Month: March 2022

It’s Tyme to Watch Out for Lyme with Daniel Solomon, MD

Because borrelia burgdorferi is a spirochete; a spiral! A little mnemonic device for the med students.

Dr. Daniel Solomon is an infectious disease doctor on staff at the Brigham and Women’s Hospital and an instructor of medicine at Harvard Medical School.  He went to med school at Yale, and then did both residency and fellowship at the Brigham, although fellowship was combined with Mass General, where he was on the HIV Clinician Educator track. 

He is actively involved in improving care at the intersection of injection drug use and infectious diseases, where he integrates addiction treatment and infectious disease care to improve infection and addiction related outcomes.  He also teaches clinical reasoning at Harvard Medical School, and is a course director for the Harvard ID in Primary Care CME course, giving talks on immunizations and Lyme Disease.

We start off talking about the measles outbreak, but the main focus of the talk is Lyme disease and it is chock full of useful information.  We discuss the presentations of primary Lyme, early and late disseminated, the treatment and work-up.  We discuss prevention in light of the fact that we both have 3-year olds that run around outside in Lyme endemic areas.  We end by discussing how the presentation of Lyme can be missed, the symptoms hard to appreciate, and the tests sometimes difficult to interpret, but he helps us parse through all that and we end by differentiating chronic Lyme from post-treatment Lyme disease syndrome, one of which is recognized by the CDC and infectious disease community.

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

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Medical Education in a Video Game with Eric Gantwerker, MD, MS, MMSc, of Level Ex

Eric Gantwerker, MD, MS, MMSc (MedEd), FACS is a pediatric otolaryngologist at Cohen Children’s Hospital at Northwell Health/Hofstra, associate professor of otolaryngology at Zucker School of Medicine at Hofstra/Northwell, and vice president, medical director at Level Ex. Level Ex is a medical video game company that utilizes game technology and psychology to create interactive educational experiences for healthcare professionals. As the medical director, he oversees all the medical and educational functions of the company including strategy, design and development, and efficacy studies. We talk about video games, which is his favorite role-playing game and first-person shooter. OK, not really. We talk about the origin of Level-Ex, how he became a part of it, and the advantages of practicing challenging colonoscopies on your phone.  Dr. Gantwerker holds a Master of Medical Science (MMSc) in medical education with a focus on educational technology, educational research, cognitive science of learning, and curriculum development from Harvard Medical School and a Master of Science in physiology and biophysics from Georgetown University. His clinical focus includes complex aerodigestive disorders, airway reconstruction, children with tracheostomies, persistent obstructive sleep apnea, and quality improvement. 

Introduction to Multifamily Real Estate Investing with Cherry Chen, MD

Dr. Cherry Chen, the Real Estate Physician discusses this potential source of stable, predictable, passive-income as an alternative to investing in the stock market.  We discuss how she made her foray into this field, the tax advantages of real estate investment, why she chooses multi-family commercial real estate via syndication over crowdfunding or individual units, and how picking a syndication is like picking a doctor.

http://therealestatephysician.com

https://www.facebook.com/TheRealEstatePhysician/

Will Artificial Intelligence Replace Physicians? with Moshe Safran of RSIP Vision

Moshe Safran is the CEO of RSIP Vision U.S. He leads RSIP’s business development for the United States, which represents the company’s largest market. Moshe works with the company’s partners to power their products and services by developing AI and computer vision modules. He also oversees customer communication and project management, while providing expert guidance in algorithm development, planning and execution of new projects.  We discuss the role of artificial intelligence in healthcare, like which specialties are being the most affected, where he sees it taking us in the next decade, how they collect the data for machine learning, and how, as always, if something goes wrong, the liability falls solely on our shoulders. He is an experienced R&D leader in computer vision algorithms, from hands-on research and implementation to project management and business development. Moshe received his BS in physics and a graduate degree in computational neuroscience from the Hebrew University of Jerusalem.

The Frugal Physician Discusses Frugality, Frugalness and How to Dance the Frug

In residency, we have to live with less.  Less money.  Less time.  Less dignity.  And after finishing, we are rewarded for our herculean efforts with higher income.  Sometimes the time and dignity come back, too.  In today’s episode, the Frugal Physician and I discuss the pitfalls that can come with that increased income and how falling into the materialistic abyss brings with it more financial stress and often less happiness. We discuss her journey to frugality and lessons learned along the way. 

https://www.thefrugalphysician.com/

Why is Palliative Care Underutilized? with Dr. John Mulder

Dr. John Mulder currently serves as the Executive Director for Trillium Institute, Chief Medical Consultant for Hospice and Palliative Care for Holland Home, and the Executive Director of Palliative Services for University of Michigan Health-West in Grand Rapids, MI.   We talk about how he got started in palliative care, well before it was a recognized subspecialty, how the specialty has changed, and he helps to clear up some confusion about who should be referred to palliative care. We also discussed how more palliative care referrals can improve outcomes and decrease the cost of care and what systemic changes can help.  Dr. Mulder has an appointment as Assistant Professor in the Department of Family Medicine at Michigan State University College of Human Medicine where he serves as the Director of the Division of Palliative Medicine, and he is currently the Director of the Mercy Health Grand Rapids Hospice and Palliative Medicine Fellowship Program. He is also a member of the board of directors for the data analytics firm, Acclivity Health.

Your Awesome Medical Device Idea with Michael Graffeo of Fluidform

Michael Graffeo, CEO of Fluidform, is a senior executive with a proven track record in the commercialization of innovative medical technology. Throughout his career, he has gained extensive experience translating highly complex devices and clinical data into successful businesses, both in the US and globally. Mike holds a BS in Engineering Physics and an M.Eng in Mechanical Engineering from Cornell University, as well as an MBA with high distinction (Baker Scholar) from Harvard Business School.

Changing How We Think About Difficult Patients with Joan Naidorf, DO

We all have patients who frustrate us and we consider “difficult” because they don’t follow the rule book for good patient behavior.  You will never change their behavior but the good news is that you can actually change the way you think about difficult patients. Dr. Joan Naidorf is a board-certified emergency physician and has practiced for nearly thirty years in the busy emergency departments of Inova Alexandria Hospital and Fort Belvoir Community Hospital in Virginia. She recently published a book entitled Changing How we Think About Difficult Patients: a Guide for Physicians and Healthcare Professionals, so this is what we are discussing. We discuss ways to reframe interactions or change perspectives on patients that cause our blood pressure to elevate before we even walk in the room. Maybe it is a certain diagnosis or complaint that does this to us, or a frequent flier that never seems to get better. Dr. Naidorf gives us some techniques for grounding our thoughts and helping us empathize again. As an author and speaker, she has been sharing important ideas with students, residents and practicing physicians through various online and direct engagements. Dr. Naidorf trained at the Philadelphia College of Osteopathic Medicine and Einstein Medical Center in Philadelphia. She was recently appointed to the editorial advisory board of The DO magazine.

Changing How We Think About Difficult Patients with Joan Naidorf, DO

We all have patients who frustrate us and we consider “difficult” because they don’t follow the rule book for good patient behavior.  You will never change their behavior but the good news is that you can actually change the way you think about difficult patients. Dr. Joan Naidorf is a board-certified emergency physician and has practiced for nearly thirty years in the busy emergency departments of Inova Alexandria Hospital and Fort Belvoir Community Hospital in Virginia. She recently published a book entitled Changing How we Think About Difficult Patients: a Guide for Physicians and Healthcare Professionals, so this is what we are discussing. We discuss ways to reframe interactions or change perspectives on patients that cause our blood pressure to elevate before we even walk in the room. Maybe it is a certain diagnosis or complaint that does this to us, or a frequent flier that never seems to get better. Dr. Naidorf gives us some techniques for grounding our thoughts and helping us empathize again. As an author and speaker, she has been sharing important ideas with students, residents and practicing physicians through various online and direct engagements. Dr. Naidorf trained at the Philadelphia College of Osteopathic Medicine and Einstein Medical Center in Philadelphia. She was recently appointed to the editorial advisory board of The DO magazine.

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