35 Burst results for "Medical Center"
In quiet debut, Alzheimer's drug finds questions, skepticism
"Persisting concerns about the first new Alzheimer's treatment in more than twenty years are curbing access to it four months after regulators approved Biogen's Abdu hell which is recommended for early stage Alzheimer's several major medical centers remain undecided on whether to use it big names like the Cleveland Clinic and mass general say they'll pass for now some doctors say they need to learn more about how and to help which is said to slow Alzheimer's works and how much of the fifty thousand plus annual cost is covered by insurance Biogen is not saying how many people have received the drug last month the company executives said they were aware of about fifty sites in fusing it I'm Julie Walker
Bill Clinton released from Southern California hospital
"Bill Clinton was released from the southern California hospital Sunday where he'd been treated for an infection in a statement tweeted by Clinton spokesperson the university of California Irvine Medical Center reports president Clinton's fever and white blood cell counts are normalized and he will return home to New York to finish his course of antibiotics and aid to the seventy five year old former president said Clinton had a urological infection that spread to his bloodstream but never went into septic shock a potentially life threatening condition Hillary Clinton has been with her husband at the hospital and left with him Sunday in two thousand and four he underwent quadruple bypass surgery and after that embraced a largely vegan diet that's all his health improved I'm Julie Walker
Former President Bill Clinton fighting infection in California hospital
"An aide to Bill Clinton is offering a few details about the former president's hospitalization the aide says Bill Clinton is in an intensive care section of the university of California Irvine Medical Center but he's not receiving I see you care the aide who spoke to reporters at the hospital on condition his name wasn't used did not elaborate on the reason the former president was in the I see you but he does say Clinton had a urological infection that spread to his bloodstream the A. dad's Clinton never went into septic shock and is on the mend Hillary Clinton is with the former president in the hospital the was daughter Chelsea Clinton is not there's no word on the timeline for Clinton's release I'm
Bill Clinton hospitalized with infection but is "on the mend"
"Hi my cross your reporting former president Bill Clinton is hospitalized for a non coated related infection former president Bill Clinton is hospitalized in southern California with an infection but a spokesman says he is on the mend spokesman says the seventy five year old Clinton was admitted to the university of California Irvine Medical Center Tuesday evening for non covert related infection the second statement Porter Dr Alpesh Amin and Dr Lisa bar back who said the former president has been administered IV antibiotics and fluids Clinton
US hits 700,000 COVID deaths just as cases begin to fall
"Signs of improvement amid a rising death toll from Kobe nineteen the US has reached a pandemic milestone more than seven hundred thousand deaths recorded nineteen death toll larger than the population of Boston it's news that's frustrating to public health leaders in medical professionals since vaccines have been available to eligible Americans for nearly six months but there's some good news the number of people hospitalized echo the nineteen has fallen down nationally to around seventy five thousand from over ninety three thousand in early September a new cases have dropped about a third over the past two and a half weeks Dr Caprio Neil with the lake regional Medical Center in baton Rouge said the rate of hospitalizations isn't decreasing as quickly as cases in the community because young people who catch the disease who are otherwise healthy you're living longer in the intensive care unit on ventilators the latest model from the university of Washington projects that new cases will bump up again in the fall and that about ninety thousand more Americans will die by January first I'm Jennifer king
Contenders tout credentials in close vote to replace Merkel
"As election day nears the pressure is on to see which direction Germany will go in off to sixteen years on the top Flagler medical miracles parties scrambling to beat his center left rivals as recent polls suggest a tight race to the finish Medical Center union block is expected to trails slightly behind the social Democrats with the Green Party eyeing at least a share of the power about sixty point four million people and is able to go to the polls and elect a new parliament who will in turn elect the head of governments I'm Karen Thomas
Charlie and Dr. Rashad Richey Debate the Threat of the Delta Variant Among Children
"Delta variant has changed the game in many ways where now you have children who not only have the virus but they are experiencing adverse reactions from the virus. Look like never before. I take place. Called jackson county. Mississippi school superintendent. This guy decided to ignore all nineteen protocols. He says he's going to live a life. That's external of the fear of the pandemic. Will his school system. They have a seven percent. Cove it positive rating. They've already lost a schoolteacher. Here's the other dynamic. That people are considering you think children go to school in silos these children who can be carriers of covert nineteen can infect environment such as their parents their grandparents oh the peer groups people that their families associate with and then it becomes an issue of the ecosystem of our safety. Not just the silo of the school system very good. I i will respond. So i'm glad you brought up the delta variant so a lot of people have done some at least initial studies of the delta variant so according to dr roberta debiasi of the children's national hospital. She was asked about ari shapiro from national public radio about the delta verion the national public radio host said wait a second if kids under twelve or not vaccinated is is the delta variant a significant risk and she said quote children are still somewhat between twelve to fifteen percent of all kobe cases and still three to four percent of hospitalizations and we have not seen a huge change in that even with the delta variant. Now i'll add to that. Where the boston globe. Not exactly you know a politicized paper to the right ask. The question is the variant more severe in children. Dr sharon door and epidemiologist at tufts medical center says no. I've not seen any peer reviewed data or data from reliable sources. Suggest that so. I would submit. Doctor that there is no data. To show the delta variant has any harsher 'cause in fact the data shows the opposite
Some Kaiser Permanente Employees Quit Over Vaccine Mandate
"Talked to several people. Also who are work work well who worked Past tense for the biggest hospital chain. That rhymes with the people that worked with kaiser. That have just laughed because kaiser is saying they're not going to To acquiesce they're not even going to offer. They're gonna tighten up even religious exemptions So it's it's appalling that all of these people have to leave their jobs after serving us so well but these police officer said that they will walk out if they have to get the vaccine and they're willing to do other things they're willing to mask up. They're willing to take tests but they do not want to have the vaccine common. They should be no need to give a reason. Because my buddy choice. But i'm just curious in talking to them. Is that common thread as to why they don't want to because it's experimental or is in health reasons religious. What are they saying. I you know. So based on the people that i've talked to so far. It's all the reasons that you and i have talked about on the radio for months. Now it's the fact that it just hasn't been around long enough number one number two they don't want the government going down the slippery slope and this is probably the biggest of telling us what we can do. You know. I had a friend who is a pretty close friend who has got an active case of lupus and she has not gotten the vaccine yet but she also was afraid to get the vaccine. Because she's in a flare of lupus. She thinks it's going to make her sicker. She tried to get an appointment. Ucla medical center. They would not see her to treat her lupus until she got a covert vaccine and she told them that she was afraid and that she didn't wanna do it until she was. You know well on the mend from the lupus and they would not see her just wrong. So what's the next step. Are we going to go after smoking. Are we going to go after people. I mean what what what is next. Are we not. I mean the of law enforcement and hospitals are serve people who need help not to worry about vaccine
"medical center" Discussed on Outcomes Rocket
"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 are always looking 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 that they approach their business. What are you most excited about today. I'm 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 cove in 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 houston is a place where the health systems are really competing with each other and of course that's still true but throughout cove 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 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 Across 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 before. So i think that the spirit of collaborations 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 at all that help help improve outcomes and the way that things are done right right absolutely all right well. This has been so interesting. Emily the work you guys do there at. Tmc is unique and Truly truly of a value add to the healthcare economy that we're in it's 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. And and the best place at the listeners. Get in touch with you and the tmc team. I mean i think saw 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 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 and that is one of the areas that i think all of the innovators are going to be touching in.
"medical center" Discussed on Outcomes Rocket
"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 we're coaching all of our startups to do and so it. It felt like in the old model. You're just kind of 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 how 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 happen but we needed to really refocus on our business. dislike we coach oliver startups to seduced. 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 systems to come together around a relationship but sometimes you know. We don't provide the right advice early enough on how to 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. And it was really a better opportunity for co-development but because they went in with a paid pilot. I than the health system was not as interested in continuing the conversation around the co-development so it was a mess for us that we are always needing to really refocus our efforts and make sure that were. We're not making any future opportunities to miss that same way because that was a relationship that really could have been developed if we had Kept 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 do 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 that 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 start up of course really around gino. Okay this approach might have worked with your you know smaller medium size 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 that 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 startups 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 it's 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 you know is is this unknown. It's like no it's just not right. Now there's something else going on behind the scenes like hold tight mullahs in another month or so. So yeah it's definitely hopefully really valuable for them to have that partner with with us. And that's where we see in a accelerators kind of an overblown word right now. And and nobody really knows what it means actually to be accelerated at this point but i think for us what we're accelerating. Is that time to a relationship a meaningful engagement with the health system. 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..
"medical center" Discussed on Outcomes Rocket
"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 a relationship formed between a startup and a member institutions so a health system or a corporate partner and so we track how many startups will have a research agreement or a pilot started or clinical study started. You know or full implementation and so that's what we're really looking to achieve because once a 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 you know we can really rock around a lot more supports and that's also what the hell 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 develop especially since most accelerator models are three to four months. And that's just not enough time to really help hit that metric in healthcare. Exactly yes that we used to have no not anymore We used to have a model 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 going to look to as quickly as possible. Get you on track to get that you know 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 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 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 worked with in the last year is called verdy. It is virtual reality company. So of course. It's a popular favorite among techies. And so alex. Young who founded that company was a clinician over in the uk and he wanted to scale how medical education happens so right now that happens typically in a simulation 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. Experience 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 to training and education. That one is is a pretty cool. One my other one has a direct impact and is 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 sent 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. It's just sitting there and so two saw 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 surgeon on the other side. You know if it's going to be ready for transplant. Tebas all 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 alan's definitely a really cool opportunity to show that you know lives are being impacted directly through the new technology that is being developed by some amazing clinicians engineers throughout you know the community. Yeah that's so interesting. And i mean if somebody's going to give their long up make it work. You know it's like it's got it's got to work and it's so neat that they 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 the 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 an key learning..
"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 x. 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-science 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 rice. 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 on the podcast. 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 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. Oh 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 biology that took me into research which you know if you can develop something that 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 so many 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 and that love their bow to as you as you think about the work. You guys are doing it. 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 the 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 these different institutions. So right now that looks like data that we publish every day around covert. I'm so you can go to our website teams. Id you and see how were clobbering across all these institutions to share updates on hospitalizations and other things that are relevance than our hospitals or doing a lot of work behind the scenes to try and make sure that everyone is cloud breeding 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 access to entrepreneurs that can work with our health systems. And so it's an incubator. We have a partnership with johnson johnson j. labs and ab robotics and other corporate partners to create density around making startups possible and always relevant and tied back to the clinical application and clinical outcomes. And so we do that. Through a variety of ways through direct partnerships and relationships that we help to manage primarily through our team six accelerator. 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 guests 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 with companies into 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 business model is sorted 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 the startups and how systems to be 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 the tool in the toolbox. Right if they're running into a problem may say you know. They're ran 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 to. 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 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 find us now and we also of course help with that Anytime that that comes up as well love it. Yeah you know. And and the benefits of part of such a structure. Your fear 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 emily but it's so hard to get ideas and businesses into healthcare absolutely 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 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 gets stalled we can back channel and say he was going on as this. You know a problem with the pitch or is it just something else internally that's happening and we can provide 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 wanna 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 what's available today. We are the only system that we know about that is providing access to multiple health systems..
Alaska Military Base Declares Health Emergency
"Places that don't require masks or social distancing for the next 30 days, while the state's epidemiologist says the state is experiencing one of the sharpest surges of Covid 19 in the country in Alaska military leaders on joint base Elmendorf Richardson have declared a public health emergency, while the state's largest hospital Providence, Alaska Medical Center, is rationing care. After being overwhelmed by a surge in Covid 19 patients, the hospital has been forced to turn away patients from smaller cities. Their emergency room is over. Er flowing and people are having to wait in their cars and a parking lot for hours waiting to see a doctor. The State Health Department reports more than 1200 newly confirmed cases per 100,000 people over the past two weeks 20% of patients hospitalized in Alaska have covid 19. I'm Jennifer King. President Biden's two major
Alaska Military Base Declares Health Emergency
"Military service members in Alaska are being asked to avoid places that don't require masks or social distancing for the next thirty days well the state's epidemiologist says Alaska is experiencing one of the sharpest surges of cove in nineteen in the country in Alaska military leaders on joint base Elmendorf Richardson had declared a public health emergency while the state's largest hospital Providence Alaska Medical Center is rationing care after being overwhelmed by surgical bid nineteen patients the hospital has been forced to turn away patients from smaller cities there are merchants the room was overflowing and people are having to wait in their cars in a parking lot for hours waiting to see a doctor the state health department reports more than twelve hundred newly confirmed cases per one hundred thousand people over the past two weeks twenty percent of patients hospitalized Alaska have coded nineteen I'm Jennifer king
The History of the Supreme Court Justifies Opinions Against Forced Medicine
"Three generations of imbeciles are enough declared the supreme court in buck versus bell decision of nineteen twenty seven. I'm reading from timeline. Dot com quote. It is better for all the world. If instead of waiting to execute degenerate offspring for crime or to let them starve for their imbecilities society can prevent those who are manifestly unfit from continuing their kind. That decision was written by oliver wendell. Holmes and forced sterilization became fully legal in the united states. The case came at the height of popularity for the pseudo sciences of eugenics which maintained that negative character traits like criminality and stupidity or the entirely the product of bad genes. The court decision that set the precedent for intervention on the sterilization of women was the jacobson v massachusetts thankfully. Many decades later there was a lawsuit that included deloris madrigal. Who is the lead plaintiff in the nineteen seventy-eight case which brought suit against la county's usc medical center birds nonconsensual sterilization of mexican american women in the nineteen sixties and seventies. It would make sense. Why certain communities are apprehensive of the government forcibly putting medicine on you.
Idaho Begins Rationing Health Care as COVID-19 Surge Crushes Hospitals
"How the front page today of the times news. In twin falls idaho top story above the fold says quote. Hospital rationing begins northern idaho hospitals under crisis standards of care last night. I mentioned at the top of the show. That idaho has now had to do something no state ever wants to have to. They announced that they are implementing crisis standards of care for ten hospitals and medical centers in north idaho due to the overwhelming cova search. There this is the first time idaho's history that the state has ever had to take stuff like this. Here savvy p. describes what this announcement means in practical terms quote those deemed in most need of care and most likely to benefit from it are put on priority lists for scarce. Resources like icu. Bits others in dire need but with lower chances of surviving will be given comfort care to help keep them pain-free whether they succumb to their businesses or recover other patients with serious but not life. Threatening medical problems will face delays in receiving care until resources are
Dr. Cassandra Pierre on COVID-19 in Massachusetts
"With us. Today dr cassandra. Peer returns dr piers acting hospital epidemiologist and an infectious diseases physician at boston. Medical center welcome back. Dr pierre great to be here and we have a new addition to ask the docs this week. Dr eileen costello. The chief of ambulatory pediatrics. Also at boston medical center dr castillo. Nice to have you join us. Welcome to ask the doctors my pleasure being here all right so dr pierre. I'm going to start with you. We are seeing we. We've got this these competing data points. Okay we're seeing an increase in cases in massachusetts roughly seventeen percent more cases in the state last week over the week before according to the state's department of public health at the same time the commonwealth is still ranked forty fourth among us states where corona virus is spreading the fastest. So most states have it worse than we do right now weighing those two kind of data points. How concerned are you about delta right now in massachusetts. Well i think he really to let go of the concern You know we're in a point whereas you've been mentioning. Schools are reopening. Some businesses are reopening as well and many have been incredibly thoughtful about the plans for reopening in terms of distancing and vaccine recommendations and masks But you know as we come back from labor day weekend. There's always the concern of having an intensifying number of cases that is spread within those work school and then social networks The nice thing. Well the thing that we have to fall back on as are higher relative relatively higher vaccination rates so our hope is that we will not see an increase as high as we did last fall and winter however there is some evidence that there probably will be a continued increase in november of cases that we see.
Ethanol Plant Causes Severe Pesticide Contamination in Nebraska
"In one small nebraska town residents are living alongside unprecedented pesticide contamination. All stemming from a local ethanol plant the plant wants made headlines for its unorthodox way of making the additive but now researchers are investigating possible side effects including be die-offs sick pets and health concerns christina stella of nebraska public media reports most of the gas we pump into our cars is now blended with ethanol and alcohol usually made from corn but the six hundred person village of mead nebraska is home to a plant like no other the alternate ethanol company instead used surplus crop seeds but many were also coated with pesticides that contaminated the company's main byproduct accord corn sludge called wet cake resident. Charlie mcevoy says their problems started with a stench with think smells like a combination of dead rats and writing green years later. Emily loftus lives by eighty four thousand tonnes of rotting toxic byproducts and enough waste water to fill more than two hundred and sixty olympic size swimming pools. We bought this house. We thought it was going to be a great house for kids and now the question is did we harm them and this process. Is it safe. When they're out bouncing on the trampoline we don't know nebraska closed the plant in february after years of environmental violations days later. The company accidentally spilled four million more gallons. Eleanor rogan at the university of nebraska. Medical center says that's created a rare extreme case of pesticide pollution. If you just trying to imagine eighty four thousand tonnes of something. I mean we're talking about. Rows and rows of three story told hills of contaminated stuff stuff. Rogan is overseeing a team of public health and environmental researchers investigating poison. Pets be die-offs an unexplained health issues state sampling found around a dozen pesticides in all tens waste some at hundreds to thousand times higher than safety
Packed With Virus Patients, Louisiana Hospitals Await Ida
"Louisiana prepares for ida hospitals there and throughout the south role ready tact with coloured patients and going into lockdown. Tom yomas reports from new orleans tonight. Nbc news taken inside one of new orleans. Busiest covert icu's. The state already swamped with nearly three thousand hospitalized patients. Here sometimes just been thinking that we're dealing with a pandemic another surge and now a major hurricanes last year we had a lot of kinds of uncertainty where we thought hurricanes coming but this one looks like it's headed right for us of course that's really concerning timing storm couldn't be worse. Hurricane ida is about to collide with the fourth wave of kobe in new orleans. I see us like this when all across the city or in near capacity just a little too long to get back day sixty two year old. Deborah alexander infected during this latest search. She's been praying. She beats covy tonight. She's praying for new orleans guy at the officer medical center. They're taking no chances hoping emergency planning and new tools like these high water vehicles to evacuate patients. Help them survive the storm. So how many patients can you fit in the back so seated we could probably fit fifteen to twenty and laying down on a stretcher public close to ten or twelve. Do you think you're gonna have to use this. I hope not but we're ready for if we do
U.S. Executes Drone Strike, Killing 2 High-Profile ISIS Members
"U. S striking back after 13 U. S service members were killed in a suicide bombing on Thursday. This week. The U. S military carrying out a drone strike. Against Isis Group in Afghanistan's eastern Nangahar province. Two high profile Isis targets were killed. Meantime, following Thursday's bombing, an additional 18 U. S service members were injured. ABC will review is at Ramstein Air Base in Germany, where the wounded Americans were taken for treatment and evaluation. Minutes of Thursday's attack at the airport in Kabul, U. S C seventeen's were on their way from here. With medical supplies other lifesaving equipment. At a briefing at the Pentagon on Friday, General Hank Taylor said that two flights landed here Friday carrying our wounded personnel. They had been transferred to launched All regional Medical center to receive care. Also, at least 170 civilians were killed outside Kabul
Florida Hospital Removes Doctor for Offering Parents $50 Mask Opt-out Letters
"Area doctors out of a job after offering a mask exemption letters for a Price Capital Regional Medical Center recently dismissed Dr Brian Warden from his role he allegedly took to an anti masking website to offer parents in Leon County. Written letters to explain that their Children do not have to wear face coverings. He apparently asked for $50 per letter. It comes as the county instituted a mandate for students K through eighth grade to wear a mask unless they have proof of a medical condition. And
Doctors Are Relying More on Monoclonal Antibodies to Fight COVID
"For Covid 19 is showing a great deal of progress. David Begnaud reports from hard hit Louisiana monoclonal antibodies, lab grown proteins that help the body target and eliminate covid infection, according to Dr Thomas Galit, chief medical officer at ST Francis Medical Center in Monroe, Louisiana. They have become the most effective therapy yet has done a great job of helping high risk patients stay out of the hospital. The therapy is becoming more available at hospitals and clinics around the country. But it is only administered after infection within 10 days of the first symptoms and before those symptoms get to severe what type of sickness do you usually say that's too sick to receive if they are having profound oxygen requirements continued high grade beavers dehydration. Since July. The first we've given about 1700 doses. One of those doses went to 42 year old Scotty Johnson. We were there when he got his infusion three weeks ago in Monroe, as Covid was attacking his body. It feels like somebody's choking you. You start coughing, but nothing comes out this week. We followed up with him and we met his wife, Meg. They both got the antibody treatments right around the same time. I just really start feeling good about Three or four days ago, probably, but I feel like I'm like 90% now, while Scotty did not get the vaccine bag did my wife got anybody treatment? On Thursday. I tested positive on Friday. On Saturday, she was back up cleaning the house and doing dishes and like it never even bothered. While the antibody treatments can be effective, they are not a substitute for vaccines, says CBS News Medical contributor Dr David Agus. There's no question the vaccine is better than an antibody. But in the case where your immune suppressed and you can't make a good response to a vaccine, they're lifesavers. So this is an important part of our arsenal. But it certainly is not the only weapon in our arsenal. Vaccines are Front line. No question about it to fight a virus in today's world, and that
"medical center" Discussed on Houston Matters
"Michael hagerty talks with a local director about his newly released film. That was shot here in. Houston stay with us. Says houston matters continues. After suffering a personal tragedy agreeing millionaire goes on a quest for answers about god and a pair of siblings who happen to be professional con artists. See this as an opportunity to score big so they enlisted old friend frank in trying to convince the millionaire. He's talking to god himself. That's the setup for a new movie called playing god. He has the whole of his fourteen somewhere appropriate. Kind of spiritual quest traveling all over the world trying to find god. God he's crazy. Obviously you're not going anywhere. Your hands off okay. We have a direct line to god and he can ask anything. Wants would i. I'm god he bought it. Did you notice the master. And you've got another meeting trust me. We're golden can't stop now the role of a lifetime the trailer therefore playing god starring michael mckean and alan to dick. Most of the film was shot in houston back in two thousand eighteen houston matters. Michael hagerty talked with local director. Scott breakneck who told him about shooting the film here and about where the idea came from to nest hetty issues like how we deal with grief and suffering within the confines of a suspenseful con heist movie at some point in our lives. We're going to face when terrible things happen to us in how that really kind of shapes our worldview and kind of how we deal with it and i know that i've had some really hard things in my life and you just it brings you to a place where you question. Maybe what you thought before or lead you in matters of faith specifically can aid you toward faith or it can lead you away from faith and so that sounds really heavy so But what we were trying to.
"medical center" Discussed on Houston Matters
"You're better at it in the beginning than you are. At the end. I wrote a lot in the beginning but i was also writing a lot about stuff that would apply through the whole mission. Like you know the sense things that you want to include in the book you what is the place. Look like how does it smell. What's it like to eat to look out the window. Those kind of things. So i had some good notes Especially from the first half of the flight in how soon after you came back. Did you start writing the book itself I got back on march second and probably towards the end of april started. This was twenty. Sixteen right yeah. Twenty sixteen started in earnest and You know it's interesting how you'd think you have a final draft and it's never final the you know you never actually Someone told me that she never actually finished a book eventually. Just abandoned it for whatever reason. Yeah in our case it was because it had to go to the printer and i think that's a common experience so it took Took a pretty long time we were. We were done finally in like august. I assume since then since you've got back you've reconnected with me shia. Who was the other. Who's the russian cosmonaut. That was also up there. What have you talked about when you when you sort of. Talk about your experiences Being up in space for a year. When i do talk to him i've seen him back here since Since we've been in space. And you know we. I think we often. It's more like reminiscing about how we appreciated our time together and appreciate the the the accomplishment and how we feel about that You know my russian isn't the greatest. His russian isn't his. English isn't the greatest. Although it's better than my my russian so you know having an in depth conversation about you know the philosophical aspects of like why we did. This is not going to happen but we definitely You know it's great getting together with him. He's a great guy a great friend. And if i couldn't you know spent that much time in space with a better cosmonaut colleague one of the things that you really focus on in the book is the idea of international cooperation. You talk a lot. I mean when i got up there you were with russian. Astronauts russian cosmonauts and there was an italian woman there and it's the international space station. It was put together by this big coalition. So could you just speak to that a little bit and why you think that is so important. And why that's highlighted in the book so much. I think it's important for a number of reasons And now touch on a few of them. One is the just the redundancy in hardware and the ability to access a space and lower thorpe. If we didn't have our partnership with the russian space agency the russian government. We wouldn't have been able to retire the space shuttle. Which is we felt like..
"medical center" Discussed on Houston Matters
"Members are coming back because they're worried about their district summer staying away for political reasons as well. So there's all kinds of different issues that are swirling around this but at the very least nothing's getting done and at the end of the day it hurts texas because you have these issues that have to be resolved and there are big questions at our political. That are getting missed. Because it's the case that the parties are fighting each other. Nancy looking ahead to next year in the midterm elections are there any significant prospects to be keeping an eye on either at the state or national level. Well really the of course. The us house in us senate will be up for control and midterms traditionally do not go well for the party power but i think in texas is. Your biggest question is going to be again back to redistricting. We don't know what districts will look like right now so it's very hard to look at the twenty. Two elections currently planned with the deadlines in late december early january a vote. We anticipate they will move those But we really haven't any idea what the districts light so. I think the fact that texas has to new congressional districts will be probably and how that will shift existing congressional districts. Probably be one of the biggest issues we look at next year nancy. Sims is a political analyst and lecturer in the political science department at u of h where red and running house is a professor of political science and he also co hosts news. eight seven. Party politics program brandon. Nancy thanks for talking with us. Just ahead we revisit. A conversation with the astronaut who spent nearly a year in space aboard the iss stay with us as houston matters continues in two thousand sixteen astronaut scott. Kelly returned home to earth after spending nearly a full year aboard the international space station as part of an experiment studying the long term effects on the human body of living space in two thousand seventeen. I got to speak with kelly about his memoir of that year in space called endurance. He talked about the challenges of readjusting to life back on earth and the toll on his body in the introduction of the book kelly actually talks. About how terrible. He felt shortly after returning because it was still adjusting to gravity. That hadn't been present for almost a year. Luckily for him. The symptoms were only temporary. Symptomatic stuff the stuff stuffy. Feel or see is Pretty much cleared up. So i i of feel like i did before launched. Certainly there's the stuff you can't see effects of long term space flight and You know hopefully those will never become an issue. You mentioned in the book that one of the first things you did when you got home was jump into your swimming pool and you just you talk about how there. There's nothing that sort of his is similar to just jumping into water after being in space for so long and one of the things that interests me is that in zero gravity. It almost looks like your swimming. Sort of 'cause you're kind of just freely floating but you know obviously there's a difference is can you describe that difference is there..
"medical center" Discussed on Houston Matters
"The people that are in really difficult shape are twofold one our children and so we're seeing the largest amount of our children in our hospitals Than we've seen in the entire history of this pandemic and that's really alarming and these are very very sick children and unfortunately those that are below twelve brown able to receive the vaccine at this point. We're hoping that late. This fall will That the That they will be allowed to have the vaccine but right now we're seeing many children that are extremely six. Just give you the numbers. That fifteen percents. I'm sorry eighteen percent of the new cases in august our children so the thing about almost twenty percent of the kobe case we have five hundred nine children in texas right now. That are hospitalized With the kobe. Nineteen and give you an example of that joshua. That's taking twenty five classrooms filled with children and those are the children that are in our hospitals today in texas dudakovic. Yeah in this is. This is kind of an interesting Comparison to what was discussed last year. Just because i feel like when the pandemic was happening and when it was still fairly new. I think the assumption was or at least it was understood that children generally didn't get as sick and that they weren't you know spreading it as much but i guess are we seeing that that that understanding is changing a little bit now given the numbers that you shared shared with me. Well it's not so much. The numbers is When we allow the virus to sit in our community at large numbers it replicates every time that it replicates it gets more dangerous and as you see the delta variant is far more dangerous it is far more transmissible. It is three. Times is transmissible as the original variant. So yes early. On because children's immune systems are stronger than their grandparents for example but that was never carte blanche that would keep them from getting kobe but with this delta variant it's extremely deadly and it is going after our children that are unfortunately they can't be vaccinated the youngest of our children hopefully our twelve year olds and up are vaccinated at this point but It really and now when you think about school coming on it is a perfect storm for our children. going back into schools Where the likelihood of spread is greater than obviously when they're home alone in in quarantine from this so we're really leaning into Some dark days ahead considering worst numbers right now that we've ever seen in the pandemic. We're seeing a huge run across. All of our hospitals were short of nurses or trying to get in more from around the country. But you as you would imagine allstate's particularly the states that are suffering the most with the lowest vaccination rates are.
"medical center" Discussed on Outcomes Rocket
"High costs. Speciality drugs that are you know for rare and chronic disease and they are like changing life. Sustaining twenty from now. we're going to have cures. we're going to have technology that we've never trump about. And so how do we position our pharmacy management strategy to make sure that people have access to them and were able to afford. Because we're not gonna have what we have today with. kobe were. The government is funding axes. Pandemic it's a it's an emergency authorization period to have that in so that's really the exciting but very intimidating Thought about what the future is. But i look at foals were were engaging members i look at technology. We've got ardinger in separate health. They use texting to give people refill reminders. And to help them for their drugs we have digital therapeutics that are on the cutting edge where patients can actually track their insulin. Dosing with got technology that does continuous glucose monitoring and patients are now so educated. triggers are at drives their spikes in blood sugar. How do we just take all that burgeoning technology which you know again you couple that with a population of young folks. That grew up with this and it's not going to be an option. They're gonna want it. Look at the wearables that were having today that that are just you know how many people look at their iphones. Many steps they use because it's built in so it's just really exciting to think about. Can we leverage these technologies in a way again it's affordable but also where patients and members want to use them. So i don't. I don't have to write. How do you get engagement and keep using that word. But i think we're going to grow so much smarter about with drives are diseases and it's going to be aided by technology and digital therapeutics and it's going to be to be treated by drugs that are going to be innovative personalized and it's just so different than where we are today from where we came from and i think that's what really excites me about the future. And so these new transformative in curative drugs. In the pipeline. How will you. pm c. Have to adjust to be able to support. Those high costs prescriptions and ensure that their members get access to those. Well i mean that could be a whole separate. Don't let to summit up fairly quickly right so pharmacy and this may be a little bit more detail than our audience wants. But i think it's important pharmacy. Unlike medical about pharmacists. That i talked about myself right all those years ago. How i got paid was on drug margin right so i- drugs that had been priced. I get paid at a decent price. That's what keeps the lights on. Pays the pharmacist salaries. If you look at what's happening on the medical side of the equation. There's been more value based reimbursement right. There's more pay for value instead of paid for widget in we've been really working hard you. Pm cedeno fortunate again that have leadership that supports me on this is how do we transform pharmacy from pay for widget to pay for value at talked about those pharmacists again. The reason why pharmacists winning a dark place as profession is because you know payers everybody else in the supply chain made them feel more and more and more prescriptions to be able to make the same amount of money in we ignored clinical state quarter because they were heads down in the back of the pharmacy. Just cranking out more volley. So how do we get away for pay from volume in the pay for value. And i think that's what we're really excited about. We're starting to do lots of those kind of pilots with our retail partners. And so if you if you can get pharmacy to kind of shift a little bit go towards pay for value and then we can partner with industry to do more value based contracts. Let's face it these cures. We already have the drug. It's a two million dollar drugs for sama data. We have on that probably spans a couple of years. So it's priced like a lifetime cure. You know you don't have any data more than a few years science tells you that if you replace the gene or your a player did gene. You should have a lifetime of cure. A wheel know that so essentially at the end of the day. Cow what we need to do is we need payment reform transformative therapies. We need warranty contracts. That basically say well if the drive.
"medical center" Discussed on Gwinnett Daily Post Podcast
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"medical center" Discussed on Gwinnett Daily Post Podcast
"Welcome to the daily post podcast. Today as sunday june thirteenth captain america. Chris evans is forty years old today to. I'm chris and here your top stories brought to you by georgia. United credit u the special accreditation review for going county public schools begins today when it county deputies have located and arrested a man one in connection with a double murder lawrenceville when account police have issued a new call for information about a murder that occurred in norcross last fall. Marietta man who was serving as the chief operating officer at a network security company is facing more than a dozen charges for allegedly conducting a cyber attack against medical center. Lionheart feeder is roaring back from the covid era with summer case for young ones and exciting theatrical youth festival and finally the girl scouts day camp celebrated forty years of skill building. Fun when you're in the market for new home. Georgia united credit union is here to help. We offer competitive rates low fees and flexible terms. So you could be confident. You're getting the best home for your budget. We'll even cover up to five hundred dollars on the appraisal fee of your new home saving you even more money. Our home loan experts will guide you through the process finding the best loan solutions for your needs. We have up to one hundred percent financing and no money down options for qualified members. Lock the door to your new home by visiting g. You see you dot. Org slash new home. Georgia united is an equal housing lender team from the agency that accredits county public schools has begun special review to investigate numerous complaints primarily about the county's board of education. Talk me a special accreditation review of. Gps begins today and is expected to last through wednesday team that will be conducting. The review will interview people who filed complaints against the district as well as parents do. N't teachers administrators. Superintendent j alvin wilbanks members of the gwinnett county board of education and other members of the community during the visit district leaders will also present evidence.
"medical center" Discussed on Cardionerds
"And and sodium glucose co-transporter to inhibition are all added in a step-wise fashion over months as tolerated cardiac resynchronization therapy were indicated also can improve their function decreased life and treat their volumes and improve them are this should be considered in all patients who are candidates such as those with left bundle branch block particularly. If the QRS duration is greater than 150 milliseconds consideration should also be given to restoring sinus rhythm to those in atrial fibrillation and revascularization should be pursued where possible for those with ischemic Mr. For the most persistent symptoms. And at least moderately severe functional Mr. After guideline directed therapy for three months traditionally are only treatment option for many years with surgical mitral valve repair or replacement surgery consisted of either repair with a downsized annual plastic ring or chordal sparing valve replacement. However, the outcomes from surgical therapy and functional Mr. Have been less than inspiring with no dead. Showing survival benefit therefore related to the lack of benefit. We typically Reserve mitral valve surgery to those who need cabbage or other valve surgery that scenario is a class to a commendation in the 2017 accha guidelines. Otherwise without another reason for surgery than the mitral valve disease surgical mitral valve repair or replacement receives a cost to be recommendation transcatheter mitral valve edge-to-edge repair with mitral clip is based on the surgical Alfieri Stitch and results in edge-to-edge approximation of the mitral valve off. Posterior leaflets with the clip at the point of Mal co-optation resulting in a double orifice mitral valve as mentioned mitral clip had reasonable outcomes in terms of reduction in the degree of Em are wage and symptoms as well as decrease heart failure hospitalizations in the Everest trial which led to its initial FDA approval for degenerative Mr. And prohibitive risk surgical patients in 2013 subsequently the dog. That trial evaluated this therapy specifically in 614 patience with symptomatic heart failure and functional Mr. Patients were randomized 1212 either guideline direct to Medical therapy or guidelines to Medical therapy with transcatheter mitral valve repair with mitral clip. I remember being at the late-breaking clinical trial session at TCT in San Diego and 2018 when these results were presented wage excitement was palpable and was like, no other session I've ever witnessed. I don't think anyone was surprised at the primary outcome of reduced heart failure hospitalizations was met however, it was met impressively with a number needed to treat of just three patients. I think what was most surprising and very exciting was it patients treated with edge-to-edge repair with mitral clip also had improved survival over two years with a number needed to treat of just six patients..
"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..
"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.
"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..
"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.
"medical center" Discussed on New Jersey 101.5
"Medical Center and are W. J. Barnabas health achieving excellence together New Jersey one one point five it's a weather get ready for not only wintry temperatures but also some wintry precipitation were partly most funny up their lows mid thirties low forties partly sunny mid fifties low sixties on veterans day and see some rain Monday night lows loaded forties appears rain Tuesday that'll change over to snow and spots as high temperatures will be in the mid to upper forties early then dropping at or below freezing by late afternoon dissipation winds up quickly mainly sunny much colder on Wednesday highs upper twenties and the thirties that's your Jersey one one point five is whether I'm because Tabor and your weather made possible by resorts casino hotel ring in the new year round resorts casino hotel celebrate with pop icon Taylor Dayne now on December thirty first at new year's eve show on that day and purchase tickets visit resorts AC dot com that's resorts AC dot com Morton down forty two we hawk in the warmer spotted forty eight and far hills thirty eight degrees fast trafficking instant weather every fifteen minutes on New Jersey one old one point five New Jersey one a one point five our own radio station New York proud to be New Jersey and this is your New Jersey we to so miss you know I didn't name the song miss you the chime time is ten eighteen I am Bible Brandon tis the season for the Jersey cash goes contest in New Jersey one one point five hits back you could win up to five thousand dollars in holiday whole whole day I love the name of that holiday ho ho Jo listen starting this Thursday ten fifteen one fifteen for fifteen three times every week day we give you the secret code word then entered on our app or an engine one one five dot com for your chance to up to five thousand dollars every time we play on to Jersey one all one point five and under a full moon of course the moon can affect many things maybe even traffic it's New Jersey fast travel right now it's not really affecting the roads we've got some minor slowdowns on forty six west bound a couple of slow moving cars and mountain clicks as you make.