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In our third Take A Step Back episode we take the opportunity to look back over Episodes 8 through 11. Our host, Dr. Eric Fethke, is joined by two guests - a third year medical student, Angela Ho, and an experienced practicing pediatrician, Dr. Jamee Goldstein. Together they reflect on the lessons gleaned from these four episodes including:
Ep 8 (Parts 1&2) - Sudden Cardiac Death in the Young, Parent Heart Watch Team.
Ep 9 (Parts 1&2) - Let Life be a Little Messy, Dr. Maya Shetreat.
Ep 10 - Obstructive Sleep Apnea, Dr. Meghna Dassani.
Ep 11 - Lawyers and Doctors, Steve Tannenbaum.
This hour-long reflection proved once again to be insightful and complimentary to our prior guest experts’ contributions. The reflections of our guest students and seasoned physicians continue to bring new perspectives to our podcast. The Take-A-Step-Back format moves us along our journey of empowerment through knowledge enhanced by our engagement in open discussion.
Next time on Episode 15, the Pursuit of Health podcast breaks new ground as we travel across the seas to South Africa. In this three part series Dr. Fethke is excited to introduce his esteemed guest and dear friend Mr. Sagie Pillay, to discuss the shared experiences and lessons about America’s and South Africa’s healthcare systems, the HIV experience, and the current Covid-19 pandemic.
You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd
(This episode will also available in video format on Youtube @drfethkemd).
Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com.
My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
On this episode we had the opportunity to continue our intense discussion about international healthcare with Dr. Ronald Israelski at the Chester, NY headquarters of Orthopedic Relief Services International (ORSI). Dr. Israelski has been an Assistant Clinical Professor at NYU for well over 20 years, and a practicing orthopedist for over 30 years. He has created a legacy of expanding both the clinical and education infrastructure of his New York community and that of the neighboring country of Haiti.
Just 2 days before our session, on August 14, 2021, a large earthquake hit Haiti with a force even greater than that which devastated this already vulnerable country on January 12, 2010. During the discussion, the increasing number of incoming texts and phone calls from Haiti and Dr. Israelski’s American colleagues reminded us of the urgency and reality of the ongoing situation in Haiti.
Dr. Israelski continues the discussion by explaining in detail about the mission and unique organizational approach of ORSI. He emphasizes that any truly effective and sustainable relief effort must be guided and driven by the people in need. He warns that to superimpose the models of care derived from other communities or nations will inevitably exclude a large proportion of the population being attended to and will not establish the infrastructure or clinical and educational resources required to establish longevity nor high quality of care. He strives to create Partners in care, not Dependents.
Most importantly, he again emphasizes the foundation of Trust and Compassion that must underlie any healthcare endeavor, at home or in another nation. He clearly believes that American physicians and clinicians derive invaluable professional experience and life lessons when participating in International Healthcare efforts, that translate to becoming a better healthcare professional. His recipe for success includes Resiliency, Ingenuity, Grit and, above all, Compassion.
Dr. Ron finishes by running in between phone calls from Haiti to thank all his colleagues who have made the ongoing work in Haiti possible.
If you would like to learn more about how you can contribute to the Haitian relief effort at Orthopedic Relief Services International, please visit https://orsinternational.org/.
You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd
(This episode will also available in video format on Youtube @drfethkemd).
Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com.
My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
On this episode we had the opportunity to join Dr. Ronald Israelski at the headquarters of Orthopedic Relief Services International (ORSI) to discuss his work in international healthcare. Just 2 days before our session, on August 14, 2021, a large earthquake hit Haiti with a force even greater than that which devastated this already vulnerable country on January 12, 2010. During the discussion the texts and phone calls were pouring in nonstop from Haiti and Dr. Israelski’s American colleagues in their efforts to respond to the catastrophe that ORSI was specifically created to address.
Dr. Israelski begins the discussion by sharing his journey to becoming a physician leader in orthopedic surgery. He readily draws the connection between his fascination with building things as a child and his innate desire to help people in crises as the impetus for his medical career.
Dr. Israelski is an experienced practicing orthopedist who has created a legacy of expanding both the clinical and education infrastructure of his community. An Assistant Clinical Professor at NYU for well over 20 years, he brings both the academic and frontline community-based mindset to his over 30 years of orthopedic work with a focus on hand surgery. During his 10 years serving as Chairman of the Dept of Orthopedic surgery at ORMC (now Garnet Health) in the Greater Hudson Valley of NY, he proved to be a medical pioneer. Starting with the creation of a highly specialized joint and bone replacement center in 2005, he then became the driving force behind both the region’s new medical school in collaboration with Touro University and an accredited residency training program at the region’s newest and largest hospital -ORMC. This academic program established improved Health standards, Economic Vitality, and Educational Opportunities formerly unavailable in the Hudson Valley region.
Dr. Israeski shares the poignant moment on January 12, 2010 that dramatically turned his professional focus beyond the U.S. borders to the neighboring country of Haiti. This single event, which lasted only about thirty seconds, killed between 250,000 and 300,000 people, left well over 1,000,000 homeless, and critically injured hundreds of thousands more. On that day he decided to roll up his sleeves and join other orthopedic colleagues in what can only be described as a horrific war zone ravished by one of the most life-changing environmental catastrophes of this century. He clearly explains the history and dynamics of this former land of riches troubled by an abusive colonial past, raping of he environment, a legacy of racism, corruption and detrimental outside poltical manipulation, now facing two monumental environmental catastrophies.
Dr. Ron, as his colleagues call him, explains how this initial venture in 2010 grew into the medical relief program ORSI that was being called back to action for this second earthquake right in the midst of our conversation. He explains how ORSI was built on the fundamentals he refers to as ICE - Build/Support Infrastructure, Clinical Work, Educational Support. The ORSI team has deployed over 30 teams to Haiti and raised millions of dollars of relief. It serves as the model for international medical care that is specifically guided by and addresses the needs of those affected.
Join us next time as we continue this intense dialogue with Dr Israelski in Part 2 of this timely episode where we venture into the need for Humane and Compassionate healthcare at home and abroad.
You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd
(This episode will also available in video format on Youtube @drfethkemd).
Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com.
My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
On Part 2 of Episode 13 of the Pursuit of Health podcast, Dr. Fethke picks up the conversation with a very special guest, his own most influential mentor, Dr. Welton M. Gersony, a pioneer and world-class Pediatric Cardiologist to further expand on his words of wisdom regarding the importance of Patient-Physician Communication.
Together the doctors address the many obstacles that prevent today’s physicians from doing a thorough job. Dr. Gersony expresses his views on Over-Testing and suggests that this is not only an effective way to defend against malpractice suits, but can interfere with a productive patient-physician relationship.
The conversation then turns to the art of giving a patient and family Bad News while not abandoning Hope. He asks physicians to support the family in difficult times, including the loss of a child, in order to lessen the family’s Fear and Guilt. Dr. Gersony eloquently reminds us that we must consider the impacts of illness and death on all members of the family, in order to facilitate their ability to move forward with their own lives, while honoring the memory of the deceased.
Dr. Gersony’s most important message to clinicians is that we should never allow Technology to replace our Humanity as we care for patients. After all, like Dr. Gersony so honestly confesses, many of us became doctors and clinicians with a powerfully pure and simple purpose - “to help people”.
We invite you to join us next time on the Pursuit of Health podcast for our 3rd Take-A-Step-Back session as we pause and reflect on prior episodes #8 thru 11 with a guest physician and medical student.
You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd
(This episode will also available in video format on Youtube @drfethkemd).
Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com.
My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
On Episode 13 of the Pursuit of Health podcast, Dr. Fethke invites his own most influential mentor, Dr. Welton M. Gersony - a pioneer and world-class Pediatric Cardiologist - to remind us all of the importance of maintaining the fundamentals of Patient-Physician Communication.
Over the past 5 decades Dr. Gersony has been one of the most influential physician leaders in American Pediatrics and, specifically, Dr. Fethke’s own field of Pediatric Cardiology. Dr. Gersony received his medical degree at the State University of NY-Upstate Medical Center, completed his General pediatric training at Western Reserve Medical School in Cleveland, Ohio and his fellowship training at The Boston Children’s Hospital of Harvard Medical School.
In 1968 he founded Columbia University’s Division of Pediatric Cardiology where he served as the division chief and the Alexander Nadas Professor of Pediatrics at Columbia University’s College of P&S until 2007. Several landmark medical achievements occurred under his watch at Columbia including the first successful pediatric heart transplant in 1984, and the foundation of the Pulmonary Hypertension and Adult Congenital Heart Centers.
His myriad distinguished services include being the past Chair of AHA Council of CVDY, the ABP Subboard of Cardiology and the Steering Committee of the World Congress of Pediatric Cardiology and Cardiac Surgery. He is the 2003 recipient of the AHA’s Distinguished Service Award and the 2007 Founder’s Award of AAP. He has served on multiple editorial boards and was a Consulting Editor for Circulation medical journal.
He is recognized as a pioneer in our understanding of the course of congenital heart defects through his work as a Principle Investigator for the 1st and 2nd studies of the Natural History of Congenital Heart Defects. He has authored more than 300 papers and chapters as well as one of the first major textbooks dealing with Congenital Heart Disease in the Adult.
Amongst all of his successes he remains most proud of his recognition as a world-class teacher of future generations of pediatric cardiologists, having trained 120 Pediatric Cardiology fellows during his over 35 year tenure at Columbia University - consistently demonstrating an uncanny ability to know peoples’ strengths and potential even before they see it in themselves.
During part 1 of this episode, Dr. Gersony takes us through the mechanics of the all important first patient visit as he has personally demonstrated for so many of his students. He stresses that this visit lays the groundwork for the trust between a physician and patient family that is critical to the patient’s future success. He urges us to “let them tell their story” without injecting our own assumptions and biases. He explains how important it is to be aware of harmful nonverbal cues that we send patients.
He humbly advises that we never consider ourselves to be 100% infallible, but rather maintain open communication between our patients and their referring physicians. He finishes this first episode with an emphasis on maintaining Hope, even in the face of serious illness and bad news. Ultimately his message is that “Taking the time up front, saves time later”.
Next time in Part 2 of Episode 13, Dr. Fethke picks up the conversation with Dr. Gersony as he discusses how to Humanely give Bad News to a patient and family while avoiding the family’s natural feelings of Fear and Guilt.
You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd
(This episode will also available in video format on Youtube @drfethkemd).
Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com.
My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
On Episode 12 of the Pursuit of Health Podcast, Dr. Fethke invites a local colleague, Dr. Richard Hahn - an experienced Pediatric Psychiatrist - to address a very important and timely issue: the Mental Health of Children during the Covid-19 pandemic.
Dr. Hahn is a graduate of several prestigious institutions, including the Massachusetts Institute of Technology (MIT), NY Medical College, Cornell Medical Center, and NY-Presbyterian Hospital. For the past 25 years, he has been a Consulting Psychiatrist for the Hudson Valley NY public schools, NY’s Putnam and Northern Westchester counties' BOCES, and the NJ Child Study teams. He has been a mental health Consultant at Vassar College of NY, served as the Vice President of NY’s Chapter of the American Society for Adolescent Psychiatry, and continues to serve as an Educational Counselor on behalf of his alma mater, MIT.
Dr. Hahn begins the episode by calling attention to decades old pre-existing legislation that was intended to strengthen and expand mental health services in the U.S., but have yet to meet their full potential because of political and economic conflicts of interest. He expresses his concerns about longstanding deficits in resources available to train and support mental health professionals.
He invites us into the world of School-based Pediatric Psychiatry, stressing the importance of providing care at this local community level for both children and their families. He provides keen insights into the social dynamics of American families’ whose members are often spread out across the country with the public education system as the only glue that still holds us all together.
The discussion then turns front and center to the Psychological Impacts of the Covid-19 Pandemic on our Children. He teaches us that “Isolation is as bad an issue as the virus.” He urges families to be conscientious about exposing kids to age-inappropriate stresses while confined at home in tight quarters with their families. He gives us great advice to make engaging our children in direct communication and interactions a priority so that they can feel safe to share their own thoughts and concerns.
With his unique combination of basic science background in Biology and years of experience as a frontline pediatric psychiatrist, he remains convinced that the Covid-19 vaccine is a critical intervention for both the physical and mental health of our children. Only when we all work together to achieve herd immunity can our children get back to school and normal life.
As we finish this poignant episode, Dr. Hahn gives us all hope with a powerfully unique solution to our nation’s mental health crisis. We owe it to our children to heed his advice and keep moving forward.
Next time, on POH Ep 13, Dr. Fethke is honored to introduce his most influential mentor, Dr. Welton Gersony, to our audience. This world-renowned Pediatric Cardiologist takes us back to the fundamentals of patient care with Words of Wisdom - How to Best Communicate with Patients as a Physician.
You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd
(This episode will also available in video format on Youtube @drfethkemd).
Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com.
My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
On this 11th episode of the Pursuit of Health podcast, Dr. Fethke is honored and excited to invite a dear friend and colleague, Steven Tannenbaum, Esq., to debunk the notion that doctors and lawyers are necessarily always adversaries.
Our guest is a seasoned attorney with over 40 years of experience and a senior partner in Tannenbaum, Bellantone & Silver PC, a civil litigation law firm based in Lake Success, New York. He has been recognized as one of the Top Attorneys in North America, an honor bestowed to only a few American attorneys recognized for their degree of professional success and leadership. He additionally serves as a mediator and an arbitrator for National Arbitration and Mediation.
He currently serves as National Vice-chair of Parent Heart Watch, the sole national voice dedicated to protecting youth from sudden cardiac arrest and preventable sudden cardiac death. He also serves as a Board of Directors Member of the Louis J. Acompora Memorial Foundation and the Dominic A. Murray 21 Memorial Foundation. He is a past board chair of the Sudden Cardiac Arrest Association.
He is the 2010 recipient of the American Heart Association’s Louis J. Acompora Memorial Heart Saver Award, the 2011 recipient of the American Heart Association Special Recognition Community Outreach Award, the 2012 recipient of the Sudden Cardiac Arrest Association’s Chairman’s Award, the 2013 recipient of the Dominic A. Murray 21 Memorial Foundation’s Save a Child Award, the 2015 American Heart Association Heart Saver Award and the 2016 Parent Heart Watch Founder’s Award.
Mr. Tannenbaum is the rare teacher who can clearly explain such often misunderstood legal processes as Trial by Jury, Tort Law, Good Samaritan Law and the Medical Standard of Care. He shares his views on the proper use of these and other legalities involving healthcare, never losing sight of his role to serve others and uphold the legacy and fundamental nobility of the fields of Medicine and Law.
He shares his very personal story as a grateful survivor of a sudden cardiac arrest (SCA) which occurred May 6, 2009. This experience led him to become an American Heart Association certified CPR/AED instructor, training more than 10,000 people to date.
As an attorney, he remains passionate about the need to inform and empower everyone to prevent and treat SCA. He is a nationally recognized speaker and educator, appearing on television and radio to share his knowledge about CPR/AED usage. He explains how he has fought in several states to establish legal protections from liability through state and national Good Samaritan Laws. He explains the purpose of his work to assist in the drafting of legislation in several states to help save lives.
Most notably, Mr. Tannenbaum finishes this wonderful session by advocating for equal and equitable justice for all under the law. He believes that our work is not done until both lawyers and physicians can ensure that all of the wonderful technologies and treatments of modern medicine are available to each and every one of us. In his eyes to do any less is paramount to committing a crime.
Next time, on POH Ep 12, we welcome Dr. Richard Hahn, a Cornell and Columbia trained Pediatric Psychiatrist focusing on School-based Psychiatry for a timely discussion about The Psychological Impact on Children of the Covid-19 Pandemic.
You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd
(This episode will also be available in video format on Youtube @drfethkemd).
Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com.
My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
In our second Take A Step Back episode we take the opportunity to look back over and comment upon Episodes 4 through 7. Our host, Dr. Fethke, is joined by a fourth year medical student, Kevin Kriege, and an experienced pediatrician, Dr. Dominic Berlingieri. Together, they reflect on the lessons gleaned from these four episodes, including;
Episode 4 (Part 2) - Schools play a vital role as entry points into the U.S. Healthcare System and as part of the ongoing health team for children.
Episode 5 (Parts 1&2) - Time is a more valuable commodity than money. When this Time and the role of the physician are appropriately valued, this can strengthen the Patient Physician Relationship. In the end, Trust and Mutual Respect actually reduce costs and allow health providers to provide better care.
Episode 6 (Parts 1&2) - When the different components of the healthcare system do not communicate well with each other, the patients suffer tremendously. The transition of care for a patient is a weak point in our current healthcare system which is urgently in need of improvement. Taking full responsibility for our patients’ is paramount if we are to learn from the many pitfalls revealed by the Covid-19 pandemic.
Episode 7 (Parts 1&2) - We all have varying degrees of Implicit Bias which we must consciously recognize and not ignore. However, it is just as important to good patient care that we consider and respect our unique cultural, racial and socioeconomic differences. We must address the “whole” patient.
This hour long reflection from the frontlines was once again captivating. There was a refreshing level of honesty and insightfulness that expanded our horizons. The dynamic of student and seasoned physician provided constructive advice that will benefit us all. Take A Step Back has once again proved to be a great success. This retrospective format from physicians young and old forms the glue that binds our episodes into a collection of works that will Empower our audience.
You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd
(This episode is also available in video format on Youtube @drfethkemd).
Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com.
My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
In this episode, we sit down with Dr. Meghna Dassani, a pioneer dentist in Houston, Texas who is committed to addressing obstructive sleep apnea (OSA) through a comprehensive approach which includes educating others about the prevalence and implications of this unrecognized and dangerous disturbance of sleep.
She shares the personal journey during her training that led her to incorporate the treatment of OSA as a major component of her dental practice from day one. This has culminated in the establishment of a community of physicians and other healthcare providers that work together on behalf of their patients.
Dr. Dassani provides insights into how a parent and child can recognize the signs and symptoms of OSA which exists in at least 2-4% of children and may very well be undiagnosed in many others. She highlights the long term negative health effects of untreated OSA, associated other conditions and the various treatments available today.
After over a decade she has become convinced that early intervention in more subtle cases heading towards complete OSA, should also be treated in order to prevent the onset of OSA. She suggests that children with other conditions such as obesity, ADHD, learning difficulties and mood disorders should have their sleep evaluated first, before pursuing treatments with medications that have significant side effects.
Dr. Dassani and Dr. Fethke explore the possibility that health inequities exacerbate sleep disturbances by not addressing co-morbidities, especially in children. If these issues are addressed in childhood, then health is promoted beginning in early life, thus positively impacting the future social well being of underprivileged communities.
In the end, Dr. Dassani stresses that there is no “one shoe fits all” when approaching OSA. She urges people to not give up hope if CPAP or other first line therapies are not helping. She also urges all clinicians to make screening for OSA a consistent and vital part of their health practices.
She stresses that healthcare providers should keep an open mind when addressing complex problems such as OSA and sleep disturbances. The best outcomes derive from combining the skills of many different medical specialties and overcoming our presumptions and biases about which medical profession should be addressing any particular health problem. Her philosophy of seeing and treating the “whole patient” rings true for OSA and so many other medical and social conditions in our society.
Resources: Meghnadassani.com, dassanidentistry.com,
Book: Airway is Life: Clearing the Air About Sleep Apnea.
You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd
(This episode is also available in video format on Youtube @drfethkemd).
Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com.
My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
On Part 2 of this episode, we continue the discussion with our special guest, Dr. Maya Shetreat, M.D., a thought leader in Medicine and a pioneer who has helped redefine how we think about health. After her conventional training as a Pediatric Neurologist she continued to grow intellectually and philosophically and is now also an herbalist and urban farmer.
She is the author of the groundbreaking book, The Dirt Cure: Growing Healthy Kids with Food Straight from the Soil, which has been translated into multiple languages. Her work has been highlighted in The NY Times, The Telegraph, the Dr. Oz Show, and a multitude of other media forums.
She is the Founder of the Terrain Institute - which fosters the field of Terrain Medicine: earth-based programs for transitional healing.
Dr. Maya picks up on her discussion of the microbiome, including details of the mitochondria and the concept of quorum sensing. She highlights that we are many organisms functioning as one unit and the relationships we have with the world around us. This has been her motivation for starting the Terrain Institute, to promote our alignment internally and externally - the Ecoterrain - to attain health.
Dr. Maya and Dr. Fethke enter into a discussion of Epigenetics - the idea that we have a genetic code and depending on the particular interactions with our environment can turn on or off disease-causing genes. Dr. Maya explains the concept of Resiliency and Hormesis in which a little regular stress actually makes us stronger. Getting a little messy with a diversity of foods and exposures creates a healthy internal terrain. If we make the environment around us too clean, then we may be handicapping our systems. This thesis underlies the title of her book - The Dirt Cure.
Together they touch upon the implications of this thesis for the current Covid-19 pandemic, here and abroad, and the the impact of healthcare disparities as a major contributor to negative epigenetic effects - racism-induced lack of Resiliency - in our own country.
Dr. Maya finishes our episode with a retrospective look at the professional and intellectual hurdles she overcame in creating her approach to health. She is now more confident than ever as her ideas are increasingly gaining validity as a part of mainstream research and scientific thought. She emphasizes that to be healthy we must establish a good relationship with the environment around us.
References:
1. The Terrain Institute - shtreat.mn.co,
2. Drmaya.com
3. Book - The Dirt Cure: Growing Healthy Kids with Food Straight from the Soil - 2016, Publisher- Atria Books.
You can follow Dr. Eric Fethke on Facebook, Instagram, Twitter, and Tik Tok @drfethkemd
(This episode is also available in video format on Youtube @drfethkemd).
Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com.
My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
From the publisher's feed