35 Burst results for "Medical Director"
"medical director" Discussed on Perspectives on Healthcare
"Maybe if you don't mind commenting on you mentioned earlier the psychosocial aspect of medical care. And what do you see as the psychosocial implications of people receiving care in their homes as opposed to having to to go out to the clinic for that. Yeah i mean. I think there is something that be because become very real to me. As i've been with screen company for three three and a half years is people feel respected instead of myself as a provider triaging and saying. I need to tell you when you can come into the clinic. We're flipping on on head in the patient is saying. I need to see you and i need your help And understand standing that. So i no longer have to tell a patient that i'm going to see you in october when really want and need to be seen now these cynical provider Ken say and snicker that. Hey this patient's just anxious but really anxiety is what drives people into the home when they feel sorry into the hospital when they feel like they are out of control and really just told him the hand of somebody who has asthma and maybe give them a treatment even though they can give them the treat. Give the treatment themselves but also just reassuring them by checking your pulse ox limiter checking their blood pressure the rest of their vital signs jiang. Listen i know you're going through a bad time but i think we can take care of this. I know we can take care of this in the home and the nurse calls the next day to find out how things go or are going. I think it sort of gives patients a little bit more control rather than saying okay. I can only see three months from now. Because i'm backed up. It's very interesting. I think that what you bring up in some ways is i think this pandemic has really brought to the fore the fact that this is not just about the physical aspects of what cova does to the body physically and that is definitely an issue. But there's also the The psychological impact of the anxiety that goes with the fear of getting covert. And then when you have it the anxiety of how is this going to affect me..
"medical director" Discussed on Perspectives on Healthcare
"It makes so much sense because what you're talking about is as they those benefits. The insurance companies much happier to pay out for small benefits like getting someone to dialysis and getting them quality care in that way as opposed to saving money by not paying for that transportation and eventually having to pay for advanced treatment for kidney failure. And okay what do you wish. People understood about your role in healthcare. Yeah that's a great question Healthcare has become so incredibly complex with so many different layers So many nuances that. It's really hard to understand everybody's role I will say that. I'm also coming from a place of not understanding Some of the other roles in healthcare but i think what is important for Or i wish that you know maybe the primary care providers or the ip groups In our area sort of understood is sort of what we're trying to do so you know we really are trying to drive the patient back into the primary care providers office rather than take these patients away from them so sometimes certainty a little bit of a turf war that's perceived But i do think that once they understand that we are actually trying to increase the touches that they have patients in trying to sort of Take them from that place of despair where they think. They can't get any help and they're not going to reach out to their specialist or the primary care and start getting them plugged back in I think that that is something that you know. It's the perception that we'd like to change In there's many. That could go on. But i know you have limited amount of time here. No no is at all end and that really. I appreciate your sharing that. Because one of the goals of the podcast is for medical professionals to have a greater understanding of their colleagues and a greater appreciation for the work that their colleagues do and how they can work together..
"medical director" Discussed on Perspectives on Healthcare
"It's a scoring about how ill patient is which then determines about how much money gets forwarded or Basically given to the health plan for the care of that particular patient for a specific amount of time there's also quality metrics So for instance. If you're a diabetic The hemoglobin a one c is something that they look at and They wanna make sure that they're At a certain goal which then to the health plan basically says that you know this patient is under control or getting managed well So that's from the health plan perspective Very very business. Very operational heavy in terms of the quality on. They're looking to make things efficient. Excuse me efficient sometimes. It seems inefficient Little bit of a freudian slip there but basically that's from the perspective of the health plan and i think For the patient which is what. I'm most focused on. I think obviously should all be focused on Is really understanding what their own personal goals are for their care And sort of trying to meet those needs. And i think that that was pretty powerful demonstrated to me when i started working with my current group When i started working with the few homeless patients that we have so for them. Quality care isn't so much getting to the best specialist in beverly hills per se. But it's really making sure that they have a place to stay and that they have a place to eat And it isn't until we sort of address. Those needs that then. We can start focusing on their insulin. You know how much it costs Their access to it. And how are they taking it. And it's surprising When i was hospitalised how much. I would dump on a patient and expected to understand. Expect them to learn and even the basic things like using it an inhaler. You're copd patient or being able to understand. The patient is actually giving themself insulin correctly. is a big thing and another thing that we don't really think about is sort of needle phobia of people bite afraid of needles and So understanding the anxiety that goes behind checking blood sugar and unfortunately a lot of these patients get labeled as quote unquote noncompliant which really we haven't sort of explored and of why they're not taking their insulin. Because there's usually reasons that they're not gonna tell you so quality for patients. I think really Focuses on their own personal goals of care if you have a cancer patient basically who has stage war illness a lot of times. Their goals of care really isn't to do aggressive therapies Or to be in and out of the hospital at the last three months of their lives they really wanna be with their family It really want to be able to walk their daughter daughter down the aisle at their wedding So understanding those goals. I think really helps us to provide goals of and quality care for patients And i think the last thing i would say is One of the things. I had a difficult time early on. In my career reconciling is the fact that you have to have a good business model that makes sense in a good operational model the deliver that care But you also have to that with patient in themselves like you know. What are they really interested in What are their goals for care. What is most important to them and really. You can't have one about the other. So i can't deliver good care if i don't have a good business model that sustainable or that business models not going to work. If i'm not understanding what's important to the patient and how i can give them the best care possible excellent. You've you've already answered this question in some ways but it's on the list so up can you give me an example of quality healthcare..
"medical director" Discussed on Perspectives on Healthcare
"Its future and how to improve it now. From the your keynote speaker studio in pittsburgh pennsylvania here is your host rob oliver. Thank you for being with me today. I appreciate you coming and listen. Today's perspective comes from trevor hayes. He is a medical director and palliative. Care lead out in california. He is a member of generation x. Trevor thanks for being here absolutely rob. Thanks for having me you bet. Tell me a little bit about yourself. And your role in healthcare sure. Yeah so My role as a family practice physician hasn't necessarily been the most traditional one i basically was hospitalised for about ten years and got into the current Type of practice. That i'm in now basically because i saw sort of a lot of gaps in what we're doing as in our hostels work I enjoyed being hospitalised. I enjoyed sort of camaraderie in working with specialists. But i felt like some of our high risk patients Were definitely getting great care in the hospital but to be able to transport that care back home in actually wheels on the the care plans that we had designed It wasn't working and the reasons necessarily warrant so much that they were Medical deficiencies in our plan but they were actually psychosocial and so i think This is what i enjoy. What i do now is not only. Do we hone in on the medical aspect.
Case of 76 Who Died of COVID-19 in Veterans Home, Lands in Court
"At a Massachusetts veterans home are trying to get criminal charges against them. Dismissed after a deadly covid outbreak last year. Lawyers for Holyoke soldiers Home Superintendent Bennett Walsh and former medical director Dr David Clinton argued the state had managed burden of proof. Prosecutors had argued the decision by Walsh and Clinton to cram residents who tested positive for Covid 19 with residents who didn't was negligent. But they claim they're being scapegoated by the state and Walsh's lawyer says his client early alert to the state led to the deployment of the National Guard and help save lives. 76 veterans died in the home at the beginning of the pandemic last March. The judge didn't issue a ruling. Another court date is set for October. Rob
Are Unvaccinated Migrants to Blame for Recent COVID Spikes?
"I work in a medium with a whole bunch of smart people. I've known the great one as he's affectionately called mark levin for years mark last night was on fox. News asked a great question. A terrific question. A with with all the cdc guidance about masks about mandatory vaccines about all of it. What are you doing about the illegals. Here's mark. I have a question. For the cdc busy issuing all kinds of orders to american citizens vaccinated citizens are supposed to wear masks. Don't you understand when you tell people that they're not going to get vaccinated on the one hand you say hurry up and get vaccinated on the other hand we're gonna treat you as if you're not vaccinated that's not science that's stupidity and we've had a lot of stupidity at a federal scientists and medical directors over the course of the last eighteen months but you wanna know big stupidity. We've an open southern border. People are pouring into this country so fast we don't know how many covert cases among migrants and the rio grande valley sector surge. Nine hundred percent of the border numbers. Continue to rise. We don't know how many illegal aliens have it. We know they're not tested. We know they're poor. They're coming from poorer countries that they don't have access to vaccines. Maybe that's the problem. Maybe because our southern border is open by design people coming across the border situation. We're being overwhelmed. You look at the red map. The cdc director puts out there. What do you see. The southeastern united states is getting hit. Hardest southern california's getting hit hardest. How come they're not getting hit in north carolina. North dakota how come. They're not getting hit on the northern border the way they are on the southern border. Well we have some ideas about this. Don't we now the. Cdc is so out of control that it ordered not long ago landlords not to raise rates or to to remove tenants and a federal court. Said you're the. Cdc you don't have the power to do that. Hey cdc joe by never question for you for health purposes cdc. Why don't you issue orders to secure the southern border so we can make sure people who are coming across. Don't have the virus and aren't spreading in the united
Dallas Doctors Encourage Vaccination as Concerns Over Delta Variant Grow
"DFW are doubling down on their call for residents to get the Covid 19 vaccine. For months, medical experts have promoted the covid shot. But now more urgency is the delta variants spreads in North Texas, a more contagious strain of the virus. It's just one more. Reminder of how important public health is. Dallas County Medical Director Phil Wang says the majority of the covid patients currently hospitalized India W aren't vaccinated because many, though, have had their shots. Doctors don't believe hospitals will be overrun but are still strongly pushing the vaccine.
How To Get Your Health Back On Track with Dr. Elizabeth Boham
"Today we're gonna talk about malnutrition which you might think is a problem for the developing world but it turns out that almost every american is malnourished. One way or the other. And we're gonna talk about why we're talking about how to diagnose it and what to do about it. And why is such a big factor in so many underlying health conditions and often missed by traditional medicine. We're gonna take a functional medicine perspective on this today. In our special episode of doctors pharmacy called housecall and again. I welcome back dr liz with boheme my colleague and friend on the medical director kilter wellness center starting physician in ardiden md. I physiology cheese. Incredible a team member in our team and faculty of the institute Medicine and does so much to banfield of nutrition science and functional medicine around the world. So welcome back. Liz thank you mark. It's great to be with you okay. So we think of malnutrition. We went to medical school. We learned all about it right. We learn about kwashiorkor and marasmus and zero valmy and ricketts barre barre pellagra and all these frigging diseases. That we don't really see in the west that are really increasingly rare because of improved access to food nutrition. And so we kinda have pretty much. Got that as our understanding of malnutrition and we were told. Basically food provides all the nutrients you need. You don't need vitamins and supplements makes expensive urine and we should just not follow on that track and study after study comes out showing how this interventional trial with omega three or four later this that doesn't work And and so the consumers wondering what's going on because it's clear that are is depleted and that people are eating a lot of crap and that thought a poor nutrition going on but but is there really a pandemic of malnutrition which can show up in someone who's thin or someone who was extremely overweight so Talk about what the state of our nutrition. Malnutrition is in america today and why we should all be concerned about being malnourished and what that means for our rural health you know so win were malnourished means. Were not getting the proper nutrients that we need for our body to function properly. And there's so many that's like our vitamins minerals fighter nutrients even our protein are healthy fats. And you're absolutely right. We see of under nutrition. Malnutrition in people who are underweight but also in people who are overweight and that's called obesity malnutrition and unfortunately it's more and more prevalent not just in the united states but worldwide
Seattle Children’s Knew for Years Security Was Called Disproportionately on Black Patients
"Seattle Children's Hospital are more than twice as likely. Have security called to their rooms. If they're black, it's a racial divide in the use of what Children's calls Code purple more from comas. Corwin take Seattle Children. Staff members invoke Code purple if they need a security guard to report to a patient's room in response to unsafe or threatening behavior, either by the patient or often by a parent. A Seattle Times investigation finds Code purple is invoked more than twice as often for black patients than for white patients. It's a form of institutional racism. That in part, led to the resignation of Dr Ben Danielson as medical director of the Odessa Brown Children's Clinic, part of the Seattle Children's System, Danielson tells KCTS Seattle Children's own assessment revealed the disparity a decade ago, finding that security was just proportionately called on families based on the color of their skin. 10 years ago and then sitting on that there's a tacit acceptance and since there's a complicity of like, Yeah, we know this and we're not gonna do anything about it. A Seattle Children's spokesperson acknowledges the issue. Telling the Times systemic and institutional racism exists across our healthcare system and Children's is not immune. The spokesperson ads The hospital's goal is to eliminate the code purple disparity altogether.
Disaster Medicine and Emergency Care With Dr Mathew Levi
"Well we get an interesting guest. Our special guest. Dr matthew levy is an associate professor at johns hopkins department of emergency medicine. He leads hopkins division of special operations which provides for central command and coordination of emergency medicine. Operation and dr levy is board certified in emergency medicine and a sub specialty certified in ems. He's the guy who sets up the teams and strategies that we don't even know we need until god forbid we need them. Thanks for joining us actor levy. Hey doing okay after greetings. It's wonderful to be here. Thank you so much for having me and for that. Very warm reduction so division of special operations. What exactly is that sounds more military than civilian well. It's structured is what i would say and indeed our division special operations at johns hopkins. The division really got its roots nearly two decades ago in being the central focus for all of the out of hospital medicine activities that johns hopkins emergency medicine overseas and that includes the interval syllabi transport programming includes some of our operational medical programs in support of tactical law enforcement medicine special event medicine and a few other topics and initially had some roots in disaster medicine. Which has also grown into its own unique and blossoming flourishing specialty area or focus area so we were close with some of our colleagues as well nowadays so are you coordinating and training these guys on the line. The guys who show up first. Those first responders that were so appreciative for well. It certainly is a team effort. I would say that. I'm one of the people doing that. Training in my role as an ems medical director. I certainly work very closely with our ems. Educators and helping to design implement and facilitate the delivery of educational content. And yes. i do spend a good portion of my time. An educator not only educating our physician colleagues but also educating our pre hospital emergency medical services clinicians in those lifesaving conditions recognition treatment management
Dr Randall White: Hearing Voices
"Today. I'm very happy to introduce you to dr randall. White doctor white is the medical director of community mental health in vancouver and the clinical director of the bbc's psychosis program at ub hospital. He is also a clinical professor of psychiatry. Ub and on the medical advisory board of the schizophrenia society and dr white is also being awarded the status of distinguished fellow by the american psychiatric association. This year randall. Welcome to look again so you know before we really get into things. I want to kick things off by sharing some thoughts from our panel. We're going to hear from some people with lived experience about what it's actually like to hear voices. So let's take a listen now. I have experienced auditory hallucinations and olfactory loose. The nation's physical hallucinations i don. I was in labor ban. That was very interesting to say. The least i need to say go to the hospital. My family were with me and they said is just a your imagination which i accepted and then old factory hallucinations where i smell things. I started hearing audio auditory loose nations again and actually work van hallucinations of actually one of the segue. And i don't know if you already know. And i don't feel like i've not to listen to this this nations so but yeah i did have them anyways just them so i went to the segue. Go put on where medicine do much better. Yeah there's really really anxious. When i checked myself were dr white. We just heard from people living with mental illness and the fact that many of them hear voices. but not all people with schizophrenia. hear voices in your clinical experience. How prevalent is this symptom. Hallucinations are one of the five main symptoms listed in the diagnostic manual. We use to diagnose schizophrenia. they're very common. But as you said. They're not universal. I would say that. Probably three quarters or more people with schizophrenia experience. At at some point it can be episodic so at a given time somebody with this diagnosis might not be having that. But then when they have relapsed to their muskets worse it may come
Dallas minors receive COVID-19 vaccine in error
"For better training training at at covert covert 19 19 vaccine vaccine sites. sites. After After almost almost 20 20 kids kids were were given given shots shots by by the the stake. stake. The The CDC CDC hasn't hasn't approved approved coded coded vaccine vaccine for for anyone anyone younger younger than than 16. 16. But at least 18 Children have received the shot of the city of Dallas. Vaccination, huh? But the Potter's house Dallas County Medical director Phil Wang says there was a mix up with the online invitations were sending out the appointments. That was one day to set that didn't get screened for all the age so that there were some notifications that went out. Local leaders say the air has been fixed but her promising better training and insisting staff start double checking birthdates plate. Nevil
Polish hospitals struggle with surge of virus patients
"What should have been a weekend of celebration turned into one of ill health and struggled in Payton's as hospitals for such a code nineteen cases which is spread across central and Eastern Europe in recent weeks the Polish government set down two weeks of strict a pandemic restrictions over the Easter period in order to slow down the infection rates the country hit new records of thirty five thousand daily infections on two recent days and deaths have been in the hundreds each day yells five good spot medical director of the county hospital of book the US says the situation has gotten out of control in the past year I've been in sales have been standing with driving from hospital to hospital trying to beat the patient's somewhere the many many hours this is a symptom of very high in efficiency if we have no way to put these patients and no way to treat them I'm Karen Thomas
Mercury Toxicity with Dr. Elizabeth Boham
"I'm so happy to be sharing the story of mercury with you and a personal story for me with my colleague and medical director on this very special episode of the doctors pharmacy called house call. And i'm gonna sit down with so many of my colleagues the ultra wellness center in lenox massachusetts and liz is just my number one dock. She's a medical director of the ultra wellness center. She teaches all over the world. She's in the faculty and super functional medicine. She's one of the best doctors. I know and we are going to talk about mercury. So welcome liz. Inst- mark it's great to be with you today so let's start with talking about. Why do you think this is just so ignored. Because every is such a prevalent problem and when we cast people at the ultra center we find so many people have not only high blood levels of mercury but high total body levels in fact we did a survey of the ten thousand tests and we done at some point in time and we looked at the number of people who had toxicity and it was forty percent of the people who came to wanna center had high levels of mercury that interfere with their biology. So why did he just ignored. And and what we have to do to properly discover whether mercury is an issue for somebody or not. I mean it's it's a great question. Mark you know Even the world health organization recognizes that mercury is one of the top ten chemicals a major public health concern. But i think that toxins in general interventional medicine are often overlooked and ignored because we we always are thinking about acute tax city in conventional medicine and so often were not thinking about the chronic lower levels of toxicity can have huge health effects as
The Latest: EU slams AstraZeneca for production shortfalls
"Sign of access its vaccine job is safe for children as young as three more than seventy million shots of sign of acts Maxine named corona VAX to be given worldwide including in China at a news conference medical director then gang says the company's vaccine is safe in children ages three to seventeen based on preliminary data submitted to Chinese drug regulators for children ages three to eleven all we can see that the node dose could induce very good and the body's response for me to dose we can see this dosage could be very good for the subjects aged two to seventeen China has approved the vaccine used in adults which is not yet been using children because their immune systems may respond differently I'm Charles last month
Texas AG sues Austin for refusing to lift mask mandate
"Sue Travis County officials for overriding governor Abbotts order to not require mask sexes. Attorney General Ken Paxton is suing Austin and Travis County officials over their decision to continue requiring mask wearing in public In a 25 page petition filed Thursday in Austin action as a state district judge to block Austin Mayor Steve Adler, Travis County Judge Andy Brown and City County Medical Director Mark S. Scott from Enforcing their mask mandate. Don Smith w B A P News as part of a multi million dollar partnership. Tarrant
Separating facts from fiction on major COVID-19 vaccine misconceptions
"Of coded. The news does seem to get a little better every day, particularly when it comes to vaccines. We now have three covert vaccines in circulation. Advisor Madonna and Johnson and Johnson. More and more vaccination sites are taking appointments in the U. S. Almost 77 million doses have been administered. Even his inoculations rise. So do the questions. What does that mean for our daily lives after we get both shots? Can we take off our masks and we go on vacation? To get some answers. We talked to Dr Sandra Cash, deputy medical director and infectious disease specialist at West Bed Medical Group, located in Westchester, New York. Is what she had to say. Thanks so much for joining us. You're welcome My pleasure. So with the vaccine on everyone's mind these days, what are some of the common misconceptions about the vaccine? You know, just that this is ah, very good question, and I've seen and heard all sorts of mythology out there about the vaccines. Some of the more common myths that I've seen are that the vaccine can close Cove. It Um, the vaccine. The genetic material in the M R in a vaccines can actually affect your gardener your genetic material on but it can cause problems with fertility. Um You know, and the first two are flat out wrong. Um, you know, the genetic material in the in the vaccines really does not interact with your DNA's A. It's degraded very rapidly in the side of possum. The area outside the nucleus of the cell by yourselves. Enzymes on that happens really, Very quiet. Very quickly. Um, you know, the question about fertility and impact on fertility is one that I think we have not seen evidence of that to be the case. I don't anticipate that being The case. But you know these air new vaccines, So we simply haven't had the time on Ben. The question about whether the vaccines can cause Kobe that that one is flat out wrong. There's no mechanistic way for that to happen with the vaccines that we use these air, not live vaccines. Well, that's great to hear, and it's good to be clear about the facts. After you had two shots of the vaccine, and the correct time period has passed. Do you still need to wear a mask and other other precautions you should be taking you do And the reason it seems a little counterintuitive, But the reason we we continue to make that recommendation is several fold. Probably the most important reason behind that is that we still don't know. And I'm anticipating will have the answer to that in the next few months. Whether vaccination prevents transmission, meaning that a vaccine individual will not get infected if they're exposed to someone with Cove it But they may still get enough of the virus to carry it in their nose in their fair or unfair, inks the back of their throat and be able to spread it toe unvaccinated individuals. And that's where masters becomes a mechanism. Tol interrupt that that transmission I suspect what we'll see with covert vaccine is what we've seen with vaccines for other infectious diseases. Primarily that vaccination not only prevents infection, which we know the M Marny vaccines, the backs and the Johnson Johnson vaccine, they're highly effective in preventing infection. They'll also be very effective in preventing preventing transmission. This asymptomatic carrier status. We just don't have that information now. So we continue to make that recommendation recommendation on mask use until we have that additional information. So given that is it safe to expand your social bubble? Once you have the vaccine, and if so, who can you include? That's a trickier question, and I'll give you like a scenario. So if you're with other vaccinated individuals what you can Probably pretty. Realistically assume, is that those individuals? If they're carrying the virus, they won't infect you. And you won't infect them. What you can't assume And what we're not sure of yet is whether if you're carrying the virus again and your nose, you won't get the infection because you've been vaccinated. Can you expose another person in your gathering and they again Because they've been vaccinated won't get infected. But will they get enough of the virus in their nasal mucosa and then take it to their home where they may have unvaccinated individuals? Now? The likelihood of that happening? You know, there are lots of steps involved. Becomes increasingly remote. And so I've seen, you know, groups of people who have been vaccinating getting together and you know and not wearing masks. I don't think we're at that point yet I would feel much more comfortable with that once we kind of reach more a level of herd immunity. But what vaccination does do is it obviously prevents you from getting infected and dying from this, You know disease, which can be horrible, But it also allows you to do things that you may have been very frightened to do with a lot more comfort, and I think one of the things that we talked about a lot with Cove. It is this underlying kind of second pandemic of tremendous anxiety and fear that it's created in people. You know, fear of going to the store fear of interacting with people fear of even going Outside an exercise in which we know was probably one of the safer things you could do right now. And I think vaccination gives you you know, Ah, lot of relief that if you do go to the store and someone buy, you sneezes or coughs that you know you don't have to have that panic attack, you know, And I think that is a huge weight off of a lot of people's shoulders, and that's why you know Healthcare people in epidemiologist and all the people are talking about. This is really the first major step back to a sense of normalcy and why vaccination is going to be so important for us to get back Tol we were the society. So
New York Governor Cuomo Should Resign or Be Impeached Over Covid Scandal
"Finally allowed to talk about the fact that Andrew cuomo is a garbage governor. Who got a lot of people killed with bad policy. In fact there's a piece in the week today. By ryan cooper titled resign andrew cuomo. He points out that his administration concealed data about kroger's cases in nursing homes reportedly for fear of federal prosecution stories of his vitriolic abuse and threats directed at other democratic. new york. Politicians are coming out yet even all that is only the start of deadly corrupting competence. So in keeping with judging by his by his results cuomo should resign immediately and free new york state from his dismal. Misrule says ryan cooper of the week and not at the nursing home scandal has been bubbling for nearly a year. Now it starts with cuomo's inexplicable decision back in march two thousand twenty two order nursing homes to accept recovering covid nineteen patients even if they were still testing positive a recent. Ap investigation found that. At least nine thousand recovering patients were sent back to nursing homes and long term care facilities a number that is forty percent larger than his administration had previously admitted is unquestionably worsened. The pandemic as it ripped through new york's elderly population. that's not the only number cuomo fudged nursing homes new york attorney general letitia. James investigated situation found that his people may have under counted the number of deaths associated with nursing homes by fifty percent cuomo. Then instead of the eighty five hundred said they'd been reporting. The true number was over. Fifteen thousand about a third of the state's deaths and then of course in your post reported comments from cuomo's top aide. Melissa rosa seemingly admitted that they deliberately faked the numbers as part of a cover up. His officials froze fear. The truth is going to be used against us. By federal prosecutors ran cooper says cuomo bungled the pandemic basically from the jump. The new york city metro got hammered with the worst break in the country. In the following months cuomo's compulsive bullying and control. Habits gradually drove an exodus of public health professionals from the state government including the state's health department director of bureau of communicable disease control as medical director for uppity myalgia in the state epidemiologist and then his micromanagement tangled up the early stages of the state's vaccine rollout he throughout the plan. The state health department had worked up over months substituting his own he put he put in place strict requirements that only people who qualified to get shots but then added threats of punishment for organizations that didn't distribute their shots fast enough and the result was chronic delays. His bottom line is this. Cuomo has been a garbage governor in the media. Didn't just cover for him. They featured him. He was the greatest government in america. Meanwhile ron santa's greatest villain. In america down in florida with the number two populations seniors in america by percentage after main which has seven people.
How To Steal Back Your Identity
"The greatest betrayal of abbey. Ellen's life began with a newspaper assignment. I was reading a story about detox diets. And i need to quote an expert and someone suggested this guy. Abby is a journalist and the author of duped a book about this fateful interview and the bizarre life altering aftermath and so i quoted him Actually it was in the new york times called a fact check. I said are you still in florida and he said no. I'm in the navy now i rejoined. I'm opening up a hospital for kids with cancer in iraq and afghanistan. And i said that's awesome. I want to write about that. Keep me posted and so he sort of did so. We'd never met in person until all why a later that when he finally was coming to new york city where i was living because he had to give a big talk at the un clearly and so he came to do is talk of the un and we went to dinner six months later abbey and this man who she calls the commander were engaged. They moved in together in dc. Well he worked at the pentagon. Abby went to grad school for international relations. But the more time she spent with the commander the more abby sense to something just wasn't quite right. What i made you suspicious. Me told me he had met his first. The first ex wife who's really his second ex wife but his first when he rescued her when she was held hostage in iran. And i said the age didn't add up. I said when we in iran he said oh it was a secret mission. You wouldn't have heard about it really well. And then i thought okay the someone has to do these jobs like better better. Decoy this nerdy asthmatic. Doctor you know like like why not and then. He told me that he worked at guantanamo as the medical director which he did that was part of the problem is that he kind of mixed fiction and fact together and one of his patients was a very wanted terrorist named osama bin laden. And i said that is impossible. And he said the president doesn't know and then i got like all you know. Carrie mathison a homeland. Like god. who's the jihadist. And who's not and who knows what it was. I was gasoline making myself crazy. Suddenly abby found herself using her reporting skills to investigate her own fiance she talked to professors about whether the commanders impressive stories could even be possible. Never like yeah. That's the possible. The final straw was when we went out to dinner with my parents. And we had brussel sprouts and he raved about the brussels sprouts and when we got out he said that meal was awful and i said why did you lie. And he said. I wanted to make them feel better. And that's when. I said you know what i'm out. There's no need to lie about something like okay. So so he was treating been logging and the president to know about it but it was. The brussels sprouts praised that gave him away in the end. I knew they weren't good but more than that. He admitted that he had lied. He said i wanted to make them feel good. And i thought you lie so beautifully which has flowed out of him. If you could lie about that you could lie about anything when you finally did confront him. How did he react to that. Well i left him. I said i'm out. So i never talk to him again. And i didn't find out until a year and a half later that he in fact had been stealing identities and when he was a drug addict. And i got a call from ncis and they said you know there's a doctor who's been writing prescriptions for vicodin and he's been using a bunch of people's names and identities and you're one of the people. Do you know this guy. Do you ever prescription. And i said well. No 'cause i prefer valium and so of course but anyway so he went to jail to make a statement against him. I just started researching all this stuff about this guy. Heaven the guy you're about to marry steal your identity is obviously different than casey's going through but it actually has a lot more in common with her situation than you might think abbas wrestled with the kind of psychological trauma that really defines any breach of trust. And she understands the obsession. That's now leading. Casey to work twenty hour weekends on her case. So you're in this kind of like luminol space of you may be probably sort of know them. But you don't know and you're not sure if you're ever gonna find out right. Can you kind of describe where you are with all this well. I kind of actually have this idea that i might want to sort of help other victims by maybe writing a book about the experience. I guess what i'm trying to do. Is you know sort of gather information about how other people handled it and how they move forward with their lives. But i don't necessarily want focus too much on our case. Because i feel like it's not mentally healthy evian. You've seen more people get duped and cope with getting duped than the next by by a long shot. So i'm curious to hear sort of your take on. What's the most interesting thing to me is. When i was reading the book was a how many people i spoke to. Who had been duped and most people didn't wanna talk about it or use their real name because everybody felt completely humiliated. So when you talk about writing a book to help people and what i tried to do anyway is at least make people feel less stupid. And if you're gonna feel stupid that's okay because everybody's stupid then
Why is Spain's Covid-19 vaccine rollout going so slowly?
"Go to Spain, now one of the hardest hit countries in Europe when the first wave of covert 19 struck last year on although the third wave has hit the country later than many of its neighbors, Spain is now starting to feel its force. With nearly 60,000 deaths registered In addition, Spain is also being affected by the controversy surrounding vaccine does deliveries in Europe Guy head coach reports now from Madrid in Madrid's Isabel Sandal hospital healthcare staff for being vaccinated among them is Claudia Lopez in working here in the candle in the hospital, a malady I'm working a sinner's. I'm really very excited because I had my second boxing on. I'm feeling really well at the moment. This is very important for everyone to have the vaccine. Because I think this is the beginning off the off the end off the carpet, health care workers and residents of care homes and their carers have bean those receiving the jab in recent weeks. Problems with vaccine deliveries in the European Union have meant that the administration of doses is being prioritized even more than before. In Madrid. Vaccine shortages mean that only second follow up jabs are currently being administered how the ADM article is a medical director of the hospital here in Madrid, for example. We are not going to be able to meet our plan. That he lay off the vaccination program that report cushion is going to affect going toe be visible on the number of patients are going to get infected. And on the number of bets. This'll hospital was built in only three months in response to the covert crisis. It opened in December, but it's already under strain. The third wave of Corona virus hit Spain Hard after Christmas, his family gatherings over the festive period transferred into soaring infection rates. Rise in cases now appears to be easing off again in public, Danica But Fernando C'mon, the government's head of medical emergencies, has warned that the highly contagious British strain of covert will be the dominant one in Spain within the next few weeks. Controversy in Europe over deliveries of vaccine doses has had relatively little political impact here in Spain, but there has been outraged you to a serious of scandals caused by public figures who have apparently used their position in order to jump the queue and get vaccinated early. Mayors of several small towns are among those implicated on the head of the armed forces, Miguel and Columbia. Roya resigned recently after it emerged he had received the vaccine. These cases have angered ordinary Spaniards. It's another winter, huh? This is how this race it's a social disgrace on a problem we have in Spain. I don't know if this happens in other countries. It is the kind of thing that you hear about in other areas of life. But this time it's more visible. Everybody that I'm saying it's just really tired of the situation. We are old. Too sick of it, and we don't see the end and I think it's yes, it's really upsetting on it said we'll have sitting that's like saying that you have to act really responsible. And then the people that are in charge are not acting responsible at all.
Interview With Dr. Dale Needham
"As you heard our special guests from johns hopkins medicine. Doctor dale needham. He received his phd in clinical investigation from the bloomberg school of public health and johns hopkins university. He's a professor of medicine at johns hopkins. He holds an appointment in physical medicine and rehabilitation. We're gonna hear more about that shortly. Doctor also serves as the medical director of the critical care physical medicine and rehabilitation program. And he's the director of outcomes after critical illness and surgery group. Welcome dr needham. It's nice to have you join us today. Thank you so much feel very happy. Be here if you don't mind. I'd like to begin at the end recovery. You've taken a solid position that motion and cognitive activity in an icu. Prevent complications and accelerates recovery. How does that work exactly absolutely. This is critically important to patients recovery. Before during or after the covid pandemic traditional critical care has patients deeply sedated lying motionless with many many severe long lasting impairments in their nerves muscles and brain people may come into the intensive care unit primarily for a breathing problem and need to go onto ventilator artificial life support but these people that survive there ice use day most often complain about problems or third thinking or their nerves muscles. Not with their breathing. So it's critically important that we think about the brain the nerves in the muscles in addition to the heart lungs and kidneys when people are in intensive care unit. A stay in the. Icu affects your thinking. Absolutely it does we know that. So many people in the intensive care unit experienced delirium or confused thinking caused by many different things including their serious ailments including sedation. Medications and patients that have longer durations of delirium are much more likely to have long-term impairments in their thinking problems with their memory problems with their ability to plan organize various complex task. Either really important things that impair people's quality of life wants to get out of the hospital and back to home. I grew up in the era where it would not be considered compassionate to put a tube down. somebody's throat and not simultaneously. Sedikh the heck out of them and a combination of pulmonary critical care and physical medicine. Even to this day are probably the only one on in the world. Who has this linked specialty in this amazing time of transition. How do you convince your patience that this is actually a reasonable thing to do to keep you away. Keep them awake after. We've put a tube down their throat. Most patients don't know how critical care is delivered so most patients we don't need to have discussions with them around this other than when we're not giving them deep sedation in in contract with us we can directly. Ask them if they're anxious if they're in pain and give just the right amount of medication to take away any discomfort and allow them to be awake and in fact when we most often ask patients know. Are you uncomfortable. Would you like some additional medications. When patients are not delirious. Most often they tell us no. I do not want your medications that. Give me confused thinking. Let's give a little bit of pain medication. Let's be up and moving so my back doesn't hurt lane in bed. let's turn on tv. Let's engage with family either in person or through video conference. Let's do some things that helped distract them. Were also very fortunate that we have. Dr megan hosie a rehabilitation psychologist. Who will address issues of anxiety through talking to patients rather than trying to give them powerful sedatives that caused confused thinking delirium and long-term cognitive impairments. So did you have a difficult time in the transition. Having been in the icu. Now i'm in my twenty ninth year. There is a culture at least in our main intensive care unit that the culture has always been patient. Comfort is paramount concern in the think the reflects amongst the nursing staff has always been because of the old adage to sedate is really compassionate. Did you have the same impediment that we've been trying to overcome in changing the culture of from sedation to awakening absolutely most people who practice in the intensive care unit telling them that our patients should be awaken. Moving is like telling them. The earth is flat. This is completely different than everything that most of us learned when we are in our training and most of us have seen however if we go back to the early days of critical care win intensive care units were first being created patients were routinely awake and moving at that early stage but then the pendulum swung just as you said with. People think that sedation was going to make patients feel better. But when we began to think that we didn't understand this concept of delirium and we didn't realize that giving patients these powerful sedatives also directly causes this confused thinking and during this confused thinking patients aren't calm peaceful in an amnesic state like in the operating room these patients are having horrible nightmares and delirium feeling like somebody's trying to harm them. There's blood coming out of the walls that rats on the floor that they're dead babies lane next to them in bed. These are all actual memories. Patients have head during their
Fixing The Coronavirus Vaccine Rollout Won't Be Easy
"When it comes to the fight against the coronavirus here. There are new concerns about hospital capacity as well as the slow rollout of vaccines. The month of January is tracking to be the deadliest month of the pandemic in the U. S. And locally. Hospital beds are problem. Frank Garibaldi, medical director of the Johns Hopkins Biocontainment Unit. We continue the unfortunately see here in Maryland record highs or near record highs of the number of patients who are hospitalized on a daily basis with coronavirus during a Johns Hopkins briefing, Bill Moss, executive director of the international Vaccine Access and Says vaccine rollout is slow. We still have enormous delivery challenges. And what the Biden plan lays out is really simplifying the allocation and distribution process. No state has vaccinated more than 2% of its population. So far. Valerie bonked w T o p News
"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..
"medical director" Discussed on Discover Lafayette
"League where you know math. People, but also to help slow down the spread. Because as you said YOU HAVE TO WORK IN STORE CNN Health conditions or Berkeley, so SAM are. You might say someone who didn't go home and. And you know developed far. Dramatic person they never do they have, and then friends do someone high risk and so. There's so much we learned village about this. The role of the ancient matic spreading fire that that's the message changed other some of justification for people who? For whatever reason authorized need to wear masks? Part of what would again we hear is that? There's mixed messages for this. Message early on, we did not know the role as a matter of friends, and so you know for example sources the coronavirus. Thornton spread by people who have. So the initial thought was is going to be like all these other chronic. Or spread by people who are symptomatic where we learned that that's not the case. Great degree and says that's why we wear masks prevent from a spreading the infection people if we are..
"medical director" Discussed on Discover Lafayette
"Interest in mental health services for children. Through are helping. A, pretty broad range of things that we did for direct style, preventative services, and then also I'm GonNa work with our epidemiologists so all mad. Diseases that are required before decision for example things for coli gala Giant and thousands recorded..
"medical director" Discussed on Biz Talk Radio
"Your local farmers and in less than five minutes by visiting America's farmers American farmers welcome she had a strong educational policy talking today to a physician from the medical director for doctoring clinics dark green clinic and Dr naked there naked you are welcome back it's so nice to have you with us today and we're talking you were you were just talking and you're obviously very passionate about this opioid subject in the use of of cannabis and and not just a full plant with the THC but this DVD as well could be it an answer in my opinion as well right now absolutely and and that's that's the whole idea is that the opioid crisis is you know has many many avenues an aspect that you were gonna put out one fire and another one's gonna pop up and we have to be prepared for those types of issues and and that's kind of what I was alluding to it you know at the end there is that you may be fixing one problem but I know that you live we're obviously gonna theorizing things than we already are and we have to be and be able to combat those those issues as well cannabis is going to be one of those tools you know and I think there is a two on a few different ways like you said he is one of those tools DVD CBG these other component cannabinoid that we're finding you know and and not just an addiction but just like you said and and things like this the call that crisis you know we know that cannabis has the media the endothelial protective effect meaning it it helps her heal the the cells of the long you know and endothelial cells which are found in the long so that's why some of that research is being done you know and directed that way and and that's really kind of what it's about is that we take the knowledge we do now and we keep expanding on that and and finding you know what else we can learn from that and to help us out because our society and in all these issues that we deal with you know I mean that that these are common problems that everybody everybody every culture every race it's you know it's it's across the board so they have to be addressed it's it's almost actually more important than the covert crisis it's just that it's not all dealt with All I Want so it's you know it's just not as a dramatic of a response we have yes and and I think a lot of veterans today are suffering and and I know that in my state a loan there is a horrific events that have happened in two of the veteran homes were hundreds and hundreds of our veterans hundreds of them are are you are dead today with coded nineteen which is so sad but many of them are not being treated in my opinion the way it with the respect and the dignity and understanding this whole cannabinoid of medicine field and it's it's a shame it's absolutely a shame that so many veterans are taking their lives every day and then maybe you're put into a home where the team there needs are not really understood and it's almost archaic in this era yeah absolutely it is one of the you know bigger issues we have the kind of ties into need and now kind of lack of resources we have for for treating mental health health properly and again it's one of those great areas where cannabis has shown some federally it's good to know and for everybody to know that the federal government has eased its you know policy on veterans using cannabis so they don't particularly oppose you from doing it they don't particularly always help you with doing it either but you know at least they're they're not aiding that Banneker fear in terms of someone who's who's trying to treat themselves and and and I found something that works you know yeah yeah I want to ask you we are hearing some talks about covert nineteen or financial relief and some new banking bills that are being put into the mix of this and have you heard any more and it must be very difficult because of the lack of banking to be involved in the cannabis industry correct what you finish again fortunately the state has created banking regulations and rules so we do have a certain credit unions and banks are starting to operates however these businesses aren't aren't qualified for they can't qualify for a lot of the the loans in the protections that you know other small businesses are thirty two but for the most part you know to be honest if you can imagine there's not that it hasn't been hurting too much so it's actually one of the areas where people still have their jobs you know the the stores for cultivation and and other places so far has been you know able to withstand there at least you know compensates for the drop in volume but I know many retail locations in terms of the century the sales are actually increased because people are kind of at home and and you know kind of have a little more time to use cannabis otherwise you know whether it's medicinally or recreationally yes yes and I think that this is an opportunity to really explore some of the medical benefits of cannabis during these times as you were saying you know some of your patients and I know a lot of elderly patients it older Americans and I hate to call them senior citizens but a lot of them are using cannabis in a different way than they did when they were baby boomers when they were young yeah it interestingly you know the majority of my patients right now are currently is younger thirty some year old that are kind of actually weren't really introduced to cannabis really didn't have too much exposure to it and now they're starting to you obviously have the exposure and then about sixty about that actually above sixty five I have you know and and one of the challenges now is is getting them registered online because you know this is something that not have emailed them access to their email accounts so you know it different challenges but I think for the most part the cannabis industry as it has been expanding and you know for the for the for my opinion I think most businesses have been doing pretty well in terms of operations and and sales and you know keeping their employees I'm sure there's some business with another and others that are affected but you know and I guess yeah the company has been a new kind of time you know absolutely I've been calling it an adult time out this is an opportunity for us to look at what's working and what's not and to be grateful for what we do have in our lives you know is as hardest some of our allies might be right now and I know that it is but I also know that the the world will eventually get back to where we need to go and I hope that this little blurb on the radar will not affect the future of the cannabis industry what are your thoughts you think it will be strong enough to survive covert nineteen are I I do I have faith in the economy I have faith in America history repeats itself and we did really well after World War two that hit the country banded together we were producing thing you know companies are producing things they didn't normally produce you know I'm not it's just a different situation but in the end I think we're right really kind of on that same track and you know and then again when I I think our infrastructure is still there and I think we can get back I'm so grateful yeah I'm stronger actually good good good with that note thank you so much this was so great talking with you today Dr okay.
"medical director" Discussed on WCBM 680 AM
"Guards with us medical director ICU medical director of hospital services what are your thoughts on the re opening number one and number two you've been dealing specifically with with respiratory issues because ventilators have not worked out as well as people thought they did hi Sean good afternoon my thought on re opening as I think it can be done it can be done safely but it needs to be done in a rational way and I I don't think that the federal government or even the governor should really be in charge of it this is a disease that happens in clusters happens in localities municipalities you know in our hospital first got hit I started calling my colleagues and my friends and and and the Los Angeles area and at that point you know none of them were seeing the number of cases that we're seeing ominous Rhode Island and your between New York and Boston not a good place to be we're actually in Providence cedars Sinai was were in Los Angeles all of your products around I apologize no no worries so yeah it it really needs to be done in a in a collaborative way but it really needs to be handled on a local level because it's happening you know in a in a very kind of reaches out a regional thing about the whole city about the whole you know state of the economy and I actually think California did pretty well above people in California are hitting the beaches and people are not listening to Gavin Newsom about that issue you know I I I I agree with Dr oz I mean I think that this is a disease that's much more contagious in a closed environment I think that in an open air environment it's very difficult for you to contract this virus not unreasonable but I think it's very difficult so I think it's more of when you're in a clinical space were with you know poor circulation poor ventilation that it becomes a much more contagious disease yeah what are the respiratory issues and by the way you you help somebody close to me in my life I want to thank you for that you've been amazing and generous with your time as it relates to this you know one of the respiratory things that you've noticed that maybe others have missed and all of about forty seconds here well I mean I think the two things the the two most important thing is that this is a virus that causes two different clinical syndromes the first is an infectious disease where the virus is actually causing the harm but the second and more important is that it's actually an auto immune disease and that's what's happening in the second week and beyond it's not the virus anymore it's really an auto immune disease and we talked about cytokine storm several weeks ago but there's also other things like a hypercar global condition where you get blood clots we can get stroke we get vasculitis these are all auto immune disorders and what we found in our icy use is that these are diseases that you need to treat autoimmune process if you decide if you treat these autoimmune processes the patients actually do incredibly well and then you're dealing with a virus this may be a little bit more deadly than an influenza virus with the auto immune but part of it that's really killing a lot of patience and that Saddam units then the treatment is very counter intuitive because now you have the station is in the ICU who's struggling we just had this virus and that viral infection but now they're having an autoimmune process and you have to give a very very strong immuno suppressive medications things that I have not done in my twenty years these are the things you have to do to save that patient's lives it's not it's not the virus anything this is what's you know this is a part of striking all the doctors is that they think it's a viral infection and the virus is causing all these things but there isn't a virus in all of mankind that causes so many different diseases and so many different manifestations if the system that said so kia model learn more we'll have you back again a doctor yet a great thank you.
"medical director" Discussed on WGN Radio
"Doctor yeah and medical director of behavior for mobile health for Lendl Christian health center a federally qualified community health center on the west side of Chicago thank you mayor and commissioners for this opportunity and nice to see you Nelly I am very privileged to work with a a great team of folks who serve folks living in homeless shelter sites and continue to serve in a homeless shelter sites on the west side of Chicago we currently serve thirteen sites over the last twenty four years and I've done this work with this great team we've really been able to really bring health care to where it's needed for people experiencing homelessness including the provision of medication assisted treatment for those suffering from opioid used to order we also do quite a bit for I was serving mental health needs including use of long acting injectables in the shelter site we also do quite a bit of social service support so we so we are really on the ground seeing patients from from day to day of course with this coronavirus up pandemic what we've had to do is changed a little bit and with our great partners that are that are here today we've really been able to do a lot of do a little bit more and for the last twelve days we've been able to take care of people not only who have corona virus or corvette nineteen disease but also those who are most at risk who are in shelters we've now we are welcoming our hundred and fifteenth person this morning into the hotel to try to keep them safe we really are really is sheltering those folks who are high risk and taking them out of large congregate settings now some people said well how is that going to work if you're having folks coming from a large congregate setting experiencing homelessness into a hotel many of the people who accept that may not have a lot of experience working with folks experiencing homelessness but I can tell you mayor and commissioners that the folks that were serving in the hotels are doing great and probably even doing better than they were doing before when I visited when I visit patients when I visit my patients in the hotel their medicines are all lined up neatly their shirts all lined up neatly I had one patient two days ago asked me for a broom and a dustpan because he wanted to clean up his hotel room this really shows that there is a sense of ownership within the hotel room some people were worried about the hotel rooms but I can tell you that people really want to be in a safe secure place and that they're willing to really keep it up the other thing that another patient told me when I was working without what the largest CAGR gets shelters in the city of Chicago Pacific garden mission we are getting some of those high risk people ready to come to the hotel and he was sitting on a concrete step in the sun waiting for R. for waiting for transportation and he said to me well what if I test negative I don't want to come back to the shelter I know there's corona virus in the shelter when I'm I supposed to do and I'm so glad that the commissioner and so many other partners really are trying to work very hard to try to give folks an option for permanent supportive housing we know that that works we know folks who are experiencing mental illness an opiate use disorder they just do so much better if they have proper safe supportive housing just like the rest of us would so I'm very very glad to hear that this effort is moving forward and we really hope that that will continue this mayor commissioners we love our patients we love our city and we would love to have a safe secure supportive place for patients experiencing homelessness and with that I'll I'm pleased to introduce Nellie Vasquez wrote Roland.
"medical director" Discussed on KGO 810
"Medical director of power of attorney and your will in case the worst occurs in the light of this terrible crisis there's one other element of a state planning that often gets neglected your pets who will take care of your paths if you go into the hospital who will take care of your pets of something happens to you you need to make arrangements now for the care and well being of your animals work out with friends or family members who will take care of your pets and if that creates a financial burden on those who will assume that responsibility you need to make arrangements for funding to them to make sure that your pets are very well cared for yeah taking care of everybody during this crisis something we all have to make sure we take care of you're listening to the record open show let's set off to Middletown New Jersey Rick's with us on the phone it's the the Rick and Rick show at the moment Hey Rick how are you this is Rick thanks how are you doing very well thank you for calling how can I help you well between IRA's four oh one K.'s SO four oh three B. an HSA and the like my wife and I have a count of the number of different institutions and certainly the funding of the council's impairing levels of the client or the impact the corona virus was found on the market sure right do you have an online portfolio monitoring tool you might recommend so I could do a walk through of all those mutual funds and ETFs from one place to look at the changes in our geographic sector and industry exposures that have occurred of late you're trying to determine what the holdings are of the individual funds in your portfolio that's correct there's no source that's really going to do that for you effectively and the main reason for that is that mutual funds are not required to reveal their holdings except in arrears and most don't issue that for as much as six months in arrears so your ability to obtain this data in real time is very very difficult if not impossible are exchange traded funds are more forthcoming where they publish their holdings much more readily they're far more transparent but even there you can't be certain that you are being able to effectively sort the data I'm curious is what you would do with the data if you're able to obtain it just curious to see her the ups and downs of of some of the different accounts obviously there are investment restrictions like no one ETFs and mutual funds so I probably won't have to worry too much about being over allocated to a particular stock but I know they differ from product to product and from from shop to shop yeah so just like a little bit more inside if I could yeah they're very articulate there are a couple of sites I can mention Morning Star it is one of the most robust mutual fund analysis analytical inner and ratings firms out there they allow you to compare two different mutual funds and conclude how many stocks you hold in both of them meaning if you've got five stocks I'm willing to bet that you on Microsoft and all five of them because that's one of the most widely held stocks in the country which means you're not as diversified as you think you may be more redundant than you realize and so it's worthwhile to do an evaluation to verify that the funds you have truly are providing diversification as opposed to a me too scenario we're not allowed to say me too anymore away so you get my point exactly and so if it's a valid thing to do and this is why the security selection process of choosing your funds by category for example you want a fund that buys large cap stocks and another one that buys mid cap another when the by small cap you want one that buys US another when the vice foreign for exactly this reason so that you are minimizing the risk of redundancy but here's the irony when you have say a small cap fund it's gonna buy stocks that are only small in size and if they do a good job of picking the stocks the stocks are going to rise in value and guess what they become mid cap which forces the small cap fund manager to sell them even though you might not want to sell them because they're a great stop doing well they no longer fit the definition of the fund and therefore they have to be sold you would only then have to hope that the mid cap manager buys it at the time that the small cap manager sells it and this is one of the conundrums of dealing in them the mutual fund environment and it's just one of those things thank you so much a sewer certainly helpful well I'm glad it was like pushing your phone call in which of the very best during this crisis wreck thank you to rex have a greater you too that was Rick from Middletown New Jersey you can do what he did call us interpolate planned Rick that's triple eight seven five two sixty seven forty two my colleagues and I here at element financial engines happy to help you figure out what to do during this crisis let's continue with our telephone calls heading off to Chicago soon welcome to the program thank you rex hope you're doing well during all this crisis yeah during a start there good I'm glad how can I help you well and I are both retired in Chicago we are currently subject to Irma the income related Medicare adjustments right and our social security payments have been adjusted accordingly for twenty twenty however we are virtually certain that due to the economic hit of the corona virus pandemic R. twenty twenty income will be below the Irma Trachsel right so my question is is there a way to appeal the my we're paying now for Medicare in twenty twenty based upon our estimate of R. twenty twenty income yes and citing the economic impact yes of the corona virus yes you can do that let me clarify for everybody dealing with the situation when you reach age sixty five you signed up for Medicare which is the federal health insurance plan for retirees and you pay for Medicare part B. and the amount of money you pay for that is based on your income and if you are a high income individual you pay more than lower income individuals the calculation now is based on last year's income because they don't know how much money you're making this year at the moment so they bill you essentially based on your prior income and most folks that's a reasonable system because most folks their income is pretty steady one year to the next what we know this year is totally different a lot of folks are discovering that their incomes are dropping dramatically in twenty twenty due to cover nineteen so is it fair for you to have to pay this higher premium when the social security ministration assumed your income would be as high this year as it was last year when you know it's not gonna be the case that's your situation so right that's correct the social security ministration does allow for an appeals process where you can contact them just contact your local social security office they're all closed physically but they're working remotely so contact your social security office and say I need to have a waiver on my income level because of the reasons you've described and they will make the adjustment for you also it's a routine thing for them to deal with because of fluctuating incomes that people have and this is going to be a cute this year now having said that this is going to be a rampant situation for Americans to to cover nineteen here in twenty twenty and that's one of our thirty six policy recommendations that we have submitted to the White House and Congress here element financial engines we have created a long list thirty six items of changes in law and regulation the Congress must act immediately and the Irma rule is one of them we need to acknowledge as is your situation that millions of retirees are suffering dramatically lower incomes this year than in prior years and they need to have relief on their Medicare payments so yeah that's one of the thirty six recommendations you're right on the money we do believe Congress will act on this we're hoping anyway we're trying hard to get him to do it and in the meantime there is a methodology through the social security system for you to do an individual appeal so yes contact your local office perfect thank you rex you're very welcome you if you want you can read about all thirty six of our policy recommendations at our website just go to recap all men dot com ray Skillman dot com and you can see all thirty six recommendations and if you're so inclined send them to your member of Congress and and courage them to act on these because it'll do the economy a lot of good our nation a lot of good and individual families a lot of good as well if Congress implements these thirty six ideas thank you so much for calling thank you that was so in Chicago here on the.
"medical director" Discussed on WJR 760
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"medical director" Discussed on 710 WOR
"She's an internist and medical director of the center. Welcome to the show. Alison, thank you. Good to be back. Rachel. Yeah. Good to have you back today. We're gonna be talking about something that sort of a trend word Candida talking about what is it? Why could be a problem? And also it's something that in functional medicine integrative medicine. We hear it a lot. We hear it as the root cause of a lot of different things going on in our body. And it's something that's not given so much credibility in conventional medicine. Can you tell us a little bit about Candida Candida is a yeast that lives in our bodies? We have candy that everyone has candidate in their body. But do you have it in a way that does yeast or describe thoroughly at similar tow like a mold or a fungus that you could even see, you know, growing on your on your bathroom, shower and? Similar to that just a little bit different. But it's in that family. So we have naturally have these yeasts molds funguses growing in our body symbiotically with our bacteria in our gut on our skin in other places on our body. But the problem with Candida and some of these other mold is that when they overgrowth. So when the bacteria are microbiome is not proportionate to it should be what the Candida you have an overgrowth syndrome you start to develop a lot of symptoms from it. So essentially what you're saying are our body is like an environment. Our body is an environment, and we have to keep everything in balance. So I guess an example, you could give as a moldy basement, you can go, and you can spray chemicals and different things for the mold to dissipate. But if you don't change the humidity, the temperature in the environment of the basement, the mold will grow back so with Candida being out of control in somebody's body. It can create a whole host of issues whole host of. Issues and like you said before retail it's not recognized so well in conventional medicine having sort of what we call a candidiasis or can Dido overgrowth in the body. And I believe it's not recognized because it's just difficult to diagnose you have to really have the right testing for it to be looking for it and other issues that I see especially with conventional medicine is that doctors really seem to hone in on one specific symptom of Candida where you most of the patients I see when they have an overgrowth of Candida its throughout their entire body. However, physician will focus on just your nail or just your tongue where you can get the whiteness on your tongue. So they'll only treat your tongue when most likely it's throughout your whole body. And then you'll just reseed yourself. So so it's technically a systemic issues. So it sounds it's misunderstood. I know. Your tummy a really high percentage of people do have this imbalance. There is a very high percentage of people with this imbalance. I find in practice when people come in with big symptoms. It's pretty clear that these people are tend to be candied patients, so what would be some of the symptoms to look for. So some of the symptoms Salak for in general. I would say are just people come in with fatigue got symptoms. Women who have recurrent battle symptoms manouever current prostate symptoms recurring urinary symptoms. No one of these patients when they have those issues they come in. And they say, you know, I keep being treated for infections and the infections kind of go away for a little while. But they just everything keeps coming back all of my symptoms return. So I was treated with antibiotics for sinus infections all the time and the science affections just keep coming back or I was treated for a gut infection. And then. All my Simpson's came back a few months later and the same as I was before. So usually when I see recurrent issues over time chronic issues over time, I do start to look down the route of kendeda and see if that can be an issue for the patient. And I know there was a patient that came in recently that you saw that who had been complaining of chronic fatigue. And you're able to figure out that they had a systemic candidate a program, and then three changing their diet proper supplementation, sorta seemed like a no brainer where their are internal environment. Got fixed relatively quickly kendeda patients. I'm pretty good. Now at just when I see them I can see the Candida on them. So I can see it in their mouth. I can see it on their skin, and you can see it in their nails and had that little that little bumpiness on my skin for years. Itchy wants to wait. I know the fun test. You always say like stick your tongue out. Exactly exactly that's the test. The first the first thing I do. And I examined patients and stick out your tongue and let me look at it. And when did that tongue start to turn white, right? I know everybody. Now, you're going to your mirrors sticking out your tongue, and how many of you are seeing a white film over your tongue. So what Dr Alison saying that? That's not supposed to be there. You are not supposed to have white on your tongue. Everyone's like, oh, yeah. That's normal. That's, you know, everyone says it's everyone's tongue licks that it's it's actually not you're not everyone's tongue. Looks like that. If you go into the mirror stick out your tongue, and you see a white film. And we know it's candied because if you scrape scrape at the whiteness a little bit it kind of scrapes off then it will grow back. Right. So if you're looking at your tongue right now, listen to the rest of the show. Causes statements cars, you're driving, right careful. So it's something that, you know, a lot of people have I think we've heard of things like they can't eat a diet. There's been a lot of that talk about can eat a diet over the past couple years because it's something that's also so treatable by what you put in your system. It is you know, as as your explanation about the bee's, and that examples fantastic because it's the environment that we're creating in our bodies is usually the cause of the overgrowth of the Candida this very habitable environment of just our diets high in sugar, high in carbs the hormones in our foods, all these other factors that sort of add into causing these overgrowth. So a lot of causes from food choices to environment and a lot of ways to solve it from what you put in your system to to Stephen balancing your body to not allow the candidate it to be there in.
"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..