Month: January 2022

Part 1: When and How to Discuss a Patient’s Weight with Stephanie Sogg, PhD

Back for her second appearance is Dr. Stephanie Sogg, a clinical psychologist who has been at the MGH Weight Center since 2003. One our previous episode, we discussed the importance of language when discussing someone’s weight, so on this episode, we talk about when and how to bring it up. We talk about how body acceptance is actually important to sustained weight loss, although on the surface it may seem like a contradiction. We talk about the influence of sleep, mental health, and when it is time to make recommendations, what actually works. As with most things, it is complicated. Dr. Sogg earned her PhD in clinical psychology from Rutgers University in 1998 and completed a post-doctoral fellowship with Harvard Medical School. In addition to her clinical work, Dr. Sogg conducts research on obesity and bariatric surgery, and the intersection between obesity and addiction, and has published widely on obesity and related topics. She is an author of the Boston Interview for Bariatric Surgery, and of the official ASMBS Recommendations for the Pre-Surgical Psychosocial Evaluation of Bariatric Surgery Patients. She is the director of the Weight Center rotation for Behavioral Medicine psychology interns and is active in national and international scientific obesity and weight loss surgery societies.

Is an Apology a Declaration of Negligence? with T. Marc Calvert, JD

T. Marc Calvert, J.D. founded Calvert & Associates in 1996. His goal has always been to provide the highest quality of legal service to those who ask for his help. I asked for his help regarding what to say to a patient when you have a complication.   Do we apologize? Not apologize? How much information do we disclose?    We were introduced by Gita Pensa, an emergency medicine physician at Brown and the creator of the podcast Doctors and Litigation: The L Word. This is essential listening for all physicians.    On top of settling the apology issue (kind of), Mr. Calvert says you need to exude competence and caring. We also talked about walking the patient through what happened and giving them a clear and concise plan for what you are going to do next.   Since 1987, a primary focus of Mr. Calvert’s practice has been health care liability defense, and over the years he has handled innumerable claims, disputed matters, and lawsuits. Mr. Calvert is board certified by the Texas Board of Legal Specialization in the field of Personal Injury Trial Law    Mr. Calvert graduated with a J.D. from the University of Texas School of Law in 1987 and was admitted to the State Bar of Texas later that year. While at UT, he served as a law clerk for the Texas Employment Commission and wrote opinions for the commission appeals department.   Mr. Calvert joined Edwards and Associates in August of 1987 after having completed a clerkship during the summer of 1986. The firm of Edwards & Calvert was formed when Mr. Calvert became a named partner in 1991. He became board certified by the Texas Board of Legal Specialization in the field of Personal Injury Trial Law in 1994 and has been re-certified at the indicated intervals ever since. On September 3, 1996, Calvert & Associates was established.

Private Equity in Private Practice, Protector or Pillager? with AJ Shekar and Scott Davis of Provident Healthcare Partners

Provident Healthcare Partners is an healthcare specific investment banking firm whose services include mergers and acquisitions, equity and debt financing, and strategic advisory. On today’s show, we have Directors AJ Shekar and Scott Davis. AJ is responsible for business development and deal execution across a range of healthcare services industries. During his tenure, he has advised dozens of companies that are considering strategic alternatives including strategic mergers and private equity recapitalizations. Scott leads transactions across a wide range of healthcare services sectors, focusing on business development, marketing, negotiation of deal terms, and due diligence efforts. This role requires Scott to be in frequent contact with the financial and strategic investor community to ensure transaction processes are positioned correctly.   With the increased rate of purchase of physician practices by private equity, we discuss the why and how. Why should a younger partner consider selling? If you are considering joining a practice that might be selling, what questions should you be asking? The clear benefits are in economies of scale and better contracts from insurers, but they also point out the benefits of alternative revenue streams and being able to take advantage of value-based care. We also discuss what are the advantages of physician practices coalescing into a larger practice without PE vs. with PE. I know you’ll learn a lot from this and don’t worry, they’ve agreed to come back for a part two in the next month or two.

Wearing a Hijab in the OR with Deena Kishawi, MD

Deena Kishawi, MD, is a Chicago-based OBGyn resident physician who is particularly interested in health outcomes that are unique to Middle Easterners and North Africans residing in the United States. With her fluency in the Arabic language, her research with Muslim patients in healthcare, and her work with immigrant, refugee, and first-generation communities in Chicago, she is currently conducting research on these populations and is working towards training and educating healthcare providers about the unique challenges these population face. Dr. Kishawi is Muslim and wears a hijab and keeps her arms covered, so her first experience in the operating room as a medical student was challenging and led to start the blog Her aim is to make the OR a safe and respectful place for hijab wearing healthcare providers. We discuss what her experience has been like treating patients wearing a hijab, both the good and the bad. We also discuss some of the basic tenants of Islam with which we should be familiar to best help our patients and our trainees and some issues in our healthcare system that can undermine Muslim patients and potentially impact their care.