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Hear Me Now Podcast

Providence, one of the nation's largest healthcare systems, is dedicated to caring for the whole person. The twice monthly Hear Me Now Podcast helps fulfill the unmet needs of patients, their loved ones, caregivers, and communities by offering a place for in-depth conversations that matter. Contact us at Winner of the PR News Nonprofit Podcast of the Year Award 2022


Caring for addicts
Last year in the U.S., more than 100,000 people died of drug overdoses. It's a staggering statistic that was unthinkable just a few years ago. A paper by Dr. Honora Englander and attorney Corey Davis in the New England Journal of Medicine took hospitals and policy-makers to task last month for not doing enough to support and engage people who use drugs and who are hospitalized. They write, "The United States is in the throes of a decades-long exacerbation of drug-related harm. Hospitals are a key domain for implementing person-first, evidence-based interventions for reducing that harm. Yet despite the obvious need, hospitals have been slow to enact reforms to improve the health of people who use drugs. We believe that systemic reform, led by the federal government, is necessary to mitigate the ongoing crisis of drug-related harm." † In this episode they talk with Seán about current impediments to the best care possible and their vision for improving standards of care nationwide. ..Honora Englander, M.D.Professor of MedicineDirector/PI, Improving Addiction Care Team (IMPACT)Division of Hospital MedicineSection of Addiction Medicine in DGIMDepartment of Medicine, Oregon Health & Science UniversityPortland, Ore...Corey Davis, J.D., M.P.H.S.Deputy Director, Southeastern Region OfficeDirector, Harm Reduction Legal ProjectNetwork for Public Health LawEdina, Minn...† Englander, H. & Davis, C. (Aug. 25, 2022) Hospital standards of care for people with substance use disorder, New England Journal of Medicine, 387:672-675. DOI: 10.1056/NEJMp2204687  (N.B. Article is behind paywall, though free access is possible with registration.)..   
39:56 09/22/2022
Being well
Today,  we look at well-being with wisdom gleaned from the first two years of this podcast. We listen with an ear to taking care of ourselves in ordinary times from people in the throes of extraordinary times… warfare… pandemic… social change… illness… and the challenges of just being human..Explore the complete list of past episodes...BE UNCOMFORTABLEProvidence caregivers Jeremy Edmonds and Victoria Johnson reflect on their experiences of racism in our first podcast episode, "I see you. I hear you. I ache for you," published just weeks after the murder of George Floyd...UNPLUGGING IS OKSyndicated advice columnist Amy Dickinson talks with Seán about her strategies for the first winter of the COVID-19 pandemic in the episode, "COVID Winter Strategies," published in October 2020. ..ANIMALS ARE OUR FRIENDSMazie B. is 11 years old and she offers advice for social distancing and building relationships with pets. Also heard in the episode, "COVID winter strategies," from October 2020. ..PERSON TO PERSON IN WARTIMEProvidence caregiver Inna Pashniak talks with her friend Oleksyi  Kurka who is internally-displaced in Ukraine. He talks about the ways people are reaching out to one another, even as missiles are fired at civilian targets, in the episode "Life during wartime" from March 2022...GENDER-AFFIRMING CARE FOR KIDSIn June 2022, we talked about the standards of care for trans kids with pediatricians and endocrinologists and we augmented that conversation with stories from trans youth, parents of trans kids, and trans and non-binary adults. Sam Pleger, who is 19, talks with his mom Erin about his experiences as a kid in Montana and her experiences parenting a trans kid...COVID-19 REALITIESDr. Zahra Esmail and social worker Christina Rothans, palliative care team members, talk about the realities of caring for dying patients during the height of a COVID-19 surge in Southern California in an episode from January 2021. ,, 
44:23 09/08/2022
Understanding Long COVID
The syndrome that's appearing after someone is infected with COVID is an emerging global health crisis. Yet, confusion about Long COVID remains. Which symptoms get ruled-in? Which get ruled-out? Can anything be a symptom of Long COVID if it occurs after a COVID infection?On today's program, we talk with researchers studying the illnesses that people who have had COVID are living with, including persistent fatigue, loss of the sense of smell, vascular conditions, and brain fog and other neurological problems. We also talk with a psychologist who began support groups for Long COVID patients who often feel their symptoms are ignored (or not understood) by their doctors and families. And four patients describe their life with Long COVID for us. .James R. Heath, Ph.D.PresidentInstitute for Systems BiologySeattle, Wash.The Heath Lab.Jason D. Goldman, M.D., MPHInfectious Disease SpecialistSwedish Center for Comprehensive CareSeattle, Wash..Drs. Heath and Goldman are co-principal investigators of the PASC study — (Post-acute sequelae of COVID-19) — published in the March 3, 2022 issue of the journal Cell.  It is part of a nationwide initiative to study the aftermath of COVID-19 infection known as RECOVER: Researching COVID to Enhance Recovery..James C. Jackson, Psy.D.Research Associate Professor of MedicinePsychiatry and Behavioral SciencesDirector of Long-Term Outcomes, ICU Recovery CenterVanderbilt UniversityNashville, Tenn..Dr. Jackson welcomes email from clinicians interested in starting Long COVID support groups at their institutions...PATIENT STORIESThis episode begins with the voices of four people who are living with Long COVID in conversations facilitated by producer Scott Acord. We're grateful for them taking the time to talk about their experiences. You can listen to extended cuts of their conversations here:Pam & Lyla Bishop: Bedbound  Alicia Swift: Bone-tired Suzanne Martin: The hardships of having Long COVIDTJ Roseberry: A wanderer is homebound..  
56:48 08/25/2022
When bullets wound
Bullet wounds go more than skin deep. LJ Punch, M.D., is a trauma surgeon and the founder of the BRIC — the Bullet-Related Injury Clinic in Saint Louis, Mo.. The BRIC is where shooting victims come for wound care and education, help with pain management, care for the emotional and social impact of being shot, and the acknowledgement that their bullet wound could likely have profound spiritual meaning for them, their families, and their communities.They also find a place of warm welcome. "Trauma is a communal injury and must be healed in community," says Dr. Punch. "The medical world is missing out because it's abstracting this one tiny part of it." He says the treatment that's needed to heal a bullet wound is not happening in hospitals.We also talk with Pierre Underwood, who was shot early this year and is recovering from his bullet wound with the help of the staff of the BRIC. 
58:31 08/11/2022
Hearing voices
It’s estimated that 1 in 10 of us hear voices, which may be a sign of mental illness. Or not. We examine the phenomena through Caroline Mazel-Carlton. She’s part of a movement of people who have come to find meaning in the experience of hearing voices (or seeing visions) and who learn to incorporate those experiences in their life. Many forgo use of some or all medications and are seeking wellness through peer-support networks and harm-reduction strategies.Mazel-Carlton tells host Seán Collins that many of the voices she hears have a cautionary or protective role in her life and have reminded her to be more mindful of the aspects of her life the voices comment upon.She serves on the board of the HEARING VOICES NETWORK—USA  (@HVN_USA) and works at the Wildflower Alliance (@WildflwrAlliance) in western Massachusetts, a grassroots peer support, advocacy, and training organization with a focus on harm reduction and human rights. Her work includes training in suicide alternatives.Earlier this year, Caroline Mazel-Carlton was profiled in a story in the New York Times reported by Daniel Bergner: Doctors gave her antipsychotics. She decided to live with her voices.If you are thinking about harming yourself, HELP IS AVAILABLE. Call or text 988 and connect with someone today. FURTHER READINGA comprehensive review of auditory verbal hallucinations: lifetime prevalence, correlates and mechanisms in healthy and clinical individuals. by S de Leede-Smith, E, Barkus   Frontiers of Human Neuroscience. (2013)    
58:58 07/28/2022
The current outbreak of monkeypox is unusual because the viral illness is rarely seen outside the places where it's endemic. (It is most often seen in Central and Western Africa.) Monkeypox is transmitted to humans through close contact with an infectious person or animal, or by contact with material (clothing, bedding) that an infectious person has used. It's a self-limiting disease with symptoms lasting 2-4 weeks. Rarely deadly, cases may be severe, especially in children, pregnant women or people with suppressed immune systems. .GUEST INFORMATIONRebecca Bartles, DrPH, MPH, CIC, FAPICExecutive Director, System Infection PreventionProvidence.Rosemary Martin, ASCP (M)CM, CLSSBB, CICProgram Manager, System Infection PreventionProvidence..INFORMATION RESOURCESUpdated information on the U.S. outbreak 2022 (CDC)Updated U.S. case count & map / Updated global case count & map  (CDC) Prevention (CDC)Facts for people who are sexually active (CDC) Social gatherings, safer sex, and monkeypox (CDC)Monkeypox: be aware but don't panic (GMHC) Monkeypox: Key facts (WHO)These resources are being updated by the source organizations and may contain more current information than that found in the podcast audio.
25:28 07/14/2022
Overdoses and racial disparity
Host Seán Collins talks with Dr. Carlos Blanco, lead author of a perspective piece published June 16, 2022, in the New England Journal of Medicine titled, "Research to Move Policy — Using Evidence to Advance Health Equity for Substance Use Disorders."The authors note that, despite substantial efforts to address the epidemic of drug-overdose deaths in the United States, racial and ethnic disparities in treatment access and outcomes among patients with substance use disorders have widened. Rates of overdose deaths are rising faster in Black, Latinx, and American Indian and Alaska Native populations than in White populations.Dr. Blanco talks with Seán about barriers to the best care possible along with ways medicine can make that care available to all regardless of race and ethnicity...Carlos Blanco, M.D., Ph.D., MSDirector, Division of Epidemiology, Services, and Prevention ResearchNational Institute on Drug AbuseNational Institutes of HealthRockville, Md..Link to the piece in the New England Journal of Medicine: Research to Move Policy — Using Evidence to Advance Health Equity for Substance Use Disorders.   
38:41 06/23/2022
Gender-Affirming Care for Kids
A discussion of the accepted standard of care when assessing and treating pediatric patients whose gender expression is different from what was assigned at birth. In addition to clinicians and  public health experts, we hear from parents of transgender kids, others who love them, and trans+ kids themselves..Not seeing the glossary & all of the resources below? Try this link to our podcast website....PERSONAL STORIES (BONUS MATERIAL)Longer versions of the stories excerpted in this episode are available as BONUS MATERIAL for you to listen to at your leisure along with additional one-on-one interviews from trans+ & non-binary people, and their loved ones. These stories are being archived at the American Folklife Center at the Library of Congress as part of the HEAR ME NOW oral history project, the largest collection of healthcare narratives in the country.  If you're interested in talking with someone about your experience with Trans+ healthcare, write to us and tell us something about your story. Our email: .SAM & ERINSam Pelger, a 19-year-old trans man in New York, talks with his mother Erin Pelger about his transition when he was younger and living in Montana. (44:34).EVY & HOLLYHolly talks with her daughter Evy (14-year-old trans girl) about her transition seven years ago. (49:09).KAREN & DANIELRabbis Karen and Daniel Bogard talk about their young son's transition, about support they have received in their family, school, and faith communities — and the threats they face from the state legislature as parents of a trans child in Missouri. (30:42).VINNY & HENRYVinny and Henry Fox discuss their life together and Vinny's identification as a queer non-binary trans+ person. (38:03).CARMEN & ELBECarmen Marshall talks with her friend Elbe about shared experiences as mothers of trans+ individuals. (48:45).ELBE & ELLAElbe talks with daughter Ella, a preteen trans girl. (38:33).JAMI & SCOTTProducer Scott Acord talks with Jami Gramore, a queer non-binary adult. (40:49).TRAVIS, CINDY, & ROWANA  conversation between Travis, a pre-teen trans boy, and his parents Cindy & Rowan… who’ve asked us to use pseudonyms when referring to their family. (27:53).JAYNE & SCOTTProducer Scott Acord talks with  his colleague Jayne Hopke, who identifies herself as pan sexual. (39:53)...PODCAST GUESTSPonrat Pakpreo, M.D., MPH  Pediatrician focusing on Adolescent HealthProvidence Medical GroupSpokane, Wash. Marcie Drury Brown, M.D. Pediatric EndocrinologistProvidence St. Vincent Medical CenterPortland, Ore. Bentley Moses, MPH Senior Program ManagerTrans+ Health InitiativeProvidence Institute for Human CaringGardena, Calif. .,.RESOURCESWorld Professional Association for Transgender HealthAmerican Academy of PediatricsSociety of Adolescent Health & MedicineThe Endocrine SocietyLGBTQIA+ Comprehensive Treatment at SwedishTransgender Health at SwedishGLAAD Transgender ResourcesNational LGBTQIA+ Health Education CenterTransgender Law Center / Health ResourcesHRC Resources for Providers & Hospital AdministratorsThe Trevor ProjectThe Lavender Rights ProjectGALAP: Gender-Affirming Letter Access ProjectStraight for Equality: Trans Ally MaterialsICATH: Informed Consent for Access to Trans HealthcareUS Trans Survey...GLOSSARYA guide to some of the language you'll hear used when we talk about gender. CISGENDER – Describes someone whose gender identity matches the sex they were assigned at birth.GENDER — The behavioral, cultural or psychological traits associated with one's sex, which can vary depending on time and place. Sex and gender are not the same.GENDER-AFFIRMING CARE – Medical care that affirms a person's gender identity. For minors, this can include the use of puberty-blocking hormones. For adults, this could mean hormone therapy, speech therapy, and various surgical procedures.GENDER DYSPHORIA – A term for the psychological and physical distress that can occur when one's sex assigned at birth does not align with their gender.GENDER EUPHORIA – The satisfaction and happiness someone feels when their gender is affirmed.GENDER EXPRESSION – How someone presents their gender outwardly, through behaviors, mannerisms, clothing, name, pronouns, and more.GENDER IDENTITY – One's internal knowledge of one's own gender. For many, it aligns with the sex they were assigned at birth. But others may identify with another or multiple genders.GENDER TRANSITION – The multilayered process of aligning one's life with one's gender identity. This can include social, cultural, medical, and legal changes.MISGENDER – An action when someone refers to another person by the wrong gender, either accidentally of intentionally.NONBINARY – A term used by people whose gender identity or expression does not align neatly with "male" or "female."SEX – Usually assigned at birth and based on the appearance of external anatomy. It's typically categorized as male, female, or intersex.TRANS+ – An inclusive term relating to people with gender expressions such as transgender, genderqueer, agender, or nonbinary.TRANSGENDER – Describes someone whose gender identity differs from the sex they were assigned at birth.TRANSPHOBIA – Prejudice or hatred shown in speech or actions toward transgender or gender-nonconforming people. This bias is centered on gender identity. .Based on a series of Instagram posts  published in April 2022 by the washingtonpost newspaper...            
84:16 06/09/2022
BONUS CONTENT: Travis, Cindy & Rowan
A  conversation between Travis, a pre-teen trans boy, and his parents Cindy & Rowan… who’ve asked us to use pseudonyms when referring to their family. This extended interview is part of a podcast on Gender-affirming care for kids. 
27:46 06/09/2022
BONUS CONTENT: Jayne & Scott
Producer Scott Acord talks with  his colleague, Jayne Hopke, who identifies herself as pan-sexual. This extended interview is part of a podcast on Gender-affirming care for kids.
39:53 06/09/2022
Producer Scott Acord talks with Jami Gramore, a queer non-binary adult. This extended interview is part of a podcast on Gender-affirming care for kids. 
40:49 06/09/2022
BONUS CONTENT: Carmen & Elbe
Carmen Marshall talks with her friend Elbe about their shared experiences as mothers of trans youth. This extended interview is part of a podcast on Gender-affirming care for kids.
48:45 06/09/2022
BONUS CONTENT: Vinny & Henry
Vinny and Henry Fox discuss their life together and Vinny's identification as a queer non-binary trans person. This extended interview is part of a podcast on Gender-affirming care for kids.
38:03 06/09/2022
BONUS CONTENT: Karen & Daniel
Rabbis Karen and Daniel Bogard talk about their young son's transition and about the support they feel in their social circles and faith community, and the threats they face from the State Legislature as parents of a trans child in Missouri. This extended interview is part of a podcast on Gender-affirming care for kids.
30:42 06/09/2022
Elbe talks with daughter Ella, a preteen trans girl. This extended interview is part of a podcast on Gender-affirming care for kids.
38:33 06/09/2022
Holly talks with her daughter Evy, a 14-year-old trans girl, about her transition seven years ago. This extended interview is part of a podcast on Gender-affirming care for kids.
49:09 06/09/2022
Sam Pelger, a 19 year old trans man, talks with his mother, Erin, about his transition when he was younger and living in Montana. This extended interview is part of a podcast on Gender-affirming care for kids.
44:34 06/09/2022
Starting Med School Later in Life
Some first-year medical students are significantly older than the norm. They've come to medicine as a second or sometimes third career. Do those other work experiences make a difference in how they practice medicine? Host Seán Collins talks with four physicians who began their training later in life. .JOIN US ONLINE ON JUNE 16thHUMANIZING HEALTHCARE EXPERT SERIESFor information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, visit this link. Registration is now open..Kevin Murphy, M.D.Executive DirectorPalliative Practice GroupProvidence Institute for Human Caring Tuckwila, Wash..Rebecca Armendariz, M.D. Physiatrist La Jolla, Calif..Tara Kimbeson, M.D.Neurologist Locum Tenens.Tom McNalley, M.D.Pediatric Palliative Care and Rehabilitation PhysicianUCSFOakland and San Francisco, Calif.. 
51:47 05/26/2022
A New Day for Psychedelic Research
Dr. Bill Richards has been researching the therapeutic uses of psychedelic substances for 60 years and he believes there's a legitimate role for them in the treatment of depression, anxiety, and interpersonal withdrawal. He believes these substances behave in a novel way among psychiatric medications: it's the memory of an experience that's therapeutic and that you carry with you. You don't have to keep taking medication every day to have the effect. You experience something so profound, that it changes your whole concept of who you are. William Richards Ph.D.Research PsychologistCenter for Psychedelic and Consciousness ResearchJohns Hopkins UniversityBaltimore, Sacred Knowledge: Psychedelics and Religious Experiences.Ira Byock, M.D., FAAHPMFounder/Senior Vice President for Strategic InnovationProvidence Institute for Human CaringMissoula, The Four Things That Matter Most and The Best Care Possible.JOIN US ONLINE ON JUNE 16thHUMANIZING HEALTHCARE EXPERT SERIESFor information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, visit this link. Registration is now open.     
50:54 05/12/2022
Tele-Palliative Care
Twenty percent of Americans live in a rural setting and full access to some medical care is limited: often requiring long drives or temporary relocations. That includes specialty palliative care -- the interdisciplinary services of physicians, nurses, social workers, and chaplains aimed at helping patients control symptoms of a serious illness.On today's podcast, we explore a demonstration project underway in rural Stevens County, Washington undertaken by the Palliative Practice Group at the Providence Institute for Human Caring.The in-person nursing and chaplaincy providers in two rural hospitals are being joined by physicians and social workers through a Tele-PC video connection or by phone, allowing patients to avoid 70-100 mile drives to seek consultations. And the Tele-PC connection allows far-flung family members to be involved in bedside conversations about the goals of care..JOIN US ONLINE ON JUNE 16thHUMANIZING HEALTHCARE EXPERT SERIESFor information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, featuring a number of guests heard on this episode of the podcast, visit this link. Registration is now open. .Gregg VandeKieft, M.D., MA, FAAFP, FAAHPM Executive Medical Director, Palliative Practice Group and Tele-PCProvidence Institute for Human CaringOlympia, Wash..Kevin Murphy, M.D., MSW Executive Director, Palliative Practice GroupProvidence Institute for Human CaringSeattle, Wash..Adie Goldberg, Ph.D., LICSW Palliative Care Social WorkerSpokane, Wash..Amber Moody, RNPalliative Care NurseProvidence Mount Carmel HospitalColville, Wash.(LISTEN to extended conversation).Kelly CorcoranChief Mission OfficerProvidence Mount Carmel HospitalColville, Wash.(LISTEN to extended conversation).Matthew Gonzales, M.D., FAAHPM Associate Vice President, Chief Medical and Operations OfficerProvidence Institute for Human Caring.Ira Byock, M.D., FAAHPMFounder/Senior Vice President for Strategic InnovationProvidence Institute for Human Caring. .   
57:17 04/28/2022
The Medical Futurist
The days of medical robots, scanners, and bots are upon us — but do not fear! — these tools of digital health may be exactly what the doctor ordered to regain the personalism that's at the heart of caring..Dr. Bertalan Meskó is the director of The Medical Futurist Institute.
43:05 04/14/2022
Life During Wartime
.The indiscriminate targeting of civilians as the Russian military prosecutes its illegal war on Ukraine has caused an unprecedented humanitarian crisis: more than a quarter of Ukraine's forty million citizens are displaced. In this episode, using a lens of whole person care, we talk with people reaching out to others in wartime, making connections, and countering the darkness with (in the words of W.H. Auden) "ironic points of light."..NGOs PROVIDING UKRAINIAN RELIEF.Catholic Relief ServicesMedical Teams InternationalAssist-UkraineUNHCR (United Nations High Commissioner for Refugees)Médecins Sans Frontieres (Doctors Without Borders)UNICEF (United Nations Children's Fund)JDC (American Jewish Joint Distribution Committee)Episcopal Relief & DevelopmentBGR (Buddhist Global Relief)Voices of Children Save the ChildrenInternational Committee of the Red CrossCARE (Cooperative for Assistance and Relief Everywhere) ..GUESTS.Inna PashniakDigital Marketing ManagerProvidence Digital Innovation GroupSan Francisco, Calif..Oleksyi Kurka (internally displaced)Communications ManagerBritish Embassy to UkraineKiev, Ukraine.Orest HolubecEVP/Chief Communication and Community Engagement OfficerProvidenceRenton, Wash..Caroline BrennanEmergency Communications DirectorCatholic Relief ServicesChicago, Ill..Anne GarrelsForeign Correspondent (retired)NPR News AuthorPutin Country: A Journey Into the Real Russia (Macmillan, 2016)Connecticut..The lullaby heard in this episode is titled "Ой місяцю" (Oh Moon).Seán reads an excerpt from W.H. Auden's poem, "September 1, 1939" published in Another Time (Random House, 1940).
48:30 03/24/2022
Family caregiving: the joys and the burdens
Our guests this week bring tremendous expertise to the constellation of issues that surround family caregiving: from managing the expense of caregiving, to strategies for finding respite care, to enjoying the psycho-social benefits of being present and accompanying a loved one in a time of need.  In addition, we hear excerpts from interviews with two family caregivers who talk with producer Scott Acord about the family dynamics of providing care at home. To hear extended versions of these conversations, follow the links to Linda's Story and Marti's Story or look for these bonus episodes being published along with this podcast...Robin Henderson, Psy.D.Chief Executive, Behavioral HealthProvidence Health & Services, OregonChief Clinical OfficerWORK2BEWELLPortland, Ore..Nicholas Kockler, Ph.D.VP System Ethics ServicesChair, Applied Health Care EthicsProvidence Center for Health Care EthicsPortland, Ore..Maureen Nash, M.D.Geriatric PsychiatristMedical DirectorProvidence ElderPlacePortland, Ore..
57:15 03/10/2022
Family Caregiving: Linda's Story — Caring for Aging Parents
Linda's parents were both active long into their lives, but as they began to age, they began to need more and more help. Linda lived near them and initially was able to check in on them daily. But soon after her father died, a decision was made for Linda and her husband to move into her parents' home so she could provide more constant care of her mother. Linda talks about the importance of asking for help in caregiving and making changes in the physical layout of the home to remove potential obstacles and to improve safety. ...This extended conversation is a bonus episode that accompanies a podcast on Family Caregiving.  
31:39 03/10/2022
Family Caregiving: Marti's Story — Raising Julia
Marti talks about coming to a realization that "this is Julia's life," rather than something that 'happened' to Marti. She talks about the way Julia has an impact on others, such as the childhood friends of her brother, whom Marti believes have grown up to be more compassionate simply because they have a relationship with Julia.  Scott and Marti talk about the importance of taking breaks (and how difficult scheduling those breaks can be) and they discuss music Julia and Marti enjoy together...This extended conversation is a bonus episode that accompanies a podcast on Family Caregiving.  
33:57 03/10/2022
Medical cannabis
Susan Marks is a certified family nurse practitioner who focuses on the medical use of cannabis. She's also a daily user for essential tremor. She talks with host Seán Collins about what she calls the treasure trove of medicinal benefits the cannabinoids in marijuana represent. .Susan Marks, CFNPWebsite  |  Twitter  |  Facebook.American Cannabis Nurses AssociationDoctors for Cannabis RegulationMedical Cannabis Laws by State   (National Conference of State Legislatures)WeedMap's directory of dispensaries.------------------------------------------.Are you a healthcare professional with questions about the best practices for using social media? We're interested in hearing from you.  Leave a voicemail message at +1 424-212-5436 or drop us an email at
45:16 02/24/2022
Advance care planning: trash or treasure?
Daniela Lamas, M.D., is a critical care physician at Brigham and Women's Hospital in Boston and a faculty member at the Harvard Medical School. She's also a frequent opinion writer for The New York Times. The paper published her piece, "When Faced With Death, People Often Change Their Minds," earlier this year.    "We need to shift the focus from talking to healthy people about what would happen should they stop breathing during a routine procedure, and toward improving conversations with people who are already seriously ill," Dr. Lamas wrote. Her op-ed piece comes on the heels of an essay the Journal of the American Medical Association published a few months earlier, "What's Wrong With Advance Care Planning?" by Drs. Sean Morrison, Diane Meier, and Robert Arnold, which argues that advance care planning has failed to accomplish its goals of aligning care and improving communication at the bedside. Joining Dr. Lamas in conversation is Ira Byock, M.D., a palliative physician, author, longtime advocate for advance care planning, and the founder of the Providence Institute for Human Caring, where this podcast is produced.  Dr. Byock holds that while there’s dire need to redesign advance directives, providers should talk with patients about who they trust to speak for them and their general healthcare goals — optimally long before onset of a medical crisis. .  *******************.The podcast producers are interested in hearing from providers with questions or suggestions for an upcoming webinar on BEST PRACTICES FOR SOCIAL MEDIA USE FOR HEALTHCARE PROFESSIONALS. Have a story to share with us? Have suggestions? Write to us at or leave a voicemail message on +1 424-212-5436. And thanks! 
59:02 02/10/2022
The future of nursing
Claire Zangerle, DNP, MBA, RN, NEA-BC, FAONL, FAANChief Nurse Executive Allegheny Health Network Pittsburgh, Penn..David Marshall, JD, DNP, RN, FAANSenior Vice President, Chief Nursing Executive Cedars-SinaiLos Angeles, Calif..Syl Trepanier, DNP, RN, CENP, FAONL, FAANSenior Vice PresidentChief Nursing OfficerProvidenceRenton, Wash..And we hear a nursing story from Jen Little-Reece, RN, an oncology nurse at the Providence Portland Medical Center in Oregon, in conversation with her partner Terran Williams. Their conversation is part of the HEAR ME NOW Storytelling Project and its growing oral history collection from healthcare workers, patients, families, and friends..David Marshall mentioned that he played Santa at Cedars-Sinai in December. Curious? Here's a link to a tweet with some pictures. 
48:32 01/27/2022
COVID 2022: Looking Ahead
Dr. Amy Compton-Phillips, president of clinical operations at Providence, believes we're about to see the end of the pandemic and the beginning of endemic COVID - where the illness is less severe yet more widely seen in the general population. The unprecedented rapid development of vaccines has made this remarkable advance possible.Julie Rovner, who has been following the Supreme Court's review of the Biden administration's mandates for workplace use of masks and testing, points to problems seen in public health messaging and the challenges the pandemic has posed for clear and concise advice for individuals, clinicians, parents, and employers. And, despite the hope that the end of the pandemic may be in sight, Dr. Zahra Esmail reminds us that today the ICUs are still full, people are still dying, and the suffering wrought by the virus is far from over. ..Amy Compton-Phillips, M.D.President, Clinical Care OperationsProvidence HealthRenton, Wash...Julie RovnerChief Washington CorrespondentKaiser Health NewsWashington, D.C...Zahra Esmail, D.O.Palliative Care PhysicianLittle Company of Mary Medical CenterTorrance, Calif.  
48:47 01/13/2022
End of the Year Stress, Substance Use, Addiction, Recovery, and Community
.We could have produced this episode in any month of the year: problematic substance use can be triggered by any number of things and at any time. But in December, as one year is poised to give way to another, the stressors seem to mount: finances, holiday expectations, extended family dynamics, and what seems to be a never-ending pandemic.We reached out to three people — all with personal experiences with recovery — to talk about strategies for making it safely to 2022 with your wellbeing intact. .To share this episode with a friend, send them this link: MacCracken, CRMClackamas County Peer Support SpecialistMental Health & Addiction Association of OregonPortland, Ore..Berni Fried, LMFTClinical DirectorRed Door LifeLos Angeles, Calif..Joe NewberryBanjo, Guitar, Fiddle and SongRaleigh, N.C. 
40:03 12/23/2021