Dr. Risley discusses his experience finding a psychiatrist and navigating the mental healthcare system from the inside as a patient. He describes founding the Sacramento Medical Oasis with his colleague to offer more accessible and affordable patient-centered care without the barriers imposed by insurance companies. The Oasis provides an alternative for patients who want a different experience than the county system by emphasizing the patient-provider relationship over bureaucracy.
Stephen Ministry at Stonebridge United Methodist Church Dr Jay Schwartz
Dr. Jay Schwartz, who earned his MD from the Northwestern University Feinberg School of Medicine, is the founder and owner of Collin County Pediatrics in Frisco, Texas. A McKinney local, Dr. Jay Schwartz is an active member of Stonebridge United Methodist Church.
Nine characteristics of good-quality care in district nursing taken from interviews with patients, carers and staff.
We hope this framework and these slides will be a useful resource for you – please feel free to use them in your work, in documents and presentations.
Stephen Ministry at Stonebridge United Methodist Church Dr Jay Schwartz
Dr. Jay Schwartz, who earned his MD from the Northwestern University Feinberg School of Medicine, is the founder and owner of Collin County Pediatrics in Frisco, Texas. A McKinney local, Dr. Jay Schwartz is an active member of Stonebridge United Methodist Church.
Nine characteristics of good-quality care in district nursing taken from interviews with patients, carers and staff.
We hope this framework and these slides will be a useful resource for you – please feel free to use them in your work, in documents and presentations.
Quick Tips for a better presentation.
Important:
1 - The pictures used on this presentations were not created by me, they were used for educational purposes only.
Synology DSM 6.0 - Features und ErfahrungsberichtThomas-Krenn.AG
Seit geraumer Zeit sind NAS-Geräte z. B. von Synology eine interessante Alternative zu klassischen Servern. Die Performance der Geräte steigt von Jahr zu Jahr, wodurch sich auch die Einsatzgebiete der Geräte erweitern. Die Synology Betriebssoftware Diskstation Manager (DSM) wird daher laufend weiterentwickelt. Die neueste Version DSM 6.0 wurde im März 2016 veröffentlicht und beinhaltet umfassende Funktionserweiterungen für den Anwender.
Der Experte der Thomas-Krenn.AG verschafft Ihnen einen Überblick über die Neuerungen von DSM 6.0. Ebenso erfolgt ein Erfahrungsbericht über den Umstieg und eine Information darüber, welche Einschränkungen und Stolperfallen lauern.
Aufzeichnung zum Webinar unter: https://www.thomas-krenn.com/de/tkmag/webinare/synology-dsm-6-0/
Quick Tips for a better presentation.
Important:
1 - The pictures used on this presentations were not created by me, they were used for educational purposes only.
Synology DSM 6.0 - Features und ErfahrungsberichtThomas-Krenn.AG
Seit geraumer Zeit sind NAS-Geräte z. B. von Synology eine interessante Alternative zu klassischen Servern. Die Performance der Geräte steigt von Jahr zu Jahr, wodurch sich auch die Einsatzgebiete der Geräte erweitern. Die Synology Betriebssoftware Diskstation Manager (DSM) wird daher laufend weiterentwickelt. Die neueste Version DSM 6.0 wurde im März 2016 veröffentlicht und beinhaltet umfassende Funktionserweiterungen für den Anwender.
Der Experte der Thomas-Krenn.AG verschafft Ihnen einen Überblick über die Neuerungen von DSM 6.0. Ebenso erfolgt ein Erfahrungsbericht über den Umstieg und eine Information darüber, welche Einschränkungen und Stolperfallen lauern.
Aufzeichnung zum Webinar unter: https://www.thomas-krenn.com/de/tkmag/webinare/synology-dsm-6-0/
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
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Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
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2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
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- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Page 20 interview with dr ron risley
1. (continued from page 7)
When I went to look for a doctor, here I was on the inside, about as inside as you could get, and I felt the same anxiety. You
end up making a lot of calls. There is a shortage of psychiatrists. It is hard to find someone who is taking new patients. Here I
was on the inside and it was an intimidating, expensive, scary system. Imagine what it must be for someone who has no con-
nections? My co-conspirator, Sonny Cline, and I have similar backgrounds. We are both trained in primary care as well as psy-
chiatry. At the Oasis, we believe strongly that we have something to offer people and people have something to offer us.
That is what it is all about. We have a relationship with the patient, we don’t have a relationship with the insurance companies.
At the Oasis patients are invested in their own care. We try to keep our rates as low as possible, but it is still a significant
amount of money. They are buying it, they are the customer. They have certain rights to expect that people with private
insurance or the county system don’t feel that they have. A consumer will go to the doctor and say “well I really want this,”
and the doctor says, “well, the insurance company isn’t going to pay me for that, so you are not going to get it.” I often say it
is like having an insurance executive there in the room with you when you are getting an exam. We have people who come to
the Oasis with insurance because they like the one on one, people without insurance come here because they don’t have a lot of
options. I have a couple people who have followed me from the County and say it’s worth $79 bucks a month to not have to
deal with the appointment system and not to have to worry about getting a different doctor every time. Some people think I
am really critical of the county system, and actually I am not. I have worked in that system since 1997, and I think it is re-
markable what they do with the resources they have, but there is a huge bureaucratic overhead. We are different from the
county system, but we can never be a substitute. We just provide an alternative for some.
Gail: What do you think the future of psychiatry looks like?
Risley: There will be a lot more accessibility to Mental Health Services and our knowledge of the brain will greatly increase.
We know so much more about the brain than we did 15 or 20 years ago, and it is still nothing. It is a growing field. We used to
say that when people got sick, that they have “fever.” Now we look at fever as a symptom of a larger problem of different
illnesses. So I think the day will come when we look at depression or anxiety or psychosis as symptoms of a broad spectrum of
illnesses instead of taking one treatment modality.
Gail: What brings you the greatest joy in practicing medicine?
Risley: What brings me the greatest joy is seeing people who have resigned themselves to being sick, turn a corner and ex-
perience a sense of empowerment. To see them make a positive change is never just about their medication. It is never just
about getting a therapist, it is never just about finding a resource like the Wellness Center. But it is a combination of using
many opportunities and resources. Then one day they wake up and say, “I am a human being, I am a productive person, and I
can bring joy to others.” They come here and they tell me that. Then I realize that I have been a part of that transforma-
tion. What can you do in life that brings more joy than that?
Dr. Risley is the first graduate of the combined residency program in family medicine and psychiatry at UC Davis. He is
a former assistant clinical professor and physician diplomat at UCD. In addition to practicing psychiatry at TCORE, he
integrates family medicine and psychiatry at Sacramento Medical Oasis, Inc (www.sacmedoasis.com).
Interview conducted by Gail Erlandson, MA.
Gail has a Master of Arts Degree in Pastoral Ministry from the University of San Francisco and a Bachelor of Arts Degree from
the University of Portland in Interdisciplinary Studies. Gail taught at Loretto High School for eleven years and has served on
staff at Loaves and Fishes. Gail is a mentor at the Wellness and Recovery Center North.