Welcome to Consilience with John Onate! In this podcast I want to share my broad interest and perspective that learning different disciplines can improve our understanding of what is happening our life and world through interviews with outstanding people.
Disclaimer: all content on this Podcast and connected blog DO NOT constitute or provide medical advice or treatment recommendations to viewers or readers. No Doctor-Patient relationship is created on implied with any content or interaction related when through these podcasts, social medical interaction and associated videos.
Jane P. Gagliardi, MD, MHS, FACP, DFAPA completed medical school, residency training in combined internal medicine-psychiatry, and her masters of health science in the clinical research training program at Duke, where she has remained on faculty since completing residency training. Dr. Gagliardi has been involved in the educational programs in the Department of Medicine, where she served as Clerkship Director and Director of Undergraduate Medical Education for nearly a decade through June, 2014 and in the Department of Psychiatry and Behavioral Sciences, where she served as the Associate Program Director for the Psychiatry Residency Training Program from 2011 till 2013, Director of the Psychiatry Residency Training Program from 2013 through 2019, and Director of the Medicine-Psychiatry Residency Training Program starting in 2019. She has been the Vice Chair for Education since 2014. She is a small group leader in the medical school Clinical Skills course and founded and co-directs the medical school Evidence-Based Medicine course. Dr. Gagliardi is particularly interested in the interplay between patient safety measures, various pressures in medicine including implementation of the electronic health record, and medical education, and she has worked to develop and encourage projects in patient safety and quality improvement. She does inpatient clinical work in both departments, spending time on the General Medicine, inpatient Psychiatry, combined Medicine-Psychiatry, Consultation-Liaison Psychiatry, and Emergency Psychiatry services.
I really appreciate KNCI 105.1 allowing me to replay on my platform the interview I gave them in May. I covered a lot of ground during the interview discussing mental health, the pandemic and treatment. Please note that this was recorded probably a week or so before the George Floyd tragedy for context.
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Taylor is a trail and ultra runner based in Washington, DC where his lives with his awesome wife, Sarah. He spends his days working with media companies as a Management Consultant, and his nights and weekends running, traveling, learning new things, and advocating for Mental Health.
Taylor and I first met at the inaugural Rob Krar Trail Running Camp in Flagstaff 5 years ago. Today we recall the camp and then talk about his background, how he got into running and his journey to becoming an advocate for suicide and mental health awareness. We recorded this at the end of of May before the national outrage about institutionalized racism in police and legal institutions. I hope we can move past the defensiveness and accept responsibility so we can institute change that will allow all Americans to trust and work with law enforcement. I support protesting and I urge public health, law enforcement and other civic agencies adopt policies to allow safer protesting during a pandemic. I hope you are all well and thank you for listening. Please subscribe and leave a review and comment, it really helps! I hope my conversation inspires you to support reducing stigma and support suicide awareness, suicide hotline and reducing the barriers to effective mental health care.
Resources and Links:
The National Suicide Hotline: 1-800-273-8255 add it to your contact list!
AFSP Loss and Healing:
Tracy Beth Høeg, MD, PhD works in private practice Sports and Spine Medicine with Northern California Orthopaedic Associates. She is also a voluntary assistant professor at UC Davis Department of PM&R. She is an active researcher with UC Davis and Stanford and works as a journalist for UltraRunning Magazine. She has four children and is married to Rasmus Hoeg, MD. They live in Kings Beach, California.
We have a wide ranging discussion on her education, research and experience. The pandemic so far and a deep dive on ortho-biologic medicine (aka Regenerative Medicine) including PRP and stem cell soft tissue injections.
Tracy and I recorded this a couple of weeks before the tragic death of George Floyd and in the introduction (first 6 minutes or so) of this episode I express my thoughts on the murder and fallout. I hope change and healing will come from this and I hope it does not impair our ability to contain the Coronavirus Pandemic that continues to rage on. Here is the link to Peter Attia's conversation with his daughter on his podcast that I mention during my intro.
Carol is one of the most inspiring persons I have met. She has overcome tragedy and trauma and through it all shows such concern and passion for her fellow Eskimos in Nome Alaska. I invite you to listen to this interview to show we all have the capacity to survive and grow from the aftermath of trauma.
A Quote from Carol's Blog: "Alaskan Native. I love my culture and my people. Trail runner and adventurer, a climber of mountains. Quiet and reserved in person but I love to write and share what I feel is important for others."
Other sources to learn more about Carol:
This week I talk to Dr. David Kirk, Director, Pulmonary & Critical Care Medicine, Director eICU Service at WakeMed in Raleigh North Carolina. This is a great conversation on how ICU's had to rapidly adapt and learn to deal with the Coronavirus Pandemic. David shares his unique views as both a clinician and director. I hope you enjoy!
On our 2nd Episode I interview Chaplain Robin Joo who is currently a fellow in Medical Spiritual Counseling at UCSF. Originally a Long Beach native, Robin Joo moved to West Covina, CA upon graduating St. Patrick's Seminary & University with an M.A., M. Div., and S.T.B. in Moral Theology and Eschatology. Robin also completed his undergraduate studies at U.C. Riverside with an emphasis in Business Administration. He is an instituted Acolyte of the Roman Catholic Church and serves the greater community as a medical chaplain and spiritual counselor. As a medical chaplain, he has served in four hospitals which includes work in fields of acute care, oncology, palliative care, hospice, home-health, cardiothoracic vascular transplant (CVT) and bioethics. He was once discerning the call to priesthood but has since decided to be a lay interfaith chaplain with an openness to marriage. He was a professional sports-fisherman/guide prior to entering the seminary and his hobbies include football, fishing, hunting, Olympic archery, playing chess and reading books on cosmology and astrophysics. He finds meaning through serving others and sharing in the beauty of life amidst human complexities and life's challenges.
In this episode I am joined by a trio of healthcare professionals who are experts in providing medical care and support at trail and ultramarathon races. we have a frank and broad discussion on the impact of the Coronavirus Pandemic on the ultramarathons. They are Dr. Andy Pasternak, his wife Dr. Joann Ellero and Dr. John Anderson. Andy is a family physician and founder of the Silver Sage Family and Sports Medicine Clinic in Reno. Joann is an Anesthesiologist in Reno. Joann and Andy are a well known medical dynamo at the Tahoe Trail Endurance Runs and Western States 100, where Andy serves as Medical Director at both races. John Anderson is not only an Emergency Room Physican in Reno and Medical Director for the Broken Arrow Sky Races. He is also a talented Mountain Endurance athlete with multiple finishes at Tour De Gents!