Hear Me Now Podcast

An online transcript is available �� 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. . . 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. . . 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. . . 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. . . �� ��

A transcript is available online �� 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.�� . . Nwando Anyaoku, M.D., MPH, MBA GVP & Chief Health Equity and Clinical Innovation Officer Providence �� . . WATCH Dr. Anyaoku's TED Talk from Bellarmine University, recorded February, 2023. . �� 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) . . ��

This episode includes discussion of suicidal ideation and planning. If you are thinking of harming yourself, please call or text, in English or Spanish, the Suicide & Crisis Lifeline at 988. �� Help is available. ��Deaf & hard of hearing 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 . 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. . Robin Henderson, PsyD Chief Executive for Behavioral Health�� Providence Oregon Region Senior Clinical Officer Work2BeWell Portland, Ore. . . The music heard at the end of the episode is "Dreamers of the Shore" by Volcan Peaks feat. Cody Francis. Used with permission.�� . . 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) . . . �� �� ��

A class of drugs called glucagon-like peptide agonists (GLP-1 agonists) is proving to be beneficial for people with chronic kidney disease and atherosclerotic heart disease. These medications are being called game changers because they not only help with weight loss but also provide organ protection and reduce the risk of dying and disease progression.�� 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. . . 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 . Radica Alicic, M.D., FHM, FACP Associate Director for Research Providence Health Care in Spokane . . Management of Chronic Kidney Disease in People with Diabetes�� Read more about Retatrutide, the triple agonist ��

Providence Hospice, Los Angeles County has launched a program to provide hospice care for homeless people. The program aims to support those experiencing homelessness and facing a terminal illness by providing them with the option of a safe and secure environment to receive holistic care.�� 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. �� Click here for more information on Providence Hospice, LA County. For an extended excerpt from Marcella's interview with Bob, follow this link. �� �� ��

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

An online transcript is available 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. �� . . �� ��

An online transcript is available �� 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.�� . . Glen Komatsu, M.D. Chief Medical Officer Providence Hospice, Los Angeles County Torrance, Calif. . 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.�� . . 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." . . �� �� ��

A transcript is available online �� 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.�� . An extended excerpt from Jennifer Justice's conversation with Kirsten Lavery is available here. �� Perinatal Substance Use Disorder Learning Collaborative ��(WSHA) ��

A transcript of this episode is available online ����� A list of mental health resources is available on our website "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. . 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 . . �� �� �� ��

A transcript is available online 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? �� 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." . Check out these excerpts from Dr. Hassell's book. Meal planning tipsPantry Basics (Shopping list)Risk Reduction Action Plan (Start with your pantry)Risk Reduction Action Plan (Secret weapon: Protein + Good Fat + Fiber). 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. . ��

A transcript is available online 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. . . �� �� �� ��

An online transcript is available 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. �� 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.�� �� 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. �� Lori Tam, M.D. Providence Heart Clinic St. Vincent Medical Center Portland, Ore. �� Kris Kleindienst Owner Left Bank Books St. Louis, Mo. . 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) . �� �� �� �� �� ��

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

An online transcript is available. The book from which these reflections are drawn is available to download or read online. . 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. �� 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:�� �� 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. . . ��

A transcript is available online 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. . 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 . 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 ���� . . 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 . . �� �� ��

A transcript is available online �� 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. . . 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. . Maureen Nash, M.D., FACP, FAPA, DFAAGP Medical Director�� Providence ElderPlace ��� PACE Oregon Portland, Ore. . . 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. . Lisa Iezzoni, M.D., MSc. Professor of Medicine Harvard Medical School Health Policy Research Center���The Mongan Institute Massachusetts General Hospital Boston, Mass. . . 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 �� ��

A transcript is available online . 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.�� �� 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.�� �� 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.�� �� 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. �� . Chrissie Ott, M.D. Internal Medicine & Pediatrics Medical Director Center for Medically Fragile Children Providence Regional Medical Director of Well-being Portland, Ore. . Tricia James, M.D. Internal Medicine Residency Faculty Medical Director, Wellness�� Providence Portland Medical Center Portland, Ore. . 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) ��. . Hans Moller, M.D. Orthopedic Surgery Providence Seaside Clinic Seaside, Ore. . Kimi Powers, PA-C Family Medicine Providence Center for Weight Management Portland, Ore. . Maneesha Ahluwalia, M.D. Infectious Diseases Certified Life Coach Baltimore, Md. . To hear more of Dr. Ahluwalia and Ms. Powers' conversation, click here. . . Christina Rothans, LCSW Palliative Care Social Worker Santa Monica, Calif. . Zahra Esmail, DO Paliative Medicine Providence Little Company of Mary Medical Center Torrance, Calif . 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. . . �� ��

A transcript is available online 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.�� . Cynthia Salisbury, RN, MSN, CPHQ, CPPS, NEA-BC Northern Division Chief Nursing Officer Providence�� Seattle, Wash. . Jennifer Gentry, MSN, RN, NEA-BC Central Division Chief Nursing Officer Providence Portland, Ore. . 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.�� . . �� �� �� ��

Building on their longstanding efforts to meet the educational needs of refugee children, for the first time ever, in Ukraine, the people at Sesame Workshop are producing specialized content for children living in an active war zone.�� 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. ��