37 Burst results for "Medical Director"
Fresh update on "medical director" discussed on KYW 24 Hour News
"No Delaware and plans to follow CDC guidelines when it comes to giving out the first covert vaccines as we hear from K Y W is Andrew Kramer. Dr Rick Hung, who is medical director of Delaware's division of Public Health, says they're taking the CDC recommendations the heart but The state also wants to take a close look at its own needs. You know, we want to look at our statewide data and trans and make recommendations based on that as well, too, so it's not just cutting and pasting reputation. He says They have new online resources, which include vaccine fact sheets for the public and helpful information for medical providers as well. There are also questions about safety and hopefully the website will provide additional information on the safety profiles of both these vaccines. But we also want to have testimonials from real delawareans who are planning to get backstage and you can kind of read their stories and find out why they want to get back sees all this, Dr Hyung says, as Delaware's ethics group keeps snooping around to see what other experts were saying about the vaccine and the best distribution practices. Andrew Kramer case It'll be your news radio. Centers for Disease Control and Prevention plans to shorten the length of self quarantine recommended after potential exposure to covert 19. It'll allow people who have come into contact with someone infected with the virus to resume normal activity after 10 days or seven days if they receive a negative test result. That's down from the 14 Day period recommended since the onset of the pandemic, CBS News Medical contributor Dr David Agus explains why they're headed in this direction. This reflects new data that the majority of the cases present 4 to 5 days after exposure. But we know is is that their case is that present anywhere from 2 to 14 days. In general, but the majority will it be exposed in this window, according to a senior administration official. The new guidelines are set to be released as soon as this evening or watching some jam traffic on Route one South bound in Bucks County, which checking with Stevie to find out what the problem is coming up next. Work up for Gacy. The news has never been clearer on K y w NewsRadio 1039 fl and know what game of commercial chicken brought to you by progressive where we see how long flow could go without talking about insurance..
High Hospitalization Rates in Dallas Area May Prompt Greater COVID-19 Restrictions
"19 hospitalizations could bring more covert 19 restrictions to North Texas Governor Abbotts Executive order borders must close and other businesses reduced capacity to 50%. If the Kobe 19 hospitalization rate rate in in a a particular particular trauma trauma service service area area stays stays above above 15% 15% for for seven seven days, days, Dallas Dallas Any Any medical medical director director Phil Phil Wang Wang says says the the recent recent Thanksgiving Thanksgiving holiday combined with winter weather has doctors worried. We're starting out at a really high level to begin with. If trends continue, North Texas could hit that mark by the end of the week. Quite Nevil,
Fresh "Medical Director" from Ron St. Pierre
"Was a little busy inside, but he was excited. He could go in. It's clean. Everyone's got their mask on. Not no one's really doing anything. They're not supposed to be just like before. So it's kind of the same thing that's been going on for the past few months. You know, the Max fitness location in Warren is open to know we're ready to take whatever happens, go from there. But wait, we got you what's best for the company while you, especially members and everyone's overall health. No again. The state is aware of this situation. But as of right now, and tonight, they tell us they're unable to provide any further comment on this national A pseudo from 12 news. Let me tell you something if I was in gym owner in this state If I was a restaurant owner in the state, I would be so peeved so pissed off about this. This place is going to get whacked. That's my opinion. You know fines of up to what 100 to $4000 have been slapped. Uh, you know, Operations who just defy with the governor tells them that we got to do with this particular point. And, uh, I'm guessing I think they're gonna be looking at a major find. Medical programs director At the Rhode Island Department of Corrections has given notice that Friday is going to be her last day at the institution where she's worked since 1980 98 as covert cases they're the state prison continue to sewer Kitty Mulvaney has this in today's Providence Journal. Acne Department reported Monday in a Facebook post that 488 prisoners 112 staff and tested positive. In the month of November, Dr. Jennifer Clark voluntarily gave her two weeks notice which corrections director Patricia Coin Fig reluctantly accepted. Apparently, that's according to A corrections spokesperson Jr Ventura said that on Tuesday now Clark did not respond immediately, The Journal said to a call placed to the medical director's office at the Department of Corrections, a bounce back message on her corrections address, read. And we quote as of the fifth of December 2020. I no longer work for the Rhode Island Department of Corrections, and it referred centers to other medical staff at the prison's This one's of a head scratcher. Amid the covert spike, the medical director for the D. O. C steps down 20 minutes after six o'clock, Let's hit the road ways once again. Check in with Jackie Murphy brought to us by Merrill. No issues, delaying your trip so far on this Wednesday morning on Route 95 either way between Cranston and the Massachusetts border, you've got a good ride on.
Dallas - State Mandated COVID-19 Restrictions Could Trigger Later This Week
"Covered 19 19 hospitalizations hospitalizations could bring could more bring covert more covert 19 19 restrictions restrictions to North to North Texas Texas Governor Governor Abbotts Abbotts Executive Executive order order borders borders must must close close and other and businesses other businesses reduced reduced capacity capacity to 50%. to 50%. If the If Kobe the Kobe 19 19 hospitalization hospitalization rate rate rate rate in in a a in in particular particular a a particular particular trauma trauma trauma trauma service service service service area area area area stays stays stays stays above above above above 15% 15% 15% 15% for for seven seven for for seven seven days, days, days, days, Dallas Dallas Dallas Dallas Any Any medical medical Any Any medical medical director director director director Phil Phil Phil Phil Wang Wang Wang Wang says says says says the the recent recent the the recent recent Thanksgiving Thanksgiving Thanksgiving Thanksgiving holiday holiday combined combined with winter with winter weather weather has has doctors doctors worried. worried. We're starting We're starting out out at a at really a really high level high level to begin to begin with. with. If trends If trends continue, continue, North North Texas Texas could hit could that hit that mark mark by by the end the of end the week. of the week. Quite Quite Nevil, Nevil,
The Food Fix
"I must admit to being exhausted. The last four years has taken a massive psychological and emotional toll that i'm only now just beginning to appreciate truthfully the struggle to keep hope that this day would arrive of alluded me the good news that we now have the opportunity to reignite democracy civility truth and move towards healing both our country and the earth. We've gone so far backwards that we need to move forward with deliberate tangible and bold steps one of the voices calling for such a revolution in thinking and action is dr mark. Hyman mark is a systems thinker and for dr. Hyman health is about connecting the soil with the farmer with the groza without diet and only when we connect all those dots. Can we begin to achieve planetary regeneration. As we'll hear in today's podcast what is truly staggering is the cost of today's broken food system. In which sixty percent of our calories in the us come in the form of ultra processed food. Dr mark hyman is head of strategy and innovation of the cleveland clinic center for functional medicine. He's the founder and director of the ultra wellness center and the board president of clinical affairs for the institute of functional medicine. Mark hosts one of the leading health. Podcast the doctors pharmacies spelled f. a. a. c. y. Pham esi marcus. The thirteen time. New york best seller author. His most recent book is called food. Fix how to save our health our economy our communities and our planet one bite. At a time i sought by ascii mark. How he got into medicine in the first place. Ming doctor was a total afterthought for me buddhist student in college. I studied buddhism. Asian studies chinese. I studied ecology. The environment systems thinking ancient systems of healing. Very eclectic and i decided after i graduated. But what am. I going do with a degree in buddhism so i took a long hike by myself in the shenandoah valley through my backpack brought a copy of moby dick. Because it was a very thick books. I could carry and read house before kindle and I just walked and thought and just kind of thought about what i wanted to do in the buddhist framework is really about healing. It's a it's a healing system. It's not really a religion it's really a system of healing of the mind and it's about the relief of suffering it's about compassion and love and service and and those were things that really called to me as a young man and i thought well. What could i do. That kind of fits all that. I could be a monk. That didn't sound like a lot of fun. But i decided i could be a doctor and it was a total afterthought i just i didn't have any science courses. I had to go back. And take some pre med courses and ended up loving. And i decided i would just keep doing as long as i liked it. And if i didn't like it anymore. I would stop and so far so good thirty years later. I mean that's great advice for anyone thinking about people. Ask me career advice. I say that like if you enjoy it if it fills you keep doing it and if it doesn't maybe think about stopping it exactly exactly chain. I've changed so many things i've been you know a small town country doctrine idaho and a native american reservation. Emergency room doctor started clinics in china ex patriots. I was the medical director. Kanye ranch i developed my own. Practice started writing books and teaching About functional medicine became the faculty of functional medicine institute and direct and the chairman of it started big center for functional medicine at cleveland clinic. And now i'm sort of moving into a different phase of thinking about how do we deal with the intersecting issues of food and health and agriculture environment which all may seem separate but are actually all one problem and if we want to solve one we have to solve them all to before we end that. What is functional medicine. What does that mean. That joke is the opposite of dysfunctional medicine. Which is what we have now. As essentially a system of thinking it's not a methodology or treatment or attests supplement is is essentially a way of thinking about disease based on systems. It's it's base c ecosystem medicine. You understand that that the environment is an ecosystem and that everything has to be imbalanced in nature. For to thrive and in madison we really created a reductionist model that allows us to focus on diseases and symptoms in drugs to target those symptoms and not really understand what is health. We never took the course in medical school. Creating a healthy human wanna one. You know we we basically learn how to diagnose and diseases functional. Medicine is the science creating health. And when you do that does goes away. The side effect if you create a healthy ecosystem for example on a farm or a natural ecosystem it becomes. Resilient disease doesn't occur.
Visits suspended at Holyoke Soldiers' Home, west of Boston, after recovered resident tests positive for COVID-19
"Suspended once again at the Holy Oak Soldiers home as there was a resident who lived at the facility who had recovered from Cove in 19 and has tested positive Once again. There was also a letter from the facility administrator, saying there were three recovered veterans. Who lived in two different units who were once again showing covert like symptoms on Sunday. So right now, staffers and residents there are being tested. Everyone there is being tested this week. The state run veterans facility has been under the watch of state investigators as 76 residents died there this spring. It was one of the deadliest outbreaks in the country at any sort of health care facility. The former manager and medical director, also facing charges from the state on negligence in the operation of the Holyoke soldiers home.
These doctors got COVID-19, now they're suffering the serious, mysterious symptoms of 'long COVID'
"Hi It's Natasha. Mitchell with science friction. I'll be the first admit that as a GP price all of I was pretty skeptical of things. I certainly had sympathy for for conditions like FIBROMYALGIA. But I didn't have the empathy that I have now. I didn't understand it I. Really didn't get it. And Gosh if I could go back and speak to myself as a GP prior to all of this, I know that I would have been much better doctor then and I will hopefully be a much stop to now. As Corona virus cases explode again in the you kind across Europe today three doctors from the UK share confronting personal experiences of what's being called long covert. I have seen too many cases on nine of people not being heard not being Nessin to. That symptoms and their concerns not being validated. I've seen heartbreaking stories of people just being dismissed of seeing heartbreaking stories of people losing their jobs. And I am very lucky that I have a platform where I can speak up and try and get long covert recognizes melnace. The term long covert is being used to describe a whole cluster of symptoms and afflictions many extremely disturbing and disabling that lingering on some people after they've been infected with the SARS Cov to virus thousands across the world are now finding solidarity on social media and in virtual support groups that are popping up and long covert. To not discriminate healthy people young people, people who apparently had a mild case of covid nineteen. And every system in their bodies can be affected up until the last a week or two. The concept of long caved has been dismissed by quite a lot of people even in the medical sphere many my colleagues have been unwell since March and have really struggled to get any kind of medical inputs until the last couple of months those weren't hospitalized with the illness would just sort of left to get on with it. It's the classic thing a suspect. It might even be a bloke thing do not for long enough it will go away. Yeah. Diminish it ignore it hope it's not their. Own I another thing to worry about uh, suspect always going through people's minds and that will include medics politicians policies such as civil servants, everybody. But they will be left with the long term consequences and in terms of the total health burden that will weigh exceed whatever acute covid to us by the time of comes on. So we facing another pandemic this one silent confusing and hard to diagnose knows a pandemic of long coverted. I'm Dr Amy Small I'm thirty nine and I'm Jay P in Lothian in Scotland a gorgeous part of the world in the Scottish lowlands and before the pandemic Dr smalls life was a when I think back it was busy and chaotic and getting up at six thirty every morning and out house by seventh day and yet as a family, we were very active and very busy but it work back in February and March. I'm in colleagues were on high alert the sense of impending doom that we felt on those first few weeks moore seeing reports of huge numbers of people dying in. Italy. In just thinking gosh you know. Is that coming away at it was just really really scary I'm Dr Natalie Mcdermott I'm an academic clinical electra at King's College London and she specializes in Pediatric Infectious Diseases Dr McDermott is no stranger to deadly infections Ebola cholera now coronavirus she's been on the front line of the Mall I was working in Liberia in in the capital Monrovia in July twenty fourteen as as cases of started spread very rapidly our more queseda flowing because we had so many dead bodies but we didn't have sevices coming to pick them up so the burial teams weren't Well. They were trying their best, but they were limited as well at during that time two of my colleagues one of whom was on medical director for treatment facility they became infected with. I saw a space about thirty percent of my patients that died in those first few weeks. I was in Liberia that he percent of them were health coworkers what Natalie witnessed firsthand was hellish but going is her as a doctor she went on to do a PhD, investigating the genetics of asa sipped ability to a bowl avars disease. And when Covid nineteen heat I was working in Pediatric Infectious Diseases at Great Ormond Street Hospital. When we started to see a surge of cases of what we now who multi-system inflammatory syndrome children previously healthy children started falling very ill they come in generally unwell but looking okay and then within a few hours sometimes but maybe you set me within twenty four hours. Many of them would suddenly drop their blood pressure and they and become very touchy. It said it heart rate would become very fast at that stage it was thought children were only mildly affected by. Covid nineteen and on the whole, it seems they are but the Natalie and colleagues found all lot of them did test positive in terms of the throat swaps full cave nineteen they tested positive for antibodies to cave in nineteen either actually at the beginning of that onus or at some point Jerry net illness doctrine failing on consulting genetic pathologists to Saint Mark's hospital in Harrow in London and Sinn. Vincent's Hospital in Dublin Ireland in filing is a practicing doctor and later in the genetics of bail and related cancers collaborating with colleagues around the world including here in Australia. At the beginning of the pandemic back in March whiles looked pretty safe or think. To identify, cases in Wales. H. One about forty kilometers outside of me. So eastern West. So you get the impression whereas almost none of it about. So the odds of you catching, it must be next to nothing.
The Lummi Nation is withdrawing from a COVID-19 vaccine trial conducted by AstraZeneca
"This is national native news make an camera in for Antonio Gonzalez, a Montana County has agreed to open a satellite voting office on the black feet nation in settlement of a lawsuit by the tribe Mt. PR's Aaron Bolton reports Jacqueline de Leon is a staff attorney for the colorado-based native American Rights Fund, which helped the bike, the nation file, a case in federal court last week after the. Tribe requested that Array County. Opened a satellite voting office on the reservation. The tribe argued failure to do so would violate federal and State Law de Leone says the county has now read to open a satellite office in heartbeat on. October, nineteenth settling the case we were worried and have been worried that the move to vote by mail was going to disenfranchise native Americans because we know that. Vote by mail in Indian country. We know that lots of people don't get residential mail delivery under a county election officials declined to comment on the case. Di Leone says the native American. Rights Fund also helped the Fort Pack and Northern Cheyenne Tribes Negotiate with Roosevelt Big Horn, and Rosebud. Counties. She says that all three counties were offering in person voter services off reservation according to de. Leon all three counties have now agreed to open satellite offices on the reservations for national native news I'm Erin Bolton. A first nations leader in Atlantic Canada is calling on the prime minister to help settle a lobster dispute as Dan Carpenter Chuck reports confrontations in the Nova Scotia, lobster fishery have become increasingly more violent. Now, indigenous leaders are asking for more protection from police against targeted attacks by nonindigenous lobster fishers police say there were about two hundred people present during violent clashes near lobster pounds one van was set on fire. The dispute began after indigenous lobster fishers say they exercise their? Treaty rights to fish outside the federally regulated fishing season. The chief of this epoch attack first nation Mike sack says they have a right to fish for a moderate livelihood where and when they want and that's based on a Supreme Court ruling from twenty years ago sack says during the confrontation police were on site but did nothing to intervene I've also sent a letter off to a prime minister and hoping that him from they're not sure where to go with IT A. Number of community members throughout Nova Scotia Canada are willing to come in and protect our equal. Or we're not looking to add any fuel to the fire. So we're open the RCMP can just help come in. Charge what was wrong doing the chief says his council has also decided to take legal action against those who are interfering with his bands lobster fishery. In Ottawa Indigenous Services Minister Mark Miller called the violence unacceptable. He says, it's important to get both sides to the table to talk about exactly what is a moderate livelihood for the Magma for National Native News I'm Dan Carpenter Chuck. The LemMe Indian Business Council said this week that the LEMme nation is withdrawing from covid nineteen vaccine trial conducted by Astra Zeneca leader said, there were ongoing communication challenges with officials at the pharmaceutical company which had put its trial on hold following adverse reactions among some volunteers. The Lemme end the Navajo nation faced some backlash from tribal members participating in the trial according to Indian country today that's because of a fraud history of medical procedures and outside research conducted on Indigenous People Lemme nation medical director Dr Dakota Lane said Native Americans face greater risk from covid nineteen but are rarely included and testing vaccines and medications, which is a disadvantage to determining whether they're effective in native populations. LemMe Business Council. Chairman Lawrence Solomon said they would explore whether future trials are safe and appropriate for tribal members for national. Native, News. I'm Megan Camera.
Charges Pending Against Queens Woman Accused Of Leaving Newborn Baby Outside After Giving Birth, New York
"Baby is fighting for his life after he was found yesterday outside a home in Richmond Hill, Queens, CBS two's Cori James has more. Police say the baby was naked attached to his umbilical court and lying next to garbage. Whoever lead the baby outside, it's wrong. The newborn was in critical condition after being rushed to Jamaica Hospital. He was later transferred to Cho in Children's medical Center. This may be the first actually In the past year. Dr Peter Silver is the medical director at the hospital. Silver says it is important to remind people of the abandoned infant protection act or safe haven law that is designed to prevent situations like this. The 23 year old woman, believed to be the child's mother, was taken into custody and was transferred to a hospital to be evaluated. Rate
Donating blood can help neighbors with COVID
"You give blood and the plasma tests positive for covert 19 antibodies, The Red Cross says it can use the plasma to help others. Cross says blood is needed not just to help those in car crashes or others who are undergoing surgeon medical treatments, but also the most critical patients. Fighting Cove in 19, American Red Cross medical director Dr Aaron Goodhue tells us what they would use from the donation. Is what is called convalescent plasma, she says it's an old standby utility is usually when a new infectious disease kind of blindsides us like what has happened in this pandemic. And while the medical and scientific community work tirelessly to find anti viral therapies, vaccines and multiply anybody specific for this virus couple of unpleasant been used measure really is the 1919. Spanish flu in early 2000 for the first stars, Outbreak and MERS outbreak and recently people outbreaks in 15,000. 40 to learn more about giving blood you can check out red cross dot org's Jennifer Kipper NewsRadio 105.9 FM
Families Grateful Charges Were Filed In Soldiers’ Home Coronavirus Deaths, West Of Boston
"The Holyoke soldiers home now facing charges in connection with the deaths of dozens of veterans there from covert 19 Attorney General Maura Healey. Criminal charges against superintendent than at Walsh. And former medical director David Clinton. Thes charges stem from their alleged role in the deadly coded 19 outbreak at the Holy Oak Soldiers home. We believe this is the first criminal case in the country. Brought against those involved in nursing homes during the Cobain 19 pandemic more from WNBC TV Cheryl Fiandaca, Thank God I was just so grateful that was Laurie Mandeville bowed its reaction to the criminal charges filed against the former Holyoke soldiers, home superintendent and its medical director. Lori's dad, Jim, one of 76 veterans who died after getting Cove in 19 at the state run facility. I personally believe they deserve the maximum sentence under law. Cheryl Blaze feels the same way. Her dad Robert, also died of Covitz at Holy Oak, the decisions that they made to put Bets together in a room that somewhere positive somewhere negative. It was criminal. It was awful. I'm thrilled. I'm really, really happy that they're being held accountable. Attorney Tom Lesser represents more than 20 families. In a civil rights lawsuit, heartened that Bennett walls and Dr David Clinton are indicted, but says others are also to blame for the tragic deaths. We have. I've defended. We have the secretary of Veterans of Bears Arena we have the director of nursing You have the assistant director of nursing We think those are the five people most responsible. The family say they know they have a long road ahead. But they now believe they're one step closer to justice. Coming up Bloomberg
2 charged over handling of virus outbreak at Massachusetts veterans home
"Former leaders of the state run holyoke soldiers home in Massachusetts are now facing criminal charges over a corona virus outbreak that killed dozens of veterans on March Twenty, seven, th then Superintendent Bennett Walsh and medical director. David Clinton decided to consolidate to dementia units at Holyoke soldiers home putting symptomatic residents including some who were confirmed covid positive within feet of ace symptomatic residents resulting outbreak killed at least seventy six veterans. Reckless actions weren't criminal charges against Bennett. Walsh and David Clinton Massachusetts Attorney General Maura Healey called this the first criminal case in the country against nursing home operators related to the pandemic Aaron Katersky ABC News New
2 charged over handling of virus outbreak at veterans home
"80 people died from Corona virus have been criminally charged for their handling of the outbreak. The Holy Oak soldiers Home Superintendent Bennett Walsh. And medical director David Clinton have been indicted by a grand jury on charges stemming from their decision to combine to dementia units as the virus was spreading throughout the home. Florida's governor has lifted all Covad 19 restrictions on restaurants. Florida Governor Rhonda Sanders says shutting down restaurants didn't change much in places like South Florida. I challenge you to show me a difference in those epidemic curve. They've been operating at 15% capacity, and dissenters says it's time to open again full up no restrictions. They're not going to be able to be closed by locals anymore, and they will be able to operate at the capacity that that they're comfortable with. Florida cases air down dramatically from early in mid summer, but To Satis acknowledges that a second wave could come, he says. Quote. I don't think anybody knows Peter King. CBS NEWS Orlando officials in Minnesota have been forced to stop a covert 19
Boston - Former Holyoke Soldiers’ Home Superintendent, Medical Director Charged In Coronavirus Deaths
"Of the Holyoke Soldiers Home and his medical director are facing criminal charges this afternoon after dozens of veterans and their care died of covert 19 the criminal case, There's a victim in this case there were ultimately 76 Attorney General Mara Healey says a grand jury has indicted former Holyoke soldiers home had been at Walsh and former medical director Dr David Clinton. On 10 counts each of criminal neglect. They were the ultimate decision makers. They were ultimately responsible for the deadly decision to consolidate these two units. General Haley says she believes these are the first prosecutions in the country to come from a covert 19 outbreak in a nursing home. Karen Regal W. B. Z Boston's news radio to
UC Irvine to test students living on campus weekly for COVID-19
"Irvine says students living on campus for the fall quarter will be tested regularly for the Corona virus about 3600 students are already living there, and another 3500 are set to move in by the end of the month. Under Albert Chang is the medical director of the school's student health Center and tells can next testing might be done once a week or once every other week, depending on what happens. We're doing the nasal swab. A PCR test for our students being protected, asymptomatic students being tested on campus. We're working closely with our own UC and medical centers Laboratory and the turnaround time. As we've told, students may take from 48 to 72 hour. But he says recent test results of students already on campus have come back in about a day about 2700 students have already been tested to, Chang says there have been no positive cases. So far,
Two Charged in Coronavirus Outbreak at Veterans’ Home West Of Boston That Left 76 Dead
"And we have breaking news regarding nearly 80 covert 19 deaths in a veteran's home in Massachusetts earlier this year, State Attorney General Maura Healey today I am announcing criminal charges against superintendent than at Walsh. And former medical director David Clinton. These charges stem from their alleged role in the deadly Coben 19 outbreak at the Holy Oak Soldiers home. The charges come three months after a scathing report that called the decisions they made during the pandemic utterly baffling. Walsh was placed on leave later fired. The two men are charged with five counts of criminal neglect, five counts of serious bodily
San Diego State University: 440 confirmed coronavirus cases among students
"Confirms covert cases in San Diego States. Dr. Eric McDonald's medical director of San Diego County's epidemiology and Immunization services division, says the big jump is concerning our investigations thus far look like There are a number of groups of students within that that maybe separate outbreaks. One student's hospitalized more than 130 are quarantining in the residence halls. Andre Julie San Diego States, associate vice president for student affairs, says campus health officials are working with students who have tested positive. We also the process with our professional staff to check in with our students regularly, who are in isolation and quarantine. For isolation students. Those check INS air twice a day. And so we're checking to see how they're doing, making sure you know that they're healthy. That's ah, one of our primary concerns school has extended its stay at home order and hired private security to help enforce the public health guidelines.
Providing Addiction Treatment Amid COVID-19
"Here, we are another interview and art. Let's talk podcast series. Thanks for joining US I'm your host William seat. MOYER's these podcasts feature experts on the gamut of issues that matter to his Betty Ford. The same issues that matter to you, our audience from substance use prevention to cutting edge research treatment of addiction and recovery from it. These conversations have become quite popular the past two years, and if you're a regular viewer or listener to the podcast particularly if you're viewing them, you'll note that for today things around the set look a little bit different. Of course, they do were in the recording this in the midst of the pandemic has affected all of us. He's four, take seriously the need to do everything possible to prevent the spread of coronavirus among our patients and our employees. Even here in the studio, we are following public health guidelines. As a result I can take off my mask for this interview because the production crew, the executive producer, and yes even my guest Dr Victor Vines are elsewhere in the building good social distancing one. Doctor. Vines was hired as our regional medical director from Minnesota and join our. In January of this year twenty, twenty talk about a baptism of fire in the middle of Minnesota winter. But Dr Vines, you've got to Hazel Betty Ford. Expecting to plunge full bore into addiction and addiction medicine and being part of the vital team in all of a sudden you found yourself part of the Kobe response team with a pandemic on your hands. Yes that was completely unexpected and. Quad surprise. I was I was delighted to be invited to be a part of the Code Command team you know I've. At the time of this recording and we're we're doing this in June of two thousand twenty. I am still not completed. I have still not completed my on boarding process that was going to be about a three month or three and a half month process. With learning. That would be scheduled and continued for for a long period of time but. Less than two months into into the process cova came along and turned everything on its ear, and that has that's it's actually been a real benefit for me because I've gotten to know and work with directly many of the people in leadership positions throughout the Hazelton Betty Ford. Organization. On. Both coasts and in between and ways that I never would have as if I was simply functioning as a medical director. So the CO Vid Task Force the the instant command team that we have has been a real plus for me in terms of getting connected into the organization and what has that response team had to do the last couple of months so To. Give you some time timeframe. We. First met our very first call organization of our command team. We stood that up on Thursday, March the eleventh, and it's important. You know we did that even before the president announced that that this was a national emergency, he did that on on the next day on Friday the thirteenth and we had we had already put our organization on notice that we were going to do something different today before. You know the first thing that we did was to to acknowledge that there were risk factors out in the community and the possibility that the virus could be brought onto one of our sites specifically one of our residential sites, but it also affected our intensive outpatients. Was the recognition that if if the virus got foothold in any of our sites and spread that we would look at the possibility of having to close down one or more of our sites and. We took extremely aggressive measures to make sure that did not happen. How do you balance Dr Vines the the the attention, the energy, the goals. Up treating potentially two fatal illnesses within a system of care, you've got addiction, of course, substance use disorder, and then you've got the pandemic corona virus it's how do you do it? Absolutely in our medical director Dr Mark was the one who I put that out for us to all see and that was that when we are looking at to potentially fatal illnesses, we have to make a risk determination. Do, we close down because we don't want covid or say we will find a way to treat and try to keep covert out for our patients that come into treatment when people's lives have gone so far off the rails that they need residential treatment. The likelihood that they're addiction will be lethal to them is higher than the chance of developing a Ovid illness that would lead to a death. We we recognize that However, we can't completely discount the risk of Kobe because we have employees and we have other staff and we have the the patients who if they were to get an infection with code it could it could potentially be a devastating illness, and so we had from the very outset We put into place steps and measures to try to identify what was who would be at risk try to separate those folks from others who might who might be at. Risk of becoming very ill, and and then tried to keep the doors open and keep everything rolling as best we could
Providing Addiction Treatment Amid COVID-19
"Doctor. Vines was hired as our regional medical director from Minnesota and join our. In January of this year twenty, twenty talk about a baptism of fire in the middle of Minnesota winter. But Dr Vines, you've got to Hazel Betty Ford. Expecting to plunge full bore into addiction and addiction medicine and being part of the vital team in all of a sudden you found yourself part of the Kobe response team with a pandemic on your hands. Yes that was completely unexpected and. Quad surprise. I was I was delighted to be invited to be a part of the Code Command team you know I've. At the time of this recording and we're we're doing this in June of two thousand twenty. I am still not completed. I have still not completed my on boarding process that was going to be about a three month or three and a half month process. With learning. That would be scheduled and continued for for a long period of time but. Less than two months into into the process cova came along and turned everything on its ear, and that has that's it's actually been a real benefit for me because I've gotten to know and work with directly many of the people in leadership positions throughout the Hazelton Betty Ford. Organization. On. Both coasts and in between and ways that I never would have as if I was simply functioning as a medical director. So the CO Vid Task Force the the instant command team that we have has been a real plus for me in terms of getting connected into the organization and what has that response team had to do the last couple of months so To. Give you some time timeframe. We. First met our very first call organization of our command team. We stood that up on Thursday, March the eleventh, and it's important. You know we did that even before the president announced that that this was a national emergency, he did that on on the next day on Friday the thirteenth and we had we had already put our organization on notice that we were going to do something different today before. You know the first thing that we did was to to acknowledge that there were risk factors out in the community and the possibility that the virus could be brought onto one of our sites specifically one of our residential sites, but it also affected our intensive outpatients. Was the recognition that if if the virus got foothold in any of our sites and spread that we would look at the possibility of having to close down one or more of our sites and. We took extremely aggressive measures to make sure that did not happen. How do you balance Dr Vines the the the attention, the energy, the goals. Up treating potentially two fatal illnesses within a system of care, you've got addiction, of course, substance use disorder, and then you've got the pandemic corona virus it's how do you do it? Absolutely in our medical director Dr Mark was the one who I put that out for us to all see and that was that when we are looking at to potentially fatal illnesses, we have to make a risk determination. Do, we close down because we don't want covid or say we will find a way to treat and try to keep covert out for our patients that come into treatment when people's lives have gone so far off the rails that they need residential treatment. The likelihood that they're addiction will be lethal to them is higher than the chance of developing a Ovid illness that would lead to a death. We we recognize that However, we can't completely discount the risk of Kobe because we have employees and we have other staff and we have the the patients who if they were to get an infection with code it could it could potentially be a devastating illness, and so we had from the very outset We put into place steps and measures to try to identify what was who would be at risk try to separate those folks from others who might who might be at. Risk of becoming very ill, and and then tried to keep the doors open and keep everything rolling as best we
"medical director" Discussed on Texas Titans Podcast
"Tyler Community is a better place because of what you in Grace have done and because of the thesda and I'm glad that I this this little podcast I started gave us, you know, the time to sit down and visit, you know for a longer time than we probably ever have and said thank you for that. One thing. I do want to to do those. How can the listeners help and that's what can they do work and find you anything. You want to mention there. Let's let's do Megan's job. I'll be exhausted I could do it. She's trying to be well, so, you know, there's multiple ways people going to help obviously money makes the world go around not just love. So, right now we deeply appreciate people who not only am praying for us because there's a lot of you know, like I said a quarter of our staffs already had covid-19 keeping us safe there. But but finally ways to financially give and people have been tremendous with that given and continue to give you know, the bills don't go away and we're able to help so certainly on a website Bethesda Clinic. Org, there's obviously places to donate through their other folks have been willing to bring stuff down our shop at the store. So if they're looking for stuff kids are going back to school other time always, you know, you may not find what you needed hangers of Hope, but just give us a trial first their people have been able to Thursday. They donate it's going to be one or two things is either going on the floor and get sold or it's got too many holes or stains whatever and it goes out to salvage and we get so much per pound for that. So that's certainly a way and you know people Willing to come out, you know, we've had a depletion of volunteers. So being willing to volunteer again to the Bethesda Clinic. Org website. There's a volunteer link a lot of younger folks people in college people coming out of college said have a little bit of time maybe on their hands to help do through that have been really helpful through.
"medical director" Discussed on Texas Titans Podcast
"It was really weird. I have a son with the S mind and that's not one among. You know, we have lunch cuz I have asthma not going to ask you about that and you know everybody worries about it, but it's not one of those that put you at an increased risk for having worse side effects pregnancy. Everybody's nervous about that, but it hadn't really shown to do that. And what's interesting is about these kids and going back to school. You know, there's been cut I think you're going to have a certain number of infections no matter what you do. It's my guess. They've had multiple countries have had their kids particularly the younger ones the K through five the ones you just cannot do distant learning. I don't know how you pull that off at all. You know, it's our kids are older. Thank God we didn't have to do that. Right? I'm like you're a senior in high school this year this song Are you getting all your work done? Yeah, you're taking AP. Yep. Okay. Well you want to pass it, right? Yeah, so the younger ones but you know all the data shows that it's not really passed a lot or if it is it's going to be a lot of older but you know, the question ends up what's the number of acceptable cases or people who get sick? So as one person one child in this town gets sick. Do you shut everything down? So I think what's going to be what we don't have the answer Force. How do you take care of the ten to twenty percent of the population? That's really vulnerable, right and the rest of 80% so they can live and do things. It's not going to be really the same obviously Mass help some for other people but you know kind of depends it is all messed the same, you know, it's saying some things I was reading recently about bandanas and fleecing and stuff one study was saying maybe I'm not as good and other one says maybe they are there's a lot of unknowns. Can you get it twice? You know, if you get it now when you have immunity later on just the science and you figure you gotta have some kind of memory ability to log. Tackle that on there will be a few people that get sick. It's significant enough, but you're going to have be smart. If you can social distance, you know, if you can wear a mask on in some ways, but it it really seems like the exposure seems to be if you're within six feet you're there for more than 15 minutes or so, you know, if you're going to be there for an extended amount of time and that person's been, you know, having kind of symptoms either then or within the next 48 hours. So yeah, so we probably get exposed to somebody had something they move on we know asymptomatic and regular people with bad symptoms can vote spread it right? We have no idea which are which and so they're going to have figure it out and hopefully.
"medical director" Discussed on Texas Titans Podcast
"What pathetic does. You're right. It's a it's a unique to Tyler deal. You know, we've had a lot of tremendous support from our our church, you know, one of the things and we'd lost this for a bit cuz the covid-19 coming back a little bit is our Saturday clinics are all done by our churches and stuff. So we're going to have our first Saturday clinic in a while with of course, you know, Brian Brown and grace church and stuff. He's not afraid of much anything. So he's like, hey already guys are in the middle of this we can we can make this happen and great a opportunity. But yeah, I mean, it's been an interesting challenge because first you just survival mode. So so my story was I in private practice. We my wife had just retired to meet our third kid and Matthew just came along so she was retired. And so we said well gotta start this Clinic we're going to do with mostly volunteers. We have a gentleman that I can dance was going to help us do some part-time executive director work at the building build, but he went medical so he knew was going to be gone needed a medical director long as we started. She volunteers the medical director and for about eight or nine months he read that and then eventually some wonderful foundations here gave us enough funding you say y'all can hire her kind of a doctor CEO type person and So eventually after a lot of soul-searching, you know, kind of looking around left and right who would be a great idea. You finally say well why couldn't do that and so I kind of ended up in that role and so for the first year or two had survived. All right, we got to raise money. Who do you want me to talk to we can see some patients, but we also got to go out along that line. We had a lot of great folks join with me and volunteers so we could start seeing more people they could log, Indeed growing getting that story in basis behind it..
"medical director" Discussed on Texas Titans Podcast
"I'm visiting with dr. John English who is the CEO and co-founder of thesda clinic in Tyler Texas. Now imagine for a moment. If you will you decide that you want to serve your fellow man in a profound and meaningful way and you are you're not only coupled with a heart for service. But you also happen to be who really really bright and suck. You want to pursue medicine to become a physician and you decide to take that desire for service and couple it with the practice of medicine. That's about Exactly what Johnny English and Grace English have both done and they are both two of the most remarkable people that I've had the pleasure of knowing and I sat down with Josh and just to understand his Heart for Service his heart as a leader the difference between running a nonprofit in the healthcare space because as we all know Health Care is a it's a it's a problem that in the United States. We are struggling to fix and what John has done and Bethesda Clinic home done has tried to bridge that gap between those who are qualified for government services those who have company-sponsored health insurance. There's a huge wage gap between those two and that's what Bethesda has made an effort to to feel to fill that Gap. And so we talked a lot about leadership purpose Disco. Ones and it was just an incredible conversation. So I hope you enjoy it. Hey before I let you go though to listen to this incredible conversation with a an incredible human being home. I encourage you to please go out to Jason right now. Com and sign up for the Vitruvian letter. I'm going to give another week of the contest where if you just go sign up you'll be entered to win. One of my three favorite books that I've read in the past year. It has been a crazy year. I have read like crazy and the three books that have stuck out the most are bold Limitless and Choose Yourself by James Archer. All three of these books have had a profound impact on me. For instance. Jim QuickBook. Limitless has brought me more about speed reading mind mind exercises to increase my memory and mental acuity. It's a phenomenal book. It's a good read and here's the deal. It has tactical exercises that you can apply wage. Right away..
Number of available beds at Atlanta's Grady Memorial Hospital reaching critical levels
"Beds and Grady Hospital is reaching some critical levels because when it comes to the number of hospital beds there at Grady Memorial Hospital bed this week They record reported an increase in the number of covert 19 patients, according to the chief medical director, Dr Robert Jensen. And he said the stress it puts on the hospital systems of medical systems is significant. And that is increasing and not decreasing. Jansen on spoke in an interview. The number of hospital beds are filling up for trauma patients. And those needing long term care. But there were you at the treatment for those with a Corona virus. They're barely enough bed space there at Grady Memorial Hospital. He said in a statement. Quote. We have triple that number not quite as high as we were in the peak in early mid May, but we are rapidly approaching that. Again. And so as of yesterday, the Georgia Emergency Management Agency reported 45% off the emergency room beds are now open 17% of the I C U bears and the same percentage for The inpatient beds. But the director of medical director that Grady Memorial Hospital said if we take steps to avoid catching the virus by wearing a mask, it would be free. It would free up a lot of hospital beds. And you know when you think about it, not only protecting yourself and your family but also Bring up hospital beds. You don't want to go to the hospital all because you didn't protect yourself and didn't take the necessary precautions that are necessary for your life and for the life of others. Let's go
"medical director" Discussed on Outcomes Rocket
"Professor in Otolaryngology at Loyola University Medical Center as well as the vice president medical director of level acts he holds a masters of medical science in Medical Education degree with a focus on education technology from Harvard medical school and a master of science in is algae and biophysics from Georgetown University he's a previous clinical instructor at Harvard Medical School and mm professor at ut southwestern as medical director of level X He provides clinical oversight for all its video games developed for physicians and works closely with earners from medical societies and industry to develop innovative programs using the company's mobile a R. N. VR experiences academic interests include implementation of education technologies motivational theory and the cognitive psychology of learning he speaks nationally and internationally about education in Technology Teaching Med in the twenty first century and putting cognitive theory into practice for medical education we're GONNA dive into his thoughts on -cation new technologies and inti surgery in this podcast so looking forward to having him here Eric Welcome thank you so much I appreciate having me on it the pleasure Eric and as fellow Chicagoan it's always great to have you on the podcast tell me what is it that got you into healthcare to begin yeah so originally I actually was Wanted to scientists my brother was a physician and he started went straight through from alleged medical school and I started one week different fast so I started went into food science and chemical engineering which is what my uncle did he worked for quaker oats at the time also ended up mortensen or Pepsi Doing Research and Development and I thought that was pretty cool so I started down that road and then I started down an opportunity to become an emergency medical technician so training Bursaspor knowing where I was from Grad I said Hey why not let's let's try this so I tried it adjoined I became an emt and toward some ambulances worked at the ballgame started working in Rome at the trauma center there and I was like hey you know this was actually really fun this is interesting maybe I should just try to go into medicine in go to medical school so that's when I started lied to rest is history mile that's awesome so you start a dabbled in a food sciences and then good bug he just as actually medic firefighter for a short period of time performance in school while very cool very cool and hey good way to put your foot in the water before kind of going all the way in absolutely it was very fun so you still held onto this very unique approach right I mean for the work that you've done in in education psychology when you're working with the platforms I mean you've still maintain this uniqueness about the way you're approaching medicine yeah absolutely so with the work that she do with level access as well as in your practice would you say is is something that needs to be front and center and health leaders minds today that's a great question I mean I just like sort of my path was nontraditional I challenge people to be nontraditional challenge people to try to think outside the box think of different solutions to the problems that they have avs and trying to be a hate the term innovative by try to be more innovative just because it's a little bit overused word but relief from me there's a learning early at the core of what I do learn teaching and I think there's a lot of old school traditional ways of teaching and learning that people are still ascribing to and I think that there's different ways to do than always to think about it now from a healthcare training stamp on twenty two outside the box because of all the pressures are having healthier like the decreased amount of time the decreased amount funding needs to be much more efficient with their time and that means looking at innovative approaches for teaching learning as opposed to the old school tactic sage on a stage trying to routine yeah that's a great point and so you happen to be involved in several ways to fulfil help people with their learning give us an example of one of those ways whether it be your at level acts or some of the other were do through speaking internationally nationally on how you've created results by doing things differently or you've seen results be created through different approaches learning yes so I think that probably the number one way as his twenty nineteen is using aww Fridge Incheon I think all traditionalists that are in medicine healthcare Saints Bats Technologies Putting your slide into our points in using the same slides and that's not what technology is for technology as these immense abilities and worse law dictates that the power of computers doubles every eighteen months aunt instead medical content is doubling every seventy four days so if you think about the amount of learning that has to happen in the amount of completing the path we need to use technology difference and so in simple ways in my own education my own teaching I use things like audience response systems that had happened in questions I used sort of some games in style with learning techniques to try and learn very complex things that they can't go right so I sort of feel like if it's something you can we'll get an answer by seconds that's not really something that is we created game environment so we actually do constant assessment in constant performance of people using their own medical knowledge and actually learned through intial learning which is a much more effective bottle of warning than just sitting impassively listen concrete picture yeah I think those are great examples Eric and I had the opportunity there's about a year ago I went to a conference doc. SF Conference Northop Edict Conference yeah they had a big focus on technologies and I was at one of the booths it was the J. J. Booth and they had a vr set and they walk me through doing a total knee replacement in VR sad and That was pretty who'll in and they're telling me how they're doing a lot of training now through that absolutely and there's a bunch of different companies now they're using virtual reality augmented reality and I think the idea is to contextualized the learning in the actual area that you were doing it in being in an orders for expensive it does trying to recreate experience with virtual realities setting is much better and now that we have controllers that interact and you can actually have input into the art instead of passively watching it it makes it a lot more January learning because you're actually doing physical movements that she would be like some of the issues I cer though is is some people are not using it correctly or just putting their slide debts in a powerpoint essentially in movie are they're uploading animations that aren't even in three d there's a lot of poor uses virtual reality song glad to see a lot of other people for a value add for the education as opposed to just sort of using it as a media tool now that's a great point right I mean and we had a chance to connect before today and you said hey you know VR might be an hype cycle and you know that media use of it is one thing but the actual appropriate use where delivers value that leads to better outcomes that's where the actions that tell me about the emt space and and maybe they use of these technologies since this is your physician focus area to NC enriched allston which was stay Tembo gone from a cadaver his more or less than original simulator in other some groups down Pittsburgh that are three printing temporal bones that can actually do on based on an actual C. T. Scans and so the students in the physician can actually practice on the actual bone that they're going to be drilling in surgery I've a friend that's in your is where your tumor is this is what it looks like and treat mentions and you can actually plan your surgery and figure out okay this is what the anatomy looks like this rainy reports from this angle instead of this angle can only that really in like a three dimensional rendering in virtual reality and there's haptic devices now that you can actually get some feedback from fettes specially for the ear surgery their students some stuff vr through Ohio state who's doing some training with that so I think there's a lot of really cool stuff that's coming there people don't necessarily know about but I think it's going to become more and more commonplace as the price point comes down on VR headsets and becomes much more consumed with yeah disagree point arrogant and you know I love the idea that you mentioned about time in the or it's very expensive traveling to an educational seminar and staying at a hotel that's expensive right it's getting rid of as operational expenses that think offers a very attractive value proposition for this technology oh absolutely Peter out of your pocket so why not use it so I think that's really what level extras is because the old school when we come from a games industry you look at the console games arcades you had to play that whole dynamic change when we got consoles in the xbox and that in your home all of a sudden you can go to your home well now you can play games on your phone in your phones with you at all times yeah so I think that there is a huge cost to going to physical physical simulators going to physical facilities to learn and especially when you're into this the question is what can you do today to experience the technology to think about how you could transform some of the Educational adults and business operational models that you have day go get a pair of these the ourselves I mean the best way he could do it is to get in it would you agree here yeah I think I think dive in I mean I think there's a lot of there's a lot of stuff out there on what sort of is available and there's new use cases that are coming out every I do think that there is a huge huge hype that is going around with technologies but thinking about genuine ways disconnect actually create a value add.
"medical director" Discussed on Jazzed About Work
"Toxic and you can get ill with because it's one of the four fat that's all you will vitamin says K. A. D. and E. and those are fat soluble which means they can hang around and if you taking too much they will say round in you. You can get toxic. I actually had a person went into kidney failure and liver failure because they took a excessive amounts of vitamin D so make sure you check with with your doctor before you're taking vitamin. D just check your level in the first place and if you go on it then you should probably check it again in a finite period later depending on what your doctor thanks and recheck level to make sure it's in the right range when I got here to Candy Ranch fifteen years ago. They were advising a lot more supplements. They felt that we that our diets or whatever and probably that talk in fifteen years ago or may not have been as good as they are now but we were advising more more supplementation. We were doing a lot more testing but we've really gotten away from that. Because we really feel you know we were born to eat real food and something that should be used as the term says supplementation. They're individuals that just can't absorb certain B vitamins because of certain physical conditions. They need to be checked by vitamins. If you buy for example in too much alcohol even if you're eating well alcohol hinders the absorption certainly vitamin. It's you probably need more by the vitamins. If you have some of the mallets option syndromes the worst of course ILIAC which we all hear about all the time which which is a sensory sensitivity to gluten those people because they have a really messed up absorptive system across got cut they absorb very few vitamins and minerals and so you have to constantly check and make sure they're getting the appropriate amount those are kind of the extremes. I don't even recommend anymore a multivitamin for everyone because there was a huge study several years ago they looked at thirty eight thousand individuals in Iowa and had two different groups and they looked at the morbidity and mortality associated with those people that took vitamins of all development and those that did not really didn't see any difference so I don't recommend it for everyone. There are certain people that probably need it. What about what about herbals. Do I recommend herbals occasionally. I do and some people are advised bore. Some people like herbals over regular routine pharmaceutical drugs one of the examples I commonly use. I I will use ginger. I really liked ginger because number one it settles down your stomach and I'm using it more or less for people that have arthritis because because it has anti arthritic medicate chemicals in it they're called Cox two inhibitors which are saying chemicals that you find in the prescription Asian drug for arthritis called celebrates and I recommend ginger root to take it every day they it doesn't work as rapidly ascended the arthritis bills. It's not like you take one eight feel better but if you take ginger root taking it on a regular basis it really has been shown to help decrease arthritic pain a word arthritis would have been the best ask for somebody that has a real more aggressive arthritis rheumatoid probably not but but the majority of all of us have some form of arthritis especially as we get older and ginger is fine ginger is an and I use it for even for people that have upset stomach. Would your mom used to give you when you were little. You know they she gave me ginger. Ale your stomach MC L. different cases. I've used different things..
"medical director" Discussed on Jazzed About Work
"Could ever want to take. It's been shown to decrease the risk of developing at least thirty five have different chronic ailments and so it's it's it's a no brainer and when people look at real athletes people out for hours and hours exercising. They'll think that you know that's what we're comparing ourselves to. I'm talking about a moderate exercises one hundred and fifty minutes a week so I have a lot of coaching coaching clients who have big jobs high stress jobs and I know that there are a lot of guests like that at Canyon ranch people work all the time and when I talk to them about fitness as part of being their best at work they often give me one of two excuses either they say they can't possibly exercise because they are just so busy and they have such big jobs or they say they've already got health problems and they can exercise because their knee as bad or they don't have enough breath and they don't WanNa have a heart attack. Do you hear those two excuses all the time and these are not from the extreme people. These are the people who don't know how to get started. What do you say that tried to move past those excuses. I tell them I I fall. Exercise is just as important as eatings just as important as sleeping for your health and we never think about well. I'm just GonNa Miss my meals for the day because I don't have time for that. I'm not going to sleep because I don't have time for that. We know that those are really important and the the exercise is just as important. I just said thirty five chronic illnesses are decreased by exercising on a regular basis and I just go what you've got to do is figure. We're out of time now. A Lotta people say what is the best time of day to exercise and some people is in the evening but the majority of us if we don't start off amid the beginning of the day and exercise more Alvin. We'll have some excuse just tired by the end of the day so I tell people you know you got to set your alarm and and you're GonNa go for an adult plan on even a half hour. You're not at not exercising plan on just fifteen minutes of exercise program and it's just getting out of the House and walking down the street for fifteen minutes at a pretty good pace. That's something to do but you gotTA. You gotTa have do little tricks. My little trick of course people go. We'll take a break. You're the medical director rates. You must love to exercise in reality. I love the exercise but I know how important it is so I play the trick of. I put my shoes right beside my tennis shoes right beside my bed and as soon as I wake up in the morning I gotta step my tennis shoes and reminds me. This is what I've got to do do and so. I don't use that excuse anymore. If you've got time to eat. You've got time to exercise because it just it's just so important for your health on the topic of what's moderate I now I love to walk and I've got two Labrador retrievers so that house keeping me walking but the getting your heart heart rate part up. I don't like so much but what I've been reading is that it doesn't have to be that whole thirty minutes that interval training just just a little bit of getting your heart up on a regular basis. A moderate approach is effective. Is that right that inter just some intervals will help you so interval. Training is exercising at a an pushing yourself to the point. Is You get your heart rate up above eighty five percent of that predicted heart predicted heart rate remember. I said for good exercises between seventy eighty five so you've gotta push it up at different intervals ause. There's different ways of doing that. You're on a treadmill for example. You can be going at a normal pace and then a quarter of the time you put your heart rate. you speed it up or you. Increase your clients. You're pushing and you feel your heart rate going up above that eighty five percent. Is there advantages in this doing this versus regular cardio well. Actually you can burn up twice. As many calories you can spend half the amount of time exercising did get the same effect as the cardio exercise so yeah. There's a there's. There's a lot of advantages to it. The only I think Ma that one disadvantaged in the interval exercises. It's not very much fun if you can barely do the Cardio Alexa cise interval training can be sometimes a little more difficult. It all depends on the person's personality myself personally as I've gotten older. I believe I've Ogden less interval training because when you do interval training you have the potential for having more strains because you're really pushing yourself up there a little bit but if you're really limited ended anti certainly you can do a fifteen minute interval training which you can do thirty minutes of a regular cardio exercise and you mentioned carry a minute ago. I so much of thinking about health is related to diet and nutrition and I've noticed that Canyon ranch's changed a bit on that front over time I it feels to me like the varieties bigger. The volume is bigger and some of the dishes you order and you serving coffee now thinks change over time what what is a good moderate under at starting point well life goes on and and the reality is you need to have people. WanNa follow your healthy ways. In what do we know about L. coffee well. If you have a history of high blood pressure. That's uncontrolled. If you very anxious person if you're trying to get to sleep at night if you have any kind of cardiac rhythm disturbances no. I'm GonNa tell you not to drink the coffee. But what do we know if you have one cup of coffee. If you don't have that stuff going on it's probably absolutely fine line. We had to always remember that. The half life of coffee or caffeine is about seven hours so if you had a cup of coffee seven and hours later he's still got a half a cup of coffee in your system. That's why if you're having problems with your sleep. You've got to be wary about what time of the day you take it but so a cup perfect coffee here there and actually there's some good some studies out there that feel maybe good for the brain to making a sharp you know it's always at what is best for you and there's some people are very anxious. Coffee's not a good thing. There are other people that they can drink water two cups of coffee in the morning. They're absolutely fine. There's we see no negative outcomes to that as far as the amount. I think it used to be more spartan here. I think that was even before I got here. It was a much smaller servings. I think we realize is that we can liberalize that a little bit more. I think the bottom line is what's happening to your weight. You know what's happening to your way size. If it's going down your weight's going down your waist. ASSIZES is going to try to maintain its doing fine. Then what you're eating is probably okay but certainly it's if things are going the other direction. That's when and you're GONNA have to start well my porsche. I need to be more concerned about my portion control so again. It's very individualized. We give general healthy recommendations but but we also feel that is the individualization that is is the key to what our success here what about oh vitamins and supplements and herbs and all those kind of things. Is there a moderate approach so so the answer is again. It's very important to go back. There's there's there's two ways of looking at the first way is again the individualization solicitation everybody has different needs okay so this one-size-fits-all for especially vitamins or several. Mrs Just absolutely wrong Let's take vitamin D now. Everybody says everybody needs vitamin. D Now K. and because the majority of people do need vitamin D because they have all to the physicians and they've listened to all the reports that the sun causes skin cancer. The most common cancer we get is skin cancer so where's the most common culprit. It's decide so everybody's lathered up. Put non hats put non blankets. They go outside. They don't get the Senate like they used to so. We're off the vitamin. D levels low but not everybody needs it. I've checked people here in Arizona that live here vitamin. D levels low. I've checked people in Seattle order by the D. level is fine. You need to check the level because this is one of those things that you can get.
"medical director" Discussed on KMOX News Radio 1120
"Physician and medical director of the sleep lab and SO somehow seem just a hospital in Saint Charles what we come to that part of the show where we bring back our coast doctor Jennifer Wessels for her health tip of the week Dr Wessels what do you have well Fred now that it is summertime and kids are out of school the weather is nice are a lot of families will be spending a lot more time outside at the parks or playgrounds so some good things to remember when you are out with your kids metal slides and other metal playground equipment can get very very hot so good thing for for parents to test any metal metal playground equipment with their hands first before they let their kids go down the slide there are other equipment is sometimes that metal can get so hot that it can burn the skin of of young kids especially toddlers and preschoolers with their skin very sensitive other good things remember to keep a close eye on your kids when they're playing to help prevent injuries and also to to make sure that one there around strangers they are with in a walking distance of you if within ear shot of you to make sure that they are safe at all times also what what you want to make sure that you have healthy snacks or water or another form of hydration for them so that they're not getting dehydrated or at risk for heat injury when they're outside playing that Russell's thanks a lot thank you doctor Jennifer Wessels as a family medicine physician and VP of medical affairs for the SSM health medical group that's all the time we have for this week's show thanks so much for this thing I really do appreciate it this is cable except that it Fred barber please join us again next week at the same time for another edition of health matters presented by SS and health on the voice of Saint Louis KMOX starlight.
"medical director" Discussed on 710 WOR
"With ash center, medical director internet's in anti-aging Filo, Dr Alison pie. Ditch our show today has been on a really fascinating topic thyroid specifically hypothyroid if you've had symptoms from gut issues feeling cold, brain fog, weight gain fatigue. Infertility dull skin, dry, skin, brittle nails hair loss or thinning hair. These are all symptoms of a potentially hypothyroid or thyroid disorder in a lot of times these symptoms. Go misdiagnosed people have normal blood tests. But they really have a thyroid issues thyroid or thyroid is the underlying cause before the break. We were talking about food and medications that are not great for your thyroid. But I know now we also want to talk about how we handle it how we treat it how we can reverse them does. Because the great thing is if you're under proper care a lot of times, we're able to reverse correct? And he'll and get people who've been feeling so. Poor for so long. We can get them feeling better. So Dr Pye ditch I'll give it over to you right now. I don't always put patients on iodine supplements. I assign supplements are very strong and in our diets, generally, we absorb iodine pretty well through our gut. So it I prefer to supplement their their iodine through their diet. I will almost always switch patients to just general iodized salt instead of sea salt, the United States puts iodine and all of their salt to prevent thyroid disorder because it was so it's the more. It is worldwide one of the most common causes of thyroid disorder. Just not getting enough iodine other ways to get it. Our through seafood is a common other things that have it. Our eggs, artichokes, any type of sea vegetable like seaweed chips, they have out these days and stuff. So I'll tell me patients munch on seaweed chips, maybe once or twice a week..
"medical director" Discussed on KTLK 1130 AM
"Director of the medical director of the compensation and pension clinic at the Minneapolis VA medical center and his name is Dr Gregory Matlock. Dr welcome back to Minnesota military radio. Thanks for having me back. Sure. I think it's been about a year since you've been on the show where they just wanted to review before you moved up to Minneapolis. You spent quite a bit of time with the VA medical center down in Iowa. Yeah. Well, immediately before I came up here. I was embedded in the regional office in Des Moines. And so I serve both Iowa City and central our medical centers. And before that to you practice medicine to Ginette. Yes. I worked in the community for many years. It was there a specific field of practice her family practices. What I'm board certified in? Yeah. So you got to see all kinds of things. Yeah. Which I'll bet you get to see this all kinds of things at the VA medical centers. Well, yeah. A bit of a different population. There's not much pediatrics that goes on there. So no, sir. Understand in the last year. You've got promoted. Yeah. Additional duties, so I'm medical director, Minneapolis VA. But also now. Media medical director for compensation for the visit the visit is you know, is is we're business Twenty-three in scope of eight medical centers that come under one guidance. So so eight medical centers within a region North Dakota, South Dakota, Nebraska, Iowa minnea-, Minnesota sure, we try to stay away from some of the acronyms because some of our civilians, our listeners don't quit get all of those terms that we use in our daily life. Visit has veterans integrated service network. Very good, sir. We'll see if we can explain what you do in English. Even even though we all have our our ways of speaking at the office knowing. Yeah. So the compensation and pension clinic. Can you tell me? What is what is your mission? What is it that you try to accomplish each day? We. Do. Examinations physical examinations for conditions that the VA has asked us to do. Stands for that's Petron's benefit administration. Say VHA veterans health administration who I work for there's a third one end that's cemeteries, but we don't deal with them. All talk about they will do that. So if we've got a veteran who thinks they had some type of medical issue related to their time in service, then they can go to their county veterans service officer file, a claim might go to the veterans service organizations to help them a document to claim that gets sent in. And then at some point in that process, you're asked to examine the veteran is that other works, correct? Any of the BS? Oh, CBS owes any of the organizations can help that most important thing to do first is to file called intent to file that will preserve your date. So if you do our service connected, you'll be paid back to that date. So that's the most important thing. It's nothing to that. All you have to say I intend to file a claim, and you have up to a year then to actually file the claim and give evidence. And so that goes to the the regional office, and they do some. Work to verify things like you. You were a veteran for for example. They verify times of service theaters of service. So that's important to you have verified, RV and service. Do have verified south. West Asia service, they verify those things and then they determine what your claim was the ask us to examine based on that. So for instance, for my buddies that were Vietnam veterans, it's important to to look at your discharge certificate and have it show that you on the ground in country during during that time, and that's a big factor because then you then there's a. At least you know, that you may have been exposed to things like Agent Orange, right though, it it should be on the DD to fourteen but early in the years of Vietnam, the marines were not real good at keeping that record. And so what will happen is the veteran says I was there. I did these things I went to these places and the regional office employees will go through the record and see if they can verify that. And I have when I was in the regional office. I helped them do that from time to time, and I can tell you that in one case that I remember we were only able to identify the veteran was in Vietnam because we found one notation that he'd been treated at an aid station was in Vietnam. That was the only record that he was there. So we'll dig hard and we'll find it out or speaking with Dr Greg met locked from the Minneapolis VA. Medical center compensation and pension clinic and Minnesota military radio. It's her as you said if if someone served for instance, in Vietnam and didn't get under DD to fourteen if you can find orders that sent him there if you can find any kind of documentation that puts them there. And like you said if you were treated at a at an aide clinic and today chances are pretty good you were there. Yes. And and and the VP employees, and and we'll help them sometimes also dig pretty deeply, and we'll we'll go back to the paper records and sometimes pretty hard to find records of things that happened forty years ago. But you never know there might be something out there. You know, I've I've opened up see file from World War, Two veterans and opened up an envelope and dirt from Germany fell out of it. So. That worked. We weren't looking to verify, but we were looking at records. And and so the stuff's around if you want to find it, and if it's there aren't enough you can we'll find it can shoot can you share with us? What are some of the most common types of claimed conditions. Well. By far, probably it's hearing Lawson antennas seems to be a large win. But you've got to remember a lot of these veterans. Look like you and me they're not young anymore. We're experienced. And so hearing loss is a big deal. And so that is questions. We're asked often is is is my hearing loss due to acoustic trauma that I suffered while on active duty, and there's ways for the audiologist to figure that out. So that's that's a big one. The other big one is our big ones. Would be. Agent Orange presumptive conditions. Of course, they've approved that for most of our service members that were on the ground in Vietnam. They've also approved it for the Brown. Water navy, and there's some legislation pending in congress for the blue water navy who might who think they are suffering from those state effects as well. Yeah, there's been a lot of discussion about bluewater. And so that's not a lot of science on it. So you know, that's really a congressional decision to make a lot of those guys that were Yankee stations. We're talking about Lou water. They have an additional exposure. And most of them around those big ships were exposed to specis a whole another problem another problem, but we see them an awful lot. So what I'm hearing is the theater wherever you were. Whether it's Vietnam Korea round, the burn pits for today's service members. Are there are certain things that that have maybe a high occurrence. Yes, they're the burn pit and south with West Asia, environmental hazards, have no presumptive conditions like. The Agent Orange does. There are couple of conditions that we have identified that are. Connected with a burn pits and southwest Asia, environmental hazards, but there are no presumptive. So just like it took the Vietnam veterans decades to come up with evidence that the incidence was boy higher than normal and for congress act on that it may take a while for the burn pits to to mature as well. Well, it's going to be a little bit easier. I think than it was with the Vietnam veterans because. They didn't recognize this sort of immediately. And so you may have heard about something called the Agent Orange registry. Is her? Okay. Agent Orange registry. Is. Just something that they can follow epidemiologically to see if there's a higher currents of something. They didn't start that Agent Orange one for a while after the war was over. But we already have a burn pit and Gulf war registry. Which is being followed the same way we following it quicker. And faster. We have developing your data. We have three centers in the United States that that's their job, and they're staffed with epidemiologist, and they're watching it closely and depleted uranium. And there's a lot of things a lot of different things. Doctor if take short break when it come back or speak more with Dr Greg Matlock from the compensation and pension clinic at the Minneapolis VA medical center. Please stay with us. You're.
"medical director" Discussed on The Stephen A. Smith Show
"The discretion of the medical director you've gotta show just cause but the medical director could easily have argued that's just call us those are the kind of things that can't be ignored that's kinda predicament double junior finds himself in and that's why the giants have to make a decision about this man should they marry him or break up and if indeed they break up with him where should adele beckham junior go it at eight say espn it's it at eight seven to nine three seven seven six that was straight talk wireless nationwide coverage in america's largest most dependable four g l t networks you're listening largest even when he is being radio if you're in a sport that's your favorite time of year ncwa march madness with so many games you never know what's going to happen that's why you need to be ready for whatever the next round brings you're going to have friends over ridiculing each other poor bracket choices over large bowl of chips and salsa yelling at the screen you know everyone's gonna get thirsty so make sure your fridge has an empty by the half head to walmart to pick up coca cola coke zero sugar and power aid and refresh every round before the next one tips off you're listening to the stephen a smith show podcast would go data's it show with a few rewards program download the fuel rewards app joining start saving five cents a gallon today welcome back to stephen smith show right here on espn radio edit eight seven to nine three seven seven hundred eighty eight say espn on before i get to the phones about oh del beckham junior about what the giants should do about the rams and how i consider them legitimate favorites in the nfc this particular juncture based on some of the changes that they made i felt obligated to revisit the michael bennett situation from yesterday because a lot of people had comments to what i had to say about that.
"medical director" Discussed on WGN Radio
"He gets the result of a drunken slip or an intentional leap from a high rise it was saint patrick's day and so he snapped a photo of the scene and contemplated sharing it on social media and then he decided not to and he wrote in his column quote why add a note of indifference if not mockery just so i can flash sardonic it was a moment of empathy or sympathy for neil steinberg and then he wrote this people can be divided into roughly two types and this is how he wrote this is if you will his review of an enemy of the people he said there's two types of people those who sympathize and those who don't those who can shift their perspective away from themselves to contemplate the condition of someone else in those whose well of sympathy is drained dry the play we were seeing he continued an enemy of the people reflected this last year after donald trump called the media the enemy of the people he was no doubt unaware of this play where the phrase is wielded against dr thomas stockmann and then he tells you the story of dr thomas stockmann here's the story dr stockman is the medical director of a resort towns spa he discovers that the water is poisoned by the local mills and sounds the alarm confident that the townsfolk will understand the gravity of the situation and act immediately dr stockman has an inflated moral certainty of his scientific knowledge the water is poisoned he says and he proceeds to browbeat the town residents who depend on tourists visiting the spa the exults stupid people put stupid people in control and the rest of us suffer for it the townsfolk don't warm to this path of persuasion and dr stockman is lucky to escape with his life still we don't sympathize with him in the end he's another one of the stupid people messing things up he never pauses to even try to consider the viewpoint of his neighbors the doctor is fixated not so much on keeping people from being poisoned as with exposing their folly you follow put another way he wrote when donald trump is reelected in twenty twenty i will reflect ruefully on the lesson of an enemy of the people a lesson about empathy ignored on both sides wrote neil steinberg in times this week i saw the.
"medical director" Discussed on The Psych Central Show
"It really depends a lot on what community services are available in your particular area because if you've got plenty community services then you don't need as many inpatient beds a lot of our communities don't have that so clearly they'll need the beds but the broader community services are the better for everyone really what are the do you have any big pushes forward coming up with the national council any any new plans to expand in a different area will you know one of the groups that we have here at the national council's we have a group of medical directors from organizations nationally called the medical directors institute and we do policy papers and technical assistance were and the one the one we did last year was on access psychiatric services and that's billable on our website so if you go to the national council for behavioral health website and look up medical director institute you can find the psychiatric shortage paper and it describes this and you know it is a growing shortage the average age of psychiatrists in this country is in their mid fifties or medical specialists are in their mid thirties and people have trouble getting into get any care at all and in that report we give a wide range of specific changes that would improve that access changes that could be done by insurance companies changes that could be done by agencies everything from how you set the rates how you handle the scheduling to how to work in teams so that's that's an example of how to work we do kind of in the grass it's nuts and bolts but healthcare's complicated and if any of your listeners here somebody saying they have a simple solution to healthcare they're probably wrong.
"medical director" Discussed on The Psych Central Show
"Able to just turn on the telephone kaya three unit and he might have a conversation he he went off to the hospital where he can get some some good care fintan one of the things that we're fond of saying here on the central show is that we want to be able to use all the tools in our toolbox it's not to say that that tool is for you if that's not going to help you get well then it's a tool that you can ignore but you know so often we're like well i don't like it so i don't want anybody to have it and that's certainly something that we'd like to see change especially in mental health because you know there's a lot of things that scare a lot of people that people worked to advocate away from others and we've seen this a lot i'm sure that you've heard of the anti psychiatry movement which doesn't like medication or doctors in general this may be a path for some but it's not a path for everybody and we relate to see people get on board with a allowing people to choose their own recovery path rather than saying hey this worked for me so everybody has to do it this way as a medical director do you see see a lot of that is that something that occurs in your advocacy what sort of your viewpoint of all of that well you know i think people deserve a full range of information and opinions and some people just have to try going without medication and proved themselves whether they need it or not and when i talked to all my patients i say you know what most of my patients at some point decided to stop their medication they were don't like some of the side effects or they're they're not really sure they still need it because of works.
"medical director" Discussed on The Psych Central Show
"Welcome to the psych central show where each episode presents an indepth look at issues from the field of psychology and mental health with host gave howard and co host vincent m wales hello everyone and welcome to this week's episode of the psych central show podcast my name is gave howard and with me as always is vincent m wales and this week we have a great guest that's going to tackle will help us tackle a pretty big subject one of the questions that keeps coming up as wire people with mental illness often incarcerated and specifically it seems to hit people with schizophrenia the most at least that's what the data shows and woven and i are qualified to talk about it alone we had asked dr joe parks was the medical director for the national council on behavioral health to kind of share the information the statistics and hopefully help us kind of break this down in a way that we can understand and maybe even work together to do something about this dr parts welcome to the show it's a pleasure to be on with you thank you oh you're very welcome before we get started let's learn a little bit about you we're assuming that one does not just wake up one morning and become the medical director for the national council certainly certainly well after i finished my psychiatry training in boston i became the first emergency psychiatry fellow in the country over in cincinnati and i was working in the er just about every evening and also doing some programs for people that were homeless shelters and on the streets in downtown cincinnati after that i became the medical director of their local state hospital and after that i went to chicago medical director of a hospital they're also but for about twenty years i was medical director for the missouri department of mental health and we operated oh about eleven different facilities cross the whole stadium zuri seventy five thousand people under care at our county.
"medical director" Discussed on The Stephen A. Smith Show
"Okay yes even here in los angeles i'm going to read the new york daily news all the time yes i am it's like i read la tops wall street journal watson polls and everything else in between let me say this to you gary myers wrote how the medical director for the nfl has the discretion of putting a player in the nfl's drug intervention program y'all may not have known that but it's the truth the fact that the matter is is that odell beckham junior may very well because of what he got himself into and paris via caught on video look alike he had a blunt in one of his hands what a young lady that clearly had lines of cocaine in her hand or it appears a white substance let me take that back we don't know whether it was cocaine not it was a white substance the point is the optics look very very bad and i'm going to read a graph of gary myers column so you a couple of graphs rather what he said in this column yesterday quote beckham's most immediate concern is being put in the nfl's drug adventure program it is at the discretion of the league's medical director whether the place a play in the program if quote he exhibits physical behavioral or psychological signs or symptoms of misuse of substances of abuse laser gentlemen i am not advocating that this is something that should happen to ode l beckham junior.
"medical director" Discussed on WCTC
"The medical director of robotic surgery at jfk medical center before we talk about some of the real patient benefits that come along with a robotic surgery doctor did this how did this get it start was this sum up up private doctor us maybe it surgical expert like yourself who said there's got to be an easier way or how to robotic surgery kind of get its origin while i wish that i could say i developed it or or or as a private citizen but i believe that it was actually initially created for the defense department as a way to provide you injured surgeons on the by injured soldiers on the battlefield with the ability to have a surgeon present without actually putting a surgeon in harm's way uh from there i'm not sure how much utilization and actually had but from there eventually it was bought by this intuitive surgical company and and there that the primary company offering a similar if not the only company offering the surgical robotic technology right now it from the defense department utilization i believe it was then attempted we use for cardiac surgery but that somewhat fell out of favour i never really heard of it being used for that back in the day and then around two thousand one or so a urologist found it and decided to try and use it for surgery for prostate cancer reason why it was theorized to be helpful his because the prostate is an organ the kind of sits deepen the pelvis kind of in a whole so it's hard to get to without a big cut in the skin so if we thought hey if we if we can provide patients with the surgery to remove a prostate cancer without having to open their belly up than they may get out of hospital faster have less painless by lawson this could be a great thing so it was used back then in the overtime it's it's utilization has increased significantly the data would would say that no by two thousand an eight seventy eight years later the deals asian for prostate cancer specifically for prostate cancer surgery you're looking at your eighty to eighty five percent of prostate cancer.