Telemedicine in Ukraine: A system to support frontline healthcare workers

More than just a treatment for scuba and deep sea divers experiencing decompression sickness, hyperbaric oxygen therapy has evolved during the last 70 years and become an option for more than a dozen other conditions. In part two of this episode, Owen J. O’Neill, MD, MPH, and John Peters, two experts in undersea and hyperbaric medicine, discuss the research driving this field forward, including a clinical trial conducted during the height of the Covid-19 pandemic that offered patients an alternative to ventilation. The study was led by Dr. O’Neill, medical director Division of Undersea and Hyperbaric Medicine at Phelps Hospital. He joins the podcast, along with Mr. Peters, executive director of the Undersea & Hyperbaric Medical Society.    Listen to Part 1   Chapters: 00:56 - Hyperbaric oxygen therapy research 01:55 - Treating Covid-19 with hyperbaric oxygen hood 04:50 - Recognizing excellence in hyperbaric medicine 06:10 - Hyperbaric medicine training 07:41 - What to look for when seeking hyperbaric medicine 08:46 - Standardizing care 10:50 - The future of hyperbaric medicine Find hyperbaric medicine near you: Northwell hyperbaric facilities include: Mather Hospital Northwell Health Wound Treatment Center 75 N Country Rd Port Jefferson, NY 11777 Contact us: (631) 476-2768   Department of Undersea & Hyperbaric Medicine | Phelps Hospital Northwell Health 701 North Broadway Sleepy Hollow, NY 10591 Contact us: (914) 366-3690   Wound Care and Hyperbaric Medicine | Long Island Jewish Valley Stream 900 Franklin Avenue Valley Stream, NY 11580 Contact us: (516) 256-6576   Wound Care and Hyperbaric Medicine | Northern Westchester Hospital at Chappaqua Crossing 480 Bedford Rd Chappaqua, NY 10514 Contact us: (914) 458-8771   Comprehensive Wound Care Center  1999 Marcus Avenue, Suite M6 Lake Success, NY 11042 Contact us: (516) 233-3780   Hyperbaric medicine and wound care | Plainview 888 Old Country Road Plainview, NY 11803 Contact us: (516) 719-2298   Huntington Hospital Wound Care Center 270 Park Ave. Huntington, NY 11743 Contact us: (631) 385-5915

Oxygen is crucial to healing — but it has to be able to reach the damaged tissue to help the body recover and fight off infection. Hyperbaric oxygen therapy can facilitate that process by dramatically boosting the amount of oxygen your blood cells deliver to an injury. You may have heard about the therapy’s use in treating scuba diving incidents or carbon monoxide poisoning, but it can also speed healing from crush injuries, chronic wounds related to diabetes, radiation damage from cancer treatment and a host of other conditions. In part 1 of this two-part episode, two world-renowned experts in the field explain the history of this powerful treatment, how it works and what to expect during a session in the "727 airplane-sized" hyperbaric oxygen chamber at Phelps Hospital, who qualifies and the research driving it forward.  Podcast transcript Meet the guests Owen J. O’Neill, MD, MPH, medical director Division of Undersea and Hyperbaric Medicine at Phelps Hospital John Peters, Executive Director of the Undersea & Hyperbaric Medical Society * Part 2 of this episode will be available Wednesday, November 30. 

Typically, respiratory syncytial virus (RSV) sends thousands of children to the hospital over fall and winter, peaking in January and February. But for the second year in a row cases have spiked early and continue to grow. This has led to unprecedented cases of the common respiratory virus across the U.S. On this episode, Cohen Children's Medical Center leaders Joshua Rocker, MD, and Margaret Duffy, PhD, RN, NEA-BC, discuss what they are seeing on the front lines in New York, the impact flu will have leading into the winter months, and how hospitals are responding to the need. They explain what parents need to know about RSV, and what steps they can take to reduce transmission within the home, particularly for those with children under the age of 1, who are at the greatest risk. Meet our guests Dr. Joshua Rocker is the chief of the Pediatric Emergency Medicine Division at Cohen Children's Medical Center Margaret Duffy is associate executive director for Patient Care Services and chief nursing officer at Cohen Children’s Medical Center. Podcast transcript Find a pediatrician Chapters: 00:01 - Intro 01:31 - Why are we seeing an RSV surge now? 03:27 - What is RSV? 05:04 - RSV symptoms 05:56 - How is RSV transmitted? 09:58 - Diagnosing RSV 11:52 - A view from the frontlines  13:23 - The RSV surge in context 16:15 - Flu, Covid-19 and RSV 16:51 - Can you prevent RSV? 17:53 - Coping with RSV

On this bonus episode Sandra Lindsay, DHSc, MA, MBA, RN, speaks with Tara Liberman, DO, executive director for Northwell Health’s Hospice Care Network, about the role that culture plays in end-of-life care. They discuss racial disparities in the use of hospice, how cultural beliefs can actually influence people’s perception of pain, and what providers need to know to deliver care in a culturally sensitive manner.  This bonus edition of 20-Minute Health Talk continues the conversation from the previous episode, which featured Dr. Liberman and Mia Clar, MD, another palliative care expert. They dispelled 6 common myths about hospice. Listen to that episode here.  Podcast transcript. Chapters: 00:01 - Intro 01:30 - Racial disparities in hospice utilization  02:44 - Factors driving hesitancy  03:39 - Varying perceptions of pain 05:12 - Pain management at the end of life 05:58 - Addressing misconceptions 07:39 - Elevating life 08:49 - Breaking down barriers 11:04 - Signs a loved one may benefit from hospice 11:34 - Criteria for hospice 12:29 - Preparing for a delicate conversation 12:35 - Dealing with guilt Watch episodes of 20-Minute Health Talk on YouTube. 

From pain and symptom management to emotional and spiritual support, hospice care can improve and even extend life for some patients with advanced illness, as well as offer respite for their families. Yet, this vital resource is severely underutilized, particularly in New York, which ranks 50th among all states in the utilization of hospice. On this episode, two palliative care experts discuss barriers to care and debunk the most common myths about hospice. Guests: Tara Liberman, DO, is executive director for Northwell Health’s Hospice Care Network, which takes care of patients from Putnam, Westchester, Staten Island, Queens, Nassau County and Suffolk County. Mia Clar, MD, is an outpatient geriatrician & assistant professor in the Department of Medicine at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell. Chapters 00:01 - Intro 01:32 - What is hospice? 02:19 - Biggest misconceptions 03:53 - Can patients get off of hospice if they improve? 04:37 - Can you keep your doctor? 06:06 - Training clinicians 07:40 - A sense of dignity 08:57 - Why is hospice so underutilized? 09:41 - Having that conversation 10:27 - How does hospice referral work? 11:04 - Who is getting hospice? 11:53 - Is hospice covered by insurance? 14:05 - Cultural concerns with hospice 17:16 - If only I had known earlier

While most breast cancers are found in women who are 50 years of age or over, about 1 in 10 diagnosed with breast cancer are under 45, and often their cancer is in a later stage when it’s discovered. On this episode, Nina Vincoff, MD, clears up the confusion around mammogram guidelines. She says every woman should go through a risk assessment at a younger age to determine their risk — something most do not discover until their first mammogram. For those at high risk, this can have deadly consequences. The chief of breast imaging at Northwell Health explains what average risk means, how it is calculated, who is at the highest risk and steps women can take before going to their doctor's office.   Chapters 00:50 - Mammogram guidelines 01:41 - What is average risk for breast cancer? 02:26 - Why women should start screening for breast cancer in their 20s 03:06 - What is a risk assessment? 05:46 - Types of risk calculators 07:05 - Breast cancer risk categories 08:00 – Who is at highest risk? 12:18 - What if mammogram isn't enough? 13:14 - Are there risks of mammography? 14:57 - Does insurance cover mammograms? 17:06 - What happens if I am high-risk? 19:00 - Reasons for positivity 20:15 - Be your own best advocate

Despite the best efforts of heart health experts, only 56% of women recognize that heart disease is their No. 1 killer; among African American women that number drops to just 25%. Jean Cacciabaudo, MD, medical director at Huntington Hospital, renowned cardiologist and member of Northwell Health's Katz Institute for Women's Health, sits down with Sandra Lindsay, RN to discuss the differences between men and women when it comes to heart disease, what health systems are doing to address disparities in care, and what women seeking a cardiologist or cardiac surgeon should know. This bonus edition of 20-Minute Health Talk continues the conversation from the previous episode, which featured a panel of cardiovascular experts offering tips for patients looking for a cardiologist or cardiac surgeon. You can listen to that conversation here.  Learn more about cardiology, cardiac surgery and women's heart health services at Northwell Health.  

Cardiovascular disease remains the number one killer of both women and men in the United States. Most of us will need to see a cardiologist or cardiac surgeon at some point in our lives. But, how do you find the best doctor who is right for you? On this episode, three experts representing different subspecialties within cardiovascular health offer advice to patients facing the question: How do I pick a cardiologist or cardiac surgeon? Jeffrey Kuvin, MD, is senior vice president of Cardiology for Northwell’s Eastern & Central Regions and chair of the Department of Cardiology at North Shore University Hospital and Long Island Jewish Medical Center. He is also Co-Director of the Sandra Atlas Bass Heart Hospital at North Shore University Hospital. Alan Hartman, MD, is senior vice president and executive director of Cardiothoracic Surgery at Northwell Health; as well as co-director of the Sandra Atlas Bass Heart Hospital at North Shore University Hospital. Varinder Singh, MD, is senior vice president of Cardiology for Northwell’s Western Region; and the Guenther Chair for the Department of Cardiology at Lenox Hill Hospital. Chapters: 00:01 - Intro 01:09 - Who should see a cardiologist? 02:19 - Start with your primary care doctor 03:01 - Is the doctor Able? Affable? Available? 03:29 - Connecting with your doctor 05:38 - Finding the right cardiac surgeon 07:18 - Quality ratings 09:45 - The importance of trust 12:!7 - General vs interventional cardiology 14:14 - What is your vascular age? 15:44 - Why volume matters 17:00 - Does gender play a factor Further references: Learn more about quality ratings for cardiac surgery STS report Cardiology and Cardiac Surgery 2021 report NYS Department of Health (DOH) report on adult cardiac surgery NYS DOH report on percutaneous coronary interventions US News & World Report Learn more about patient satisfaction scores, like Press Ganey.   

"Police officers see everyone on their worst day," says Katelyn Jetelina, PhD, a guest on this week's 20-Minute Health Talk. This constant exposure to high-stress situations takes a considerable toll on an officer's emotional well-being, yet few seek help despite suffering higher rates of depression, substance use, burnout, PTSD and anxiety than the general public. Tragically, more police officers die by suicide than in the line of duty. On this episode, we speak with health care experts working to remove barriers to behavioral health services for police. Nick Stefanizzi is CEO of Northwell Direct, which recently announced a new collaboration with the New York Police Department called Finest Care, which will bring free, confidential counseling and other behavioral health services to the largest police department in the U.S. Dr. Jetelina is a data scientist, violence epidemiologist, and educator studying vulnerable populations exposed to violence. She's also the Director of Population Health Analytics at the Meadows Mental Health Policy Institute, based in Texas and has published extensively over the last decade on this issue.

While the Covid vaccines were developed and deployed in less than a year, the messenger RNA (mRNA) technology that powered them took more than five decades to develop. On this episode, we speak with two researchers who played a key role in advancing the science: Katalin Kariko, PhD, adjunct professor of Neurosurgery at the University of Pennsylvania and a senior vice president at BioNTech; and Drew Weissman, MD, PhD, the Roberts Family Professor of Vaccine Research in Penn's Perelman School of Medicine. Despite setbacks and even ridicule from peers, they worked tirelessly to find a way to harness the potential they saw in mRNA. In 2001, they discovered a way to turn fragile mRNA strands into viable vaccines and medicines by packaging them into lipid nanoparticles (LNPs). For their contributions to medical research, they were recently awarded the 2022 Ross Prize in Molecular Medicine, an annual award meant to cultivate promising careers in the fields of science and research.   In this episode, the history-making duo discusses what motivated them to endure their decades-long scientific struggles, their plans to continue their mRNA research and what it means to be awarded the Ross Prize. Also on the show, we speak with Kevin Tracey, MD, president of the Feinstein Institutes for Medical Research, about the importance of supporting young scientists, early-stage research, the culture of science and how listeners can nominate a candidate for the 2023 Ross Prize. Make a submission here. More on the history of mRNA technology Learn more about the history of mRNA technology and the development of the Covid-19 vaccines on this episode of the podcast, featuring Wall Street Journal writer, Gregory Zuckerman, and two of the first Americans to receive the vaccine, Sandra Lindsay and Yves Duroseau, MD.  Watch episodes of 20-Minute Health Talk on YouTube.