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On today's program, host Se��n Collins welcomes Dr. Steven Salloway, Dr. Rudy Tanzi, and David Shenk to discuss recent advances in Alzheimer's research and the possibility of early intervention and prevention. They highlight the significance of targeting amyloid plaques in the brain, but also emphasize the need for treatments that can be administered earlier and more widely ��� the way statins are used to forestall or prevent atherosclerotic heart disease. The researchers discuss the role of public funding in drug research and the challenges of developing affordable and accessible treatments. They also touch on the role of imagination in driving scientific discovery and the importance of accurate and responsible journalism in reporting on Alzheimer's research. Overall, they express optimism about the future of Alzheimer's treatment and the potential for significant progress in the coming years.

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Steven Salloway, M.D., MS

Founding Director

The Memory and Aging Program

Butler Hospital��

Professor of Psychiatry and Human Behavior

Professor of Neurology��

Warren Alpert Medical School��

Brown University

Providence, R.I.

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Rudy Tanzi, Ph.D.��

Director��

Genetics and Aging Research Unit

Director��

McCance Center for Brain Health

Massachusetts General Hospital��

Professor of Neurology��

Harvard Medical School

Boston, Mass.

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David Shenk

Author

The Forgetting ��� Alzheimer���s: a Portrait of an Epidemic����

Senior Advisor

Cure Alzheimer's Fund��

Advisor, dementia-related issues

President's Council on Bioethics

Brooklyn, N.Y.

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Today, host Se��n Collins welcomes Dr. Nwando Anyaoku, Chief Health Equity and Clinical Innovation Officer for Providence. They ��discuss the importance of diversity and cultural understanding in healthcare.��

She shares a personal story about a patient from Liberia who felt understood and cared for because Dr. Anyaoku shared a similar background and experiences. Dr. Anyaoku emphasizes the need for healthcare providers to recognize and address disparities in care based on race, ethnicity, sexual orientation, gender identity, and other factors. She discusses the concept of concordance, where patients and providers with similar backgrounds can have better communication and outcomes. Dr. Anyaoku also highlights the importance of cultural humility and building partnerships with community organizations to address health disparities.��

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Nwando Anyaoku, M.D., MPH, MBA

GVP & Chief Health Equity and Clinical Innovation Officer

Providence

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WATCH Dr. Anyaoku's TED Talk from Bellarmine University, recorded February, 2023.

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MORE READING:

Physician���patient racial concordance and disparities in birthing mortality for newborns ��(PNAS)

Association of Racial/Ethnic and Gender Concordance Between Patients and Physicians With Patient Experience Ratings ��(JAMA)

Association of Surgeon-Patient Sex Concordance With Postoperative Outcomes ��(JAMA Surgery)

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Este episodio incluye una discusi��n sobre la ideaci��n y la planificaci��n suicida. Si est�� pensando en hacerse da��o, llame o env��e un mensaje de texto, en ingl��s o espa��ol, a la L��nea de Prevenci��n del Suicidio y Crisis al 988. �� Hay ayuda disponible. ����Sordos e hipoac��sicos

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In this episode of the Hear Me Now Podcast, host Se��n Collins discusses the health benefits of gratitude with Dr. Robin Henderson, Chief Executive for Behavioral Health for the Oregon Region of Providence. They begin by listening to the story of JD, who found practicing gratitude helped him overcome suicidal thoughts and depression. They discuss the science behind gratitude, including its impact on serotonin and dopamine levels in the brain. They also explore practical strategies for incorporating gratitude into daily life, such as journaling, gratitude jars, and sending thank-you cards. They emphasize the importance of gratitude in improving mental health, fostering positive relationships, and creating a more positive and empathetic society. The episode concludes with a discussion on the role of healthcare providers in promoting gratitude as a form of self-care and healing for their patients.

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Robin Henderson, PsyD

Chief Executive for Behavioral Health��

Providence Oregon Region

Senior Clinical Officer

Work2BeWell

Portland, Ore.

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The music heard at the end of the episode is "Dreamers of the Shore" by Volcan Peaks feat. Cody Francis. Used with permission.��

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FURTHER READING:

Key Lime Pie for Thanksgiving (New York Times)

Greater Good Magazine: Gratitude (UC Berkeley)

Health Benefits of Gratitude (UCLA)

The Ignatian Examen (The Jesuits)

"Spiritual Exercises" of Ignatius of Loyola (Ignatian Spirituality) ��text

"Effects of gratitude meditation on neural network functional connectivity and brain-heart coupling" (Nature)

"The effects of gratitude interventions: a systematic review and meta-analysis" (Einstein)

"Gratitude in Health Care: A Meta-narrative Review" (Psychiatry)

"The impact of gratitude interventions on patients with cardiovascular disease: a systematic review" (Frontiers in Psychology)

"A systematic review of gratitude interventions: Effects on physical health and health behaviors" (Journal of Psychosomatic Research)

"The Cultivation of Pure Altruism via Gratitude: A Functional MRI Study of Change with Gratitude Practice" (Frontiers in Human Neuroscience)

"The Scientific Effects of Gratitude: A Review" (Journal of Positive Psychology and Wellbeing)

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These medications have the potential to revolutionize the treatment of deadly conditions and improve population health. However, there are financial pressures and healthcare policies that may hinder access to these medications for patients who could benefit from them.��

On today's program, host Sean Collins talks with two Physician-Researchers working on the front lines of the coming change.

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Katherine R. Tuttle, M.D., FASN, FACP, FNKF
Executive Director for Research, Providence Inland Northwest Health
Professor of Medicine, Division of Nephrology and Kidney Research Institute
Regional Principal Investigator, Institute of Translational Health Sciences
University of Washington

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Radica Alicic, M.D., FHM, FACP

Associate Director for Research

Providence Health Care in Spokane

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Management of Chronic Kidney Disease in People with Diabetes��

Read more about Retatrutide, the triple agonist

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Homeless people face unique challenges and vulnerabilities, including an increased incidence of mental health issues, frequent distrust of healthcare providers and environments, and often issues of substance dependence. The team at Providence Hospice, LA County works closely with facility care teams to ensure that patients receive the care they need while also respecting their individual needs and preferences.��

Guests include Martina Meier, M.D., medical director of Providence Hospice, LA County; Nycole Snodgrass, director of operation at the hospice; and Marcella Kubalsky, who was chaplain when the program began. This episode also includes audio from an interview Marcella conducted with "Bob," a patient who had been chronically unhoused when he entered the program this past summer.

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Click here for more information on Providence Hospice, LA County.

For an extended excerpt from Marcella's interview with Bob, follow this link. ��

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We explore the kind and quality of healthcare available in rural hospitals in an age of growing technological and resource-heavy medicine. Do we risk a two-tiered system where the best care possible is only available in large cities near major medical centers? And are there options available for people who might have to travel hundreds of miles for specialist care? ����

Guests include Alan Morgan, CEO of the National Rural Health Association; Theresa Gleason and Erica Manor from the Providence Hickel House, a hospitality facility on the campus of the Alaska Medical Center in Anchorage; and with Geraldine Picha, who stayed at Hickel House during her son's medical emergency last year.

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N.B. ��Beginning with this episode, we are shifting the release date of the podcast to the first and third Thursdays of the month.

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Does it seem counter-intuitive to say that the future of person-centered healthcare is the use of more and more tools utilizing AI, artificial intelligence?

Dr. Maulin Shah is Chief Medical Information Officer for Providence and VP of Informatics and Engineering. He talks with host Se��n Collins about AI and the ways innovative healthcare sytems will make use of it to free-up precious time for human caregivers: doing everything from taking notes during your visit with your doctor, to suggesting that the clinic call a ride for patients who have uncertain transportation.

Saving clinicians 3-hours each day with improvements to the way they practice is like handing caregivers a chunk of their life back -- and that could be one of, maybe the best, solution to healthcare burnout.

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At the end of last year, The New Yorker and ProPublica documented fraud and mistreatment in some for-profit hospices across the country. The expos�� shouted something that has been whispered for a long while in circles concerned with the care of the dying: hospice needs saving.

Begun as a visionary mission run by charities, hospice care has morphed into a 22 billion dollar industry where margin trumps mission. On today's program, host Se��n Collins discusses the state of hospice, its future, and ways to preserve quality of care when caring for people at the end of their lives. Guests are Drs. Ira Byock and Glen Komatsu, longtime hospice physicians and thought leaders in the field.��

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Glen Komatsu, M.D.

Chief Medical Officer

Providence Hospice, Los Angeles County

Torrance, Calif.

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Ira Byock, M.D., FAAHMP

Emeritus Professor of Medicine

Geisel School of Medicine at Dartmouth

Author, Dying Well (1997), The Four Things That Matter Most (2004), and The Best Care Possible (2012)

Missoula, Mont.��

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FURTHER READING

How Hospice Became a For-Profit Hustle by Ava Kofman (New Yorker)

Endgame: How the Visionary Hospice Movement Became a For-Profit Hustle by Ava Kofman (ProPublica)

Joint statement from The National Association for Home Care & Hospice (NAHC) and National Hospice and Palliative Care Organization (NHPCO) responding to Ava Kofman's reporting.

Dr. Tara Friedman's response to the New Yorker article (President, American Academy of Hospice and Palliative Medicine)

Hospice Needs Saving by Ira Byock ��(STAT First Opinion)

Hospice Industry: Start with Apologies by Ira Byock (STAT First Opinion)

National Hospice Locator ��(Hospice Analytics)

Hospice Compare (medicare.gov)

A simplified description of the person from Dr. Eric Cassell's "The Nature of Suffering and the Goals of Medicine."

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Addiction and overdose rates have reached historic levels in the last several years. And while fentanyl and synthetic opioids are responsible for much of the surge, cocaine and other stimulants such as methamphetamine are playing an increasingly common role. Addiction problems are not rare (it's estimated that 10% of the population has substance use disorder) and they don't go away because someone is pregnant.��

Substance use during pregnancy -- whether of licit or illicit substances -- can complicate pregnancy and may pose a risk for the fetus. And because of the stigma associated with substance use, many people forego prenatal care, further complicating the pregnancy.

Host Se��n Collins talks with two healthcare professionals about their efforts to reach people with substance use disorders to help them care for themselves and their fetus.

Collin Schenk, M.D., is an Addiction Recovery Services physician at Swedish Medical Center in Seattle, Wash. Kirsten Lavery, RN, MSN is the Nurse Manager for Addiction Recovery Services. In addition, we hear from Jennifer Justice, a parent ally at the FIRST Legal Clinic in Seattle, about her own story of recovery and her work now helping others during their pregnancies.��

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An extended excerpt from Jennifer Justice's conversation with Kirsten Lavery is available here.

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Perinatal Substance Use Disorder Learning Collaborative ��(WSHA)

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"Everyone has anxiety and you can't really survive childhood without some anxiety," says psychiatrist Dr. Maureen Nash. "It is, at least theoretically, what prevents us from doing catastrophically negative things like walking off a cliff, or hugging the stove when it's red hot."

The fight-or-flight response has its place. We're hard-wired to preserve our overall well-being at the expense of a few anxious moments when we're threatened. But, as Dr. Nash adds, "an anxiety disorder is when you have fight-or-flight gone awry and it is either in excess of what is useful to you or it actually debilitates you."

A growing number of young people are showing symptoms of anxiety, in part due to the zeitgeist (consider a future of global warming, longterm economic prospects, and pushback on efforts to foster inclusion and diversity) and nearly continuous stimulus from electronic devices and social media.

"Trigger after trigger after trigger," says Dr. Robin Henderson, Chief Clinical Officer of WORK2BEWELL, a mental health and wellness program focused on providing mental health resources and education for teens, parents, and educators. ��

"When we look at increasing rates of anxiety -- we see numbers as high as 40% of females, 36% of males, young adult, high school having some symptoms, if not a full on diagnosis of anxiety -- we see numbers that has to be what we're seeing out of the pandemic and all of those stressors there and what we're seeing in social media and, candidly, what we're seeing in the political environment, not limited to climate change, politics, racism, and all of those things. It's a very stimulating world."

But there's hope. There are ways to cope with anxiety even to treat it as one's "superpower." ��Today's episode also includes conversations with two college students who not only live with anxiety, but who are working to help others cope with the stressors they face in the world today. And they share their insights into strategies they use to manage their anxiety. Billie Henderson is a college student in Oregon and Dominic Brown attends college in Southern California. Both have worked to help other young people through WORK2BEWELL.

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RESOURCES

Need to talk now? ��or call 988

Anxiety Grounding Techniques

WORK2BEWELL website

WORK2BEWELL Instagram account

State-by-State Mental Health Resources

Anxiety Disorders (NAMI)

"Hiding in Plain Sight" documentary ��PBS | Amazon

Providence ElderPlace

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America is obsessed with food. And it's killing us.

It's estimated that half of all Americans will be obese within a decade. Overweight and obesity are directly tied to heart disease, Type 2 diabetes, joint disorders, erectile dysfunction, high blood pressure, stroke, and contribute to dementia and some cancers.��

On today's program we focus on how the object of our obsession could ��� just maybe ��� become the means to our better health.

What does it mean to think of food as medicine?

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Our guests are Dr. Miles Hassell, board certified in internal medicine and in private practice at Providence St. Vincent Medical Center in Portland, Oregon. He established the Integrative Medicine Program at Providence Cancer Center and is Associate Medical Director/Professor at Pacific University School of Physician Assistant Studies. He uses evidence-based nutrition and exercise options in his medical practice and lectures widely to physician groups regarding the use of nutritional medicine. Along with his sister Mea, Dr. Hassell is the author of "Good Food, Great Medicine: A Mediterranean Diet and Lifestyle Guide."

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Check out these excerpts from Dr. Hassell's book.

• Meal planning tips
• Pantry Basics (Shopping list)
• Risk Reduction Action Plan (Start with your pantry)
• Risk Reduction Action Plan (Secret weapon: Protein + Good Fat + Fiber)

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Chef Josh Galliano grew up in New Orleans where life is a little slower and the food is a little more amazing. After studying History as an undergrad and Political Science as a grad student at LSU, he went to London and Le Cordon Bleu where he received the Grand Dipl��me. Galliano cooked and honed his skills in Angela Hartnett's MENU and at Roussillon, both in London, Restaurant Daniel in New York, and Commander's Palace in New Orleans. Galliano moved to St. Louis and found community and support that rewarded him with a loyal following and awards such as ���Food and Wine���s Best New Chef: Midwest��� and multiple nominations for the James Beard-Best Chef in the Midwest award. Today he's elbow deep in dough at Companion Baking, making breads steeped in tradition and new breads that express healthfulness, place, and awareness of community.

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An alarming fact about childbirth in America is that after years of decline, the maternal mortality rate has risen for the past 10 years. The Centers for Disease Control and Prevention reports that between 800 and 900 women die in the U.S. each year from complications of childbirth. Black women are up to four times more likely to die during or as a result of childbirth than non-Hispanic white women.

In Seattle, an innovative program combines world-class obstetric care with doula support, cultural understanding, community connection, and respect for family traditions. The program is led by a fourth-generation birth doula named Sauleiha Akangbe.

"Healthy mom and healthy baby is a bare minimum," Akangbe says. "Can we please get a happy mom, a fulfilled mom, an empowered mom, a baby that's going home to know that mom is going be able to take care of me afterward because she didn't have to go through all this traumatic stuff when she had me?"��

On today's program, conversations about the JUST Birth Network between Sauleiha Akangbe and her sister, Safia Alakbar -- and with host Se��n Collins, who also talks with Dr. Emily Norland who is System Chief for Obstetrics and Gynecology at the Swedish Medical Centers in Seattle and the Chief of OB/GYN at the Swedish First Hill Campus.

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For years, heart disease was thought of as "a man's disease." But the truth is quite different and quite sobering: one-in-three women in America dies of heart disease. Symptoms go unnoticed, warning signs are often ignored, and delays in seeking care make heart disease the #1 killer of women in the U.S.

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On today's program, we talk with Dr. Lori Tam, a cardiologist at the Providence Heart Clinic in Portland, Ore., about the ways heart disease in women differs from heart disease in men and some of the particular warning signs women should be aware of.��

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Also, we talk with Kris Kleindienst, a small business owner in Missouri who had a heart attack a year ago. She tell us about her experience seeking care and the ways she's changing her life in recovery.

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Lori Tam, M.D.

Providence Heart Clinic

St. Vincent Medical Center

Portland, Ore.

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Kris Kleindienst

Owner

Left Bank Books

St. Louis, Mo.

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READ MORE:

Women and Heart Disease (CDC)

Go Red for Women (American Heart Association)

Listen to Your Heart (National Heart, Lung, and Blood Institute)

MINOCA Heart Attacks (Providence)

Broken Heart Syndrome (American Heart Association)

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Early in May 2023, Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization, announced an end to the COVID-19 Global Health Emergency. But Dr. Ghebreyesus was quick to add that thousands of people were still fighting for their lives in ICUs and many millions more were living with post-COVID health conditions.

On today's program we explore life post-COVID with Dr. James Jackson, author of "Clearing the fog: From surviving to thriving with Long COVID ��� A practical guide" (Little Brown Spark, 2023).

Dr. Jackson has been a pioneer in treating ICU survivors and that work prepared him to help patients as they emerged from the initial infection with SARS-CoV-2 and entered the uncharted -- and sometimes, baffling -- territory of Long COVID.

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James. C. Jackson, Psy.D.

Assistant Director��

ICU Recovery Center,

Director of Long-term Outcomes

Critical Illness, Brain Dysfunction, and Survivorship Center,

Vanderbilt University Medical Center,

Associate Professor of Medicine,��

Vanderbilt University School of Medicine

Nashville, Tenn.

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Read an excerpt from Clearing the Fog ��Chapter 7: THE WOUND IS WHERE THE LIGHT ENTERS: Post-traumatic growth after COVID.��

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On today's program, we are listening to nurses as they reflect on their experiences on the frontlines during the COVID-19 pandemic. These are stories of uncertainty and fear, of anger and resilience, dedication, recovery, and camaraderie. But most of all these are stories about caregiving.

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The readings that make up this episode are drawn from the book, Providence Nurses Inspire Hope through Healing: Reflections from the Frontlines of the COVID-19 Pandemic, edited by Hilary Alison, Katie Adams, Katie Grainger, and Hayley Pike. Our thanks to the editors and to all the nurse-contributors, including:��

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Syl Trepanier, SVP Chief Nursing Officer, Renton, Wash. ��� ��Shandria Dyer, Critical Care Nurse, Santa Rosa, Calif. ��� Nanny Rawlings, Nurse Navigator, Complex Care Management, Bainbridge Island, Wash. ��� Starr Salvatore, Clinic/Triage Nurse, Lacey, Wash. ��� Amanda Meyer, ICU Nurse, Spokane, Wash. ��� Ana Rocha, Oncology Nurse Practitioner, Santa Monica, Calif. ��� Ashlee Dowling, Senior Clinical Informatics Specialist & ICU Nurse, Missoula, Mont. ��� Lady Lou S. Sayson, Certified Registered Nurse, Lubbock, Texas ��� Christine Marshall, Emergency Care Center Nurse, Orange, Calif. ��� Jennifer Gentry, Chief Nursing Officer Central Division, Portland, Ore. ��� Illeana Bassoco-Barajas, Med Surgery Oncology Nurse, Fullerton, Calif.

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Sickle cell disease is an inherited disorder of the blood protein hemoglobin. It has multiple ways to impact the health of someone with the disease ��� with a hallmark symptom being excruciating chronic pain. The vast majority of people with sickle cell trait and sickle cell disease are Black. Until relatively recently, there has been only one drug to treat the disease.

On this week's program, host Se��n Collins talks with Dr. Titilope Fasipe, co-director of the Sickle Cell and Thalassemia Program at Texas Children's Cancer and Hematology Center in Houston about advances in both the treatment of sickle cell disease and progress toward a cure.

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Titilope Fasipe, M.D., Ph.D.

Co-Director

Sickle Cell & Thalassemia Program

Texas Children's Cancer & Hematology Center

Assistant Professor

Pediatrics & Hematology/Oncology

Baylor College of Medicine

Houston, Texas

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To produce this episode, we collected stories from people living with sickle cell disease. These interviews are excerpted in this podcast episode and we invite you to listen to more of the conversations by following the links below.��

Andre Marcel Harris speaks with his sister Alexis Harris

Sijaama Branch talking with producer Scott Acord

Heather Avant in conversation with her cousin Dr. Bria Davis ����

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To learn more:

A full list of resources is available on our website

Sickle Cell & Thalasemmia Program �� (Texas Children's)

Sickle Cell Disease Coalition

A ���Narcotics Contract��� for a Patient With Sickle Cell Disease ����Pediatrics / (the "care-seeking" article)��

Building access to care in adult sickle cell disease ��Blood Advances

Cure Sickle Cell Initiative ��NIH

Sickle Cell Gene Therapy Education Project �� NIH

Addressing SCD: A Strategic Plan and Blueprint for Action �� NASEM

A Review of Sickle Cell Disease (and Reply) JAMA

Hospital Use and Mortality in Transition-Aged Patients With Sickle Cell Disease ��Hospital Pediatrics

Still seeking balance in opioid management for acute sickle cell disease pain ����Pediatric Blood & Cancer

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We all know how the classic 1939 film "The Wizard of Oz" ends: Dorothy taps her heals together and reminds herself that 'there's no place like home.' And that's true for many people in need of long-term care.

On today's program, two conversations about some of the challenges faced by two different groups of people wanting to stay in their homes and receive needed services there: people with a disability and the elderly. Both groups often find that living in their homes and in communities they're familiar with benefits them in multiple ways.

But the cost of long-term assistance from caregivers can make staying at home difficult, if not impossible.

Dr. Maureen Nash is a geriatric psychiatrist. She talks with host Se��n Collins about the many psychological benefits of receiving care in a familiar setting for those who choose "aging in place."

And we hear from Dr. Lisa Iezzoni from the Harvard Medical School about the many barriers that exist for people with a disability, regardless of their age, remaining in their own home.

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Dr. Nash has recently been named a Distinguished Fellow of the American Association for Geriatric Psychiatry. She previously was a guest on this podcast's episodes that focused on Dementia and memory care and Family Caregiving.

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Maureen Nash, M.D., FACP, FAPA, DFAAGP

Medical Director��

Providence ElderPlace ��� PACE Oregon

Portland, Ore.

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Dr. Iezzoni is the author of Making Their Days Happen: Paid Personal Assistance Services Supporting People with Disability Living in Their Homes and Communities. ��She previously was a guest on this podcast's episode that focused on Doctors & Disabilities.

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Lisa Iezzoni, M.D., MSc.

Professor of Medicine

Harvard Medical School

Health Policy Research Center���The Mongan Institute

Massachusetts General Hospital

Boston, Mass.

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FOR MORE INFORMATIION:��

Aging in Place: Growing Older at Home ��National Institute on Aging

Book review of Making Their Days Happen ����Disability and Health Journal

Dignity of risk and living at home despite severe disability ����Perspectives in Biology and Medicine

Informal and formal home care for older adults with disabilities �� ��Health Affairs

Remaining at home with a severe disability ����Health Affairs

Historical mismatch between home-based care policies and laws governing home care ��Health Affairs

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The COVID pandemic showed us how critical the problem of professional fatigue is in healthcare. It has led to early retirement, reduced staffing, and increased costs throughout healthcare systems. But the syndrome that's commonly called "burnout" existed long before the pandemic and it will ��� undoubtedly ��� exist after it.��

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Our guests today believe that healthcare burnout is a systems problem that is manifest in individuals: a symptom of a disease that is often not apparent until a talented professional resigns and leaves the clinical setting altogether.��

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On today's program, we hear from a number of front-line healthcare professionals about their experiences with a pilot program that connects certified coach-physicians with medical staff who are feeling some degree of professional dissatisfaction and are concerned about their well-being.��

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Could physicians-coaching-physicians bypass the cultural stigma against receiving help, provide much needed professional development, offer refinement of personal mission, and optimize mental health and personal resilience? ��Happily we can report that the answer appears to be yes.

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Chrissie Ott, M.D.

Internal Medicine & Pediatrics

Medical Director

Center for Medically Fragile Children

Providence Regional Medical Director of Well-being

Portland, Ore.

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Tricia James, M.D.

Internal Medicine Residency Faculty

Medical Director, Wellness��

Providence Portland Medical Center

Portland, Ore.

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To read an executive summary of the Medical Staff Coaching Initiative, a partnership between Providence and Coaching for Institutions, please click here. (.pdf) ��

To read the presentation slides from the 2022 International Conference on Physician Health, click here. (.pdf)

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Hans Moller, M.D.

Orthopedic Surgery

Providence Seaside Clinic

Seaside, Ore.

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Kimi Powers, PA-C

Family Medicine

Providence Center for Weight Management

Portland, Ore.

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Maneesha Ahluwalia, M.D.

Infectious Diseases

Certified Life Coach

Baltimore, Md.

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To hear more of Dr. Ahluwalia and Ms. Powers' conversation, click here.

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Christina Rothans, LCSW

Palliative Care Social Worker

Santa Monica, Calif.

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Zahra Esmail, DO

Paliative Medicine

Providence Little Company of Mary Medical Center

Torrance, Calif

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Today's program begins with an excerpt from COVID-19 Realities, an episode of our podcast that featured the stories of two palliative caregivers describing the stresses of working through the pandemic surge in Southern California, in January 2021. You can listen to the rest of their remarkable story, here.

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One of the unforeseen consequences of the COVID pandemic has been increasing popular awareness of a nursing shortage that was already well in place. COVID just made it worse. Nurse turnover has cost healthcare organizations enormously ��� both in terms of dollars, but also in lost expertise and institutional memory.��

On today's program, host Se��n Collins talks with two senior nurse leaders about a vision for how hospitals might be structured moving forward and the new models of care that will ensure nurses are able to focus on the tasks that require their training and expertise as well as their professional license.��

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Cynthia Salisbury, RN, MSN, CPHQ, CPPS, NEA-BC

Northern Division Chief Nursing Officer

Providence��

Seattle, Wash.

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Jennifer Gentry, MSN, RN, NEA-BC

Central Division Chief Nursing Officer

Providence

Portland, Ore.

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This episode was prompted by a LinkedIn post by Providence SVP and System Chief Nursing Officer Syl Trepanier, DNP, which engaged quite a number of nurse leaders across the country.��

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• (30:34) - Marker 6

In this excerpt from this week's podcast, our host Se��n Collins speaks with Shanna Kohn, Director of International Education at Sesame.

You can hear more about Sesame's work in Ukraine ��� along with three other conversation about the impact of the war on the men, women, and children living through it ��� on this week's podcast: Ukraine and civilian war trauma.

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An online transcript is available

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The latest iteration of Russia's war on Ukraine has entered its second year prompting us to examine the issue of war trauma ��� especially the toll war takes on civilians. Russia's indiscriminate targeting of civilian housing, schools, hospitals, and infrastructure has not only made civilians witnesses of war, but victims of it. War-rape, which was only recognized as a crime against humanity following the war in the former Yugoslavia, is being used by Russian forces and paramilitaries as a means of terrorizing civilians.

On today's program, four conversations about civilians during and after war.

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Sr. Donna Markham, OP, Ph.D., a clinical psychologist and Dominican sister, heads Catholic Charities USA. She describes her encounters with Ukrainian civilians during her recent trip to the war zone and the tasks that face the people of Ukraine today. (Watch: Catholic Charities' webinar on Sr. Donna's visit to Ukraine.)

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Next: we talk with Dr. Zulfiqar Bhutta, MBBS, Ph.D., a physician who co-directs the Centre for Global Child Health at the Hospital for Sick Children in Toronto about the long-term effects of maternal and child health of living in a war zone and the very real developmental deficits that can arise by disruption of adequate nutrition, normal schooling, and play. (Watch: Aga Khan University's Lecture by Dr. Bhutta on the future of maternal and child health.)

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And we have a conversation with Shanna Kohn who is Director of International Education at Sesame Workshop. In addition to its longstanding effort to meet the educational needs of refugee children, for the first time ever, Sesame Workshop in Ukraine is producing content for children in an active war zone. ��(Watch: the entire episode "������������ ����������" ["Grover is Sad"])

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And finally, we talk with Dr. Nena Mo��nik, Ph.D., author of Trauma Transmission and Sexual Violence: Reconciliation and Peacebuilding in Post Conflict Settings about the use of rape as a tool of war and the ways victims can begin to recover from the trauma of it. (Watch: Project Eirene's video of Dr. Mo��nik's webinar on "Women and Post-War Transitions: Oral history,")

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BONUS: Listen to our episode "Life During Wartime" ��(Episode 041) from March, 2022 where we examined the early days of the Russian War on Ukraine through the lens of whole-person care; how every aspect of a person's life is thrown out of balance in the midst of war. It features conversations with displaced people, ex-pats and people of Ukrainian ancestry living in the U.S. eager to help people back home, relief workers assisting refugees, and a journalist with a long history of covering Putin and the Ukraine.��

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More than 60 million Americans live with a disability and that number will grow as the baby boomers continue to age. But new research throws into question whether those people are receiving the best care possible.��

More than four out of five physicians say someone with a significant disability has a worse quality of life than someone without a disability. A minority of physicians ��� only 42% ��� feels strongly confident that they can provide equal quality of care to their patients with disabilities as they provide to other patients. And a large number of doctors say they do not strongly welcome disabled patients to their practice.��

On today's program, a conversation with Harvard's Lisa Iezzoni, M.D. ��� a researcher at the Health Policy Research Center at Mass. General Hospital. She has been studying healthcare for people with disability for a generation now and finds the attitudes of her fellow physicians alarming, even 30 years after passage of the Americans with Disabilities Act.

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Lisa Iezzoni, M.D.

Health Policy Research Center

Massachusetts General Hospital

Professor

Harvard Medical School

Boston, Mass.

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FURTHER READING:

Physicians��� Perceptions Of People With Disability And Their Health Care, Lisa I Iezzoni, M.D., M.Sc. et al., Health Aff (Millwood). 2021 February

What should we teach about disability? National consensus on disability competencies for health care education, Susan Havercamp, Ph.D., et al. (Disability and Health Journal)

A call to action: Preparing a disability-competent health care workforce, Christina Neill Bowen MSW, LICSW et al. (Disability and Health Journal)

The Ohio Disability and Health Partnership

Nisonger Institute at The Ohio State University��

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There's growing evidence that the routine practice of meditation improves quality of life (including relief from anxiety, increased focus, and the mitigation of negative emotions) and that these benefits can be seen after as few as five sessions of meditation. But we didn't really need scientific journals to tell us that: Practitioners of mindfulness meditation have been enjoying the benefits of this natural brain hack for millennia. ��

On today's program, host Se��n Collins talks with a pioneering neuroscience researcher who describes what goes on in the brains of people who meditate, with a hospice doctor who trains his colleagues in techniques of meditation to help them deal with the stresses of their work, and with the founder of a program in Southern California that teaches at-risk youth to meditate as part of a program in effective social and emotional learning.

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Michael Posner, Ph.D., M.S.

Professor Emeritus

Department of Psychology

University of Oregon

Eugene, Ore.

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Glen Komatsu, M.D.

Chief Medical Officer

Providence Hospice, Los Angeles County

Torrance, Calif.

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Patricia Jones

Founder

P.S. I Love You Foundation

Redondo Beach, Calif.

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Se��n refers to the Balance app ��� a personalized meditation coaching tool which is available for both the Apple and Android platforms.

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MORE INFORMATION

Short-term meditation training improves attention and self-regulation (Tang, Posner, et al., 2007)

Short-term meditation induces white matter changes in the anterior cingulate (Tang, Posner, et al., 2010)

Mechanisms of white matter change induced by meditation training (Posner, Tang, & Lynch, 2014)

Circuitry of self-control and its role in reducing addiction (Tang, Posner, et al., 2015)

Mindfulness-Based Stress Reduction vs Escitalopram for the Treatment of Adults With Anxiety Disorders (Hoge, et al. 2023)

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On the next episode of the HEAR ME NOW Podcast, we'll explore Mindfulness Meditation with three great people who have connections to the practice.

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• Dr. Michael Posner is a brain researcher who has demonstrated changes in brain tissue of people who meditate AND shown changes in how they deal with stress and anxiety.
• Patricia Jones has been helping at-risk youth in Los Angeles to meditate for 25 years.
• And Dr. Glen Komatsu, a hospice and palliative medicine physician in Southern California, teaches Mindfulness Meditation techniques to his colleagues to help them deal with the stress of their work.

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Dr. Posner's research shows that as few as five short sessions of meditation can begin to change how people feel and react to stress. In this four minute BONUS episode, Dr. Komatsu coaches us in a simple meditation technique that you can try out before listening to the next podcast episode.��

A video of the episode that includes captioning & ASL interpretation is available online. A transcript is also available.��

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If you take only one fact away from this podcast today, it should be this: more than 30 years after the passage of the Americans with Disabilities Act, healthcare providers in the United States remain ill-equipped to meet the needs of deaf, deaf-blind, and hard of hearing people who come to them for care. On today's program, host Se��n Collins talks with Drs. Poorna Kushalnagar and James Huang of Gallaudet University about the barriers that exist in the healthcare setting for people with hearing loss and some of the steps medicine can take to make the best care possible a reality for all patients.

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Poorna Kushalnagar, Ph.D., MA

Director of the Center for Deaf Health Equity

Chief Research Officer

Office of Research

Gallaudet University

Washington, D.C.

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James Huang, M.D. FAAFP

Family Physician

Medical Director, Student Health Services

Gallaudet University

Washington, D.C.

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We also present excerpts from a conversation between Christine Kostrubala and her friend Sarah Rasmussen about some of the hurdles Christine has faced as a deaf person seeking treatment for cancer. An extended version of this conversation will be available by 6:00p PST on Thursday 12 January.��

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MORE INFORMATION

The Center for Deaf Health Equity

The Association of Medical Professionals with Hearing Losses

A print-ready transcript of this episode is available.

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Complete episode notes can be found here

Playlists: ��Apple Music �� ����Spotify �� ����.pdf

Trouble listening? Right-click to download an MP3

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"Self-care" became a common discussion topic at the start of the pandemic to the extent that it's now not unheard of for relative strangers to share their life-hacks with each other. So, as we come to the end of 2022, with all of the stress and craziness that come from turning the page of a calendar, we offer you a life-tested playlist for well-being: deep cuts our guests recommend for those moments when you want to pull back, recharge, take stock, reset, and find that special sweet spot between listening-and-hearing where you connect with your wellness and can be restored.��

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Many thanks to all our panelists today. And from all of us at the Hear Me Now Podcast, we hope the year ahead is sweet.��

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You'll find the (nearly) complete Well-being Playlist on Apple Music and on Spotify. And you can download a printable list, too. A few cuts heard on the podcast episode are not available on streaming services but are available for you to hear elsewhere: "Don't Think Twice" ft. Billy Strings, "Barbara Allen" ft. Emmy Rossum, "Barbara Allen" ft. Emmylou Harris, and an unplugged version of Spencer LaJoye's "Plowshare Prayer," as heard on the podcast.��

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Jeremy Edmonds

Outreach & Marketing Liaison��

Providence ElderPlace - PACE

Guest on the debut of this podcast: ��Ep. 001 "I see you. I hear you. And I ache for you" and on Ep. 022 "George Floyd revisited: Our first anniversary."

Vashon Island, Wash.

"Love's in Need of Love Today" by Stevie Wonder on "Songs in the Key of Life"

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PRODUCERS' PANEL: Melody Fawcett

Care Experience Manager

Providence Home & Community Care

Tukwila, Wash.

"Spanish Steps" by Van Morrison on "Poetic Champions Compose"

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Dr. LJ Punch

Trauma Surgeon & Founder of the BRIC ��� the Bullet-Related Injury Clinic

Recent guest on this podcast: ��Ep. 50 "When Bullets Wound"

Saint Louis, Mo.

"Chrysalism" by Toonorth on "Chillhop Essentials Spring 2020"

"Go Up Moses" by Roberta Flack on "Quiet Fire"

"Right On" by the Roots, Joanna Newsom, STS" on "How I Got Over"

"Three Little Birds" by Bob Marley & The Wailers on "Legend ��� The Best of Bob Marley"

"Song Song" by Ben Wendel on "What We Bring"

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Steve Silberman

Author, "NeuroTribes: the Legacy of Autism and the Future of Neurodiversity"

Recent guest on this podcast: ��Ep. 57 "Neurodiversity"

San Francisco, Calif.

"Kids and Dogs" by David Crosby (ft. Jerry Garcia) on "If Only I Could Remember My Name"

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Dr. Anna McDonald

Faculty,

Swedish First Hill Family Medicine Global Health Residency

Recent guest on this podcast: ��Ep. 54 "Family medicine building bridges"

Seattle, Wash./Mangochi, Malawi

"Particula" by Major Lazer & DJ Maphorisa on "Know No Better"

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Eric Thoelke

Founder, TOKY Branding + Design

Saint Louis, Mo.

"The Breaking of the Fellowship" by Howard Shore on "LOTR: The Fellowship of the Ring"

"Days of the Ring" by Howard Shore on "LOTR: The Return of the King"

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PRODUCERS' PANEL: Mike Drummond

Executive Director, Communications

Providence Health

Dana Point, Calif.

"Don't Think Twice, It's All Right" by Bob Dylan performed by Billy Strings

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Gwen Thompkins

Writer and Host of Music Inside Out

Guest on this podcast: ��Ep. 007 "COVID winter strategies"

New Orleans, La.

Two recordings of "Barbara Allen" (trad.) sung first by Emmy Rossum and then by Emmylou Harris.

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Bob Boilen

NPR host and producer, musician

All Songs Consi...

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Women outnumber men in American medical schools, but in the operating room it's still an Old Boys' Club. Surgery remains a bastion of male privilege, prerogative, and power in American healthcare. But that is changing. On today's program, Se��n talks with three surgeons who understand firsthand the challenges faced by the women who routinely suffer insults and aggressions in an antiquated system.��

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Julie Ann Sosa, M.D., MA, FACS, FSSO��

Chair, Department of Surgery�� (bio video)

Leon Goldman, M.D. Distinguished Professor of Surgery

Professor, Department of Medicine

Affiliated faculty, Philip R. Lee Institute for Health Policy Studies

University of California, San Francisco

Editor-in-Chief

World Journal of Surgery

Soci��t�� Internationale de Chirurgie ��

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Dr. Sosa on Twitter ��� Mastodon

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Shenia Theodore, M.D.

Trauma & Acute Care Surgeon

Boston Medical Center

Boston University School of Medicine

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Dr. Theodore on Twitter

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M Cristy Smith, M.D., FACS

Cardiothoracic & Heart Transplant Surgeon

Surgical Director, Heart Transplant/Mechanical Circulatory Support

Providence Sacred Heart Medical Center

Spokane, Wash.

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Dr. Smith on LinkedIn

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The episode includes this piece by Brooklyn- and Berkshire mountains-based poet, Alexandra Beers, MS Ed., MFA:

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Recovery

for Se��n Collins

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They open your heart the way dentists open your mouth, as if they can just peek inside, and then they start with the loud drills and suction and all manner of vocabulary is tossed about and picking and pulling until they have cleaned you up, and afterward you are supposed to just spit and go on living the way you did, your teeth or your chest or your whole self sore for a bit, and you avoid hard candies and proceed with caution. Then you almost forget and you just bite and swallow and breathe easily again. Only if you are alive, really alive to this you are never the same. You are deeply in love with the people who fixed you and you want to stay in their care forever. Yet you must rise, rise each day to the blessing of blue true nothing of all knowingness that they bestowed on you as they sewed you up with the twine of science and grace and sent you out to join the rest of us. Be brave, and share.

���Alexandra Beers

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Today we���re tapping the storytelling skills of veteran science and tech reporter, Steve Silberman.

In 2015, Silberman���s book NeuroTribes: The legacy of autism and the future of neurodiversity was published and soon took a place on The New York Times bestseller list. And in Britain, it was awarded the Samuel Johnson prize for best nonfiction writing in English.

The work was groundbreaking:��exploring both the legacy of autism, but also the future of neurodiversity. ��It brought clarity where there had often been confusion and it began to explore new avenues and answer questions that have lead to even more fascinating questions.

Steve Silberman is Se��n's guest on today's program.

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TELL US YOUR STORY

With this podcast episode, we���re inaugurating a project to collect oral histories of autism ��� stories from autistic��people and people who work alongside them, or care for them, or love them.

Let us know if you���re interested in being part of that project and would like to tell us your story.

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Steve Silverman's website www.stevesilberman.com includes an extensive list of resources for parents, clinicians, and autistic people (many written by autistic people.)��

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NeuroTribes: The legacy of autism and the future of neurodiversity by Steve Silberman

The forgotten history of autism (TED)��

The Institute for the Study of the Neurologically Typical (ISNT)

Autistic Self-Advocacy Network��

Asperger/Autism Network

Don't Mourn for Us by Jim Sinclair (Our Voice, 1993)

An Anthropologist on Mars by Oliver Sacks (The New Yorker, Dec 27, 1993)

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We all have a role in protecting the mental health of kids. And we can start by making it something that it���s OK to talk about.��

On today���s program, two youth advocates for mental health ��� Billie Henderson and Kaiya Bates ��� discuss what they���ve experienced and how they���ve worked to make things better for other young people.

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A transcript of this episode is available online.

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CONTENT WARNING:��

Billie and Kaiya's conversation includes discussion of self-harm and suicide, which may be troubling for some listeners. If you are struggling, please call the Suicide & Crisis Lifeline at 9-8-8. Someone is available to talk with you now.

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RESOURCES:

Protecting Youth Mental Health: The U.S. Surgeon General's Advisory (.pdf)

Suicide & Crisis Lifeline �� ��call 988 anytime

Work2BeWell: Mental Health Resilience Support for Teens & Adults

The Trevor Project �� ��call 866-488-7386 �� | ��chat �� | ����text "START" to 678-678

The National Sexual Assault Telephone Hotline (RAINN) �� ��call 800-656-4673 �� | ����chat

How do we connect with our kids? ��Surgeon General Vivek Murthy, M.D. & Dr. Becky Kennedy, Ph.D. (video)

Hiding in Plain Sight: Youth Mental Illness a film by Erik Ewers and Christopher Loren Ewers (video/paywall)��

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Tembi Locke talks with Se��n about the adaptation that she helmed with her sister Attica Locke, about the experience of watching Zoe Salda��a portray a character based on Tembi's life, and about the thickly-woven fabric of family, food, love, serious illness, loss, and grief that's at the heart of Tembi's story.��

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Tembi mentions her recipe for Eggplant Parmigiana being used to feed the cast and crew during filming. Read the recipe (.pdf) here.

Closing credit music: Anime Imperfette sung by Matteo Bocelli, From Scratch (Soundtrack from Netflix series) Laura Karpman & Raphael Saadiq

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Tembi will be our guest on the next episode (10/27/2022) of the podcast. Check out "From Scratch" on Netflix and then make a plan to join us on the next Hear Me Now Podcast.

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They describe the program as bi-directional: The Providence Global and Domestic Engagement department sponsors family medicine residents from across Providence���s seven-state health system to gain skills not available in the U.S. context to practice at the Mangochi District Hospital in Malawi. Meantime, family medicine registrars from Malawi's Kamuzu University of Health Sciences travel to Seattle for training not available in the Malawian context at the Swedish First Hill Family Medicine Residency. Splitting their time between the two locations are faculty members Anna McDonald, M.D., and Jacob Nettleton, M.D.

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The goal: Address global health inequity.
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We examine a macro view of what happens when there's a collaboration and a sharing of human resources, building bidirectional medical rotations, and where learners are teachers and teachers are learners.

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Additional Information:

Global & Domestic Engagement | Community Partnerships | Providence

Global & Domestic Engagement | Capacity Sharing in Malawi | Providence�� ��(.pdf)

Malawi Global Health Program | Swedish Family Medicine Residency

Wonca ��� Global Family Doctors

AfriWon ��� Africa chapter of Wonca

Seed Global Health��

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��� ��Mojo by the Malawian musician, Driemo ��(Official video)

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A paper by Dr. Honora Englander and attorney Corey Davis in the New England Journal of Medicine took hospitals and policy-makers to task last month for not doing enough to support and engage people who use drugs and who are hospitalized.

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They write, "The United States is in the throes of a decades-long exacerbation of drug-related harm. Hospitals are a key domain for implementing person-first, evidence-based interventions for reducing that harm. Yet despite the obvious need, hospitals have been slow to enact reforms to improve the health of people who use drugs. We believe that systemic reform, led by the federal government, is necessary to mitigate the ongoing crisis of drug-related harm." ���

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In this episode they talk with Se��n about current impediments to the best care possible and their vision for improving standards of care nationwide.

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Honora Englander, M.D.

Professor of Medicine

Director/PI, Improving Addiction Care Team (IMPACT)

Division of Hospital Medicine

Section of Addiction Medicine in DGIM

Department of Medicine,��

Oregon Health & Science University

Portland, Ore.

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Corey Davis, J.D., M.P.H.S.

Deputy Director, Southeastern Region Office

Director, Harm Reduction Legal Project

Network for Public Health Law

Edina, Minn.

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��� Englander, H. & Davis, C. (Aug. 25, 2022) Hospital standards of care for people with substance use disorder, New England Journal of Medicine, 387:672-675. DOI: 10.1056/NEJMp2204687 ��(N.B. Article is behind paywall, though free access is possible with registration.)

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Explore the complete list of past episodes.

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BE UNCOMFORTABLE

Providence caregivers Jeremy Edmonds and Victoria Johnson reflect on their experiences of racism in our first podcast episode, "I see you. I hear you. I ache for you," published just weeks after the murder of George Floyd.

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UNPLUGGING IS OK

Syndicated advice columnist Amy Dickinson talks with Se��n about her strategies for the first winter of the COVID-19 pandemic in the episode, "COVID Winter Strategies," published in October 2020.��

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ANIMALS ARE OUR FRIENDS

Mazie B. is 11 years old and she offers advice for social distancing and building relationships with pets. Also heard in the episode, "COVID winter strategies," from October 2020.��

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PERSON TO PERSON IN WARTIME

Providence caregiver Inna Pashniak talks with her friend Oleksyi ��Kurka who is internally-displaced in Ukraine. He talks about the ways people are reaching out to one another, even as missiles are fired at civilian targets, in the episode "Life during wartime" from March 2022.

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GENDER-AFFIRMING CARE FOR KIDS

In June 2022, we talked about the standards of care for trans kids with pediatricians and endocrinologists and we augmented that conversation with stories from trans youth, parents of trans kids, and trans and non-binary adults. Sam Pleger, who is 19, talks with his mom Erin about his experiences as a kid in Montana and her experiences parenting a trans kid.

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COVID-19 REALITIES

Dr. Zahra Esmail and social worker Christina Rothans, palliative care team members, talk about the realities of caring for dying patients during the height of a COVID-19 surge in Southern California in an episode from January 2021.��

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On today's program, we talk with researchers studying the illnesses that people who have had COVID are living with, including persistent fatigue, loss of the sense of smell, vascular conditions, and brain fog and other neurological problems. We also talk with a psychologist who began support groups for Long COVID patients who often feel their symptoms are ignored (or not understood) by their doctors and families. And four patients describe their life with Long COVID for us.��

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James R. Heath, Ph.D.

President

Institute for Systems Biology

Seattle, Wash.

The Heath Lab

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Jason D. Goldman, M.D., MPH

Infectious Disease Specialist

Swedish Center for Comprehensive Care

Seattle, Wash.

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Drs. Heath and Goldman are co-principal investigators of the PASC study ��� (Post-acute sequelae of COVID-19) ��� published in the March 3, 2022 issue of the journal Cell. ��It is part of a nationwide initiative to study the aftermath of COVID-19 infection known as RECOVER: Researching COVID to Enhance Recovery.

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James C. Jackson, Psy.D.

Research Associate Professor of Medicine

Psychiatry and Behavioral Sciences

Director of Long-Term Outcomes, ICU Recovery Center

Vanderbilt University

Nashville, Tenn.

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Dr. Jackson welcomes email from clinicians interested in starting Long COVID support groups at their institutions.

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PATIENT STORIES

This episode begins with the voices of four people who are living with Long COVID in conversations facilitated by producer Scott Acord. We're grateful for them taking the time to talk about their experiences. You can listen to extended cuts of their conversations here:

Pam & Lyla Bishop: Bedbound ��

Alicia Swift: Bone-tired��

Suzanne Martin: The hardships of having Long COVID

TJ Roseberry: A wanderer is homebound

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They also find a place of warm welcome.��

"Trauma is a communal injury and must be healed in community," says Dr. Punch. "The medical world is missing out because it's abstracting this one tiny part of it." He says the treatment that's needed to heal a bullet wound is not happening in hospitals.

We also talk with Pierre Underwood, who was shot early this year and is recovering from his bullet wound with the help of the staff of the BRIC.

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Mazel-Carlton tells host Se��n Collins that many of the voices she hears have a cautionary or protective role in her life and have reminded her to be more mindful of the aspects of her life the voices comment upon.

She serves on the board of the HEARING VOICES NETWORK���USA ��(@HVN_USA) and works at the Wildflower Alliance (@WildflwrAlliance) in western Massachusetts, a grassroots peer support, advocacy, and training organization with a focus on harm reduction and human rights. Her work includes training in suicide alternatives.

Earlier this year, Caroline Mazel-Carlton was profiled in a story in the New York Times reported by Daniel Bergner: Doctors gave her antipsychotics. She decided to live with her voices.

If you are thinking about harming yourself, HELP IS AVAILABLE. Call or text 988 and connect with someone today.��

FURTHER READING

A comprehensive review of auditory verbal hallucinations: lifetime prevalence, correlates and mechanisms in healthy and clinical individuals. by S de Leede-Smith, E, Barkus �� Frontiers of Human Neuroscience. (2013)

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GUEST INFORMATION

Rebecca Bartles, DrPH, MPH, CIC, FAPIC

Executive Director, System Infection Prevention

Providence

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Rosemary Martin, ASCP (M)CM, CLSSBB, CIC

Program Manager, System Infection Prevention

Providence

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INFORMATION RESOURCES

Updated information on the U.S. outbreak 2022 (CDC)

Updated U.S. case count & map / Updated global case count & map ��(CDC)��

Prevention (CDC)

Facts for people who are sexually active (CDC)��

Social gatherings, safer sex, and monkeypox (CDC)

Monkeypox: be aware but don't panic (GMHC)��

Monkeypox: Key facts (WHO)

These resources are being updated by the source organizations and may contain more current information than that found in the podcast audio.

The authors note that, despite substantial efforts to address the epidemic of drug-overdose deaths in the United States, racial and ethnic disparities in treatment access and outcomes among patients with substance use disorders have widened. Rates of overdose deaths are rising faster in Black, Latinx, and American Indian and Alaska Native populations than in White populations.

Dr. Blanco talks with Se��n about barriers to the best care possible along with ways medicine can make that care available to all regardless of race and ethnicity.

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Carlos Blanco, M.D., Ph.D., MS

Director, Division of Epidemiology, Services, and Prevention Research

National Institute on Drug Abuse

National Institutes of Health

Rockville, Md.

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Link to the piece in the New England Journal of Medicine:��

Research to Move Policy ��� Using Evidence to Advance Health Equity for Substance Use Disorders

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Not seeing the glossary & all of the resources below? Try this link to our podcast website.

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PERSONAL STORIES (BONUS MATERIAL)

Longer versions of the stories excerpted in this episode are available as BONUS MATERIAL for you to listen to at your leisure along with additional one-on-one interviews from trans+ & non-binary people, and their loved ones. These stories are being archived at the American Folklife Center at the Library of Congress as part of the HEAR ME NOW oral history project, the largest collection of healthcare narratives in the country. ��

If you're interested in talking with someone about your experience with Trans+ healthcare, write to us and tell us something about your story.��

Our email: HearMeNowStories@providence.org��

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SAM & ERIN

Sam Pelger, a 19-year-old trans man in New York, talks with his mother Erin Pelger about his transition when he was younger and living in Montana. (44:34)

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EVY & HOLLY

Holly talks with her daughter Evy (14-year-old trans girl) about her transition seven years ago. (49:09)

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KAREN & DANIEL

Rabbis Karen and Daniel Bogard talk about their young son's transition, about support they have received in their family, school, and faith communities ��� and the threats they face from the state legislature as parents of a trans child in Missouri. (30:42)

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VINNY & HENRY

Vinny and Henry Fox discuss their life together and Vinny's identification as a queer non-binary trans+ person. (38:03)

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CARMEN & ELBE

Carmen Marshall talks with her friend Elbe about shared experiences as mothers of trans+ individuals. (48:45)

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ELBE & ELLA

Elbe talks with daughter Ella, a preteen trans girl. (38:33)

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JAMI & SCOTT

Producer Scott Acord talks with Jami Gramore, a queer non-binary adult. (40:49)

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TRAVIS, CINDY, & ROWAN

A�� conversation between Travis, a pre-teen trans boy, and his parents Cindy & Rowan��� who���ve asked us to use pseudonyms when referring to their family. (27:53)

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JAYNE & SCOTT

Producer Scott Acord talks with�� his colleague Jayne Hopke, who identifies herself as pan sexual. (39:53)

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PODCAST GUESTS

Ponrat Pakpreo, M.D., MPH����

Pediatrician focusing on Adolescent Health

Providence Medical Group

Spokane, Wash.

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Marcie Drury Brown, M.D.��

Pediatric Endocrinologist

Providence St. Vincent Medical Center

Portland, Ore.

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Bentley Moses, MPH��

Senior Program Manager

Trans+ Health Initiative

Providence Institute for Human Caring

Gardena, Calif.��

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RESOURCES

World Professional Association for Transgender Health

American Academy of Pediatrics

Society of Adolescent Health & Medicine

The Endocrine Society

LGBTQIA+ Comprehensive Treatment at Swedish

Transgender Health at Swedish

GLAAD Transgender Resources

National LGBTQIA+ Health Education Center

Transgender Law Center / Health Resources

HRC Resources for Providers & Hospital Administrators

The Trevor Project

The Lavender Rights Project

GALAP: Gender-Affirming Letter Access Project

Straight for Equality: Trans Ally Materials

ICATH: Informed Consent for Access to Trans Healthcare

US Trans Survey

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GLOSSARY

A guide to some of the language you'll hear used when we talk about gender.

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CISGENDER ��� Describes someone whose gender identity matches the sex they were assigned at birth.

GENDER ��� The behavioral, cultural or psychological traits associated with one's sex, which can vary depending on time and place. Sex and gender are not the same.

GENDER-AFFIRMING CARE ��� Medical care that affirms a person's gender identity. For minors, this can include the use of puberty-blocking hormones. For adults, this could mean hormone therapy, speech therapy, and various surgical procedures.

GENDER DYSPHORIA ��� A term for the psychological and physical distress that can occur when one's sex assigned at birth does not align with their gender.

GENDER EUPHORIA ��� The satisfaction and happiness someone feels when their gender is affirmed.

GENDER EXPRESSION ��� How someone present...

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JOIN US ONLINE ON JUNE 16th

HUMANIZING HEALTHCARE EXPERT SERIES

For information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, visit this link. Registration is now open.

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Kevin Murphy, M.D.

Executive Director

Palliative Practice Group

Providence Institute for Human Caring��

Tuckwila, Wash.

.

Rebecca Armendariz, M.D.��

Physiatrist��

La Jolla, Calif.

.

Tara Kimbeson, M.D.

Neurologist��

Locum Tenens

.

Tom McNalley, M.D.

Pediatric Palliative Care and Rehabilitation Physician

UCSF

Oakland and San Francisco, Calif.

.

��

��

William Richards Ph.D.

Research Psychologist

Center for Psychedelic and Consciousness Research

Johns Hopkins University

Baltimore, Md.

author: Sacred Knowledge: Psychedelics and Religious Experiences

.

Ira Byock, M.D., FAAHPM

Founder/Senior Vice President for Strategic Innovation

Providence Institute for Human Caring

Missoula, Mont.

author: The Four Things That Matter Most and The Best Care Possible

.

JOIN US ONLINE ON JUNE 16th

HUMANIZING HEALTHCARE EXPERT SERIES

For information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, visit this link. Registration is now open.

��

��

��

��

��

On today's podcast, we explore a demonstration project underway in rural Stevens County, Washington undertaken by the Palliative Practice Group at the Providence Institute for Human Caring.

The in-person nursing and chaplaincy providers in two rural hospitals are being joined by physicians and social workers through a Tele-PC video connection or by phone, allowing patients to avoid 70-100 mile drives to seek consultations. And the Tele-PC connection allows far-flung family members to be involved in bedside conversations about the goals of care.

.

JOIN US ONLINE ON JUNE 16th

HUMANIZING HEALTHCARE EXPERT SERIES

For information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, featuring a number of guests heard on this episode of the podcast, visit this link. Registration is now open.��

.

Gregg VandeKieft, M.D., MA, FAAFP, FAAHPM��

Executive Medical Director,��

Palliative Practice Group and Tele-PC

Providence Institute for Human Caring

Olympia, Wash.

.

Kevin Murphy, M.D., MSW��

Executive Director,��

Palliative Practice Group

Providence Institute for Human Caring

Seattle, Wash.

.

Adie Goldberg, Ph.D., LICSW��

Palliative Care Social Worker

Spokane, Wash.

.

Amber Moody, RN

Palliative Care Nurse

Providence Mount Carmel Hospital

Colville, Wash.

(LISTEN to extended conversation)

.

Kelly Corcoran

Chief Mission Officer

Providence Mount Carmel Hospital

Colville, Wash.

(LISTEN to extended conversation)

.

Matthew Gonzales, M.D., FAAHPM��

Associate Vice President,��

Chief Medical and Operations Officer

Providence Institute for Human Caring

.

Ira Byock, M.D., FAAHPM

Founder/Senior Vice President for Strategic Innovation

Providence Institute for Human Caring

.

��

.

��

��

��

.

Dr. Bertalan Mesk�� is the director of The Medical Futurist Institute.

The indiscriminate targeting of civilians as the Russian military prosecutes its illegal war on Ukraine has caused an unprecedented humanitarian crisis: more than a quarter of Ukraine's forty million citizens are displaced.��

In this episode, using a lens of whole person care, we talk with people reaching out to others in wartime,��making connections, and countering the darkness with (in the words of W.H. Auden) "ironic points of light."

.

.

NGOs PROVIDING UKRAINIAN RELIEF

.

Catholic Relief Services

Medical Teams International

Assist-Ukraine

UNHCR (United Nations High Commissioner for Refugees)

M��decins Sans Frontieres (Doctors Without Borders)

UNICEF (United Nations Children's Fund)

JDC (American Jewish Joint Distribution Committee)

Episcopal Relief & Development

BGR (Buddhist Global Relief)

Voices of Children��

Save the Children

International Committee of the Red Cross

CARE (Cooperative for Assistance and Relief Everywhere)

��

.

.

GUESTS

.

Inna Pashniak

Digital Marketing Manager

Providence Digital Innovation Group

San Francisco, Calif.

.

Oleksyi Kurka (internally displaced)

Communications Manager

British Embassy to Ukraine

Kiev, Ukraine

.

Orest Holubec

EVP/Chief Communication and Community Engagement Officer

Providence

Renton, Wash.

.

Caroline Brennan

Emergency Communications Director

Catholic Relief Services

Chicago, Ill.

.

Anne Garrels

Foreign Correspondent (retired)

NPR News��

Author

Putin Country: A Journey Into the Real Russia (Macmillan, 2016)

Connecticut

.

.

The lullaby heard in this episode is titled "���� ������������" (Oh Moon)

.

Se��n reads an excerpt from W.H. Auden's poem, "September 1, 1939" published in Another Time (Random House, 1940)

.

��

In addition, we hear excerpts from interviews with two family caregivers who talk with producer Scott Acord about the family dynamics of providing care at home. To hear extended versions of these conversations, follow the links to Linda's Story and Marti's Story or look for these bonus episodes being published along with this podcast.

.

.

Robin Henderson, Psy.D.

Chief Executive, Behavioral Health

Providence Health & Services, Oregon

Chief Clinical Officer

WORK2BEWELL

Portland, Ore.

.

Nicholas Kockler, Ph.D.

VP System Ethics Services

Chair, Applied Health Care Ethics

Providence Center for Health Care Ethics

Portland, Ore.

.

Maureen Nash, M.D.

Geriatric Psychiatrist

Medical Director

Providence ElderPlace

Portland, Ore.

.

.

.

.

This extended conversation is a bonus episode that accompanies a podcast on Family Caregiving. ��

.

.

This extended conversation is a bonus episode that accompanies a podcast on Family Caregiving. ��

.

Susan Marks, CFNP

Website ��| ��Twitter ��| ��Facebook

.

American Cannabis Nurses Association

Doctors for Cannabis Regulation

Medical Cannabis Laws by State �� (National Conference of State Legislatures)

WeedMap's directory of dispensaries

.

------------------------------------------

.

Are you a healthcare professional with questions about the best practices for using social media? We're interested in hearing from you. ��Leave a voicemail message at +1 424-212-5436 or drop us an email at HearMeNowStories@providence.org.

��

"We need to shift the focus from talking to healthy people about what would happen should they stop breathing during a routine procedure, and toward improving conversations with people who are already seriously ill," Dr. Lamas wrote.

��

Her op-ed piece comes on the heels of an essay the Journal of the American Medical Association published a few months earlier, "What's Wrong With Advance Care Planning?" by Drs. Sean Morrison, Diane Meier, and Robert Arnold, which argues that advance care planning has failed to accomplish its goals of aligning care and improving communication at the bedside.

��

Joining Dr. Lamas in conversation is Ira Byock, M.D., a palliative physician, author, longtime advocate for advance care planning, and the founder of the Providence Institute for Human Caring, where this podcast is produced.��

��

Dr. Byock holds that while there���s dire need to redesign advance directives, providers should talk with patients about who they trust to speak for them and their general healthcare goals ��� optimally long before onset of a medical crisis.��

.

�� *******************

.

The podcast producers are interested in hearing from providers with questions or suggestions for an upcoming webinar on BEST PRACTICES FOR SOCIAL MEDIA USE FOR HEALTHCARE PROFESSIONALS. Have a story to share with us? Have suggestions? Write to us at HearMeNowStories@providence.org or leave a voicemail message on +1 424-212-5436. And thanks!

��

Chief Nurse Executive��

Allegheny Health Network��

Pittsburgh, Penn.

.

David Marshall, JD, DNP, RN, FAAN

Senior Vice President,��

Chief Nursing Executive��

Cedars-Sinai

Los Angeles, Calif.

.

Syl Trepanier, DNP, RN, CENP, FAONL, FAAN

Senior Vice President

Chief Nursing Officer

Providence

Renton, Wash.

.

And we hear a nursing story from Jen Little-Reece, RN, an oncology nurse at the Providence Portland Medical Center in Oregon, in conversation with her partner Terran Williams. Their conversation is part of the HEAR ME NOW Storytelling Project and its growing oral history collection from healthcare workers, patients, families, and friends.

.

David Marshall mentioned that he played Santa at Cedars-Sinai in December. Curious? Here's a link to a tweet with some pictures.��

Julie Rovner, who has been following the Supreme Court's review of the Biden administration's mandates for workplace use of masks and testing, points to problems seen in public health messaging and the challenges the pandemic has posed for clear and concise advice for individuals, clinicians, parents, and employers.��

And, despite the hope that the end of the pandemic may be in sight, Dr. Zahra Esmail reminds us that today the ICUs are still full, people are still dying, and the suffering wrought by the virus is far from over.��

.

.

Amy Compton-Phillips, M.D.

President, Clinical Care Operations

Providence Health

Renton, Wash.

.

.

Julie Rovner

Chief Washington Correspondent

Kaiser Health News

Washington, D.C.

.

.

Zahra Esmail, D.O.

Palliative Care Physician

Little Company of Mary Medical Center

Torrance, Calif.

��

��

We could have produced this episode in any month of the year: problematic substance use can be triggered by any number of things and at any time. But in December, as one year is poised to give way to another, the stressors seem to mount: finances, holiday expectations, extended family dynamics, and what seems to be a never-ending pandemic.

We reached out to three people ��� all with personal experiences with recovery ��� to talk about strategies for making it safely to 2022 with your wellbeing intact.��

.

To share this episode with a friend, send them this link: ��https://bit.ly/hmnp-share-035

.

.

Andrey MacCracken, CRM

Clackamas County Peer Support Specialist

Mental Health & Addiction Association��of Oregon

Portland, Ore.

.

Berni Fried, LMFT

Clinical Director

Red Door Life

Los Angeles, Calif.

.

Joe Newberry

Banjo, Guitar, Fiddle and Song

Raleigh, N.C.

��

From the October 17, 2001 issue of the Journal of the American Medical Association:

The effective practice of medicine requires narrative competence, that is, the ability to acknowledge, absorb, interpret, and act on the stories and plights of others. Medicine practiced with narrative competence, called narrative medicine, is proposed as a model for humane and effective medical practice. Adopting methods such as close reading of literature and reflective writing allows narrative medicine to examine and illuminate 4 of medicine's central narrative situations: physician and patient, physician and self, physician and colleagues, and physicians and society. With narrative competence, physicians can reach and join their patients in illness, recognize their own personal journeys through medicine, acknowledge kinship with and duties toward other health care professionals, and inaugurate consequential discourse with the public about health care. By bridging the divides that separate physicians from patients, themselves, colleagues, and society, narrative medicine offers fresh opportunities for respectful, empathic, and nourishing medical care.

.

,

FOR FURTHER EXPLORATION

Columbia University's Narrative Medicine Program

.

Dartmouth-Hitchcock Palliative Medicine

.

"Narrative Medicine: A Model for Empathy, Reflection, Profession, and Trust" ��(html/pdf) ��JAMA 2001; 286: 1897-1902)

.

Narrative Medicine: Honoring the Stories of Illness by Rita Charon, M.D. (2006)

.

The Principles and Practice of Narrative Medicine by Rita Charon, M.D. et al. (2016)

.

Dr. Rita Charon's 2011 TEDx Talk "Honoring the Stories of Illness" (video)

.��

"My Mom's Last Meal" Hear Me Now story told by Se��n Collins with Jennifer Traeger ��(video)

��

Chloe Zelkha is a rabbinical student at Hebrew Union College in Cincinnati. She helped to found the COVID Grief Network which is putting groups of young adults together with therapists and chaplains to make meaning of their losses during the COVID pandemic. Zelkha has worked as a resident chaplain at UCSF Medical Center in San Francisco and was a guest on an earlier episode of this podcast.

��

.

Some Cited Works

��

"Saturday" from Hood by Emma Donoghue

.

"'Tis a Fearful Thing" by Yehuda HaLevi

.

"In Blackwater Woods" by Mary Oliver

.

"Adrift" by Mark Nepo

.

"When You Meet Someone Deep In Grief" by Patricia McKernon Runkle

��

��

PERSONALIZING CARE IN A TRANSACTIONAL WORLD

excerpts from the online conference held 1 November 2021

and sponsored by the Providence Institute for Human Caring

.

You can watch the videos of each online session here.

.

CONFERENCE AGENDA

.

KEYNOTE: Three Keys to Personalizing Healthcare��

Dr. Ira Byock, Institute for Human Caring

.

Why Serious Illness is a Serious Health-Equity Issue��

Dr. Tammie Quest, Emory

Dr. Glen Komatsu, TrinityCare Hospice

Dr. Karen Boudreau, ��Providence

Michael Drummond, Institute for Human Caring

.

Medicine Meets Ministry - Engaging Faith Communities to Fill Unmet Needs��

Se��n Collins, Hear Me Now Podcast

Rev. Cynthia Carter Perrilliat, Alameda County Care Alliance

Jeannie Blaustein, ReImagine End of Life

Johnny Cox, Alliance of Catholic Health Care

.

Let's Get Digital, Digital - Humanizing the EHR��

Sara Veazy, Providence

Dr. Matt Gonzales, Institute for Human Caring

Gregory Makoul, PatientWisdom

Mike Drummond, Institute for Human Caring

.

From Scratch - Discovering the Healing Powers of Food, Family and Community��

Tembi Locke & Dr. Ira Byock

.

Whole Person Care in the ICU��

Dr. Wes Ely, Vanderbilt

Dr. Daniela Lamas, Brigham and Women's Hospital

Liga Mezaraups, Providence

.

Age-Friendly Works at Providence and Beyond��

Amy Berman, John ��A. Hartford Foundation

Yazmin Hehdi, Patient Representative

Dr. Carrie Rubenstein, Swedish Family Medicine

Mike Drummond, Institute for Human Caring

.

Closing Remarks

Drs. Ira Byock and Matt Gonzales, Institute for Human Caring

��

��

Rayna Oliver

Student

University of Washington

.

.

Megan McAninch-Jones, MBA, M.SC.��

Executive Director

Community Investment Strategy & Evaluation

Providence

.

.

Dana Codron, RN

Northern California Regional Director

Community Health Investment��

Providence

.

.

Aimee Khuu, MPA

Executive Director, Health Equity����

Providence Home and Community Care

.

.

Read more about Providence and Population Health, Health Equity, and Community Resources.

PART ONE

PERSONALIZING CARE IN A TRANSACTIONAL WORLD

.

Dr. Wes Ely is the author of the new book, Every Deep-Drawn Breath:�� A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU. He's also one of the participants in the upcoming online conference Personalizing Care in a Transactional World, presented by the Providence Institute for Human Caring. The conference is being held Monday, Nov. 1, from 8a-Noon PDT. Registration is now open. Dr. Matt Gonzales, Chief Medical Information Officer for the Institute, talks with host Se��n Collins about some of the topics featured during the conference.

.

Matthew Gonzales, M.D., FAAHPM,

Palliative Care Physician

Associate Vice President

Chief Medical Information Officer

Providence Institute for Human Caring

Gardena, Calif.

.

.

PART TWO

EVERY DEEP-DRAWN BREATH

.

A conversation with Dr. Wes Ely about his new book.

��

Wes Ely, M.D., MPH

Pulmonologist and Critical Care Physician

Professor of Medicine

Vanderbilt University School of Medicine

Nashville, Tenn.

author: Every Deep-Drawn Breath: A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU

.

Proceeds from sales of the book will benefit the Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center established to help ICU survivors and their families. Visit Dr. Ely's website: www.icudelirium.org for updates on the work at CIBS.

.

��

.

.

Heidi Miller, M.D. is the Medical Director of the St. Louis Regional Health Commission and a consultant for Alive & Well Communities, a nonprofit promoting equity-centered trauma-informed care in the midwest. Dr. Miller collaborated to design a curriculum and trains healthcare professionals on Trauma-Informed Care.

.

Hyonjin Im Ph.D. is Associate Professor in the School of Social Work at Virginia Commonwealth University in Richmond, Virginia. ��She is a principle author of "A Multitier Model of Refugee Mental Health and Psychosocial Support in Resettlement: Toward Trauma-Informed and Culture-Informed Systems of Care" (Psychological Services, H. Im & C.J. Rodriguez, December, 2019)

.

��

Critical Care Nurse

Providence Holy Cross Medical Center

Los Angeles, Calif.

.

Instructor

STOP THE BLEED��

Los Angeles, Calif.

.

.

Andrea Chia, RN

School Nurse

Los Angeles Unified School District

Los Angeles, Calif.

.

.

Rocky Duff, RN

Perioperative Nurse

Providence Medical Group

Spokane, Wash.

.

Megan Craft, RN

Critical Care Nurse

Swedish First Hill Medical Center

Seattle, Wash.

.

Faith in Practice

Life Changing Medical Mission

Houston, Texas

��

��

��

Child and Adolescent Psychiatry Fellow

UCSF

San Francisco, Calif.

.

.

Monica Verduzco-Gutierrez, M.D.

Professor & Chair of Rehabilitation Medicine

UT Health Rehabilitation

San Antonio, Texas

.

.

Riordan Ledgerwood, M.D.

General Pediatrician

Killeen, Texas

.

.

Joel Bervell, MS3

Washington State University��

Elson S. Floyd College of Medicine

Spokane, Wash.

.

Listen to Joel discuss being Black during a pandemic with his sister and mother. (Part 1, Part 2, Part 3, Part 4)

.

.

#MedTwitter

#GayMedTwitter

#TransMedTwitter

#LatinasInMedicine

#WhiteCoatsForBlackLives

#WhiteCoars4BlackLives

��

��

��

��

.

Zahra Esmail, DO

Palliative Care Physician

Providence Little Company of Mary Medical Center

Torrance, Calif.

.

Christina Rothans, LCSW

Palliative Care Social Worker

Providence Little Company of Mary Medical Center

Torrance, Calif.

.

.

We discuss the challenge of getting public health messages to compete with economic messaging in a culture that is predisposed to treat the market with primacy.��

.

Binyamin Appelbaum��

Lead writer on Economics & Business, author of "The Economists' Hour"

The New York Times Editorial Board

New York, N.Y.

.

.

Finally, we turn to a therapist to ask about strategies for moving beyond the anger that many feel with the resurgence of serious illness and deaths with the Delta wave �����something that could have been prevented with a higher percentage of vaccination.��

.

Alexandra Fleming, MSW, LICSW

Therapist

Swedish Center for Perinatal Bonding and Support

Nurturing Wisdom Therapy

Seattle, Wash.��

.

.

.

Oral Health Stakeholders: A ��Time for Alignment and Action

Millbank Quarterly, 29 June 2021

.

Shenam Ticku, BDS, MPH

Instructor

Dept. of Oral Health Policy and Epidemiology

Harvard School of Dental Medicine

Boston, Mass.

.

.

Jane Barrow, MPH

Associate Dean

Office of Global and Community Health

Executive Director

Initiative fo Integrate Oral Health and Medicine

Harvard School of Dental Medicine

Boston, Mass.

.

.

Jane Grover, DDS, MPH

Director

Council on Advocacy for Access and Prevention

American Dental Association

Chicago, Ill.

.

Making the Case for Dental Coverage for Adults in All State Medicaid Programs

ADA Health Policy Institute, July 2021

��

��

��

��

��

��

Chief Executive for Behavioral Health

Providence Oregon

Chief Clinical Officer��

Work to be Well

Portland, Ore.��

.

.

Crystal Brown-Tatum��

Director of Human Resources��

Cadence Delivery

Fort Worth, Texas.

.

.

Joselyn Eitemiller MA, CCC-SLP

Home Health Clinical Manager

Providence SoundHomeCare

Olympia, Wash.

.

.

Jessica Collins, CRNA

Nurse Anesthetist and mother of three

St. Louis

.

.

*****************************

We have a favor to ask. Would you please take 2 minutes to vote for Hear Me Now in the "People's Choice" podcast award? You have to fill in your name, email, and make up a password (we know), then vote for us in the "Health" category. And thanks!

Feel free to share with your friends. We're grateful. https://www.podcastawards.com/app/signup
��

"I don't see it as a medical practice so much as a humane practice for us as we do medicine; to maintain our way of looking at our patients as people."

�� �� ���Dr. Patrick Clary in conversation with Dr. Ira Byock

.

.

Then host Se��n Collins talks with palliative care clinician Redwing Keysaar about the poetry workshops she's been hosting online during the pandemic. What began as a way for people to process their grief has become a way to get in touch with un-tapped creativity and strengths.

"We forget so many of the healing modalities that are with us all the time and that have been part of the various cultures that many of us come from. Dr. Rachel Remen says, "We may have lost faith in our ability to write poems just as we have lost faith in our ability to heal. Recovering the poet strengthens the healer and sets free the unique song that's at the heart of each life."

�� �����Redwing Keysaar, RN in conversation with Se��n Collins

.

.

Patrick L Clary, M.D.�� has long used poetry as a tool in his effort to��understand, practice, and teach medicine. His work has appeared in anthologies and in two collections,��Notes for a Loveletter��and��Dying for Beginners. A conscientious objector on the basis of Quaker beliefs, he served as a medic with US Infantry Units in Vietnam 1969-70. He is past President of the New Hampshire Hospice and Palliative Care Organization and remains clinically active in end-of-life care as medical director of a community hospice house.
.

.

Ira Byock, M.D., FAAHPM, is a leading medical authority and public advocate for improving care through the end of life. He is founder and serves as chief medical officer of the Providence Institute for Human Caring. The Institute drives transformation in clinical systems and culture to make caring for whole persons the new normal. The Institute for Human Caring���s change strategies produce measurable and scalable improvements in healthcare quality and efficiency. Dr. Byock's books include The Best Care Possible�� and The Four Things That Matter Most.

.

.

Redwing Keysaar, RN is a palliative care clinician, author, poet, educator, national presenter, and frequent contributor to the public conversation about palliative and end-of-life care. Redwing is currently the��director of Patient and Caregiver Education at the MERI Center for Education in Palliative Care (Making Education Relevant and Integrated) for Primary Palliative Care Education����at the Mt. Zion Campus of the University of California, San Francisco. She is the author of The Last Acts of Kindness.

��

Marketing and Outreach Liaison��

Providence ElderPlace ��� PACE

A Program of All-inclusive Care for the Elderly

Seattle, Wash.

��

Victoria Johnson��

Quality Compliance Specialist��

Providence ElderPlace ��� PACE

A Program of All-inclusive Care for the Elderly

Seattle, Wash.

.

.

Listen to the debut episode, "I see you. I hear you. And I ache for you," featuring Jeremy Edmonds & Victoria Johnson which was published June 19, 2020.��

.

.

The episode ends with "A Plowshare Prayer," written and performed by Spencer LaJoye. For more information, visit their website: www.spencerlajoye.com

��

Medical Director

Swedish Center for Perinatal ��Bonding and Support

Medical Director

Reproductive Mental Health at Swedish

Seattle, Wash.��

��

Alexandra Fleming, MSW, LICSW

Therapist

Swedish Center for Perinatal Bonding and Support

Nurturing Wisdom Therapy

Seattle, Wash.��

��

..

��

We are collecting stories of pregnancy loss as part of the ongoing ��Hear Me Now oral history project. On today's podcast, we listen to four women who describe their experiences of early pregnancy losses. Side-by-side with this episode of the podcast we're also publishing extended versions of their stories for you to explore in more detail. ��

��

• Danielle Jenkins and Marie Balance have been friends since they were 13. Danielle describes how she found out she was miscarrying. ��(47:46)

��

• Angela and Eric Hodge are a married couple whose first pregnancy ended in miscarriage. (25:11)

��

• Samantha Edwards and Scott Acord ��� Sam shares her story with ��Hear Me Now producer Scott Acord and describes the loss of a perceived future for her child. (44:13)

��

• Lauren Sawson and Sara Epstein are sisters-in-law. Lauren talks about her decision to have a dilation and curettage procedure following her pregnancy loss. (46:24)

��

• ALSO: WATCH Lauren and company in one of their dance performances. She writes, "Showing pregnancy loss through the lens of miscarriage, medical abortion, and stillbirth. The journey transitions from an individual one, to one with family and support. The piece ends with the power of holding space, and being there for each other."

.

If you're interested in sharing your story of pregnancy loss, write to us for information on participating in the Hear Me Now story project:��

HearMeNowStories@providence.org

.

Many thanks to Suzanne Engelder and Melody Fawcett for help with this episode.��

��

��

��

HearMeNowStories@providence.org

.

This interview is an extended version of material that appears in a podcast episode devoted to exploring early pregnancy loss. We invite you to listen to that podcast. If you're interested in sharing your story of pregnancy loss, write to us for information on participating in the Hear Me Now story project:��

HearMeNowStories@providence.org

HearMeNowStories@providence.org

��

HearMeNowStories@providence.org

��

Sylvain ���Syl��� Trepanier, DNP, RN, CENP, FAAN, FAONL��

System Chief Nursing Officer��

Providence��

Renton, Wash.��

��

��

Caregiver Resources from Providence

Navigating Stress and Burnout

��

This episode is the third in a series on nursing that marks the Year of the Nurse and Midwife. Listen to the other episodes:

Caring for the First COVID-19 Patient in the U.S.

The Voices of Nurses

��

She has been succeeded at CAPC by Brynn Bowman, MPA, the new ��chief executive officer. They talk with us about palliative care, about goals of training for caregivers, and the expectations for care that patients and families should expect.��

��

To find a palliative care program near you, visit getpalliativecare.org or follow them on Twitter.��

Here's a link to CAPC's Tipping Point Challenge.

��

Executive Vice President

Chief Digital & Innovation Officer

Providence

.

Managing General Partner

Providence Ventures

.

.

Watch the Google Assistant haircut appointment video.

��

.

Imam Yusuf Hasan

Chaplain

Memorial Sloan Kettering Cancer Center

New York-Presbyterian/Weill Cornell Medical Center

New York, N.Y.

MSKCC Spiritual & Religious Care ����� ��NYP Pastoral Care ��� African American Day Parade ��� ��Association of Professional Chaplains ��� HealthCare Chaplaincy Network ��� ��Association of Muslim Chaplains ��� Masjid Malcolm Shabazz

��

.

Chloe Zelkha

Rabbinical Student

Hebrew Union College

Cincinnati, Ohio

Co-Founder

COVID Grief Network

Instagram ��� Twitter ��� Facebook ��� Website

.

.

Rev. Danielle Pruitt Cummings

Palliative Care Chaplain

Providence Little Company of Mary Medical Center

Torrance, Calif.

Reflections Blog ����� ��PLCM Palliative Care

��

But will clinicians tailor their language for patients? Will the average patient understand what's in the medical record? And will this move aimed at transparency cause more confusion than ��clarity?

��

Healthcare attorney Nathan Kottkamp and palliative physician ��Gregg VandeKieft join Se��n Collins to discuss the new medical records rule and some ways patients and clinicians can use the change for their common good.

��

And then Maura Wozniak joins Se��n to talk about how important it is for patients with chronic illness to understand their condition and their treatment options in order to fully participate in their own care. She has lived with cystic fibrosis her whole life and says it's "imperative" that you understand your medical condition.��

��

Nathan Kottkamp, JD

Partner

Waller Law Firm��

Nashville, Tenn.

Founder

National Healthcare Decisions Day

��

��

Gregg VandeKieft, MD

Medical Director

Palliative Practice Group

Providence Institute for Human Caring

Palliative Care Physician

Providence St. Peter Hospital

Olympia, Wash.��

��

��

Maura Wozniak

Patient living with Cystic Fibrosis

Charlotte, N.C.

��

FOR FURTHER READING:

21st Century Cures Act

OpenNotes

Advance Care Planning Decisions (videos)

National Healthcare Decisions Day ��(April 16)

Trusted Decision Maker (website)

Trusted Decision Maker ��(podcast episode)

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Robin Addison is a nurse in the emergency department at Providence Regional Medical Center in Everett. She's also the clinical coordinator for the BEST team ��� the biocontainment, evaluation, and specialty treatment team, the people charged with caring for patients with what they call a "high consequence infectious disease."��

In January of 2020, Robin and her colleague Andrea Leighty were called back into work one night to take care of a man who was being admitted to the hospital. But this wasn't just any man. He was the first person in the United States to have a documented case of COVID-19.

That's when Robin and Andi learned that all of their training paid off.

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Robin Addison, RN, BSN, CEN, TCRN, NHDP-BC

Clinical Coordinator BEST Team

Emergency Department

Providence Regional Medical Center

Everett, Wash.

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Andrea Leighty, MSN, RN,��CEN

Clinical Nurse Specialist

Emergency Department

Providence Regional Medical Center

Everett, Wash.

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This is the second in a series of occasional episodes about nursing that will continue throughout the year as WHO extends the Year of the Nurse & Midwife in 2021.

Also in this series:��

The Voices of Nurses

Nurses & Self-care

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I SEE YOU, I HEAR YOU, AND I ACHE FOR YOU

Our first episode of this podcast featured a remarkable conversation between two of our colleagues: Jeremey Edmonds and Victoria Johnson. They're friends and workmates, and like many people across the country, these two Black women were struggling with understanding the killing of George Floyd by police in Minneapolis and some of the reactions to his death seen around the globe.��

In an episode we titled, "I see you. I hear you. And I ache for you," Jeremey and Victoria talked through their feelings and their reactions and allowed us to listen-in. To mark the end of Black History Month, we're presenting an extended excerpt from their conversation. We invite you to listen to their entire conversation in Episode 1.

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Jeremy Edmonds, BA

Outreach and Marketing Liaison

PACE

Seattle, Wash.

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Victoria Johnson, MHPA

Quality & Compliance Specialist

Providence ElderPlace

Seattle, Wash.

WATCH VENTILATOR VIDEO

Cylix Shane

Design & Construction Manager

Providence St. Joseph Health

Spokane, Wash.

Heather Martin leads a team of 14 medical librarians who support the work of Providence caregivers in seven states. She says that 75% of her work this past year has been staying on top of research focused on the SARS-CoV-2 virus and the treatment of COVID-19. On average, she sees around 1,200 to 1,500 peer-reviewer articles each week, which she prioritizes and passes on to Providence clinicians. ���They can do their own research and find evidence, but I���d much rather my doctor was spending time reading the article rather than spending time in a database when they have librarians to do that.���

Heather Martin

Director

System Library Services

Providence

Astoria, Ore.

Donell Grayer is sous chef at Providence Marionwood, a skilled nursing facility in Issaquah, Wash. He says the staff does a good job looking out for each other and credits the facility for being on top of safety protocols for residents and staff. ���I felt like I was more protected there because we took the measures to make sure everyone was safe. We were on top of it kind of early and I thank my facility for that.���

Donell Grayer

Sous Chef

Providence Marionwood

Issaquah, Wash.

Getting personal protection equipment (PPE) to where it is needed is a full-time job for Erik Teeter, who says he takes seriously the ���other duties as assigned��� clause in his contract because he wants the best for his colleagues. ���I���m good friends with a lot of our nurses, and chaplains, and social workers, and hospice aides, and billing personnel. These are my coworkers, my friends, my work family. I want to make sure they���re all safe.���

Erik Teeter

Materials Management Supervisor

Home and Community Care

Providence St. Joseph Health

Seattle, Wash.

Patty Pomi has had to get creative. She is a hospice volunteer at the Hospice of Petaluma in Northern California. She���s not allowed to visit in person, but she���s been calling regularly and hand-making cards with rubber stamps, flowers, or pictures of her new puppy. ���They (patients) definitely miss their families. It makes me sad.���

Patty Pomi

Patient Care Volunteer

Hospice of Petaluma

Petaluma, Calif.

Dave Baker and his team keep computer-based platforms running at St. Mary's Medical Center in Apple Valley, Calif. It���s critical work that should be out of view. ���When someone turns on the faucet they shouldn���t have to think about the pipe. You should just get water. We are the pipe.���

WATCH THE WASHINGTON POST VIDEO

Dave Baker

Information Services End User Support Supervisor

Providence St. Mary Medical Center

Apple Valley, Calif.

���You can no longer see the smile.��� Life with PPE has made Lisa Macia���s work more complicated, but she believes patients have a right to hospice care. And so she goes into their homes, risking her own safety, to be sure they receive that care.

Lisa Macias

Home Health Aide

Memorial Hospice

Santa Rosa, Calif.

Randy Amatto is a maintenance engineer at Providence Holy Family Hospital in Spokane, Wash. He spent the first part of the pandemic re-working heating, ventilation and air conditioning in hospital rooms to create negative air flow to keep staff and patients safe in the pandemic. ���The nurses - they are the ones who are on the front lines every day. If we get a call it���s a pleasure to do what we can for the rest of the staff in the hospital.�����

Randy Amatto

Maintenance Engineer

Providence Holy Family Hospital

Spokane, Wash.

Wayne Pierce has just a few moments to build rapport with patients at the Providence Portland Medical Center where he provides patient transportation. And he does as they journey together. ���There is a heightened state of emotion. And that can morph into fatigue. It���s a shared emotional circumstance that���s being shared by us ��� the staff of the hospital ��� and also the family, and the patient.���

Wayne Pierce

Patient Transportation

Providence Portland Medical Center

Portland, Ore.