Now we discuss the nature of gaming and how the GRID lab came to be. We discuss addiction and virtual reality and our consuming games can be. Competitive Gaming/eSports https://www.statista.com/markets/417/topic/478/video-gaming-esports/#overview https://cod-esports.fandom.com/wiki/MLG_Orlando_Open_2016 High School Gaming https://www.highschoolesportsleague.com/ GRID Lab https://www.ohio.edu/scripps-college/mcclure/gridlab Morelocks https://en.wikipedia.org/wiki/Morlock SOMA https://en.wikipedia.org/wiki/Brave_New_World Fortnight https://www.epicgames.com/fortnite/en-US/home Cleveland Clinic Augmented Reality https://health.clevelandclinic.org/face-transplant-evolves-with-amazing-hologram-technology/ Marietta Memorial Ransomware https://www.techspot.com/news/90818-memorial-health-system-hit-ransomware-attack-hospitals-begin.html J Warren McClure School https://www.ohio.edu/scripps-college/mcclure You can reach me at fredrick@ohio.edu directly with questions, comments or suggestions. Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: They Thought I Was Mad by Thomas Herudek Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University, and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect the official policy or the opinion of any agency of Ohio University.

John Bowditch Mr. GridLab Science and Technology This is gonna be long. It’s long because I needed to get a few things covered before we launch into John’s interview. If you are bored of me or just want to listen to John, fast forward to 17:30 and start listening. Elon Musk meeting rules https://thriveglobal.com/stories/elon-musks-top-9-meeting-rules-which-ones-do-you-need-to-adapt/ COVID Booster shots https://www.cdc.gov/coronavirus/2019-ncov/vaccines/booster-shot.html https://www.cnn.com/2021/10/12/health/moderna-booster-fda-authorization-brief/index.html Monoclonals https://combatcovid.hhs.gov/available-covid-19-treatment-options Traditional Vaccination Rates from the USA Facts https://usafacts.org/articles/data-centric-look-vaccines-and-immunizations-united-states/ Linked In on Mental Well-Being https://www.linkedin.com/news/story/covid-eroded-our-mental-wellbeing-5160052/ The GRiD Lab https://www.ohio.edu/scripps-college/mcclure/gridlab Anthony Bourdain’s Movie https://www.latimes.com/entertainment-arts/movies/story/2021-07-15/roadrunner-review-anthony-bourdain-documentary SIGGRAPH https://s2021.siggraph.org/ Agitprop and Samuel Adams https://www.britannica.com/event/Boston-Massacre/Aftermath-and-agitprop J Warren McClure School https://www.ohio.edu/scripps-college/mcclure John is an incredible polymath. It is always a pleasure to hear his thoughts. I am thinking that he needs to be a regular in the rotation. You can reach me at fredrick@ohio.edu directly with questions, comments or suggestions. Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: DuDa by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Talk about inertia, as the saying goes, when I was young, I wanted to be old…I didn’t expect this. It took a full month to get my head back on-line after the trip to the Middle East. But now the brain is working and so I’ll get started by bringing you up to speed. We have a new medical school. It’s very niiiiice. I also want to get some stuff out there about Afghanistan and the implications for medical care. Yes, there are very direct implications for how we do medicine in the USA. So I am going to riff for your commute and then we will find some super stellar people with big ideas to come on and chat about their things. In the meantime, listen and if you like what you hear, send feedback. If you have questions, send feedback. If you don’t like what you hear, send feedback, politely worded please because I will read the comments with non-attribution. So there is a lot of overlap between Heisenberg’s uncertainty principle and Schrodinger, his famous cat and observer effect. I’ll let you sort those out for yourself. So Happy Labor Day!. I am glad to be back. The 9/11 Commission https://www.9-11commission.gov/report/911Report.pdf https://en.wikipedia.org/wiki/9/11_Commission_Report Cognitive Dissonance https://en.wikipedia.org/wiki/Cognitive_dissonance https://www.psychologytoday.com/us/basics/cognitive-dissonance Complex Adaptive Systems http://web.mit.edu/esd.83/www/notebook/Complex%20Adaptive%20Systems.pdf https://en.wikipedia.org/wiki/Complex_adaptive_system Systems engineering https://www.techopedia.com/definition/9611/systems-analysis Heisenberg Uncertainty Principle https://www.thoughtco.com/the-heisenberg-uncertainty-principle-2699357 Schoedinger’s Cat experiement and Observer effect https://psychology.wikia.org/wiki/Observer_effect https://naturenoon.com/schroedingers-cat-experiment-simple/ Root Cause Analysis https://www.osha.gov/sites/default/files/publications/OSHA3895.pdf Downton Abbey https://www.imdb.com/title/tt1606375/ John Boyd’s OODA Loop https://warroom.armywarcollege.edu/special-series/great-strategists/boyd-OODA-loop-great-strategists/ Lou Gerstner Who Says Elephants Can’t Dance https://www.amazon.com/Who-Says-Elephants-Cant-Dance/dp/0060523808 fredrick@ohio.edu Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Dusk by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Yes, its long but not so long that I could have split this easily into 2 episodes. The last episode of my conversation with Bryant Giles, DO. Today we are going to discuss EHRs and ophthalmology. Fun huh? Nope. But if you are considering a career in medicine you really need to think about how much of a headache you want in your daily work. It’s a Don Quixote task at this point because we have been complaining about them for nearly a decade now and crickets from the people who don’t care for patients but tell us this is absolutely necessary… Bryant has a You Tube channel. The Eye Chiefs https://www.youtube.com/channel/UCqMAxQbK1jLNGju_S_51NLg Bryant has a website. Surgery with Dr. Giles https://www.surgerywithdrgiles.com/meet-dr-giles I am feeling pretty inadequate right now as I write this… The best part of this series is the clear message that serendipity plays a big role in life. You start thinking you want to do one thing, but you end up finding out just where you should be… AMOPS https://amops.org/ don’t be a stranger, we would welcome any civilian medical student or physician as well…and that includes MDs. You can always contact me with comments or questions at fredrick@ohio.edu Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Chaos at the Spaceship by Out of Flux Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): RODE Podcaster Pro RODE NT1-A mics RODE Lavalier GOs RODE Podcaster Pro Zoom H6N Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Bryant Giles DO , Ophthalmology Episode II Specialty Spotlight Okay, let’s see if I can finish this series out of pure respect for you in the audience and for Bryant. In this episode we discuss the common diagnoses within the specialty and training. We also put a shout out (in?) for Brooke Army Medical Center and its world renowned burn center in good old San Antonio, Texas. We finish up with a discussion of technology and advances. Like this: https://apps.apple.com/us/app/ullman-indirect/id1243282866 http://www.ullmanindirect.com/ Ophthobook https://timroot.com/ophthobook/ I could ramble some more for the notes but you’ll get the gist by listening. It was a great interview. fredrick@ohio.edu Catch us on twitter at @RotationsPcast Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Yes, you did hear a repeat and it’s because I really liked the music so it was worth repeating… Still Life by ANBR Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Disclaimers: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media Final Cut Pro X MacBook Pro Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Bryant Giles DO is a senior Ophthalmology Resident and he never intended to be an ophthalmologist. In this series we are going to discuss how plans change and how life leads us to opportunities that we would never have considered without the serendipity of life. Bryant focuses on his specialty but along the way we discuss life and different universities and how it all comes together. We also discuss Utah which is a place that everyone should experience. It’s a Specialty Spotlight series but its valuable for any medical student, premed or older physicians who want to find something different because they are not fulfilled in what they are currently doing. I also asked Bryant about his lifestyle in the military. He assured me that he is “doing fine on his current pay.” Ad reiterated the truism of living like a resident after residency as a means of finding a stable financial position. That’s wisdom that I was taught as well and it was invaluable. AMOPS https://amops.org/ Georgia PCOM https://www.pcom.edu/campuses/georgia-campus/ The “U” https://www.utah.edu/ Utah State https://www.usu.edu/ Liberty University https://www.liberty.edu/lucom/academics/doctor-of-osteopathic-medicine-degree/ University of the Incarnate Word https://osteopathic-medicine.uiw.edu/index.html Shoot me any comments or questions @TR Fredricks on MeWe You can connect with me on Linked In at Todd Fredricks DO or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Around Again by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

In order to properly frame the series coming up with Bryant Giles DO, I felt that it was appropriate to start with a Merry Christmas and Happy New Year wish for all of you. I also got a lot of questions from various people about when they can get vaccinated for SARS CoV2. So I thought it reasonable to clarify where we are right now. It's an episode of various things and I am hopeful that next week, assuming I am not crashed from my own COVID-19 shot, that you will be hearing Episode 1 of Bryant Giles DO and that you will enter the new year thinking about how a focus on one residency may come at the expense of really finding professional happiness. Listen to Bryant, he will explain it all to you. In the mean time, Happy Christmas Eve! Please share Rotations with your friends... Shoot me any comments or questions @TR Fredricks on MeWe You can connect with me on Linked In at Todd Fredricks DO or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: The Christmas Sleigh Ride by Francesco Dandrea Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Dawn Graham PhD is back for the last episode of this series on Psychology and its role in caring for patients. We talk about how students are primed to live in the future and as a result we are not teaching our students to be in “the present”. That has direct implications for our patients and the quality of care that we give them. We discuss the how “the next thing”, pursued from the silo of your own home, without true interpersonal communication, is affecting our psyches, our ability to have good in-person dialogue and ultimately suicide and burnout rates. Its convicting. You’ll notice that we discussed doing an episode on the social determinants of health after Week 6 last years because “my bandwidth was going to expand…” well that seems pretty funny now. Don’t worry I spoke with Dawn today about other things and we are going to get back on track with that as well…thanks for your patience. Shoot me any comments or questions @TR Fredricks on MeWe You can connect with me on Linked In at Todd Fredricks DO or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Beyond by Ian Post Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

I promised that I would catch up and so... Dawn Graham PhD has joined us again for the second episode of her terrific interview about the world of psychology. I don’t have a lot of references for this episode so how about just one? Patient Compliance. Just start with this and google for more https://www.aamc.org/news-insights/why-don-t-patients-follow-their-doctors-advice It’s a long episode but it was a very good conversation and I enjoyed all of it. Shoot me any comments or questions @TR Fredricks on MeWe You can Tweet me @MedicalCinema or Parler me @MedicalCinema Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Interspacing by Yehezkel Raz Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Some catch up thoughts about social media and the RONA… CSPAN Social Media Platform Testimony before congress https://www.c-span.org/video/?478048-1/facebook-twitter-ceos-testify-regulating-social-media-content&live= The Social Dilemma https://www.thesocialdilemma.com/ Mark Zuckerberg’s Security Costs https://www.businessinsider.com/facebook-spends-23-million-security-for-mark-zuckerberg-2019-2020-4 The Watchmen https://en.wikipedia.org/wiki/Quis_custodiet_ipsos_custodes%3F Analytics for COVID-19 Deaths https://covid.cdc.gov/covid-data-tracker/#demographics Genetic Fallacy https://en.wikipedia.org/wiki/Genetic_fallacy Corona Virus Strains https://nextstrain.org/ncov/global?c=clade_membership&dmax=2020-02-28&dmin=2020-01-31&r=region Operation Warp Speed https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html https://www.statnews.com/pharmalot/2020/09/08/covid19-coronavirus-trump-vaccines-fda-warp-speed/ VAMS Vaccine Management System https://www2.deloitte.com/us/en/pages/public-sector/solutions/vaccine-management-system.html Center for Threat Preparedness https://dhhr.wv.gov/healthprep/Pages/default.aspx Distribution phases of SARS CoV2 Vaccine (page 12) https://www.cdc.gov/vaccines/imz-managers/downloads/COVID-19-Vaccination-Program-Interim_Playbook.pdf First Follower Phenomenon https://www.ted.com/talks/derek_sivers_how_to_start_a_movement/transcript Social Proof https://en.wikipedia.org/wiki/Social_proof ACIP Advisory Committee on Immunization Practices https://www.cdc.gov/vaccines/acip/index.html Viral Loads in the air column https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7662582/ Stuff You Should Know https://en.wikipedia.org/wiki/Stuff_You_Should_Know Shoot me any comments or questions @TR Fredricks on MeWe Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Fuori di me by Kaput Blue Courtesy of Artlist.io Produced by: Todd Fredricks DO Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Dawn Graham PhD is a wonderful person. She is one of the most hopeful colleagues that I know and so I enjoy working with her. I am also primed by a background in abnormal psychology so I tend to like psychologists. But in this series we are going to tackle the issues of burnout, resiliency, fear. I think you will enjoy the episodes as much as I enjoyed recording them. Dawn’s Bio at OU https://www.ohio.edu/uc/grahamd Antifragility https://www.amazon.com/Antifragile-Things-That-Disorder-Incerto/dp/0812979680 Another reference which every medical student should be required to read is Michael Crichton MD’s incredible book, State of Fear https://www.amazon.com/State-Fear-Michael-Crichton-ebook/dp/B000FC2NQW/ref=sr_1_1?crid=ER34XPDD128P&dchild=1&keywords=state+of+fear+by+michael+chriton&qid=1604335974&s=books&sprefix=state+of+fear%2Cstripbooks%2C174&sr=1-1 This is perhaps all the more important in today’s current environment where people are scared of COVID, scared of the environment, scared of politics and everything becomes demonized and a crisis. When everything is a crisis, nothing is a crisis. It is not a healthy place to develop solutions that are enduring and compelling for a society to follow. Physicians, among all professions, should not live in a state of fear. They should learn to be comfortable with ambiguity and have the courage to lead in those circumstances without contributing to fear. The Paw Paw Festival https://www.ohiopawpawfest.com/ Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: See Me by Jango Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Well, because the nation has lost its mind, I think it is worthwhile to spend a little time getting you prepared for the discussion with Dawn Graham, PhD. I am concerned about how a contingent of this nation is scaring the grandmas. I am concerned about medical students who are already stressed out wondering if they live in a good nation…that has any kind of future and I am concerned about a nation that is taking some pretty basic concerns (compliance with law and statute) and turning it into a hyperbolic projection of national castrophe. So I am giving you some things to consider before we listen to Dawn. With all apologies to Dean Burke (Bill) I present you with James. Understand that Dean “Bill” Burke has plenty of interesting things to say as well. “The Big Short” by Michael Lewis https://www.amazon.com/Big-Short-Inside-Doomsday-Machine/dp/0393338827 “The Big Short” Directed by Adam McKay https://en.wikipedia.org/wiki/The_Big_Short_(film) Neutron Bomb https://en.wikipedia.org/wiki/Neutron_bomb James Burke, “Connections” https://en.wikipedia.org/wiki/Connections_(TV_series) https://www.youtube.com/watch?v=XetplHcM7aQ Certification of elections https://en.wikipedia.org/wiki/United_States_presidential_election Loma Prieta Earthquake https://en.wikipedia.org/wiki/1989_Loma_Prieta_earthquake German Citizens getting shot in the wire; https://en.wikipedia.org/wiki/The_Bridge_at_Andau “The Bridge at Andau” by James Mitchener https://en.wikipedia.org/wiki/The_Bridge_at_Andau Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Seraph by Kiba Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

What about really sick kids? Since we are in the age of the COVID we need to understand that children can have some very serious , albeit thankfully very rare, complications with a SARS CoV2 infection. But that said the American Academy of Pediatrics is strongly behind reopening schools because of all of the other positive impacts on children that schools have on them. Further the issue of dealing with hospitalized children and those with serious critical illness touches any rational person deeply. How do pediatricians deal with such things? What about the pediatricians who deal regularly with children who die from their illnesses. How do they cope with that? Kawasaki-like disease (Multisystem Inflammatory Syndrome) https://www.cdc.gov/mmwr/volumes/69/wr/mm6932e2.htm#:~:text=In%20April%202020%2C%20during%20the,in%20England*%20(1). Kawasaki disease https://www.heart.org/en/health-topics/kawasaki-disease#:~:text=Kawasaki%20disease%20(KD)%2C%20also,vessels%2C%20particularly%20the%20coronary%20arteries. School and Covid https://services.aap.org/en/news-room/news-releases/aap/2020/pediatricians-educators-and-superintendents-urge-a-safe-return-to-school-this-fall/ Clusters https://www.theatlantic.com/health/archive/2020/09/k-overlooked-variable-driving-pandemic/616548/ Health Systems Science https://www.ama-assn.org/education/accelerating-change-medical-education/teaching-health-systems-science https://www.amazon.com/Health-Systems-Science-Susan-Skochelak/dp/0323694624 Fisher House https://fisherhouse.org/ Guess what? They do have a Fisher House at Elmendorf https://fisherhouse.org/programs/houses/house-locations/ CDC Vaccine Schedule https://www.cdc.gov/vaccines/schedules/index.html Autism and Vaccinations https://autismsciencefoundation.org/what-is-autism/autism-and-vaccines/ For those of you willing to wear another type of uniform and leave medical school without debt, Neil discussed the HPSP program, his time at Joint Base Elmendorf Richardson and how we both like working with mid-levels. HPSP https://www.goarmy.com/amedd/education/hpsp.html https://www.health.mil/Training-Center/Clinicians-and-Healthcare-Providers Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Tunnel Vision by Stanley Gurvich Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

This episode, number 2 in the queue, is focused for the sake of student’s success on a pediatrics rotation. We also spend some time on pediatric diseases. Blueprints for pediatrics https://www.amazon.com/Blueprints-Pediatrics-Bradley-Marino-MSCE/dp/1451116047 First Aid for pediatrics https://www.amazon.com/First-Aid-Pediatrics-Clerkship-Fourth-ebook/dp/B075RQNKWR Harriet Lane Handbook https://www.us.elsevierhealth.com/the-harriet-lane-handbook-9780323674072.html For those interesting in the process of rapid vaccine development: Operation Warp Speed https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html Cystic Fibrosis Foundation https://www.cff.org/ Juvenile Onset Diabetes https://www.jdrf.org/ (which isn’t just about kids anymore) Overall it is just a very pleasant continuation of the practice of medicine in the realm of little humans… For those of you willing to wear another type of uniform and leave medical school without debt, Neil discussed the HPSP program, his time at Joint Base Elmendorf Richardson and how we both like working with mid-levels. HPSP https://www.goarmy.com/amedd/education/hpsp.html https://www.health.mil/Training-Center/Clinicians-and-Healthcare-Providers Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Walkabout-Australia by Hans Johnson Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

So here he is, after years of trying to find a pediatrician to opine about the specialty, Neil Copeland, MD; pediatrician. Neil is the first purposeful pediatrician on Rotations. If I sound gleeful it’s because I am. Pediatricians are notoriously hard to get to commit to interviews… John does a really good job of sorting out the process of getting through a pediatric residency but his comments are germane to any medical specialty. He also gives a great intro to the things that pediatricians do and the things that all good physicians should be doing prior to referring to a pediatrician. That makes this interview highly relevant to Family Physicians as well. Also, I hope you understand that the term “veterinary medicine” is an inside joke among physicians. It has nothing to do with our general love for managing children as patients. Babies can’t talk and so… …sometimes I find myself wondering why I have to explain this but we live in a hypersensitive time so there is the disclaimer. I also imagine that I will ruffle feathers with my initial comments about disaster management but I will ask that you indulge me. A lot of "expert" opinions get shot out into social media and misinform people who look at physicians as “experts” in things. That creates chaos and is not aligned with the calling of academics. I hope that a lot of young physicians consider going into administrative medicine after they get a decade or so of experience in actual clinical practice. You have to understand tactics and operations to become an effective strategic leader. The only practical way to gain that understanding is to spend a long-time practicing medicine. I would encourage you to register and take courses with FEMA’s Emergency Management Institute. It will address some of the concerns that I mentioned in the beginning of this episode. https://training.fema.gov/ FEMA https://www.fema.gov/ For those of you willing to wear another type of uniform and leave medical school without debt, Neil discussed the HPSP program, his time at Joint Base Elmendorf Richardson and how we both like working with mid-levels. HPSP https://www.goarmy.com/amedd/education/hpsp.html https://www.health.mil/Training-Center/Clinicians-and-Healthcare-Providers JBER Hospital https://www.jber.jb.mil/ USAF Surgeon General https://www.af.mil/About-Us/Biographies/Display/Article/466853/lieutenant-general-dorothy-a-hogg/#:~:text=Gen.-,Dorothy%20A.,Air%20Force%2C%20Arlington%2C%20Virginia. To close out the episode Neil introduces us to the concept of Quality Improvement Fellowships in pediatrics. Fellowship in quality improvement https://medpeds.org/residents/fellowship-guide/quality-improvement/ And hey! I found one at our own Children’s Hospital… https://www.nationwidechildrens.org/for-medical-professionals/education-and-training/fellowship-programs/quality-and-safety-leadership-fellowship Finally, I want to leave you with this and highlight another great thing from Nationwide Children’s Hospital, Monarch 1… …flying things make me happy.  https://www.metroaviation.com/project/nationwide-monarch-1/ Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Pastor Dan’s Sermon-Final Speech by SPEARFISHER Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

So, we are between series and I anticipate giving you some Neil Copeland MD next week but in the meantime I thought it would be a good time to do a COVID-19 update. So we are going to talk about Flu Shots, Convalescent Plasma, Vitamin D, SARS CoV 2 Vaccine and then a little on suicide and Who Moved my Cheese? As always I am including links in these notes for you to pursue at your leisure… Hedgerow cutter in WW II. https://en.wikipedia.org/wiki/Curtis_G._Culin Red Cross Blood Donation https://www.redcrossblood.org/ Vitamin D. https://www.medicalnewstoday.com/articles/161618#sources-of-vitamin-d Vaccines and Operation Warp Speed. https://www.hhs.gov/coronavirus/explaining-operation-warp-speed/index.html Transverse myelitis https://www.ninds.nih.gov/disorders/patient-caregiver-education/fact-sheets/transverse-myelitis-fact-sheet Who Moved My Cheese? https://www.amazon.com/Who-Moved-My-Cheese-Amazing/dp/0399144463/ref=sr_1_1?crid=1YKA8R7U2VDY0&dchild=1&keywords=who+moved+my+cheese+by+spencer+johnson&qid=1601488751&s=books&sprefix=Who+Moved+my+Cheese%2Cstripbooks%2C162&sr=1-1 The Movie. https://www.youtube.com/watch?v=OvYCLxqkfvY Second Law of Thermodynamics. https://en.wikipedia.org/wiki/Second_law_of_thermodynamics Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on iTunes at Rotations Podcast. Intro and Outro Music: Kalahari Wind by SPEARFISHER Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Cohost: Disclaimers: Cut Clip Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

This is the last of the episodes on Trauma Informed Care. Right up front, forgive the audio levels, that is on me, neither Lori or Jennifer like microphones and so it’s gonna be low levels. Had I been thinking I would have dropped my audio but hey, I am a family physician and not a genius audio engineer like one of my friends at OU who recently got married. Congratulations, Josh. I could have used you on this. Anyway, Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are social workers who have a passion for looking at predictive outcomes in health care that center around childhood traumas. They are going to continue to talk with us about ACES and TIC. So, in this final episode we continue to address this topic and in the process I hope, sensitize those of you listening to the importance of considering ACES as part of your patient intakes and initial history taking. Helping patients to understand the impact of trauma on their long-term health may just help them live longer and healthier lives. I think we all want that. SETICC https://www.facebook.com/SETICCOhio/ ACES https://www.cdc.gov/violenceprevention/acestudy/index.html Vincent Felitti MD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/ https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Trauma Informed Care https://www.nctsn.org/trauma-informed-care By the way, Lori doesn’t like the mic so forgive the audio levels. Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Illusory Rhythms by Spearfisher Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are back. This week on Rotations we continue ou r discussion about Trauma Informed Care. ACES is used as a predictive tool for future health issues. It is not a tool to identify mental or behavioral health problems and it was not designed to identify people who are somehow damaged. It is a tool that allows clinicians to help people understand what their long-term health risks may be. ACES is not a tool to look at social-economic status of childhood. We also discuss a little of the history of ACES and how Dr. Felliti moved from bariatric treatment and patients who dropped out of his program to identifying childhood trauma and correlating it with the propensity of overweight patients to leave bariatric treatment. It’s a good illustration of how humans are an interconnected system of mind, body and spirit and that injury in one system can reflect itself in problems in one of the other systems. It’s also a very curious story about the confirmation bias inherent in medicine; something that can create a protective conservative position or actually interfere with the progress of medical science. It also gets into the very prevalent issue of childhood sexual trauma and the hidden nature of child abuse and its potential to harm its victims well into adulthood. Soooooo, in this second episode we continue to discussion and talk about resiliency and how an understanding of ACES can help primary care physicians better understand their patients and how to guide them in their care. Antifragile by Nassim Taleb https://www.amazon.com/Antifragile-Things-That-Disorder-Incerto/dp/0812979680 SETICC https://www.facebook.com/SETICCOhio/ ACES https://www.cdc.gov/violenceprevention/acestudy/index.html Vincent Felitti MD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/ Robert Anda MD https://robertandamd.com/bio-2/ https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Trauma Informed Care https://www.nctsn.org/trauma-informed-care By the way, Lori is still very quiet. Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Roots by I am Fowler Courtesy of Artlist.io I needed a little funk in my life and I think Austin Powers or Jackie Brown was floating around in the back of my head. Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are social workers. They are Licensed Clinical Social workers and they work with a population of patients who have significant mental illness. As part of their work they have developed a deep understanding of trauma. Not the crash your car into a bridge piling trauma, but trauma emotional trauma that occurs in childhood from neglect, un-met needs and other emotional insults that can significantly shape behavior in adulthood. In this series we are going to look at the topic of Trauma Informed Care. This is a topic that is controversial. There are some people who think that trauma in this context is overplayed. There are others that don’t think enough attention is being paid to the impact of childhood and developmental trauma on adult behavior and mental health. So we tackle this with a discussion and let you have the opportunity to think about it and make some conclusions. In this first episode we discuss what a Clinical Social Worker is and what a Psychologist is and also what a Counselor is as far as educational requirements and what they do. Then we dive into the various agencies and players in the realm of trauma. SETICC https://www.facebook.com/SETICCOhio/ ACES https://www.cdc.gov/violenceprevention/acestudy/index.html Vincent Felitti MD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/ https://en.wikipedia.org/wiki/Adverse_Childhood_Experiences_Study Trauma Informed Care https://www.nctsn.org/trauma-informed-care By the way, Lori doesn’t like the mic so forgive the audio levels. Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com/Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Toy Symphony by Nir Maimon Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.

I decided to give you a little teaser before I launch into trauma this week. When we speak of trauma for the next 3 weeks on Rotations we are not going to be thinking of the 70 MPH into a bridge abutment with a Lifeflight from the scene to the Level 1 facility for emergency care kind of trauma. We are going to discuss something else. Trauma in the context of behavioral health concerns itself with things that happen in childhood and how they shape a person into adulthood. It is controversial and some people behind it get pretty passionate. But I will be honest, until I started learning about it, I wasn't all to entertaining of its impact. But after giving it a think I actually asked one of our psychologists to lead his class for our medical students during Veterans Health Week and discuss the topic. It's important for us all to know about and to think about. You can start your education here. https://www.traumainformedcare.chcs.org/what-is-trauma-informed-care/ I also finish up with a brief discussion of concerns about cardiac health after COVID. I deal with it more aggressively on my You Tube channel but you can search that out for yourself. In the mean time, I'm finishing up and hopefully by Thursday you will hear Lori and Jennifer start their conversation with me on trauma. Intro and Outro Music: Mouthbeat Grooves by J Stone Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster Pro Rode NT1-A mics Polsen Studio Headphones Kopul XLR cables SanDisk media iPhone 6 Final Cut Pro X iMac Tama mic stands Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.