Afleveringen
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One key theme in this episode of Raise the Line is that attention to details matters for both patients with post-acute infection syndromes and the clinicians helping them as they grapple with often debilitating symptoms caused by dysautonomia, cardiac complications and other disorders. For patients, it’s about paying close attention to their bodies and diet, and being intentional about their use of energy. For providers, it’s listening very carefully to patients as they describe their fatigue, pain, lightheadedness and other symptoms and keeping up with the latest research on treatments so there are options to offer if there’s little or no progress being made in physical therapy, which is sometimes the case. “Don't just assume therapy is gonna go smooth. It rarely goes smooth. So, have an answer for the patient who says, ‘I'm not feeling better, what should I try next,’” says Dr. David Putrino, director of the Cohen Center for Recovery from Complex Chronic Illnesses (CoRE) at Mount Sinai. It’s also important to set expectations for patients who may think a few weeks of PT will resolve their issues, as is often the case with recovery from an injury. “What we're looking to do is reduce the number of flare-ups that happen, reduce the severity of those flare-ups, and ideally reach a point of symptom stability,” says Dr. Jenna Tosto, a leading expert in neurophysiological rehabilitation at Mount Sinai. To help patients understand the amount of progress happening, if any, host Dr. Raven Baxter, a long COVID patient herself, says keeping a daily journal and using fitness trackers can reveal important details. This expansive conversation includes valuable insights for patients and providers alike on breathwork, emotional regulation and other techniques to try during the search for improvement and recovery in complex chronic illnesses.
Mentioned in this episode:
Mount Sinai Health System
Steven & Alexandra Cohen Foundation
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We continue our Year of the Zebra focus on rare diseases today by exploring the ability of AI technology to aid in the diagnosis of rare and other conditions by analyzing the voice and speech of the patient. This approach is promising enough that the National Institutes of Health has invested in research projects to test its effectiveness, and the private sector is pursuing it as well, including the company Canary Speech whose technology can be trained to detect conditions that are traditionally difficult to identify, or those where early identification is crucial to treatment. “With just seconds of conversational speech, we can screen for multiple behavioral and cognitive conditions,” says Caitlyn Brooksby, Canary's vice president of Marketing and Strategic Partnership. One prime example she offers is a study on Huntington’s disease done in collaboration with Beth Israel Deaconess Medical Center in which more than a thousand features of speech were identified differentiating healthy patients from those with the disease. “Every ten seconds, we're looking at millions of data points, but we don't look at the words you say. We're looking at biomarkers within speech such as duration per word, word-per-second, bandwidth and contrast. It's really incredible what we can gather from speech alone,” she explains. Canary is in the second iteration of its Huntington’s model which is showing accuracy rates of 90% and above, and it recently added mild cognitive impairment, Alzheimer's, and Parkinson's disease to its offerings. Join host Lindsey Smith on this episode of Raise the Line to learn more about this promising approach to diagnosis.
Mentioned in this episode:
Canary Speech -
Zijn er afleveringen die ontbreken?
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Exercise is good for you, except in very specific cases when it isn’t. One of the few examples, post-exertional malaise (PEM), is the subject of today’s Raise the Line episode in our series on post-acute infection syndromes produced in collaboration with the Cohen Center for Recovery from Complex Chronic Illnesses at Mt. Sinai. “The key to understanding PEM is that it's not just fatigue. It's really the worsening of symptoms or the onset of new symptoms after exercise,” says Dr. Rob Wust of Vrije University Amsterdam. His research group is one of several around the world now focused on this previously obscure phenomenon due to the prevalence of long COVID in which PEM is a nearly universal symptom. And while it’s good news that this debilitating affliction is receiving new attention, no clear picture of causes and treatments has yet emerged. In terms of suspects, the body’s energy suppliers, mitochondria, are a popular target, but while Wust’s team and others attempt to unravel the mysteries of mitochondrial dysfunction, millions of patients suffering with PEM need strategies to avoid exhaustion. In that regard, Dr. David Putrino of the Cohen Center says patients and clinicians alike need to take all use of bodily energy into account, not just obvious activities such as walking. “The brain uses a lot of energy, so cognitive exertion will cause crashes. Emotional exertion will cause crashes and so will digestion and even sweating.” Join host Raven Baxter of the Cohen Center as she explores what can be done for patients as the race to find better diagnostics and treatments for PEM continues in some of the world’s top scientific centers.
Mentioned in this episode:Mount Sinai Health System
Steven & Alexandra Cohen Foundation
Long COVID Physio
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It’s hard for many to believe a tick bite or case of COVID can lead to severe mental illness, but we’ll be hearing from someone on this episode of Raise the Line who lived through just that experience. Dr. Raven Baxter also happens to be the host of this special series on post-acute infection syndromes produced in collaboration with the Cohen Center for Recovery from Complex Chronic Illnesses at Mt. Sinai. While struggling with long COVID, Raven developed panic attacks and other mental health problems, and even though she explained to providers that she previously had no history of mental illness, there was reluctance to attribute the symptoms to her body’s reaction to SARS‑CoV‑2. Unfortunately, this is not surprising to Dr. Shannon Delaney, a psychiatrist whose patients share similar stories. “People who are going through this can be suffering a lot, not only because of their symptoms, but because of invalidation from the medical community,” says Delaney, who believes brain inflammation caused by immune system dysregulation can explain why mental health issues emerge in this context. While Raven’s other guest, Dr. Mike VanElzakker, concurs, his research at Massachusetts General Hospital and the PolyBio Research Foundation focuses on the vagus nerve as a contributing factor to symptoms of various types. “I would argue at least part of what people with these complex chronic illnesses are experiencing is an ongoing sickness response and that may be because there is a signal that's constantly bombarding the vagus nerve, which may be sensitized by inflammation.” This is an eye-opening look at mind-body connections that are challenging conventional wisdom.
Mentioned in this episode:
Mount Sinai Health System
Steven & Alexandra Cohen Foundation
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“I think education is very much of an artistic process. I love to think of this as kind of being in a museum. It's about curation of an experience,” says Alex Kendall who oversees the physician assistant training program at Emory University. As he takes on the role of director, Kendall’s background in art and anthropology give him an interesting perspective from which to build on and realize the program’s vision and mission, which are rooted in evidence-based education, leadership development, interprofessional education and creating patient-centered, community-oriented clinicians. Toward that end, one curated experience is participation in the longstanding Emory Farm Worker project in which students care for thousands of migrant workers from Florida, Georgia and other states. Among other things, it’s a great opportunity to deepen awareness of the social determinants of health and practice caring for diverse populations. Looking to the future, Kendall and colleagues are keen to prepare their students for growing trends that will impact their work as clinicians including team-based care, the aging of the population and the increase in climate-related health problems. “We ask ourselves what does the future of health and society look like in ten years and what is needed from physician assistants? Our job is to identify what medical education then needs to look like in order to meet those future challenges.” This expansive conversation with host Hillary Acer also touches on Emory’s cognitive apprenticeship curriculum, scaffolded learning, making primary care an easier choice of specialty and the growing interest in point of care ultrasound.
Mentioned in this episode:
Emory University School of Medicine PA Program
Emory Farm Worker Project
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Why do patients with long COVID have such a wide array of symptoms affecting so many bodily systems? That bedeviling question is the focus of this episode of Raise the Line featuring Dr. Resia Pretorius, head of the Department of Physiological Sciences at Stellenbosch University in South Africa and a renowned researcher in coagulation. “The underlying concept of what is happening, in our minds, is that long COVID is a widespread vascular endotheliitis, which is driven by the presence of all sorts of inflammatory molecules in circulation,” she tells host Dr. Raven Baxter of the Cohen Center for Recovery from Complex Chronic Illnesses (CoRE). Because endothelial cells line blood vessels that travel to every part of the body, their impairment produces a range of symptoms. Dr. Pretorius and her research colleagues have discovered that “microclots” – abnormal proteins that prevent clots from breaking down – are another ingredient in the long COVID recipe due to their possible role in reducing oxygen flow to the brain and other organs. Because of their unusual structure, microclots are not detected by customary blood tests, leading Dr. Pretorius to add her voice to the chorus of stakeholders calling for the development of new diagnostic tests and additional treatments. “We need a concerted effort for trials. We need FDA approval for the laboratory test that we developed. I’m confident we will get it done, but it will take time, which is sad.” Tune in to learn about the possible causes of microclots, promising research on anticoagulation therapy and why long COVID is not a “checklist” disease, as our special series on post-acute infection syndromes continues.
Mentioned in this episode:
Mount Sinai Health System
Steven & Alexandra Cohen Foundation
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In a word cloud generated from this episode of Raise the Line, ‘communication’ would dominate: communication between the immune system, nervous system and connective tissue; communication between patients and providers; and communication among providers to solve challenging diagnostic puzzles. As our special series on post-acute infection syndromes continues, host Raven Baxter of the Cohen Center for Recovery from Complex Chronic Illnesses (CoRE) is joined by neurologist Dr. Ilene Ruhoy, immunologist Dr. Anne Maitland and physical therapist Dr. Valerie Iovine Rogers to unravel the interconnectedness at work in these diseases and reveal key insights about caring for patients. “In the complex disease world, there isn’t a nice protocol that we have in other parts of medicine, so it takes a lot of listening and a lot of trial and error,” says Dr. Ruhoy. “The most important thing is to continue digging into that story and building that practitioner-patient relationship so that there's trust there,” adds Dr. Maitland. All agree that a lack of specialists in mast cell activation syndrome, hypermobility disorders and related areas puts a premium on developing referral networks so that diagnostic roadblocks do not end the search for answers. “It really harps on the importance of an interdisciplinary care team where all of us have to communicate with one another and educate the patient so they know what they're advocating for and where they need to go,” Dr. Rogers explains. Don’t miss this instructive conversation on both the art of patient care and the science of these often debilitating illnesses.
Mentioned in this episode:
Mount Sinai Health System
Steven & Alexandra Cohen Foundation
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If we didn’t know Dr. Brian Ogendi, we might be concerned about someone being able to pull off a residency and two fellowships while being a father of two young boys, but we do know Brian through his work with our Osmosis Medical Education Fellows (OMEF) program in which he played a major role while earning both his MD and MBA degrees. In other words, we’re not worried. Host Hillary Acer checked in with Brian recently as he was wrapping up med school and preparing to start a residency in Internal Medicine/Physician-Scientist Pathway at UVA Health with a fellowship in infectious disease and critical care medicine. “For me, medicine and research really go hand in hand. They enhance each other, they sharpen each other,” he explains. He’s already demonstrated that in his role as research advisor to the OMEF program where he drew on his work at the NIH and elsewhere to provide grounding and encouragement to learners. Brian is hoping to put all of this education and experience to work providing care to underserved communities both in the United States and in his native Kenya, leveraging a global network built through Osmosis to do so. Don’t miss this uplifting installment in our Next Gen Journeys series full of advice on juggling heavy workloads and family responsibilities while gaining the skills to become an effective, community-minded physician.
Mentioned in this episode:
UVA Health
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Diagnosing Post-Acute Infection Syndromes: Special Series from The Cohen Center for Recovery from Complex Chronic Illnesses at Mount Sinai
“Tick-borne illnesses are incredibly stealthy and complicated and if I wasn't living and breathing it every day and seeing the intensity of these symptoms in patients, I would never believe it,” says Shannon Delaney, a psychiatrist in private practice in New York City. The complexity of such illnesses and the symptoms they cause is a key reason it can often take years to reach a diagnosis, which is the focus of this episode of Raise the Line, part of a special series on post-acute infection syndromes that Osmosis from Elsevier has created in partnership with the Cohen Center for Recovery from Complex Chronic Illnesses (CoRE) at the Icahn School of Medicine at Mount Sinai Hospital. In addition to Dr. Delaney, host Dr. Raven Baxter of CoRE welcomes Dr. Amy Kontorovich, an associate professor in Cardiology and Genomic Medicine at the Icahn School and Dr. David Putrino, director of Rehabilitation Innovation at Mount Sinai, to explore the limitations of current diagnostic tools and protocols and what changes are needed to improve patient care. Key themes include developing better tests for pathogens and educating providers to listen more carefully to patients. “In a typical medical encounter, the biggest dropped ball is completely disregarding an acute infection in the medical history,” stresses Putrino. All agree that providers need to be more comfortable with uncertainty and resist the urge to develop treatment plans that don’t address root causes. “If more doctors could just say, ‘I don't know’ I think it would do a great service to patients," adds Kontorovich. This is a candid and enlightening discussion about the importance of developing a collaborative, patient-centered mindset to provide the best care for those suffering with a range of post-acute infection syndromes.
Mentioned in this episode:
Mount Sinai Health System
Steven & Alexandra Cohen Foundation
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Today, we add another voice to our ongoing conversation on Raise the Line about how to improve the nurse staffing crisis faced by the US healthcare system. That voice belongs to Bhavdeep Singh, founder and CEO of Global MedTeam, a startup focused on bringing foreign-born nurses to the US to fill staff shortages. When Singh, who has deep experience in healthcare management, learned from a hospital executive that the annualized cost of employing one travel nurse can reach into hundreds of thousands of dollars in some locations, he realized there was room, and a need, for new approaches. “There's some wonderful work being done in this space, whether it's process improvement, remote monitoring, or software to make sure that we have the right kind of scheduling…all of these things are very helpful, but that's not going to get us to where we need to be. We will still have a huge shortage.” Singh believes employing pre-credentialed nurses from abroad, especially from the Philippines which has a long history of sending nurses to the US, is a viable part of the solution and his firm has put processes in place to make it a turnkey experience for employers. “We handle everything for the client including immigration from start to finish.” Join host Michael Carrese as he explores potential healthcare impacts on the “supplying” countries, the storied reputation of Filipino nurses and how this approach might also work for shortages in allied health professions.
Mentioned in this episode: Global MedTeam
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Today, we’re excited to bring you the first episode in a special Raise the Line series that Osmosis from Elsevier has created in partnership with the Cohen Center for Recovery from Complex Chronic Illnesses (CoRE) at the Icahn School of Medicine at Mount Sinai Hospital. PAIS: Root Causes, Drivers, and Actionable Solutions is a ten-part examination of a range of post-acute infection syndromes such as long COVID, tick-borne illness, chronic fatigue syndrome, and connective tissue disorders. Your host, Dr. Raven Baxter, a molecular biologist and Director of Science Communication at CoRE, will be joined by an impressive array of specialists in the field to explore causes, symptoms, diagnoses and treatments, as well as the devastating impact on patients who often struggle for many months or even years with a troubling span of symptoms affecting everything from muscle movement to mental health. As you’ll learn in the series, diagnostic protocols are lacking for many of these conditions, leading to delayed treatment and prolonged suffering for patients. In this inaugural episode, Dr. Baxter is joined by microbiologist Dr. Amy Proal, CEO of the PolyBio Research Foundation; Yale University Professor of Immunobiology, Dr. Akiko Iwasaki; and Dr. Edward Breitschwerdt, Professor of Medicine and Infectious Diseases at North Carolina State University College of Veterinary Medicine who will discuss the Building Blocks of PAIS.
Mentioned in this episode:
Mount Sinai Health System
Steven & Alexandra Cohen Foundation
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For those proponents of psychedelic-assisted therapy concerned that demand for therapists will outstrip supply in the coming years, you may be reassured by today’s conversation with Dr. Ingmar Gorman and Dr. Elizabeth Nielson, psychologists who have been involved in FDA-approved clinical trials of MDMA and psilocybin, and the co-founders of a company called Fluence Training which is working to scale education for this purpose. As they explain to host Shiv Gaglani, they see their task, broadly speaking, as serving three categories of people: those with general interest in the field; all types of clinicians who want to be able to have informed conversations with patients wishing to discuss their current and/or future use; and those who want to become therapists in this modality. Fluence is especially well-positioned for that last group because of Gorman’s and Nielson’s involvement in designing therapy protocols in clinical trials, but also because of their work developing therapy manuals for drug companies. “If and when their drugs go to market, we’ll be able to train clinicians in the community who will be working with those compounds,” says Gorman. One bottom line message in this richly-informed discussion is that the field needs all comers and they hope people aren’t dissuaded by misconceptions about what’s required. “We hear all the time, 'I want to be involved, but I’d have to go back to school and get all these years of clinical experience' when the reality is there's just so many ways now to get involved,” says Nielson. This is a great overview of the status of training, the potential pitfalls awaiting the field, the importance of managing patient expectations, and much more.
Mentioned in this episode: https://www.fluencetraining.com/
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Part of why we love bringing Raise the Line to you is we get to introduce you to creative, committed people who see challenges in the healthcare system as opportunities to improve it. Today’s guest, radiation oncologist Dr. David Grew, is a perfect example. In the depths of COVID when his patients had to meet with him unaccompanied by a support person, he realized his ability to help people understand the complexities of their care was more important than ever, so he doubled-down on his practice of making simple drawings for them on whatever piece of paper was handy. When patients told them they were bringing the papers home so they could explain things to family members, he realized he needed to up his game. “That’s when the light bulb went off. I need to digitize these drawings so that we can scale this educational moment between a doctor and a patient,” he tells host Michael Carrese. Armed with a laptop and basic educational software, Dr. Grew founded the company PRIMR and started building a library of short, animated videos containing the most common explanations he would give patients. When clinical trial managers noticed what he was doing, they wanted in and so a major focus of PRIMR is educating potential trial participants as well. “I'm on a mission to make sure that patients have an easy way to understand clinical trials.” Listen in to find out about a major medical and societal benefit to better education about these trials and to learn how Dr. Grew thinks PRIMR can help with the crisis of physician burnout.
Mentioned in this episode: https://www.primrmed.com/
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“Maybe we think we’re just students and we’re just learning, but you can have an impact as a medical student,” says Dr. Desiree Franco Lugo, who has acted on that insight throughout her recently completed journey at Anáhuac University, Mexico and during her participation in the Osmosis Medical Education Fellowship, where she has served as a Regional Lead for the past two years. Des, as we’ve come to know her, has happily embraced one of the most important roles Regional Leads play: being a mentor to fellow med students. “I love talking to them and seeing how they develop and follow their own dreams. I literally feel like a proud mom with them,” she tells host Hillary Acer. Speaking of which, Hillary, as leader of the OMEF program, has the same pride in all that Des has done to support her peers through hosting events, writing blogs, conducting research and so much more. Beyond Osmosis, Des has developed a global footprint in medical education through internships and being selected to participate in prestigious international conferences. All of those experiences have stoked a previously unknown passion for medical education, and given her confidence to pursue other passions for entrepreneurship and leadership. This is an invigorating conversation in our NextGen Journeys series that underscores what can come from jumping at opportunities, or as Des puts it, having an attitude of ‘less fear and more go for it.’
Mentioned in this episode:
Osmosis Health Leadership Initiative https://www.osmosis.org/community -
Promising research, a growing respect for the patient voice and innovative ways of using technology to support patients might be adding up to a new reality of Alzheimer’s and other dementias being experienced as chronic diseases like some cancers are now considered to be. We’re going to learn about that trend and other positive developments in the space on this special episode of Raise the Line with the leaders of CaringKind - one of the nation’s premier organizations focused on Alzheimer’s and dementia caregiving - who took time out from preparing for its annual gala on June 3 for an in-depth discussion of what’s new, what’s coming and what’s most important for the individuals and families affected by dementia. One welcome theme is that the voices of those with lived experience are being given more weight. “We're going to see more grassroots-driven change where people living with dementia are not just participants in research, but they are partners in research, and they’re actually pushing policy change," says Chief Innovation Officer Stephani Shivers. Tune in as host Michael Carrese explores advancements in diagnostics and research with CaringKind adviser Dr. Anne Kenney; gets briefed on a new Medicare pilot program from Stephani; and learns about the “Forget-Me-Not” gala -- which includes dancing robots -- from CEO Eleonora Tornatore-Mikesh. “For the gala, we're really excited about weaving in the work that we're diving into in the next couple of years to ‘connect to living’ -- to culture and music, people, science and services. Being able to utilize technology to bring joy and socialization back to your life is part of that.” This is a revealing look at the current and future state of caregiving for diseases that are affecting a rapidly growing number of Americans and their families.
Mentioned in this episode: https://www.caringkindnyc.org/gala/
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“There is a revolution at hand in which, after years of struggling to locate a new source of organs, there may finally be an answer and to everyone's surprise it is animal organs. Pigs may save the day,” says Dr. Andrew Cameron, chief of the Division of Transplantation at Johns Hopkins Medicine. While he’s encouraged by recent progress in using genetically-modified pig organs in humans, Cameron points to other ways of addressing this chronic shortage which include creative use of social media to raise awareness of the need, and even compensating people for donations. But, as you’ll learn on this episode of Raise the Line with host Shiv Gaglani, running the transplant program is just one of the hats Cameron wears. As director of the Department of Surgery and surgeon-in-chief, he has a hand in overseeing all surgical subspecialties, so Shiv also explores his thoughts on the role of robotics and other technologies in both performing operations and in training surgeons. And in what is perhaps an unexpected turn, Cameron expresses his excitement about non-surgical developments to improve health such as the new class of weight loss drugs. “We're not here for me to do fancy surgeries. We're here to take care of sick people, so if there is a non-operative solution that’s better for the patient, we're all in on that, too.” It’s an expansive and fascinating conversation you won’t want to miss.
Mentioned in this episode:
Johns Hopkins Department of Surgery: www.hopkinsmedicine.org/surgery
DONOR App: www.thedonorapp.com
TEDx Talk on Xenotransplantation
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Today’s Raise the Line guest has a simple but powerful message for medical providers, born of a mother’s heartbreak. “It's going to be rare in your career to meet a zebra but the impact you can have is phenomenal. An early diagnosis could make the difference between life and death for these children,” says Bethan Keall who lost her young daughter Matilda (Tilly) in 2022 to neuroblastoma, a rare cancer most commonly found in children. Because some symptoms of the disease can be easily attributed to other causes, early diagnosis is difficult, particularly if providers are not on the lookout for it. Tilly’s diagnosis of an aggressive form of neuroblastoma introduced Bethan and her husband to the unfortunate realities of a lack of funding and coordination in the UK around pediatric oncology. “For childhood cancer you really need as much collaboration among doctors as possible to understand how treatments can get better because there are relatively few cases,” she explains to host Lindsey Smith. In coping with Tilly’s tragic death at the age of four, her parents have dedicated themselves to Neuroblastoma UK to support research efforts and have benefitted from the emotional and social support provided by a charity called Jak’s Den, founded by the family of a victim of childhood cancer. This is a wrenching, illuminating episode in our Year of the Zebra series offering important insights from a parent’s perspective for providers and policymakers alike.
Mentioned in this episode:
Jak’s Den https://www.teamjak.org.uk/
Neuroblastoma UK https://www.neuroblastoma.org.uk/ -
Today, we're continuing our close look at clerkships and residency programs and what students can do to be successful in them with Dr. Sharon Bord and Dr. Amelia Pousson, who are both physicians and assistant professors in emergency medicine at Johns Hopkins University, where, as most listeners know, Osmosis co-founder and Raise the Line host Shiv Gaglani is pursuing his third year of medical school. “I think one of the things that students really feel when they rotate in the ED is the team-based atmosphere. Emergency medicine providers help each other be the best versions of ourselves that we can in medicine. That is really unique,” explains Dr. Bord, who serves as the emergency medicine clerkship and sub-internship director. For her part, Dr. Pousson wants students to realize there are many paths to becoming a wonderful emergency physician. “There's lots of ways to sort of peel the orange and get it just right even if the path there looks a little bit different for each person,” she says. Both agree that among the keys for success are rigorous honesty and self-reflection about your goals and limitations, and whether the specialty is a good fit. Tune in for an expansive conversation that provides valuable wisdom and fascinating insights into one of the most vital and challenging of medical specialties.
Mentioned in this episode: Johns Hopkins Core Clerkship in Emergency Medicine
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Medical school is so demanding that it’s always impressive to meet students who make time for other activities, and doubly impressive when what they devote their precious free time to is intended to improve healthcare. That’s why we’re delighted to welcome Drs. Lawsen Parker, Rebecca Wolff and Stephanie Koplitz to Raise the Line today. As they were wrapping up their terms as leaders of the Student Osteopathic Medical Association this Spring, they joined host Hillary Acer for an inspiring conversation about medical education, the role of students as advocates, and the future of healthcare. Lawsen, Rebecca and Stephanie also reflect on what being a medical student in the COVID era has been like and how it has shaped their perspectives on healthcare and leadership. Perhaps Lawsen sums it up best by telling Hillary that after his experience in SOMA, “I can’t imagine my career without being a leader, and an advocate for my colleagues, my patients and myself.” Don’t miss this opportunity to hear what is on the minds of these future leaders in healthcare.
Mentioned in this episode: https://studentdo.org/
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Today’s guest is a trailblazing surgeon who performed the first successful nerve allograft, among other important achievements, but that’s actually not what host Shiv Gaglani wanted to focus on in this interview with Dr. Susan Mackinnon. After seeing her speak recently at a Johns Hopkins Grand Rounds presentation, Shiv immediately asked her to be a guest on Raise the Line because of her passion to change the culture and climate in the medical profession, partly by reconnecting it with its core mission. “We need to get it to a point where you can take the Hippocratic oath, which says if I don't agree to look after the care for prince and slave alike, I should die. We need to get back to that.” Mackinnon candidly details her own journey to being able to recognize and regulate her energy state so that she can perform at the highest level of creativity with colleagues and rise above the counterproductive “I win, you lose” mindset that often prevails in medicine. This free-flowing conversation is packed with insights gathered over a long career and offers much food for thought about how to find happiness and spur innovation at work, and the importance of self-care for providers. There’s also more book recommendations than in any other Raise the Line episode!
Mentioned in this episode:
Energy Leadership by Bruce Schneider
Taking the Leap by Pema ChodronWhere Good Ideas Come From by Steven Johnson
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