Reimagine Medicine

Physicians are trained to deal with medical emergencies, but COVID-19 thrust hospitals in Phoenix — and around the world — into crisis mode for nearly a year. Phoenix was a COVID hotspot, as were other cities like New York. There have been 30 million cases and more than 540,000 deaths in the US, nearly 17,000 of whom were Arizonans. This was a tremendous test of crisis leadership as medical teams worked to understand the disease, identify treatment protocols and share valuable information. Marilyn Glassberg, MD, shares insights from her experience leading frontline teams and how a tweet led to a new predictive model for COVID lungs. * Episode Guest: Marilyn Glassberg, MD * Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

February is American Heart Month, and this year the theme is, Heart Disease: It Can Happen at Any Age. Heart disease doesn’t happen just to older adults. It is happening to younger people more often, partly because the conditions that lead to heart disease are happening at younger ages. It is important to learn about your risk of heart disease and the steps necessary to have a healthy heart. Wayne Franklin, MD, shares advancements that are improving outcomes for pediatric cardiac patients. Episode Guest: Wayne Franklin, MD Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

What drives people to pursue careers in medicine? Physicians are definitely Type A personalities who want to be the ones in charge, finding solutions to complex issues. But they are motivated by a commitment to serve. Haig Aintablian, MD, is committed to serving patients in urgent need, whether they present at the emergency department or an under-resourced hospital in Armenia. Dr. Aintablian is a PGY3 resident in Emergency Medicine at UCLA and a graduate of the University of Arizona College of Medicine – Phoenix. He recently traveled to Armenia — amid a pandemic and a war — to donate $100K in medical supplies, ultrasound supplies and medical training. Episode guest: Haig Aintablian, MD Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD The reimagine Medicine podcast is now available on Vurbl (https://vurbl.com/station/7naF08XAQw6/).

For older adults, a hospital stay can create challenges beyond the medical condition that caused them to be hospitalized. As Baby Boomers age, it is estimated that twenty percent of the U.S. population will be retirement age by 2030. Building age-friendly health care systems is crucial to serving the health care needs of older adults. Nimit Agarwal, MD, developed the Mind, Mobility, Medication program to look at components of care during hospitalization and build independence for patients post-hospitalization. Dr. Agarwal is director of the Division of Geriatric Medicine at the University of Arizona College of Medicine – Phoenix and the Center for Healthy Aging at Banner Health in Phoenix. Episode guest: Nimit Agarwal, MD Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

Algorithms are moving out of the lab and into society, where they are asked to answer tough questions: Which inmates to release? Which job applicants to hire? Which patients to treat? These types of questions cause algorithms to stumble — not so much because they are hard to answer, but because they are hard to ask. Episode guest: Ziad Obermeyer, MD Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

Students are going back to school in virtual and in-person learning modalities adapted for a pandemic. We will discuss the risk/reward of sending children to school while keeping them healthy. Episode guest: Gary E. Kirkilas, DO Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

Precision medicine takes a big-data approach to disease prediction, prevention, detection and treatment designed to benefit both individual health and public health. The promise of precision medicine is to enhance our knowledge of disease and identify treatment as well as medication that is best-suited to the patient. Advancements in technology are rapidly expanding the possibilities. In this episode, we are exploring the role that big data, machine learning and AI play in precision medicine.   Episode guests: Will Heise, MD, Hamed Abbaszadegan, MD, MBA, FACP Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

Each of us inherit genetic material that forms who we are and that guides our way through life. Experiences throughout life can modify the genome and the genetic transcripts that constitute us. In one way, genetics are a determinant of health. However, social determinants of health can overshadow, highlight or coincide with genetics to increase vulnerability or resilience to disease. We have brought together interdisciplinary thought leaders to discuss the contribution of inherited genes to health and disease. We will explore the capabilities, future trends and challenges of genetic knowledge, counseling and interventions. Episode guests: Anastasia Wise, PhD (https://www.genome.gov/staff/Anastasia-L-Wise-PhD), Michael Kruer, MD (https://www.phoenixchildrens.org/find-a-doctor/michael-c-kruer-md), Matt Huentelman, PhD (https://www.tgen.org/faculty-profiles/matt-huentelman/), and Dee Quinn, MS, CGC (https://precisionhealth.uahs.arizona.edu/profile/dee-quinn-ms-cgc) Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

In 2017, Arizona Governor Doug Ducey declared a public health state of emergency as more than two Arizonans were dying each day from opioid overdoses. The Arizona Opioid Epidemic Act was introduced in response to the opioid epidemic. It is the most comprehensive package any state has passed to address this issue and crisis to date. As a result, undergraduate and graduate health education and practitioner programs in Arizona have developed a first-of-its-kind statewide curriculum that calls on all provider types to address the public health emergency. We are talking with leaders who are at the forefront of helping solve America’s biggest public health issue. Episode guests: Cinda Stone, MEd, Maria Manriquez, MD, FACOG, and Luke Peterson, MD Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

A recent report published by the Association of American Medical Colleges confirms the United States will experience a shortage of over 121,000 physicians by 2032. Our nation’s population is growing older and living longer. The demand for physicians continues to grow faster than medical schools and residencies can prepare new doctors. Episode guests: Jeffrey Wolfrey, MD, Glen Fogerty, PhD, MBA, and Cheryl O'Malley, MD, FACP, FHM Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

Rural communities in Arizona (and across the U.S.) continue to experience a chronic shortage of physicians and health care professionals, as well as limited access to medical facilities. Economic factors, cultural and social differences, limited facilities and geographic isolation are among the many obstacles that contribute to health care disparities and impede efforts to lead healthy lives. We will talk with physicians who are working with communities to improve rural health. Episode guests: William Cance, MD, Damon Dixon, MD, Jonathan Cartsonis, MD, and first-year medical student Kathryn (Katy) Blevins Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

Behavioral and developmental issues are tremendous stressors for children and families. Students who have struggled in school will likely be under additional stress in the next school year. Families want to know what they can do to prepare for the next academic year. We will explore best practices in diagnosis and treatment through a well-rounded discussion, leveraging our partnership with Phoenix Children’s Hospital. Episode guests: Randall (Randy) Ricardi, DO; Funda Bachini, MD; Veenod (Vinny) Chulani, MD and John Barton, PhD Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD Resources * Arizona Legislature (https://www.azleg.gov/standing-committees). * Arizona American Speech-Language-Hearing Association (https://www.asha.org/advocacy/state/info/AZ/) (ASHA). * Arizona Department of Education Office of Exceptional Students (http://www.azed.gov/specialeducation/). * Arizona Early Intervention Program (https://des.az.gov/services/disabilities/developmental-infant) (AZEIP). * Arizona Psychological Association (https://azpa.org/index.php). * Autism Society of Greater Phoenix (http://www.AdamsAutismResearch.com). * Community Information and Referral (https://211arizona.org/). * Effective Child Therapy (https://effectivechildtherapy.org/). * Healthy Children – American Academy of Pediatrics (https://www.healthychildren.org/English/Pages/default.aspx) (AAP). * LD Association of America (http://ldaamerica.org/advocacy/disability-rights-and-advocacy/). * LD Online (http://www.ldonline.org/article/22720/.). * Phoenix Children's Hospital Family Center (http://www.phoenixchildrens.org/centers-programs/emily-center-health-library). * Special Education Law (https://www.wrightslaw.com/info/advo.disagree.heitin.htm). * Books: * ​Grit (https://angeladuckworth.com/grit-book/) by Angela Ducksworth (2016). * Mindset: The New Psychology of Success (https://mindsetonline.com/) by Carol Dweck (2006). * Building Resilience by Kenneth Ginsburg (2015).

Heart disease is the #1 killer of both women and men in the United States. The latest statistics indicate 1-in-2 Americans will develop some form of cardiovascular disease. What is being done to change this trend? We have brought together leading experts who are taking on heart disease. Episode guests: Martha Gulati, MD, MS, Guy Reed (Dean of the UA College of Medicine – Phoenix), MD, MS, and Taben Hale, MD Hosted by: Jonathan Lifshitz, PhD, and Katie Brite, MD

What are the barriers for those with disabilities to access health care? We focus on the intersection of disability and medicine to identify how to teach, deliver and advance health care for patients with access challenges. We have brought together experts who are championing exciting initiatives to overcome these challenges. By engaging physicians, patients, caregivers, policymakers and communities, they are empowering “abilities.” Episode guests: Oluwaferanmi Okanlami, MD, MS, Darrel Christenson and Cara Christ, MD, MS Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

What if: * Your insulin pump suddenly overdosed? * A patient’s bedside medication pump malfunctioned? * A children’s hospital lost internet access from a cyber attack? These aren't just examples; they've actually happened. Medical devices and hospitals have been the targets of cyber attacks from hackers. The CyberMed Summit brings together the leading minds in cyber security to develop solutions to keep patients safe and medical technology secure. Hosted by: Jonathan Lifshitz, PhD and Katie Brite, MD

Jonathan Lifshitz, PhD, and Katie Brite, MD – The holiday season is not a time of joy and celebration for everyone. For many, preparing for the holidays brings elevated levels of stress, anxiety, loneliness and depression. This discussion centers on the philosophy that we teach our students, “If you do not first take care of yourself, then you will not be able to care for others.” This philosophy is applicable to anyone with responsibilities of caring for or guiding others, be they parents, physicians, patients, caregivers or leaders.

Jonathan Lifshitz, PhD and Katie Brite, MD - Through evidence-based medicine approaches and process improvement, our partners at the Phoenix Veterans Affairs Health Care System are striving to improve the timeliness of health care delivery, early diagnosis and intervention, as well as disease prevention and healthy lifestyles. Learn more about the challenges they are experiencing — and the advancements they have made.