an economic recovery, But in the meantime, cases are spiking again nationwide. Nations death toll up to 276,000. There are now more than 14 Million confirmed cases. Here's Deborah Alfa Rhone with more opposed Thanksgiving surge, predicted by public health experts has arrived with the coronavirus now spreading out of control in much of the US more than 217,000 positive coronavirus tests were reported Thursday. Shattering the previous single day total set just a day earlier. We don't want to scare people, but if you look at the numbers, we know that that will almost certainly is going to result in a surge superimposed. Upon a surge. Hospitals across the country say they're running out of beds and because of ICU. Hospital beds likely overcapacity in California. Governor Newsome has introduced a regional stay at home order. All nonessential businesses will have to close for three weeks once their regions intensive care capacity falls below 15%. And you might have seen this picture taken at United Memorial Medical Center in Houston on Thanksgiving Day, Dr Joseph Arone embracing an elderly man in his unit. Dr Marone, saying his older patients need that human touch. And that's particularly more difficult for the elderly people. That may not be so technologically savvy may not know how to make a video call. Even if we help them. They're not used to see somebody on the phone instead of, you know having somebody hold your hand. So it's a very, very sad situation. But there is more hope. Aside from the vaccine, a new covert treatment drug could be a game changer. The drug called Mona Peer of Here is an advanced human clinical trials at Merck. It's a pill that would be taken much like you taken antiviral. If you got the flu, that's exactly correct, and really the sooner the better, meaning the earlier you start treatment, the higher the likelihood that the truck will have Major benefit. Georgia State professor Richard Plumper says it appears to work within 24 hours and it completely suppresses virus transmission. Sabrina Cupid reporting with President Trump still refusing to concede Georgia Governor Brian Camp on Fox last night again asked for an audit of his state's balance, not called early on for a signature. All that obviously Secretary State for the laws and the Constitution would have to order that he has not done that. I think it should be done, I think Especially with what we saw. Today. It raises more questions. There needs to be transparency on that I would again call for that. And I think in the next 24 hours, hopefully we'll see a lot more. From the hearings that the Legislature had today and we'll be able to look and see what the next steps are a bit. In Nevada today, A judge could make a decision on that state's results. The Wisconsin Supreme Court is declining to hear President Trump's lawsuit to overturn the Biden when there President Trump was asked if he has confidence in his attorney General Bill Bar, he answered, asked me that in a number of weeks from now there have been reports that Mr Trump was looking to get rid of bar after Bar said there was no evidence of fraud so far in the election. A couple of 100 homeless men are staying on the Upper West Side for now. 130 homeless men were supposed to move out the controversial Lucerne hotel next week, but a judge has put that on hold. That's just science is Agnes Carmona, who lives nearby. I don't see them doing any trouble. I don't never bother a judge Granted the men a stay until their appeal is heard. Michael Hiller is a lawyer representing the homeless man so happy Because one of the things that was at stake today Woz All of their job. Are linked to the Lucerne facility continuing to remain open..

President Trump Bill Bar Governor Newsome Lucerne New Jersey Agnes Carmona FOX Merck Dr Marone FLU Deborah Alfa Rhone Murphy California Michael Hiller United States Georgia State United Memorial Medical Center
Tufts Medical Center, Children's Hospital Restricting Visitations

WBZ Midday News

00:41 sec | 1 d ago

Tufts Medical Center, Children's Hospital Restricting Visitations

"Further investigate the Massu in police Department, Tufts Medical Center and Children's Hospital are preparing to lock down visitor access as the state season uptick and covert cases. Here's more from WBC's James RoHaas. Starting tomorrow, Tufts Medical Center is suspending visitations for all adult and patients, with some exceptions on a case by case basis. For pediatric patients, including at Tufts Children's Hospital to parents. The guardians or caregivers will be allowed in, but they must stay in the patient's room and must wear a mask at all times. Tough says. For patients expecting to give birth, One asymptomatic support person will be allowed to stay during the delivery and postpartum stay. Anybody who has

Tufts Medical Center Massu Children's Hospital James Rohaas Tufts Children's Hospital Police Department WBC
Bahrain Grand Prix race review

The Autosport Podcast

07:23 min | 4 d ago

Bahrain Grand Prix race review

"Wants twenty. Twenty borrowing took place today in sakir circuit. There's max stop into the win but the race was really overshadowed by a horrifying crash. Perhaps driver rugova. We survived his car bursting into flames of being sentenced barriers on that one following contact with alfred driver via the race was red flagged immediately after the accident and thankfully it soon emerged that grows have been able to escape. The inferno is being treated by the f. as medical crew. You played a vital part. And he's escape from the fire. Gordon was taken to the track's medical center and was then airlifted hospital from which he was assessed to suffered no broken bones but does have burns to his hands and ankles goes without saying we wish him well in his recovery and express our sincere relief at seeing him survived the accident after delay of one hour and twenty minutes is the barriers were repaired actually replace concrete blocks the race restarted with another great start. Concern was able to regain easily lead away things quickly. Boil down to a two horse race between the mercedes driver. Invest happen with how it's appearing to have things under control. The second stint was the biggest moment of danger of hamilton match. Step up in space on the hearts or looking after he'd softer mediums. They both ended up on the hard after their second stops after which for stopping closed in despite his own stop being a slow one but he never got within three seconds of the mercedes driver up from rebel in fact opted to pit the doctrine for a third time. Giving you had a large gap in hand over sergio perez behind peres was in third of the voucher tacit made a poor start and slipped backwards at town one which had paid to spark a series of smaller incidents that ended later crash which is of course not to say that there was any blame any of them peres done a fine job to run alex album in the second way boat and he looked set for a second successive podium until his engine let go with four laps remaining the race therefore finished under safety car hamilton. Taking his eleventh win of the campaign album completed the podium so joining me to discuss all of that and more tonight motorsport dot dotcoms f. one editor noble or tie sports. Fm reporter leaks and keep racing's executive editor. Stuart coddling now is gonna come to you first because you and i were in pretty constant throughout the early stages of that racist so trying to piece together what was going on once. We need that. Romain grosjean was all right. We try not. That's make sure. I raced on facebook dot com dot com accuracy. Accurate as it could be when it comes. I just just if you don't mind you could. You could talk us through the first thought and ended up the crash at the end of it. I could almost look through a transcript of whatsapp messages. Couldn't i is Yeah it wasn't very pleasant work actually a a not particularly nice to at the time given that we began the price s Before we knew what happens actually to out and before we okay we were starting to pick over some of the details leading up to the accident and and like you say it's it's one of those shunts is an accumulation of snow events and people doing things that builds towards a conclusion and and it does start with valerie. Batas having a slough guess away. He seemed to get away. When the lights went out he go to wipe perfectly well but then in the second phase acceleration not so much He wasn't the person off. Com was slough away was passed by morrison and gas lay album perez and then ricardo got passed batas. And that just meant that. You had this situation wearing bahrain. Three calls can go through taiwan abreast. Really won't you can get through ten to breast so that that's an. That's a natural funnel point that sort of vestibule between two warm an intern take so so you had basically people sorting things out with each other just just looking at my notes this squeezes all the way down the field and so i you have lewis getting a clean gas away. The stepan going through as well and then album sort of makes it stick and get through and you have ricardo an album sort of alongside each other and sorting out between themselves. That causes potus to slightly cheque's pace. Maybe a little bit through through turn to and then further back you have squeezes. You have leclerc veterans stroll who are also three abreast through san juan clerk. Poor gas away and then sent for a deeply into turn one see. Have an awful lot of people who are trying to make up ground. Having got a poor start so you have the situation where bats seems to be a little bit. As as album gets ahead of riccardo norris taps ghastly science has to get out of the throttle to avoid that squeeze with with with having to check up ahead of him vattel. Who's then arriving. Kind of three abreast with strollers rights. The clerk and his right has to check very hard to avoid running into the back of what's ahead of him. Hey jinx right stroll goes rights and then creates a scenario where. There's a lot of slow moving traffic and grow. John arrives at that scene. Say's all those costs loving ahead. You have reichen going off track on the left in an attempt to go around the so the slow moving cars and i think garage unnaturally in the heat of the moment goes to the right May be of either forgetting or not observing the caveat. He's five o'clock almost an caveat sunny there because he's been in a squeeze with with the alfa romeo's he's been slide down because he's had pretty much guy over the apex turn to avoid clunking into magnusson. If if if my notes reflect this accurately so all circumstances kind of build into into what we saw happen of very very fiery accident and one that was very scary indeed it was becomes. Talk about the really terrifying. The copying on fire grudge having to escape the inferno league. I wonder if we could just come to you. What is the latest information. We have at the time of recording about jones conditioning hospital so gross on as seen on the world fit. He was transported from the Initially exciting the medical card in the ambulance and the medical center and he was quick. They were quick to report that he had some burns to his hands and his ankles and then reports that he was being taken to the barring military hospital with suspected broken ribs and they've been conducted all of the x rays and all the checks her quiet out those to the east number bones which is really good news and the diagnosed that come back with the burns to the back of his hand. Side of c will require treatment. He's gonna remain sel overnights. They can complete treatment and Keep them on vacation base. Leads sure everything is okay. But remind he's in good spirits. He spoke to consign. He spoke to his family on the phone as well and then he also put a video up on instagram. A couple of hours ago which was really really good. say any. i'm okay and he was like well. No convenient okay. And then showed his hands. Which kind of in these white gloves to the cough to them and seemed very chipper in very good spirits

Rugova Peres Sergio Perez Romain Grosjean Hamilton Batas Alfred Gordon Riccardo Norris Stuart Reichen Alex Valerie Leclerc Bahrain Perez Morrison
CDC warns U.S. COVID-19 death toll could hit 321,000 by mid-December

WTOP 24 Hour News

00:32 sec | Last week

CDC warns U.S. COVID-19 death toll could hit 321,000 by mid-December

"Toll from the Corona virus could hit 321,000 by mid December. By then, hospitals could be overflowing with patients in many parts of The country, and some are already preparing a covert 19 triage area has been set up in the lobby of Chicago's Rush University Medical Center to make room for unexpected post Thanksgiving surge in California. Health officials expect shortages in nurse staffed intensive care unit beds in the next two weeks right now the U. S death toll since it over 263,000, according to Johns Hopkins University. New questions now surround

Rush University Medical Center Chicago California U. Johns Hopkins University
"medical center" Discussed on Outcomes Rocket

Outcomes Rocket

01:34 min | Last week

"medical center" Discussed on Outcomes Rocket

"And and the best place at the listeners. Get in touch with you and the tmc team us. I think solve for that we We think a lot about access and through our lens because we're not a system ourself we can try and take a bigger risk and predict the future a little bit and see what's coming in so i think were taking a really close look at how patients are accessing care and finding that out in that is one of the areas that i think all of the innovators are going to be touching in some way in the very near future So you know. I think all the startups that we work with. It's all about just putting yourself in the customer's shoes and figuring out what the hell systems knee. And that's what we're here to help with but That's my biggest closing thought for all the innovators that are working with clinicians and health systems. Working on It's of course a simple piece of advice but definitely one that we spend a lot of time digging in with With our team. So if you wanna talk to us more learn more how you can do that with your potential customers. Happy to have anyone reach out. My email is e. rei seer tmc dot edu. And you can see the rest of our team at teams that you about slash innovation so thank you so much saw. This was this was fun. Thank you for For spending a little bit of time with us to educate us on the awesome work. You guys are doing it. Tmc emily really appreciate it. I appreciate you solve. Thank you so much for the opportunity. And i look forward to all the fun things to come.

tmc emily
"medical center" Discussed on Outcomes Rocket

Outcomes Rocket

06:30 min | Last week

"medical center" Discussed on Outcomes Rocket

"And it was really a better opportunity for co-development but because they went in with a paid pilot i than the house system was not as interested in continuing the conversation around the codevelopment so it was a mess for us that we are always needing to really refocus our efforts and make sure that were were not making any future opportunities to miss that same way because that was a relationship that really could have been developed if we had Caps kept our guard up on on how that relationship was progressing at the time So that's that's where we really see. The mrs is is when you know the startup comes into hot and and we don't have enough time to to help them understand why a different approach might end up with more success that they end. So that's what we're always trying to better with for both parties to find that success and you guys are the ultimate coach really in between both right absolutely so with the health systems. We are trying to help them understand without previous. Traction actually means how that business is likely to be viable based on the funding that they have and the funding. They're likely to get you know so. We are trying to to support the health systems to understand that the startup is going to be successful and the startup is going to be committed and this is why we know that and then with the startup. Of course. Really around gino okay. This approach might have worked with your small medium sized customer. But it's really not gonna work with this larger system and then of course in between systems. It's really different so. Md anderson is a state run institution and they have a lot of different requirements on them as a result of a compared to houston methodist compared to texas children's they all have very different Motivations or or frameworks that they're working in just because the stakeholders that are involved And so most of the time. The efforts that we're using to coach the start ups are on just putting yourself in your customer's shoes and really understanding that And and were providing some insights as to help them do that more quickly than otherwise they would be able to do on their own. Oh and it could be months a year before. They actually learned that on their own. You know and just frustrating. You're waiting for an answer and you don't hear back and you follow up and you don't hear back and then you figure out that you just lost six months absolutely. We're trying to get to a quick answer if it's no that's fine. Everyone can handle that right. So we're we're definitely trying to get to those knows sooner and so and help demystify. Why did this halt is unknown. It's like no it's just not right. Now there's something else going on behind the scenes like hold tight malla in another month or so so yeah it's definitely hopefully a really valuable for them to have that partner with with us and that's where we see in a accelerators kind of a an overblown word right now and and nobody really knows what it means to be accelerated. But i think for us what we're accelerating. Is that time to a relationship a meaningful engagement with the health system. And and we do that through those insights around what those customers are looking for. Love it now. What well said and folks if you don't know so up to this date. Tmc texas medical center innovation center and they've Accelerated hundred seventy two another one hundred and seventy two accelerate a companies. They've raised for over four point. Seven billion dollars to date four successful company exits three hundred and five life-science startups launched and seven by design companies with thirty three million race. That's a pretty darn good track record so far so good or always trying to improve and continue to support our alumni and and help them gets you know exactly what they need to continue to be successful so as the community grows it also grows our mentor pool. We have some great alumni that always looking to to help provide their insights to the up and comers and and we we've seen some really great communities builds out of you know the individual cohorts. Lots of them still talk with each other trade notes and make things happen together. So that's definitely one of the coolest parts about what i do is watching the communities grow and thinking about how to keep people connected and how that leads directly to the. I'm getting a new customer or new investor or some new insight that really changes the way. They approached their business. What are you most excited about. Today's most excited about the power of collaboration to unlock new things. I think with our team being really working side by side with the health systems both on the innovation front as well as through some of the covid. Nineteen work that we've been doing. We can see that by working together. You know we can lift all ships so to speak and so it's been you know. Historically huston is a place where the health systems are really competing with each other. And of course that's still true but throughout covid nineteen. We've been able to see collaboration among them. In such a unique way. And i realized that's a little bit innovation adjacent. But you know we can see that. They are really looking to collaborate to find ways to solve problems which are also what are. Innovators are looking to do every day. And so i think. I'm most excited about the way that how systems are open to collaboration and innovation and change That are going to make an impact on on their patients. So we've seen a grades openness for engagements A lot of the different partnerships the startups that are making things happen for our hospitals and providing them supplies and you know all of the different ways that a crisis can really illuminates a relationship. And help to make something happen. That wouldn't have been possible for so. I think that the spirit of collaboration really strong right now and and that's been really exciting for me in the last few months especially yeah. Let's let's leverage it to to keep creating things that'll that'll help help improve outcomes and the way that things are done right right absolutely right. Well this has been so interesting. Emily the work you guys do there at. Tmc is is unique and truly truly a value. Add to the healthcare economy that we're in. Its tmc dot edu. You guys have any any Further curiosities before we depart emily. I'd love to just get a closing thought from you for us..

Tmc Caps covid gino texas medical center partner Emily anderson texas huston houston
"medical center" Discussed on Outcomes Rocket

Outcomes Rocket

08:32 min | Last week

"medical center" Discussed on Outcomes Rocket

"You know as potential customers or pilot sites or or research sites at one time and so we have some greats collaborators that sinai accelerator which is another great program. We share a lot of alumni. And that's in one system which provides a lot of great advantages. Because you know you. Have you know that direct tie but for us since we're a little bit more removed. We can navigate multiple different systems. Different champions different pathways. All at the same time there are a few other accelerators. That are customer driven In that same way you know that they provide access to different customers but none other that do multiple how systems in the way that we do and so if you're a startup looking to figure out not necessarily how do your proof of concept you've already had a pilot but you're trying to figure out how to scale your solution across multiple enterprise house systems. Then were a great destination for that company because you can explore that with multiple clinical leaders and finance decision makers with several different house systems. That have a lot of different structures. And so you can learn how to scale your company across such different customers with us. And that's That's so unique. And a great point to make. Emily and you know i think about key performance indicators and how we measure success how you guys measure success rate question and one that we always are refining and trying to improve how we communicate so right now the way that were measuring success is around it formed between a startup and a member institutions a health system or a corporate partner and so we track how many startups will have research agreement or a pilot started or clinical study started or full implementation. And so that's what we're really looking to a move because once the startup and a health system have a relationship like that then we can continue to support both parties to make that successful. We can provide an opportunity for the startups to have an office with us and to stay in our physical space and to get access to advisers. That can help them. Continue to navigate those discussions and we can really rock around a lot more supports and that's also what the health systems are looking for. They don't start up to just get in. Get out and get on with life and take those learnings and not include that system in how they're building the business so that's where we're seeing is how we can continue to help those relationships developed especially since most accelerator models or three to four months. And that's just not enough time to really hit that metric in healthcare exactly votes. He's that we used to have no not anymore We used to have a modeling that you know building off of the great success of other accelerators that are typically that that stage especially in tech but of course It's it's not enough time to know if someone's going to be successful and to hit those metrics that we discussed so we've extended the program to six months with an option to extend another six months and you know we we look at it A lot more fluidly As you know you're entering a community to get continued resources and support from us. We're gonna look to as quickly as possible. Get you on track to get that relationship. But you know if you're gonna do an enterprise wide implementation that could take two years to really navigate with the with the health system best case scenario so we're measuring. How while the start ups are on track to meet those metrics. And that's how we're able to measure how well we're doing with our program love it that's that's great thank you for that and The longer term is is certainly something we have to. We have to think about when you think you have enough money enough time. You're probably going to have to do that times too. So right so we are. Certainly you know fortunate to have centers like yours that that put together entrepreneurs and and health systems multiple systems in this case. How has what you do. Improved outcomes or made business better. I love to hear an example. Yeah absolutely so one of the companies that we've with in the last year is called verdy. It is a virtual reality company. So of course it's popular favorite among techies and so alex young. Who had that company was a clinician in the uk and he wanted to scale how medical education happens so right now that happens typically in assimilation center. And that's very expensive and a lot of equipments and requires a lot of access and so only a few people can be in their time but he's been able to recreate these three surgical videos within any headset or actually any iphone and to try to scale the access to medical education. And he's been going beyond that. Of course now. He has the opportunity to do corporate training for surgical devices for example with corporate partners as well as just general corporate training and so that company has been able to provide a lot of great value to the medical training groups as well as some other cool patient experienced things that he's Working on as well with some of our partners so that one is is a cool. When i think when we talk about access not just patient access but also access to training and education. That one is is a pretty cool one My other one. That has a direct impact and as a favourite is called tiba psalm and so they have a box that keeps organs breathing. More naturally So you think about current organ donation. Typically they're just put on ice in a in a box and their stats to where they're supposed to go. That surgeon doesn't know if that oregon is going to be ready to transplant or not and so There's not enough information and and that if it's a lung for example it's not breathing just sitting there and so two assault has created these really great Fabulous boxes that include negative pressure to help lungs breathe and it includes data about how that long is doing and and so the surge on the other side. You know if it's going to be ready for transplant has actually taken twelve lungs. That would have been otherwise discounted for transplant because they weren't suitable them in this breathing box and have transplanted twelve lungs. That would have otherwise not been transplanted so balanced definitely a really cool opportunity to show that you know. Lives are being impacted directly through technology. That is being developed by some amazing clinicians engineers. Outs you know the community. Yeah that's so interesting. And i mean if somebody's gonna give their long up make it work. You know it's like it's got it's got to work and and it's so neat that they raised it a find a way to do this awesome examples. I know two of many But you know there's going to be an opportunity for folks to go and and learn more about you and and the organization. Emily before we get there though. Let's talk about setbacks. Can you share one of the biggest ones you've experienced and and a key learning that came out of it yeah. I think that we redesigned our entire accelerator. Because it wasn't really working for the type of business that we were driving and so when we think about you know how we do our own business we always have to continue to reevaluate our value proposition. Just like coaching all of our startup to do. And so it felt like in the old model you were just repeating it because it was kind of successful you know. We had success stories but we didn't really have a lot of framework around that was happening. Or how we were driving that exactly And so the whole process of re formatting. The accelerator was definitely addressing. The fact that we kind of got into the routine and we we made things happened but we needed to really refocus on our business. dislike we coach oliver startups to do so. I think another example of a setback is more on the one on one relationship side. And so you know we're always trying to provide a way for the start ups and the the house of to come together around a relationship but sometimes you know. We don't provide the right advice early enough on how to you know. Make that happen. So for example there was a startup that went in asking for a pilot relationship with one of our systems that was paid but it was an area that they had never done before..

Emily partner uk oliver alex young oregon assault
"medical center" Discussed on Outcomes Rocket

Outcomes Rocket

08:50 min | Last week

"medical center" Discussed on Outcomes Rocket

"She supports clinicians and administrators at the tmc member institutions as well as hundreds of startups and other corporate partners engaged with tmc innovation. You guys have probably heard some of the healthcare entrepreneurs we've had out of the center. They're doing such incredible things in her previous role at emc she was a strategist for two tmc x. Cohorts she contributed to the redesign of the tmc axe program for twenty twenty and started the tmc alpha program for local innovators prior to joining tmc innovation. She led and venture a nonprofit organization supporting entrepreneurship training and company formation in the life sciences. She has directly contributed to business development projects with dozens of local life startups and supported the formation of four new companies. So her heart is totally in healthcare. Emily earned her bachelor's in biology from emory university and her phd in bio engineering from university focused on drug delivery for cancer immunotherapy. So you can imagine that. It's going to be a really cool conversation and emily Really really grateful that you Carved out some time to be with us today. Thanks for thanks for being outcast. Thank you so much saw so excited to be with today. Yeah and so you have such a cool experience right you've been in the healthcare startups and you know you've kind of gone pretty far in your formal education with bio engineering. And now you're in this area with this like incubating these cool really forward thinking companies that are changing the game. so what is it that Inspires your work in healthcare. I think a lot of us in healthcare are looking to have an impact on how patients are being cared for and that certainly inspires my work as well. And i always knew that i wanted to be in the healthcare space but didn't know how to do that while also making the most impact that i could so when exploring -nology that took me into research which you know if you can develop something that s- impacts you know thousands of people then really feels like you've done something meaningful to impact patient care but of course you have to pick something good you can spend your whole life Working on something. That doesn't end up doing that. And so i've moved more close to the patient closer to the bedside throughout my journey and now i have the privilege to work with folks that are directly saving lives. Impacting how how systems are ryan and making things easier for clinicians hospital administrators and then of course the patients to access the care that they need. So that's what. I love about my job right now. Is being able to work with somebody different kinds of people within the community you know. The house systems themselves clinicians entrepreneurs so every day is different but every single person is working toward making patient. Care better love that you're so mission oriented in that love their by two as you as you think about the work you guys are doing. Tmc is texas medical centers innovationlab. And so i think it's a good opportunity for folks that don't know about it to educate them about it but then after you tell us about it let us know a little bit more about how you're adding value to the healthcare ecosystem absolutely so the texas medical center is that's really interesting. Nonprofit organization that was started seventy five years ago through a gift from the md anderson foundation and we don't provide health care so we're not a health stem but we provide infrastructure that sits under md anderson texas children's houston methodist small herman and twenty one other different clinical institutions as. Well as you know. Other research institutions universities rice university of houston etc and so our role is to be the connective tissue and dr collaboration between and among all of the different institutions. So right now that looks like data that we publish every day around You can go to our website. I you and see how were clobbering across all these institutions to share updates on hospitalizations and other things that are relevant within our hospitals or doing a lot of work behind the scenes to try and make sure that everyone is cloud reading and and sharing best practices. And there's been a lot of really cool work coming out of that but five years ago we also started this great innovation initiative which combines space talent physical resources that all come together to provide different actors to entrepreneurs that can work with our health systems. And so it's an incubator. We have a partnership with johnson and johnson j. labs and body and other corporate partners to create density around making startups possible and always relevant tied back to the clinical application clinical outcomes. And so we do that. Through a variety of ways through direct partnerships and relationships that we help to manage primarily throughout team celebrator. Which is our flagship program. That's the way that we get most of the entrepreneurs and tell system partners together. We also have a bydesign program which you've had a previous guest talk through. We hire some folks to go be students within the medical center and learn as much as they can from all the clinicians. And start a business. That's really clinically. Need focused and Start a company from that which has been really successful. We started a lot of great new driven companies through that process. So all that to say there's a lot of different people and talent that make all of this possible but our team provides a way for the health systems to get access to diligence and to spend time was companies and to be curious about companies without having to say yes. I'm ready for a pilot. Now they can work with us to say. Oh that's interesting. You know when this happens when that happens or when this businesses model assorted then. We'll be ready for a conversation again. And so it creates a little bit more of a conversation rather than a decision. Yes or no right away Which enables for startups in house systems to curious about how that relationship can go forward together. Yeah i think that's really really fascinating how you fit into that ecosystem and i would imagine that they also think of you guys as as the tool in the toolbox. Right if they're running into a problem may say you know their rounds a fine that there's an issue maybe the idea of the tmc innovation center comes up as let's present this to them to see if there's any companies there does it work that way yes absolutely. We work in partnership with them to talk through. What are your strategic priorities for the next year. And how can we specifically scout and recruit and and build relationships on companies that can directly answer those needs and so that's more of a longterm play but then of course we also do get those you know we really need. This just came up and we need to pass now and we also of course help with that Anytime that that comes up as well love it yet. You know and and the benefits of part of such a structure. If you're if you're an entrepreneur on the space as you get to to actually have your technology your ideas be in the hands of people right away. So that's half the battle. And so i don't know i don't know what kind of feedback you have there on that i'm only but it's so hard to get ideas and businesses into healthcare. I'm sleeping and we talk a lot about finding that right champion that person that can both validate that clinical need that. You've been spending your life trying to build a solution for as well as navigate through these health systems all the complex decision makers The institutions that we work with our large academic medical centers with really complex structures that it can take a lot of navigation of networks to find the right people and so we for the entrepreneurs. Can you break down some of those mysteries and help the entrepreneurs understand. This is the right person for you at this time. And then later you're gonna talk to this person and if something installed stalled we can back channel. Say he was going on. Is this you know a problem with a pitch. Or is it. Just something else internally. That's happening and we can provide you know that relationship Developments process for both parties in that case So yeah it's definitely a huge advantage for the startups to to have someone that's kind of part of their team in some sense that they're working on their behalf But ultimately at the end of the day were here's the health systems and so you know we. We want to make sure that Were navigating those relationships In the way that the health systems are looking for as well above it. You mentioned just the many things that go on there. I mean what would you say is the one thing that makes you guys different and unique and and what's available to. We are the only system that we know about that is providing access to multiple health systems..

Tmc tmc innovation center Emily emory university emc houston texas medical center texas md anderson foundation ryan johnson twenty twenty houston methodist
interview With Emily Reiser

Outcomes Rocket

04:54 min | Last week

interview With Emily Reiser

"Welcome back to the outcomes. Rocket saw marquez's here. And today i have the privilege of hosting emily riser. She is the senior manager of innovation community engagement with the texas medical center. She supports clinicians and administrators at the tmc member institutions as well as hundreds of startups and other corporate partners engaged with tmc innovation. You guys have probably heard some of the healthcare entrepreneurs we've had out of the center. They're doing such incredible things in her previous role at emc she was a strategist for two tmc x. Cohorts she contributed to the redesign of the tmc axe program for twenty twenty and started the tmc alpha program for local innovators prior to joining tmc innovation. She led and venture a nonprofit organization supporting entrepreneurship training and company formation in the life sciences. She has directly contributed to business development projects with dozens of local life startups and supported the formation of four new companies. So her heart is totally in healthcare. Emily earned her bachelor's in biology from emory university and her phd in bio engineering from university focused on drug delivery for cancer immunotherapy. So you can imagine that. It's going to be a really cool conversation and emily Really really grateful that you Carved out some time to be with us today. Thanks for thanks for being outcast. Thank you so much saw so excited to be with today. Yeah and so you have such a cool experience right you've been in the healthcare startups and you know you've kind of gone pretty far in your formal education with bio engineering. And now you're in this area with this like incubating these cool really forward thinking companies that are changing the game. so what is it that Inspires your work in healthcare. I think a lot of us in healthcare are looking to have an impact on how patients are being cared for and that certainly inspires my work as well. And i always knew that i wanted to be in the healthcare space but didn't know how to do that while also making the most impact that i could so when exploring -nology that took me into research which you know if you can develop something that s- impacts you know thousands of people then really feels like you've done something meaningful to impact patient care but of course you have to pick something good you can spend your whole life Working on something. That doesn't end up doing that. And so i've moved more close to the patient closer to the bedside throughout my journey and now i have the privilege to work with folks that are directly saving lives. Impacting how how systems are ryan and making things easier for clinicians hospital administrators and then of course the patients to access the care that they need. So that's what. I love about my job right now. Is being able to work with somebody different kinds of people within the community you know. The house systems themselves clinicians entrepreneurs so every day is different but every single person is working toward making patient. Care better love that you're so mission oriented in that love their by two as you as you think about the work you guys are doing. Tmc is texas medical centers innovationlab. And so i think it's a good opportunity for folks that don't know about it to educate them about it but then after you tell us about it let us know a little bit more about how you're adding value to the healthcare ecosystem absolutely so the texas medical center is that's really interesting. Nonprofit organization that was started seventy five years ago through a gift from the md anderson foundation and we don't provide health care so we're not a health stem but we provide infrastructure that sits under md anderson texas children's houston methodist small herman and twenty one other different clinical institutions as. Well as you know. Other research institutions universities rice university of houston etc and so our role is to be the connective tissue and dr collaboration between and among all of the different institutions. So right now that looks like data that we publish every day around You can go to our website. I you and see how were clobbering across all these institutions to share updates on hospitalizations and other things that are relevant within our hospitals or doing a lot of work behind the scenes to try and make sure that everyone is cloud reading and and sharing best practices. And there's been a lot of really cool work coming out of that but five years ago we also started this great innovation initiative which combines space talent physical resources that all come together to provide different actors to entrepreneurs that can work with our health systems. And so it's an incubator. We have a partnership with johnson and johnson j. labs and body and other corporate partners to create density around making startups possible and always relevant tied back to the clinical application clinical outcomes. And

TMC Emily Riser Texas Medical Center Marquez Emory University EMC Emily Md Anderson Foundation Cancer Rice University Of Houston Ryan Houston Texas Johnson J Johnson
Hawaii Wants to Lure Visitors---but Keep Out Covid-19

TIME's Top Stories

07:22 min | Last week

Hawaii Wants to Lure Visitors---but Keep Out Covid-19

"Hawaii is riding out the covid. Nineteen storm but geographic isolation isn't the blessing it may seem by a. hundred algata when hawaii's corona virus infections were rising in late august. Honolulu mayor kirk caldwell visited doctors in the covid. Nineteen ward of the queen's medical center the state's largest hospital. I could see it in their faces and in their eyes caldwell says the concern and fear. They had that by the following week. If things didn't change they were not going to be able to care for people that they were going to have to put them intense outside. It was a crisis that leaders in the fiftieth state hoped they would never face between march and may when a stay at home order was in place. Hawaii was averaging only a couple of new cases every day but as some restrictions were lifted in june resulting in a patchwork of state and local rules. The numbers soon began inching up by late. July hawaii was metaphorically ablaze with the bulk of cases centered on oahu. Home to two thirds of the state's population. The island lost one hundred and nineteen. New cases underlie thirtieth by mid august. It was averaging over two hundred today four days after his hospital. Visit with more than three hundred and fifty people hospitalized for covid nineteen symptoms on his island issued a second lockdown order with the blessing of hawaii governor. David ige our hospital administrators had informed us. If we didn't do something that they would become overwhelmed says he gay three months later. It seems hawaii's response may have worked as a new deadly wave of coronavirus infections sweeps across the us. Hawaii is one of the only states in the country experiencing relative reprieve. It reported one hundred and thirteen new cases on november twenty third according to data from johns hopkins university slightly more than its weekly average of one hundred six daily new cases. Only vermont reported fewer cases that day hawaii the fortieth most populous state has a low case. Count even when adjusted for population as of november twenty third. It has a weekly average of seven cases per one hundred thousand residents the lowest in the country by comparison. The highest per capita figure is belong to north dakota at one sixty and wyoming at one fifty four infection levels in hawaii have stayed relatively steady since mid-september while nearly every other state has experienced an increase it remains to be seen whether a slight uptick in recent days could be the start of a new upward trend however how has a wii so far avoided another major covid nineteen surge. The clearest reason is apparent on any world map geography. It's so obvious yet. It plays such a big role says thomas lee. An assistant professor of epidemiology at the university of hawaii at manoa and co chair of the hawaii pandemic applied modeling workgroup. He also served as the lead outbreak. Modular and forecaster for the hawaii emergency management agency this spring for hawaii. The pacific ocean has helped serve as the world's biggest moat travelers arriving there by plane. Essentially the only means of reaching the state with cruise lines. Shuttered have since march required to self quarantine for two weeks though since mid-october visitors can avoid isolation if they test negative within seventy two hours of arrival while the rules may have kept visitors from seating new infection clusters. They have also devastated. Hawaii's tourism sector which accounts for nearly a quarter of its economic activity. Some hawaiian leaders. Still don't think they're doing enough to prevent infections part of a broader split among hawaiians over whether and how to welcome visitors back during a pandemic derek kawakami mayor of quite county says new infections on his islands are related to the reopening of travel from the continental us. He's proposed a requirement that travelers get tested a second time after arriving. This virus requires layer upon layer of intervention and mitigating measures. Kawakami says we have to be able to respond quickly and boldly because it can spread like wildfire kawais. Recent uptick is tiny in relative terms on november twentieth. It reported six cases. Its second highest one day count so far but kawakami has good reason to be worried koci home to around. Seventy two thousand people has just nine. Icu beds and fourteen ventilators. Isolated and with limited healthcare capacity and uncontrolled. Outbreak could quickly spell disaster. The holy grail is prevention. So that is what we put our blood sweat and tears into here on kobe. Kawakami says we're almost always on the red line. A similar imperative applies across the entire state of one point. Four million people with nowhere to turn of hawaii's healthcare system is overwhelmed leaders. There have little choice but to be proactive. In preventing covid nineteen outbreaks. We are geographically remote and so our healthcare system is really vulnerable says catherine purple an associate professor of health policy and management at the university of hawaii minoa there really is a strong motivating factor to try to keep those numbers under control. Hawaii's isolation then is a double edged sword. Thousands of miles of ocean are a good tool to stop travelers from seating new corona virus clusters but if infection spin out of control anyway. Assistance could be a long time coming. We have been from the very beginning focused on the science and public health recommendations because we are twenty five hundred miles away from any help. Says the governor. We learned a long time ago. That we have to be self reliant and that we have to act as a community epidemiologists say it's difficult to attribute hawaii's relative covid nineteen success to any one factor isolation included for one thing cold weather which is forcing many americans indoors where the virus can spread. More easily is unheard of in most of hawaii. Honolulu's thanksgiving day forecast is eighty two and sunny. Other government measures may also have played a part unused hotel rooms and a wa who have been repurpose to isolate nineteen patients and restrictions on inter island. Travel have prevented. Local spread mask wearing has helped as well on kauai and a who mask. Mandates were instituted in april while an august survey found that ninety. Six percent of hawaiians are masking up. Unlike for many americans. Wearing masks to prevent illness isn't an entirely foreign concept for hawaiians public health experts. Say that's likely due to the states relative proximity to asia where facial coverings tend to be more prevalent. Many hawaii residents. Who commented for this article also cited the state's heritage and cultural values as a reason for high adherence to public health mandates. We have a culture here that comes from the first people's the native hawaiians called ball says the term juliana means responsibility and it does the people here in hawaii still leaders in hawaii have come under pressure over cove nineteen restrictions caldwell says people sometimes drive down his street to yell outside his house either at him or his wife and daughter. Some people certainly have reason to be upset. Travel restrictions have ravaged the state's tourism dependent economy hawaii's overall unemployment rate was more than fourteen percent in october according to the us department of labor the worst in the country for the second month in a row called bo says he understands people's frustrations but needs to prioritize. Public health. people are impacted. Their businesses are impacted. their life dreams are impacted. He says. I get why they're upset. But i also believe that in order to protect health and safety which is always the most important thing that comes first. And i think it's tied directly to the economy to after months of travel restrictions. Guy says the state's pretrial testing program finally bringing in visitors and helping hawaiians get back to work while keeping cova level stable still. Despite hawaii's current low case counts it remains to be seen if the state's leaders can revive tourism based economy while at the same time staving off a devastating rise in cases which would likely put the tourism business back on ice anyway depend on travel. Uk says but everyday day. I get comments from members in our community that continuing to bring visitors into hawaii during this time is really putting our community at risk. It's something that weighs very heavily on myself. And the mayor's every day as we see the virus counts increasing on the mainland.

Hawaii Kirk Caldwell Queen's Medical Center David Ige Hawaii Emergency Management Ag Kawakami Honolulu Derek Kawakami Caldwell Koci Thomas Lee Oahu Catherine Purple University Of Hawaii Minoa Johns Hopkins University Manoa University Of Hawaii
Police search for suspect after eight are injured in Wisconsin mall shooting

Heartland Newsfeed Radio Network

00:51 sec | Last week

Police search for suspect after eight are injured in Wisconsin mall shooting

"Fire at the mall on jack callaghan fox news. There's gary and i've never experienced anything like this before. Lead me on one of many. Who ran for their lives. When shots rang out at a mall. In the milwaukee suburb of wobbled tulsa. On friday seven adults. one teenager injured. Police say all should recover. Shooter was gone by the time. Police got there but they may have tracked him down to the of new berlin wisconsin felisa chat emergency bulletin to everyone's phone asking them to shelter in place because of possibly armed suspect. In this location they are now surrounding Medical center here in new berlin as that is taking place parts of interstate. Eight ninety four have been shut down due to investigation of possible gunfire. Hawks is mike tobin. Police say they now believe a fight of some kind led to the shootings. The mayfair mall in walmart. Tosa will be closed on saturday.

Jack Callaghan Fox News Gary Tulsa Milwaukee Berlin Wisconsin New Berlin Mike Tobin Hawks Mayfair Mall Walmart
Los Angeles hospitals prepare for spike in COVID-19 hospitalizations

KNX Evening News

01:03 min | 2 weeks ago

Los Angeles hospitals prepare for spike in COVID-19 hospitalizations

"Are bracing for when the record number of people with new coronavirus cases start flooding in the worst symptoms of covert 19 don't usually show up until the second week of infection. Not critical, then grown again at Cedars Sinai Medical Center tells K and X. That means a lot of the people who have tested positive this week could become hospitalized next week. Everything is going to be delayed. And so I think there's a huge cause for concern here that this increase case count is going to turn into more hospitalizations down the line, she says. Right now they have enough PPE on hand. But they're still concerned about whether they can handle the coming in flight. What I'm more worried about is actually just our hospital capacity doing have enough beds. Do we have enough? Resource is ventilators, even more advanced therapies. And so that's where I think we really need to be mindful of keeping this outbreak contained so that we don't get the point where we have to think about rationing those types of potentially lifesaving resources for our patients Bank run against as policymakers air hedging by imposing a nighttime curfew. And thinks the hours should probably be expanded.

Cedars Sinai Medical Center
St. Mary Medical Center Nurses Remain On Strike NE Of Philadelphia

KYW 24 Hour News

01:06 min | 2 weeks ago

St. Mary Medical Center Nurses Remain On Strike NE Of Philadelphia

"Are asking replacement nurses at ST Mary Medical Center to follow coronavirus protocols set up by the state. Okay, One of you's Kim Global's tells us that the replacement nurses were brought in on Tuesday when Unionized nurses staged to day strike 800 members of past NAP Pennsylvania Association of Staff, Nurses and allied professionals are now ready to return to work. But Trinity Health parent Company of ST Mary Medical Center, says it will not allow a nurse's back into the hospital until Sunday at 7 A.m. and action. The union is calling a lockout. The issue was addressed at the Bucks County commissioner's meeting. Commissioner Diane Marsiglia. I think we are all and I know I am outraged by this. These are nurses in our community who thought that coded the first time it came around, but their lives not fine. Donna Helprin cardiac critical character says Busses show up every day with replacement nurses very disturbing because they're spending all this money on his replacement nurses what they could have re invested that and the doctors that are standing outside One that really care. Past NAP is striking for safe staffing levels and higher wages. Trinity help has not yet responded to a request for comment. Kim Glovis

St Mary Medical Center Kim Global Pennsylvania Association Of St Trinity Health Parent Company Diane Marsiglia Donna Helprin Bucks County Kim Glovis
Miami’s Jackson Health System will be among first to receive Pfizer coronavirus vaccine

The South Florida Morning Show

01:11 min | 2 weeks ago

Miami’s Jackson Health System will be among first to receive Pfizer coronavirus vaccine

"The us death toll from coronavirus has reached two hundred fifty thousand but we have a vaccine and two hospitals in south florida receiving it. I don't usually get the ever. Get the flu vaccine. But i would probably get this vaccine. This kobe thing is no joke. You seen kovin toes. Oh god oh no. Don't go there. it's so bad anyway. but this band name covert does have to be a punk band. Yes is vaccine. Will be available at miami's jackson memorial hospital and also Fort lauderdale's memorial regional medical center. And this is the chief of critical medicine at memorial. His name is dr sarah alley and he warns. The vaccine is not a magic bullet. I think that the initial that is reported from the vaccine is very encouraging. However i think that's only one piece of the puzzle. Okay you know. What does the public any good to drop water on this right down. Shut off pretty amazing that it's come out so quickly. It's a it's incredible. It's one of our greatest american accomplishments. Not ever forget that so it should be available to people over sixty five down. The higher end mental also healthcare workers initially

Memorial Regional Medical Cent Dr Sarah Alley Jackson Memorial Hospital South Florida Kobe FLU Fort Lauderdale Miami United States
Dolly Parton adds pandemic hero to list of accomplishments

AP News Radio

00:38 sec | 2 weeks ago

Dolly Parton adds pandemic hero to list of accomplishments

"The creators of one of the most promising vaccines against the coronavirus credit musician Dolly Parton for helping it become a reality I'm marquees are a letter with the latest listed in the support of credits of the maternal vaccine report is a Dolly Parton covert nineteen research fund pardon had announced in April she had donated a million dollars to Vanderbilt university's Medical Center for corona virus research early data indicated the vaccine is ninety five percent effective Parton tells NBC's today show she's thrilled to have done her part I'm just happy that anything I do can help somebody else and whatnot no needed the money to the culvert fund I just wanted to do good

Dolly Parton Medical Center For Corona Viru Vanderbilt University Parton NBC
Dolly Parton's $1M donation helped fund promising COVID-19 vaccine: 'I just wanted it to do good'

Charlie Parker

00:13 sec | 2 weeks ago

Dolly Parton's $1M donation helped fund promising COVID-19 vaccine: 'I just wanted it to do good'

"Is donation to the Vanderbilt University Medical Center helped fund Moder knows new covert 19 vaccine That's nearly 95% effective. The country Music star said she gave a million dollars in hopes of doing good and evidently it is

Moder Vanderbilt University Medical
Dolly Parton helped fund Moderna COVID-19 vaccine research

Chris Krok

00:28 sec | 2 weeks ago

Dolly Parton helped fund Moderna COVID-19 vaccine research

"Donated a million bucks to Vanderbilt. University Medical Center for Covert 19, which included Madonna's vaccine trial and clinical research in the footnotes of the New England Journal of Medicine announcement yesterday. Madonna vaccine results have AH have 94 95% efficacy quote listed as one of the funders $1 million from the Dolly Parton Covert 19 Research fund. Praise God for Dolly Parton. We love you. We're proud

Madonna University Medical Center Vanderbilt New England Journal Of Medicin Dolly Parton
Dolly Parton helped fund Moderna COVID-19 vaccine research

KYW 24 Hour News

00:28 sec | 2 weeks ago

Dolly Parton helped fund Moderna COVID-19 vaccine research

"We'll Dolly Parton helped fund Mode Ernest Covert 19 Vaccine research. In April, Dolly donated a million dollars to Corona Virus Research and Vanderbilt University Medical Center, according to a preliminary report on the vaccine by the New England Journal of Medicine. Part was credited among others for her donation to the school. The Moderna vaccine was made possible. Researchers at Vanderbilt, Emory University and the National Institutes of Health.

Ernest Covert Corona Virus Research Dolly Parton Vanderbilt University Medical Dolly New England Journal Of Medicin Vanderbilt Emory University National Institutes Of Health
‘Standing Up For Our Patients’: Philadelphia Nurses On Strike Over Alleged Staffing Issues, Wages As COVID-19 Cases Soar

KYW 24 Hour News

01:08 min | 2 weeks ago

‘Standing Up For Our Patients’: Philadelphia Nurses On Strike Over Alleged Staffing Issues, Wages As COVID-19 Cases Soar

"Starting medical center says it has reached a tentative agreement with its 1000 unionized nurses sidestepping a strike, but Kay Wide avenues Kim Glovis reports nurses at ST Mary Medical Center in Langhorne, Bucks County. Are staging a two day walk out The issues in both cases are safe staffing and wages. 800 members of past NAP The Pennsylvania Association of Staff, Nurses and Allied Professionals hit the picket lines Tuesday morning at ST Mary Medical Center and will remain there until Thursday. Maureen May is president of past net, She says ST Mary and its parent company, Trinity Health, are not addressing either of those issues and wanted to have Hey, Stan Thing you need to provide the the Northeast Northeast take take care care of of the the bedside. bedside. In In order order to to have have the the number number of of nurses nurses needed needed the the bedside. bedside. You You have have to to provide provide proper proper compensation, compensation, so so it's it's one one big big package, package, Trinity Trinity Health says. Although the nurses are striking for two days, it will take five days for hospital to ramp up its staff with replacement nurses may responds. It's going to take them five days. It's it's a lock out and Have been on strike in the past and you go back in and you hit the ground running just like we hit the ground running when the call came. Trinity Health says it's ready to resume negotiations when the strike is over,

St Mary Medical Center Starting Medical Center Kim Glovis Pennsylvania Association Of St Maureen May Langhorne Bucks County Trinity Health KAY St Mary Trinity Trinity Health
"medical center" Discussed on The Academic Minute

The Academic Minute

02:02 min | 3 weeks ago

"medical center" Discussed on The Academic Minute

"We wish we could erase. I'm dr pascarella. President of the association of american colleges and universities and today on the academic minute todd cease actor distinguished professor of physiology and pharmacology at suny downstate. Medical center examines our memories to determine how to do so in this time of troubles. There are many memories we would like to forget to root out a traumatic memory. Completely we have to understand the biological of memory itself over several decades neuroscientists have learned much. About how long term memories are initially formed when an experience is to be remembered groups of nerve cells. Maybe a few thousand start to fire. Simultaneously nerve cells are connected by synapses and when the connected cells fire at the same time to synapses between them become persistently strengthened forming a network of cells when a memory is in storage the cells. Don't fire but the strengthening connections between them persist until recently. Almost nothing was known about this persistent synoptic strengthening process but over the last few years our laboratory has spearheaded the discovery of unique persistently. Active molecule and enzyme term pm zeta that is formed during learning and maintains the strength of the synoptic connections. Remarkably in experimental animals inhibiting peak. Am aided with drugs. A races prior long term memories without otherwise damaging the brain or once. The drug is washed out preventing new memories from forming but because peak. Kim's ada is a general mechanism. For memory storage inhibiting the enzyme results in an amnesiac for most if not all long term memories hurriedly we and other labs around the world are taking advantage of our growing knowledge about how this fundamental memory mechanism works to disrupt the specific begins to molecules.

dr pascarella suny downstate association of american colleg distinguished professor Kim Medical center President todd
"medical center" Discussed on Cardionerds

Cardionerds

05:25 min | Last month

"medical center" Discussed on Cardionerds

"To really understand the ideology and plan and intervention with and I'm sure we're going to talk about this more data that shows that the wage Can be effective with very careful patient selection. And so I think just thinking about this patient one. We know that Mr. Itself, even when secondary impacts prognosis and clinical trajectory. Mm good surgical literature, but three there are new options for these patients. I think are all important and I'm so glad that you're applying this to this patient because I think again like we talked about earlier medicine works everywhere. I filled with patience with this femur type and so just the fact that he's under your care and you're giving him these options and really pursuing this just shows a dedication to evidence-based high-quality medicine and so in our effort to fix the structural problem or if she hopes to do so what does evaluation that you pursue further that was a great summary and thank you for that after the right and left heart catheterization and based off our patients history examination with increased risk of Esports or surgical intervention. We decided to pursue a transesophageal echo in preparation for a transcatheter mitral valve intervention. The benefits of a transesophageal echo is a log To further map the mitral valve structure the 3D imaging the t e revealed a l v ejection fraction of 35% with mild dilation of the left ventricle the mitral valve, which was our main focus show that the leaflets were thickened and did not co-opt most notably between P two and eighteen the apical tinting in the leaflets was still appearance package posteriorly fluke dysfunction, and there was severe Central Mike rotation with a vegan contract measured in multiple images from 0.7 to 1.0 centimeters and is Audie said earlier am contracted greater than point. Seven is considered severe. There was also buying Trail enlargement and we still visualize list of e r t r So based off of all of this information we met with our surgical colleagues multidisciplinary group that meets weekly to discuss between Advanced heart-failure structural heart team and Korea thoracic surgery about whether to pursue a surgical or transcatheter intervention. Yep. So for that discussion and review of Imaging with our colleagues is determined to pursue a microclip as he was considered high risk for surgical intervention. So based off all of this information. I want to just take a step back and discuss the current guidelines involved and transcatheter intervention with mitral clip as well as the study's that God us to our guidelines that we currently use today. You looked or do you mind enlightening us further? Sure, so well, luckily we have some great Acca AJ guidelines that were recently updated this year before we get to those guidelines. We have to know where I came from and there were three major trials that have effected those guidelines. The first trial was Everest to it was published in 2015 as a prospective multicenter randomized control trial. They enrolled in total of 279 patients with grade three plus two four plus severe symptomatic Mr..

mitral valve Esports Korea Acca AJ left ventricle Audie
"medical center" Discussed on Cardionerds

Cardionerds

02:47 min | Last month

"medical center" Discussed on Cardionerds

"I see you beds and does continuous invasive hemodynamic monitoring were unavailable to us for this reason. The patient was admitted to our cardiac floor, which is phenomenally. Jonsi and we began to walk. So diuresis after labor induction, we initially started the patient of Richmond 120 milligrams twice daily. He did not have a robust urine output with this as symptoms to not prove said his serum creatinine increased and we're concerned for development of cardio-renal syndrome. Next. We escalated to a Verizon line fusion and I feel introduction with oral hydralazine home with this combination. We were able to get the patient a quick lead. I erased with an improvement of his jvp from 18 to 12 over the course of a day so prior to work up for my birthday or any sort of mitral valve aravich and it's important to know that geology behind the patients cardiomyopathy whether it's ischemic versus not a scheme it in. This goes forward into planning whether or not you need a surgical intervention was a percutaneous intervention for the mitral valve in cases where they require surgical intervention is the patient also has significant coronary disease is preferable to intervene on the coronary disease with them. Has while fixing the valve as opposed to sending the patient for a reduced or not in the case of percutaneous intervention. If they have significant coronary disease that would be better served as bypass. Then. We would send them for a surgical valve replacement that time as well for our patient. We had Reports say had negative coronary angiography in the past. However, we didn't have those reports are ourselves. So that time we decide not only to do a right heart catheterization for evaluation of the valve and his pulmonary pressures, but also do a left heart catheterization to discern if there was anything new disease, I will also need your invention the last heart catherization showed mile non-destructive authors garage disease in the left and right coronary systems. Nothing that required intervention his right thigh catherization no significant for elevated right unless I pressures his right atrium had a pressure of 12 millimeters of mercury his army had 5512 his PA Min was Thursday. 1 millimeters of mercury as wage was elevated 17 millimeters of mercury his cardiac output and cardiac index were 5.6 and 2.7 respectively by sick the crack me mitral valve gradient was thirteen millimeters of mercury, which in a normal case can be indicative of severe mitral stenosis. However, we had Echo that showed us no evidence Michael notices and in the case of the right heart catheterization The increased gradient was from the increase of regurgitate volume going across the.

mitral valve coronary disease right atrium Jonsi Verizon jvp Richmond stenosis hydralazine cardiomyopathy Michael
"medical center" Discussed on Cardionerds

Cardionerds

03:18 min | Last month

"medical center" Discussed on Cardionerds

"I think it's 5 a.m. The stop here and highlight the importance of echocardiography in determining the etiology and severity of mitral regurgitation Catherine just mentioned a lot of important numbers here such as the vena contracta of 0.7 centimeters. Let's take a moment to review what these numbers mean and what echocardiography can provide for the clinician determining the severity of Em are involves both qualitative and quantitative metrics. I see the initial qualitative assessment I start with is color Doppler a regurgitant jet that occupies roughly 50% of the left atrium is suggestive of severe mitral regurgitation. Unfortunately color Doppler can be greatly affected by transducer position left atrial pressure and LV function, for example patients with acute mitral regurgitation else and left atrial pressures and hypotension may actually have a smaller jet whereas a hypertensive patient with mild Central Mr. May actually have a large jet due to increased afterload. Now remember that Eccentric Jets tend to travel across the floor or wall of the atrium rather than expanding freely leading to underestimation of Em are severity and another fun fact for all McCarty and herbs are the coanda effect is when this eccentric jet travels adjacent to the left atrial wall. Once again, leading to underestimation of the mitral regurgitation color Doppler also long as you to evaluate the vena contracta. The vena contracta is the point at which the diameter of the regards to Jet is the least and the velocity is the highest the width of the vena contracta corresponds to be effective regurgitant or if this area and hence the severity of the Mr. A mild being a contract is less than 3 millimeters in a severe Vena contracta is greater than 7 Echo all she allows for estimation of regurgitate volume the stroke volume through any valve can be calculated by the cross-sectional area and velocity time integral through that orifice in A Normal Heart the strobe. Volume through both the aortic and mitral Angeles is going to be equal. However, a regurgitant valve will have a higher volume the difference of the stroke volume at the mitral Angeles and the aorta. Can you list will be the rebirth to call you severe Mr. Is it regurgitate volume greater than 60 CC's the regurgitant fraction can also be used as a measure for Mr. Severity. It's simply the reverse set volume down over the stroke volume a fraction greater than 50% is considered severe lastly. Don't forget larger regurgitate volumes lead to a greater degree of LV ejection fraction. Overestimation. Next is the proximal Aisa velocity surface area. This is a primary method for quantification of mitral regurgitation and is very widely used in clinical practice. I won't divulge the weeds here because we have limited time. But essentially it is based on the concept that the flow Convergence Zone on the ventricular side of the valve corresponds to the actual regurgitant flow. By saying a predetermined Nyquist limit we can determine aliasing velocities and the corresponding distance to that aliasing velocity to help solve for Effective regurgitant or if this area back and solve for regurgitant volumes this some really cool stuff and I highly suggest checking out some of the.

vena contracta left atrium Vena contracta Mr. Severity Angeles Catherine McCarty
"medical center" Discussed on Cardionerds

Cardionerds

03:11 min | Last month

"medical center" Discussed on Cardionerds

"Up anger patient for consenting to have her story shared with the Cardiology and Medicine communities in general in the hopes that generations of cardiologists and clinicians May learn from her condition. We're dead. Grateful to her for her generosity. So in the next few minutes, I will add a few practical considerations to the care of patients with carcinoid heart disease on top of what you guys have already heard. So as you've heard carcinoid heart disease is a cardiac manifestation of carcinoid syndrome carcinoid syndrome is caused by visual active substances produced by neuroendocrine. Tumors. Most commonly those thoughts located in the small intestine with liver or pulmonary met Chris annoyed syndrome is essentially a function of altered tryptophan handling. So ordinarily less than 1% of them. Tryptophan is converted to serotonin but in contrast neuroendocrine tumors contain enzymes such as tryptophan hydroxylase and amino acid decarboxylase found these enzymes are instrumental in converting tryptophan to serotonin. There are also other metabolites that are produced including other radioactive substances such as histamine dopamine wage. Be kind and so the serotonin is usually metabolized by monoamine oxidase in the liver and lungs. But this process can be bypassed in the presence of liver and Pulmonary Mets bouncing in higher circulating levels of Serotonin the most common manifestation of high circulating serotonin is carcinoid by the Disease exemplified by tricuspid valve disease are so beautifully described just now by doctors men's srivastava and Abraham. So in addition to what our fellows talked about, I like to point out a few more less common manifestations of carcinoid heart disease. Wow. This list is actually reminiscent of the five failures that the cardian urge team likes to talk about. So in addition to valve failure we have coronary artery failure in the setting of endothelial dysfunction, which often do to change services High circulating serotonin levels can result in coronary artery spasm, which may present as acute coronary syndrome. We can also have ventricular or pump failure and this often. Is in the setting of high tumor burden and it doesn't correlate value their disease High tumor burden results in neuroendocrine tumors infiltrating The myocardium and this can be manifest as multiple concrete. Tumors are solitary. Well circumscribed cardiac tumors in the Atria or ventricles often associated with the atrial septum or the ventricular septum. And in fact, you might remember that the Duke University geology team in discussing very case of a hereditary restrictive cardiomyopathy actually included carcinoid heart disease as being when the differential for for an infiltrate of cardiomyopathy, in this case, when you suspect an infant rate of cardiomyopathy do to Carson or disease a pet-ct me actually be more useful for assessment instead of an echo. We can also get electrical failure atrial and ventricular arrhythmias may occur due to sympathetic nervous system activation by circulating radioactive substances. So next I'd like to talk about some practical tips for managing these patients and cardi Oncology Clinic..

neuroendocrine tumors carcinoid syndrome restrictive cardiomyopathy acute coronary syndrome Cardiology and Medicine cardi Oncology Clinic Pulmonary Mets endothelial dysfunction tricuspid valve sympathetic nervous system Carson Duke University High histamine Chris Abraham dopamine
"medical center" Discussed on Cardionerds

Cardionerds

03:43 min | 3 months ago

"medical center" Discussed on Cardionerds

"We should also talk about how to evaluate for these causes really going what is your top processor so for the incidence of atrial fibrillation were. Could form in the left Atrium or the left atrial appendage. One could consider a long-term cardiac monitoring like an implementation of a loop recorder. A routine translated echocardiogram should definitely be performed to evaluate for structural causes and we should not forget supplemented with a bubble study to rule out right to less Jones, and finally a Geel echocardiogram should certainly be considered as well to evaluate the left atrial appendage as a source of clot. It's funny. Bought a bubble study because that's exactly what happened in patient. We actually repeated a trance risk at courtroom, but this time the study and guess what it show appear Info. So then proceeded with the transit south accorded grand to further correct recipe. F. O. at this point that the patient was referred to the Lincoln all structural clinic I was wondering is finally GonNa show up at Lincoln all. Yeah just time in I'm thinking this really fits or it's making us really suspicious that there is some sort of items razor thing going on with that right sided from the left side of lesion really fascinating allowed that this is a patient who if I remember correctly had epochal a consensus and the context of a proponent elevation. So if you go back to the classification direct paradoxical after Genyk one, 'cause would be left left ended with epochal ECHINACEA's you may have a promise and so on. The T. is pertinent negative assuming they didn't find any less at a class either in the appendage or in the apex, right you know you could've put. Together as she had a stress cardiomyopathy potentially with dilated nine moving in the eventually develop some spaces during some, click it off, and while that is not necessarily a slam dunk diagnosis. Wonder you know especially finding the corner ableson there but we're sniffing out some serious stuff going on the right side that potentially could tribute to this makes it a little bit easier to put the story together. Yeah and I'll be interested to see what happens next because we know from the PF. Oh closure trials that if you just has everybody for pf Oh, a quarter to a third of the general healthy population we'll have one as well, and so it'll be interesting. To know how we ended up deciding that that was the culprit rather than an incidental finding. So what did you do next lots their next she came to all for foreclosure but good point with the echocardiogram in the RV enlargement in her allegation in her rbis p because it's a definite red flag for closure at the moment. Yeah? Grip GonNA. I'm so glad you brought that up actually the combination of PF. Oh, requiring closure Pamir pretension can really be a unique challenge wants to proceed with caution interest expecting plummer hypertension with because essentially, what is happening is that the PF Oh, functioning as Papa Valve and the valve helps prevent hyphen pressures on the Left side of heart. In fact, actually in patients with end stage Palmiero pretension and INTECH intellectual Septum in certain countries they actually intentionally perform h DASA is a form of treatment to unload the right side of pressure. Again, procedures commonly perform in other regions of the world, but in the US is usually politics. So it's important to remember if you close the PF oh, and a patient with significant palmer potentially can really causing the He's collapsed by worsening Rice added pressures can be catastrophe, and so glad you brought that point because it's such an important point like for instance, when we were talking Matt Adult Congenital heart disease in patients with Asu. That develop or are underway to developing is syndrome with pulmonary hypertension elevated pulmonary pressures with respect to systemic pressure's elevated pummeled resistance connection contraindications to closing for the same reason..

left Atrium Lincoln Papa Valve cardiomyopathy US Jones Palmiero Asu palmer F. O. plummer Rice Matt
"medical center" Discussed on Cardionerds

Cardionerds

05:18 min | 3 months ago

"medical center" Discussed on Cardionerds

"Like to introduce yourselves? Hi Sean I'm one of the cardiology second your fellows I'm originally from Malaysia it came to the states for Internal Medicine Residency Lincoln and I continue on Lincoln for cardiology fellowship my interest in cardiology or interventional cardiology and outside of cardiology. My interest is our rock climbing and playing.

Internal Medicine Residency Li Sean Malaysia
"medical center" Discussed on Wild Business Growth Podcast

Wild Business Growth Podcast

08:18 min | 11 months ago

"medical center" Discussed on Wild Business Growth Podcast

"Let's get to a fan. Favourite segment called the wild business shadow of the week. While this shot of the week. This is very very impressive. Anyway while business out of the week so so we talk about a recent adder campaign that gets you go and get your excited about and on the note about the Delray Medical Center. There's something you guys are doing kind of newer campaign that rolling out take me to delray. So what is it about this that you're you're so excited about? I think what I'm so excited about. Is that when I first saw the tagline? I chuckled to myself and I said how is this GonNa work. It's kind of Corny. Well the reality is. We don't know we don't know and the months have gone by and I started to watch the success that this tagline generated as it was attached to so much of our marketing material and how successful it was becoming I learned and it was such a broad reach of people. We have a unique demographic of patient because being located in this part of south Florida and we grab onto lots of people who have realized that. Unfortunately when you're going to hospital you don't WanNa go. You don't have a choice and when you have multiple institutions to go to this something that stays in ahead about the meaning of take me to del Ray. It's not by accident. Take lines after today. Yeah good reason for. It's got a good ring to it so you saw out kind of in the public in the wild that kind of your first time. Yeah well we disgusted fight heard about it in probably once every quarter we review some of the marketing board meetings about what the hospital is doing and I saw the line on some of our heads and questioned is still. What are we doing this for and boy did I get some great lesson? I loved every second of it. What would you say is the biggest challenge when it comes to marketing a hospital? I think it's a lack of understanding of how hospitals operate on behalf of the consumer and how the media portrayed hospitals. No hospitals are basically very sophisticated factories. That a kept open twenty four hours a day with no downtime whatsoever and building in marketing hospital very difficult on the consumer level because there are so many pieces to it as as a patient when you're in the hospital east to see what goes on and how it operates and healthcare is probably the number one issue in this country right now that we face and how it operates because of the financial structure is always going to be a challenge and one that's going to continue to go on So the hope. We do the best every day absolutely. Yeah I mean you guys are working wonders and it's it's just so intricate like there's so many challenges it's fine. I mean I'm so used to talking about things from the business marketing perspective but when you put people's lives at stake as part of it like talk about adding to the mix on my God so only a little bit of time left here loved wrap up with some rapid fire. She a viral ready for all right. Fire Way I like it. Let's get wild. What is your biggest pet peeve? I think the biggest pet peeve that I struggle with is sometimes people not being direct enough when they speak to me said of just not telling me what they really want to say in. Kinda just go around in a circle trying to get where they want to go into. We have to come out and say you're talking about this interview. Aren't you know not going? I thought you were GonNa say all your position that way but the Mike is this way than our yes us. That's key I get. There's no need to dance around that. You mentioned how you worked in product development for a lot in. You've very good at coming up with new ideas in implementing new ideas there when you think about creativity in implementing creativity when you when you do those kinds of things you say is the biggest thing that's helped you be more creative. I mean it could be a hobby that you do that. You come up with ideas or could be a mindset. I think because my whole life when I had the opportunity I developed fairly interesting hobbies. I've been a performing magician for probably twenty years. No Way Yeah. We've done a whole magician interview with and I've been general aviation pilot most modern life and gave me the chance to look at and learn creativity and a presence in front of other people on the magic side and in the general aviation side is taught me the necessity of being exact at precise oil. Time when you're officially my favorite magician pilot chairman of Derry Medical Center of all time. So thank you very much Joe will give you the award or print it off right after. That's okay I'm have way too many questions now. But we'll we'll we'll go to something completely random if you could only one food for the rest of your life if it had to be the same food over and over again it could be anything you want. What would that be the Stash Eli Screen? That is very specific in wonderful answer. It's good stuff. That is the end. I thought you were going to say the statue straight up pistachios which I do love but that's a lot of effort for the rest of your life and your in this community. Addison reserve wonderful community. What's your favorite part of living here? Probably over time have been here. Nineteen years fourteen years as a full time resident and I just think getting to know people and meeting some very fascinating people and meeting very nice people. People on very comfortable wasn't people that I WANNA be with. I can definitely vouch for that. Got Knowing the dinners in last question. Would you go to magic trick? Probably the rising eyeglasses off. The table was always my go-to allusion. And I did it in business meetings and did the for adults and for children it was always probably the most it was just a limitation trick delusion and it was always there for me encourage puts it puts the limitation Awards aren't well. We might have to demonstrate that after but thank you so much Larry. This has been wonderful. Really appreciate you sharing your story in all the amazing things you've done your career in your life only amazing people you've met and and I feel like we can just go on and on and on but only have so much time today. Where is the best place for people to connect with you? People can email me. They'd like Email addresses L. Adelson at comcast dot net. That was willing to respond to anybody that works. Great Vouch for that. You've definitely done so and last thing here stages yours final thoughts. That could be a quote. It could be your favorite life lesson whatever you want. Send US off here. I think it's the life lesson in it's built into how we operate where we somehow in time develop fair a fear of failure and I think the driver in my life has been the fear of failure early on until I learnt that that is the greatest motivators of all. And that's what always pushed me to the next venture into the days when things weren't great when I knew that you know what I wasn't going to fail and I was going to be successful. Just keep that vision look straight ahead and just don't deviate we've.

Delray Medical Center delray del Ray south Florida L. Adelson Mike chairman Derry Medical Center Addison Joe product development Larry
"medical center" Discussed on Wild Business Growth Podcast

Wild Business Growth Podcast

08:39 min | 11 months ago

"medical center" Discussed on Wild Business Growth Podcast

"And we were able to keep the business in New Jersey. It grew to be a rather large business. It was sold in the year. Two thousand to a venture capital firm and with that company I relocated to South Florida and acquired a company here that I invested in also personally cold Lens Express and ran that for year and ultimately the whole business was sold into the one eight hundred contacts platform. We're still resides today. So that's one. Eight hundred contacts comes from wearing contacts sodded after. I did but they went up far different route than I did. They were fall more aggressive. They took it public. They weren't as fearful of violating state and federal Lewis at the time. They had a lot of optimism on hand for. They had a lot of resources and they were the brightest two gentlemen. I probably been around in my business career. One named Jonathan Kooning named John Nichols with the two founders of one eight hundred contacts and I was proud to know them and watch them Alad. Let's say you're a part of that that what I stayed on as a consultant to them for many years and just until recently had quite a lot of contacts with them with the company in contact company was acquired recently. Well several years back by another firm. Cool Thomas H Lee and it was purchased for one billion dollars billion with the B with B. Oh my and that was the lesson. Perhaps we left the contact lens industry too soon. But it's okay you made your mark on it only did I ever. I enjoyed it I I loved. It never looked back so your career when you look back on it when you're talking about your upbringing earlier there's nothing that really says you're GonNa go the medical route you're gonna go the business route. So what what is it that made you end up on the medical side of things throughout so much of your career having so much success there. It always appears to me looking back that you'd never know ahead of time. What's going to grab your attention in what's going to motivate you to. WanNa dig deeper. It was always the fascination of the medical type products that gave me the dry. Like the technology technology. I loved it into this day. I do once the contact Lens. Business was gone and I was living in south Florida. Still never like getting up in the morning and playing golf with a bunch of old guys. Not that I didn't like the old guys I totally bored and I knew I couldn't be retired again and I needed to find something else to do. I decided to take some healthcare consulting. Assignments took them all over the United States and fortunately through a contact wound up with a consulting job in Pompano beach. Florida by took a consulting job with the Diabetes Online company. They been I'd say five or ten years old at the time and had some issues that needed to be dealt with and I went in as a consultant dealt with those within three months had been approached by two principles and asked if I'd be interested to stay on as presidency over the next couple of years I stayed for two years built. The company loved it and it's time to move on one more time but by this time I had slightly different twist in focus in my career path. I have three sons by that time. They were grown all into their careers or getting ready to go into their careers and the youngest son had gone on to become a veterinarian. He always talked to me about the need of product for veterinary diabetes. And again we've built a business plan. Built an online company in an online presence for products that relate to veterinary diabetes. And to this day. We still operate that company again. We have our youngest son. Who's a veterinarian is involved in it my oldest son who's the CPA's the gentleman takes care of how the business operates I'm kind of old man just enjoys every day with it. I think he made young man. Whatever it seems is the oil you brought up boredom a lot so boredom is clearly big driver for you of switching up yet. Fondest blown away that you've experienced every kind of business there is out there like you've done small businesses. You've been entrepreneur. Big major global corporations in. Now you have the family aspect will is with. Your wife is well you done family business for awhile. Is there something that draws you to experience a new kind of business? Each time as opposed to you know say John from one corporation to another. There's no clear cut linear as to what causes you to go from one to another. What is interesting? Is that certain parts of a business capture my attention and I think probably deep inside. There's part of me. That's a bit of a rebel. So when I see something that's a disruptor that can be done better and more efficiently for the consumer as well as the business motivation of doing it. I look more deeply into it and I find that that works well for us but along the way the part of the career that I haven't the dress much is probably in the early eighties got involved with hospital sitting on their board in New Jersey. Bayshore Community Hospital and ultimately went on to become a vice chairman of the Holding Company and with that got involved in hospital. Board governance stayed with that. But by the time I relocated to South Florida had given all that up but unfortunately passed. Never leaves you I was a couple years. Somebody remembered me from New Jersey and reconnected with me and next thing I knew I was sitting on the Board del Rey. Medical Center and three years later was asked to become the chairman of their board. Just like that just like they do today by the way in. So if I'm just you know going out around. This neighborhood introduced myself to neighbors. You'd think I'll get a spot on the hospital board as well. Is that how this works? No It's more in Chas sits in the past. That's what I had been involved in hospital board governance kind of ACE specialized area Lots of moving parts to it very frustrating because of healthcare the United States. And it's one that I've devoted a lot of my time to Del Rey Medical Center is owned by tenant which is a public company and it is a for profit hospital and it's been a very very successful hospital in the United States is five hundred and twenty five beds and it's a level one trauma center Operates very very well as you mentioned award-winning hospital over winning medical center very well regarded. What would you say is the biggest thing that drives you in the team toward success? What allows you because medical space especially hospitals medical centers. It's such a challenging world. There's so much involved there. I believe to this moment that it's the culture that's been created over the last several years of the administration and the Care Givers everyday twenty four hours a day and that goes from the emergency room on up to the people who are involved in discharge of the patient its culture. And it's a fairly cohesive family in there and I still enjoy it and look forward to continuing new quite some time families everything..

Holding Company New Jersey United States Medical Center South Florida consultant Lens Express John Nichols Del Rey Medical Center Bayshore Community Hospital Diabetes Online company golf Florida Board del Rey Pompano beach Lewis Thomas H Lee Chas Jonathan Kooning
"medical center" Discussed on Wild Business Growth Podcast

Wild Business Growth Podcast

13:33 min | 11 months ago

"medical center" Discussed on Wild Business Growth Podcast

"Are here with the one. And only Larry Ellison Larry. How are you doing today? I am fine. Thank you thank you for having this one of course. Well it's been a great interview already but Larry. You are the chairman of the Delray Medical Center. You've done a tiny career that we're going to get to Before we get into that do WANNA shout out in my lovely girlfriend Dana in her family the got diners. Who are hosting this interview at their house. In you know you don't live too far away so thank you for coming as well modern pleasure. Of course so we're going into a lot of your career. There's a lot you know. Rollercoaster journey some exciting stuff. There thrills there but before we get into really your professional career. Let's let's take back to your upbringing if you if you could characterize for us. What was your upbringing like in? Was there any sort of inclination that you knew back when you were younger a little kid that you would end up in the medical space in the business world? Not necessarily. I was born in New York City on February seventh. Nineteen forty nine. The birthday's coming out. There we go. They go first birth date on the PODCAST. Nothing wrong with that. Yeah Santa Proud of it and looked in Brooklyn New York fairly traditional upbringing by mom dad sister and I lived in one bedroom. Never really knew anybody who lived in a house. We all lived in large buildings. And that's all we knew and when you know nothing else that's how life is but as time went on I realized that it was something else. I had motivation. That I didn't know it was going to come out to later on but it wasn't to live in one bedroom again and that's how I got the motivation. The drive at that point going up the city of New York was probably the single most instrumental part of guiding my career. The city of New York was able to send me to a specialized high school. Stuyvesant High School in Manhattan and they realized that probably had brain imbalance at that time and they were able to work with it and dig out of that brain. What was necessary to motivate somebody who would go on in life and go into science and mathematics and I was. I was a perfect candidate for stuyvesant high school to this day. It's probably the most instrumental part of my education was the city of New York was to that. Obviously my mom and dad would not in a position to ever send me to private schools and city of New York had this program for those. That had little gift and I was very fortunate. That's crazy so get your education in a minute. They're put back so you're all in one room when replace when you ran for the Lipton. Same Building Grandmother Grandfather. My grandfather was an inspiration. He was uneducated told himself everything any turned out in my life to be probably one of the most educated people because there was nothing he could not do. He could learn anything he wanted on his own. He taught himself to read when he came to. This country taught himself to write and worked in her gainful employment in a funeral. Home in Lower Manhattan commuted by the subway. The same subway I took to go to high school. He took to go to work and we were very very close. He told me to work with my hands. And he told me more importantly to work with my brain and it wasn't necessarily the traditional education that was the drbble motivator but rather the internal drive in motivators. What would come out later on in life while I'm sure he's got an incredible story himself. I mean coming over being you know. Nudie America learning how to teaching yourself how to read and write. That's that's a whole thing in itself. What would you say if you had to pick one lesson that he taught you and still stick with you to this day? What would it be? I'm keeping you to one. I think. That's that's okay. Probably that no matter what challenge you're ever GONNA FACE. You could get through it and if today you did know something tomorrow give you the opportunity to know it very well into learn and I watched him and I just studied everything bowed him and it got inside of me and it's there to this day. I'd rather work with my hands sometimes because it brings me back to those days that I was with him. That's incredible you mentioned your schooling there and how impactful that was get the city of New York there. So what do you take from that experience? What was so inspirational and helpful for you growing up in being in that school system taking the subway back and forth as you mentioned that kind of puts you on a path that you can have a lot of success the part of that education that was so important looking back is the challenge of having it available to you and then utilizing it and just the fact that we probably commuted an hour hour and a half each way. Adam Brooklyn to the. I guess it was the Fourteenth Street. Stop on the train. I remember often fall asleep but somebody would always wake me just in time. They're coming back and it was coming away from that where I learnt lessons in life that today still use no matter how computerized we are so integrated into the system. I learnt mechanical drawing with my hands. They WANNA computers and I see things today in three dimension because of the training I got so when I see a flat piece of paper with the drawing. I'm refocused looking at the dimensions from the top the sides and it's just have what stayed with me. I was a wonderful student in math and science and I was a terrible student when it came to foreign language in English Really Yep you're absolutely. I totally imbalanced when it came to that grandfather taught himself English. Spotty didn't help you there. No he did not but it was okay though is time later on to master those skills so were you always drawn to the the math and sciences for the relief. Stay that I remember. Yes what is it about those areas? That was appealing to you. I think in both Especially in mathematics was the ability to always come away with a real problem solved in a finite manner instead of something. Kinda just hanging out there that possibly at three or four different answers yet. Mass only had one and still doesn't m one and probably in many years from today. We'll still only have one right exactly. Oh and then you get into the like negative numbers in infinite numbers and they have things with. That's another story anyway. So you had one Helvin upbringing. You had really really impactful schooling. So what happened next In terms of further education starting your career will. Then it starts to get very interesting. I graduated stuyvesant high school. I wasn't in the top of the class. I was kind of in the middle of class. That's okay totally imbalanced. In my college entrance exams I was off. The chart on both sides of it nets looked probably drew may not be accepted too. Many schools went onto the University of Toledo Toledo Ohio Garage Gates who Toledo rockets. And I still keep up with the alumni association there and occasionally visit the school and speak to groups of people and it's probably in Toledo and it was the fact that it was the University of Toledo that was the single thread in my whole career. That had brought me the chance to be successful in entrepreneurship. My Grandmother. Who lived in the same building is us in Brooklyn had a friend and they sat outside on Ocean. Parkway I will never forget this little chairs every afternoon when it was woman up and they also then had a third mutual friend who sat with them and one day as women. Do they talk to each other and one set to the other that she had a granddaughter that was thinking of going to the University of Toledo and with that my grandma chimed in and said my grandson goes to the University of Toledo that sitting on the bench that day? Probably change the course of my entire career. It was that fact that brought me to meet my wife today. Women fifty years and I went on my first date with my wife who at that time lived in Jericho Long Island but she was drawn to me before ever met her. Because my grandmother told me she lived in a house. Sound like much but try to understand that if you never lived in a house yeah you would be totally taken by somebody who did live in a real house and she had a bedroom. We never knew that. Having your own bedroom so I went to visit her in Jericho and I wouldn't say it was a successful first date but it was a first date. I think in the long run a successful. Oh absolutely the MOM was in thrilled. But it worked out okay. And we went to Howard Johnson's on Jericho Turnpike for ice cream and had a wonderful time and she agreed possibly to see me again but by that time she was admitted to the University of Toledo when she was going to go there so we had a bond we dated when she was at the University of Toledo and the first three years went pretty quickly and in our junior year we were married during spring. Break EARNINGS NO WAY. Yup that might be the most impressive spring break story. I've ever heard well. That's exactly how it happened. We had ten days off when we went on a little honeymoon. Came back went back to school and all through college I worked and some of them are undergraduate education. My wife and I took the same classes but because I was working. I didn't tend as often as she did but she had the best notes I've ever seen and I would study from her notes and take my exams. So that's why you really liked her. That was part of it. Worked OUT ICING ON THE CAKE and we stayed there for a while. We both finished school together. She finished in three years to catch up up with me and I finished undergraduate school in four years. I I taught school in Toledo Ohio Toilet Whitmer high school until it. American history and sociology. Totally natural to my abilities and aptitudes. But it gave me chance to broaden my horizon but I knew after six months. We couldn't survive doing that. Because there was no economic future schoolteacher and I needed to learn something else went back and started to study more coursework relating to biomedical sciences. Came back to the northeast where my wife and I lived and the first opportunity I had was to work with a company in hat. Borough Pennsylvania that manufactured medical devices for newborns and some anesthesia products and intensive and some IV therapy products and because of my unique aptitude. They put me in product development and I just loved it. I was fascinated and I was able to contribute. They will working on different devices for monitoring newborns for crib death. And that's where I got my first opportunity and I was somewhat successful. I understood electronics. I understood all the circuitry but that was the gift that I learned on my own not from formal education. I learned more about electronics in high school and with my grandfather than I did in all graduate work you could imagine because the skill set was already ingrained in my head so we by that time we were living in a little town between New Jersey and Pennsylvania Colborne Town New Jersey and I commuted to head borough Pennsylvania.

New York City University of Toledo Toledo Stuyvesant High School University of Toledo Toledo Oh Larry Ellison Larry Brooklyn Dana chairman Toilet Whitmer high school Delray Medical Center New Jersey Manhattan Jericho Long Island Lower Manhattan Lipton Adam Brooklyn Pennsylvania Colborne Town New Ohio
"medical center" Discussed on Outcomes Rocket

Outcomes Rocket

04:02 min | 11 months ago

"medical center" Discussed on Outcomes Rocket

"Don't know this is just my personal opinion. I think I think people need to work less. I think we worked too much and in order to work less you probably will make less money and probably we'd be less academically successful. Maybe I had to grapple with that but I had to grapple with I went to really prestigious places for school. I went to Dartmouth and then Harvard Medical School and did my residency at the Brigham and my fellowship a pen and it just seemed like you know staying. An academic is the moral high ground and uh-huh being a successful researchers the moral high ground. And it's just not true if that's what people enjoy and that's what makes them tick by all means. That's that's what you should do. But not everybody's like that and some people like to garden and like to have more time with their family and that perfectly acceptable and it took me a long longtime to shake that need for external validation to feel good about what I was doing professionally when I first decided to really pursue music seriously it with finishing my fellowship and I was desperate to work part time because I really wanted to explore music more and at the time I figured. Oh be just like my temporary plan and then we'll go back to my real life quote unquote and men offered me a part-time job. That was like a terrible job offer. It paid terribly and and I could only be part time for six years and then it would have to be fulltime and it was just a terrible job offer and so I just thought it took go and work at Einstein Medical Center in Philadelphia. You which almost nobody has heard outside of Philly but which paid much better and the job description was just something. I really enjoyed. which was I got to do? Advanced Heart failure earlier and echoes breed. Nuclear Studies and outpatient do inpatient. The job was just a job that I wanted and it was a smaller hospital but the people we're still well trained and I felt like I could take good care of my patients there and that's what was right for me if you had asked my medical school self I would think that the job there was quote unquote a success. Compared to taking a job at Penn I would've said no way. Yeah but that was successful for me. That was successful in terms of what I wanted out of my job with my life and I think that's a really important thing to ask yourself. What do you want? What kind of job is GonNa make you happy and then it that job it maybe baby in the city that you didn't think you would wanna live in like in order to get the work life balance that you want it may not you have to contemplate around from my something? Well well Nashville was for the dream. And you're there. You're yeah which I love by. Yeah I basically said that. I WanNa live in Nashville. Because I was touring a lot at the time and I wanted to have a family and I knew I I would need to find a way to still be creative and nurture my musical side without touring all the time and national at the writing town to instead of getting coffee people. Just get together right song right soon. Write songs write songs song and I felt like that would be a great way to grow as an artist between the hours of nine and type in my code. Well my kids are young. Still be home for dinner. So national with the dream so I just said to myself that I would just poke around deep anybody. WHO's looking for heart? Failure cardiologists in Nashville. So I got in touch with the people at Vanderbilt at the time. They were not looking but they said emailed me and it's months because we're we may be looking at that time so I did and they were looking and I said I wanNA halftime job born to work two weeks on two weeks takes off and they said Okay and this is the thing folks and suzy. Thanks for sharing the story if you are not unreasonable. You're you're not going to live the life you want if you are not unreasonable. You're not going to live the life you want and suzy was unreasonable. I me neither. Yeah and I love unreasonable. Yeah I mean if I hadn't it turns out that I do all heart failure. So Eldad and.

Nashville Harvard Medical School Dartmouth suzy Brigham Einstein Medical Center Eldad Philly Philadelphia Vanderbilt
"medical center" Discussed on Outcomes Rocket

Outcomes Rocket

02:23 min | 1 year ago

"medical center" Discussed on Outcomes Rocket

"Anyone Canon has to be contributing to it and and how how much of an impact that can have on on every career recommendation Lakshman listeners for the full transcript of today's interview as well as links. Thanks to the books recommended and other resources mentioned go outcomes rocket dot health in the search bar type in Lakshman. That's L. A. Okay S. H. M. A. N. You'll find all of it. They're Lakshman. This has been fun. I've really enjoyed our talk. Oh Yeah me too. This is awesome. Thank you uh hey before we leave though I love if you could just leave the listeners with a closing thought and then the best place where they could get in touch with or continue the conversation with you sure sure so I think I think my closing thought is that the entirety of the way we deliver care and receive care pushes us to think otherwise it pushes us to think not this but it's so important to remember that all of us who are in this game. We're here to care for people we bring our whole selves to. We are caring extremely skilled educated talented people and we make mistakes because the systems that we work in are incredibly complex and fragmented and let us down and it's so easy to blame other people and to feel that to see blame really everywhere around you but we got to avoid that we really got support each other and we gotta understand that people are here with good intention and good backgrounds and good skills and we need to help everyone succeed great ray parting message judge and you're. GonNa share your best place to. Oh yeah yeah it was I honestly the easiest way is probably twitter. Lincoln lacks. Lax S. W. A. M. Y. Outstanding Ending folks there you have it Lakshman Swamy just chatting about physician clinician burnout focusing on joy psychological psychological safety and making sure that we're doing the best that we can do so that we live in a joyful way so actually I just want to say thank you so much and definitely looking far to stay in touch yeah definitely myself as awesome. Thanks for listening to the outcomes rocket podcast fast be sure to visit us on the web at W._W._w. Dot Outcomes Rocket Dot Com for the show notes resources inspiration and so much more..

Lakshman Swamy Canon L. A. Okay S. H. M. A. N. Lax twitter Lincoln S. W. A. M.
"medical center" Discussed on Outcomes Rocket

Outcomes Rocket

04:33 min | 2 years ago

"medical center" Discussed on Outcomes Rocket

"Notion of working towards a solution around sepsis mortality, and this was originally one of my great stories of victory regarding identifying that we were out of the national norms again in our previous hospital regarding substance related mortality, and I got to sit down and work with this phenomenal team that identified that we needed to create kind of a fast moving pretty nimble task force that involved he figures from our. ICU are -mergency room nursing staff and hospitalised group and recognize that the only way to fix its was to impart some rapid cycle EDSA iterative changes in our process. We also recognize that our data gathering needed to be improved. So we actually had a member of our analytics team helping to provide near real time data in terms of our performance with the substance mortality, we built a series of PSA cycles and iterative and found that the fact that art yeast system on our prior EM are we since upgraded to an integrated EM are at medical center, we had previously and the two systems wouldn't talk to each other. And that was a big part in terms of causing our transitions of care to fail for our septic patients. So we set up a checklist that was truly on paper. We created champions. And we had those individuals hand off here and created a system of increased awareness around a septic patients. Despite all of our efforts did see an order of magnitude improvement with regards to our substance mortality. But shortly thereafter, we went live on our integrated EMR system that we saw a that. This is one of those instances where Jose Shen is not a correlation not necessarily causation, but you'll that the challenges associated with a system wide integrated EM are definitely supplanted some of the games that we had made with our PBS a manual process. So that was a learning point for me, recognizing that you can only do so many things in a very busy active complex health system and being able to sort of read the tea leaves and Recognize working. where you would need to pull resources and protect bubbles around things as sacred as substance mortality in those policies, despite a mouse from change that can sometimes be triggered by any Margot live. That was sobering learning process for me at once again, we are basically approaching our fryer levels of performance. At least my understanding is that we are as I keep in touch with the guys for medical center. But I will tell you that that was an area of growth for me in terms of where igniting that gig system wide initiatives can have Rask knock on effects on various projects worth every really appreciate you sharing that because you know, you guys spent a lot of time you put the teams together, you are focused on your end result you chief it, but then it sort of took just return to where it was knowing what you know now. Now with system wide initiatives, and then side initiatives like you had which are great initiatives, especially with sepsis mortality, what would you do differently than sure that you that you preserve those results or maybe you wait like what would you do differently? Now that you know, what you know. That's such a great question. I think the two things that I would have done differently is I wouldn't have cannibalised for one team to ensure success with the other team I would have instead integrated. And so at that same sepsis task force meeting. We would have talked about all of the other components associated with the new EM are relating to sepsis. And we would've used our rounds of integration testing to actually test out new process associated with identification of substance severe sepsis in our patients. I would have taken a much more integrative approach versus trying to maintain silos thinking..

Jose Shen ICU Rask Margot