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Many thanks to Vanessa and Dr. George Naum for joining me on "The Art of Medicine with Dr. Andrew Wilner!" For more than 25 years, Vanessa and George have volunteered as marriage coaches. George also had a long career as a family physician. My guests’ passion for helping couples navigate marriage has evolved into a full-time job and given birth to a thoughtful new book, “What’s Forever For?” In the book, they draw from their personal experiences and those they have counseled. Please join us for this 25-minute interview to learn more about the potential pitfalls of physician marriages and strategies to avoid and overcome them. You can reach Vanessa and George at their website: Best Friends Again. I think the title of their website tells a lot! Their work is inspired by their faith in God and desire to help those whose marriages falter.Dr. Naum’s book, “What’s Forever For?” is available at : Best Friends Again and Amazon.com.Thanks to our sponsor, CompHealth, the first locum tenens company, for sponsoring this program! If you are interested in trying locum tenens, please go to www.comphealth.comhttps://comphealth.com/inquire/general/0516/comphealth?source=podcast_Brand_drwilnerPlease subscribe to "The Art of Medicine with Dr. Andrew Wilner" and share with friends and colleagues if you haven't already. The Art of Medicine is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" Just for fun, you can also share my scuba diving adventures on YouTube: "Underwater with Dr. Andrew."To support this program: https://www.patreon.com/andrewwilnerTo contact: www.andrewwilner.comThanks for enjoying "The Art of Medicine with Dr. Andrew Wilner!"@applepodcastshttps://music.amazon.com/podcastshttps://andrewwilner.buzzsprout.com/#artofmedicine #health #physician #medicine #spiritualhealing #marriage #marriagecoaching #physicianmarriage 
Many thanks to film Producer Dena Barnett and Director Marco Ballerini for joining me on "The Art of Medicine with Dr. Andrew Wilner!" We discussed their upcoming film "Spiritual Healing: A New Frontier in Medicine." Dena has extensive personal experience as a caregiver and became interested in spiritual healing. She researched the long tradition of Jewish faith healing, a topic not well-known to the general public. Her research led her to three countries and interviews with some extraordinary people. Please join us for this 25-minute interview to learn more about her explorations into the mysterious world of faith healing and the development of "Spiritual Healing: A New Frontier in Medicine."You can watch the trailer here:https://spiritualhealinganewfrontier.com/If you are interested in helping fund the movie, please contact Dena:https://spiritualhealinganewfrontier.com/Thanks to our sponsor, CompHealth, the first locum tenens company, for sponsoring this program! If you are interested in trying locum tenens, please go to www.comphealth.comhttps://comphealth.com/inquire/general/0516/comphealth?source=podcast_Brand_drwilnerPlease subscribe to "The Art of Medicine with Dr. Andrew Wilner" and share with friends and colleagues if you haven't already.PS: Now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" Just for fun, you can also share my scuba diving adventures on YouTube: "Underwater with Dr. Andrew."To support: https://www.patreon.com/andrewwilnerTo contact: www.andrewwilner.comThanks for enjoying "The Art of Medicine with Dr. Andrew Wilner!"@applepodcastshttps://music.amazon.com/podcastshttps://andrewwilner.buzzsprout.com/ #artofmedicine #health #physician #medicine #spiritualhealing 
Many thanks to Tammy Euliano, MD, for joining me on “The Art of Medicine with Dr. Andrew Wilner.” Dr. Euliano has had a multifaceted career as a clinical anesthesiologist, researcher, residency program director, inventor, medical device company entrepreneur while also finding time to raise a family. Now a tenured professor, she dumped her less appealing administrative duties to devote two full days a week to writing.Tammy is the author of the newly released medical thriller, “Fatal Intent.” While writing, she fell in love with her characters to the extent that she has already written a sequel, “Misfire,” scheduled for publication in January 2023! A third novel in the Kate Downey Medical Mystery Series is also in the works.To get all the details, please listen to our 20-minute interview!For writing excerpts, more information on “Fatal Intent”, or to contact the author, visit her website: www.teuliano.comFor more exciting interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.”Thanks to our sponsor! Comphealth!To further your medical career with locums, please check out CompHealth, the first locum tenens company: www.comphealth.com
Before I introduce my wonderful guest, Dr. John Jurica, I'm excited to announce that this is the first episode of "The Art of Medicine with Dr. Andrew Wilner" with a bona fide sponsor, CompHealth!CompHealth was the first locum tenens staffing agency in the USA and was also the first staffing agency I used many years ago. If you are a physician looking for a new job or considering locum tenens for the first time, make sure to check out CompHealth. I appreciate the personalized experience I have with my recruiter who is dedicated to my specialty and knows my needs and goals. CompHealth also offers full-time, permanent jobs if you are looking for a longer-term switch. For more information, check out Comphealth.com. It's a pleasure to welcome back John Jurica, MD. John has worked as a family practice physician, hospital chief medical officer, and urgent care doctor. Currently, he is an incredibly diligent podcast host (>200 episodes) and leader in the nonclinical and alternative career space for physicians. John's a returning guest to "The Art of Medicine with Dr. Andrew Wilner." He was brave enough to appear on Episode #7, where we discussed my favorite topic of locum tenens. John was kind enough to invite me to speak about locum tenens on his podcast as well: https://nonclinicalphysicians.com/physician-nonclinical-careers-podcast/John is here today to share his expertise about nonclinical and nontraditional options for physicians dissatisfied with their current careers and/or income. John created the Nonclinical Career Academy that offers courses for physicians. John also offers Mastermind sessions where small groups of physicians work together to address professional challenges. Recently, together with Tom Davis, MD, John created "Newscript," a community of healthcare professionals looking to learn about nonclinical and nontraditional career options. It's a fee-based membership-only app, which keeps it confidential and focused. Members can post questions or helpful information 24/7. The site features mentors on different topics, and I'm honored that John selected me to share my locum tenens expertise.To learn more about nonclinical careers and John's excellent new app, "Newscript," check out our 20-minute discussion.You can contact John through his website: https://nonclinicalphysicians.comFor more fascinating interviews, please subscribe to "The Art of Medicine with Dr. Andrew Wilner." Please rate and review each episode. The Art of Medicine is now available on Alexa!Please share with friends and colleagues.To never miss a program, subscribe at www.andrewwilner.com. You'll learn about new episodes and other interesting programs I host on Medscape.com, ReachMD.com, and RadioMD.com.To contact Dr. Wilner: www.andrewwilner.com.To further your medical career with locums, please check out CompHealth, the first locum tenens company: 
It's a pleasure to welcome Michelle Johnson, PhD, to "The Art of Medicine with Dr. Andrew Wilner." Michelle is a management professor, leadership expert, and author of "The Seismic Shift in Leadership."Michelle earned a PhD in Communication from Louisiana State University and is Gaston Chair of Business at Loyola University in New Orleans, LA. She's been teaching for more than 20 years and is an executive coach specializing in CEOs. Through her work, she recognized a "Seismic Shift" in leadership styles has become necessary to succeed in today's world.To write the book, she profiled a diverse group of executives that included global business leaders and high-level hospital administrators. She observed that the authoritarian "command and control" style no longer served leaders as it had in the past. She discovered that traditional "cultures of fear" failed to lead to innovation and positive results. Instead, collaboration and "intentional connection" have become keys to successful leadership. Michelle reports great stories to illustrate her thesis.To learn more, check out our 30-minute discussion about "The Seismic Shift in Leadership."You can contact Michelle through her website: www.michellekjohnston.comFor more fascinating interviews, please subscribe to "The Art of Medicine with Dr. Andrew Wilner." Please rate and review each episode. If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. You'll learn about new episodes and other interesting programs I host on Medscape.com, ReachMD.com, and RadioMD.com.To contact Dr. Wilner: www.andrewwilner.com.https://www.patreon.com/andrewwilnerFinally, many thanks to our sponsor, CompHealth.com, the first locum tenens company. If you are interested in working locum tenens or looking for a new full-time position, check out CompHealth.com.  Tell them Dr. Wilner sent you! @uthsc @drwilner @chg @bretstetka @yaleu #theartofmedicine @amazonmusic #podcastsonamazonmusic  
It’s a pleasure to welcome Dr. Debra Blaine back to “The Art of Medicine with Dr. Andrew Wilner,” to discuss her second novel, “Undue Influences.” Debra appeared on the program a couple years ago (Episode #5!), to share the excitement of her first novel, Code Blue. Debra has been practicing medicine for about 30 years but is gradually transforming into a full-time novelist and has branched out into resilience coaching.Debra’s genre is the medical thriller. For example, Undue Influences opens with lots of blood and mystery. Her novels carry a message as well. She’ll tell you all about it during this 20-minute interview. You can contact Debra through her website: https://debrablaine.com/For more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” Please rate and review each episode. If you enjoy an episode, please share with friends and colleagues. “The Art of Medicine with Dr. Andrew Wilner” is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. You’ll learn about new episodes and other interesting programs I host on Medscape.com, ReachMD.com and RadioMD.com.To contact Dr. Wilner: www.andrewwilner.com.https://www.patreon.com/andrewwilner @uthsc @drwilner @chg @bretstetka @yaleu #theartofmedicine @amazonmusic  #podcastsonamazonmusic  
Show NotesPlease join me for this 25-minute interview with Ruth Gotian, Ed.D., M.S., Chief Learning Officer at Weill Cornell Medicine, New York City, NY, and author of "The Success Factor." Dr. Gotian has bachelor's and master's degrees in business and a background in finance and banking, but her real passion is working with students, especially at the graduate level. She ran the highly competitive M.D., Ph.D., program at Weill Cornell Rockefeller and Sloan Kettering in New York City for 22 years. At the age of 43, Dr. Gotian went back to school to get a doctorate focused on "optimizing success in physician-scientists."Dr. Gotian's new book, "The Success Factor," examines the qualities of high achievers, not only MD, Ph.D., students, but others such as astronauts, CEOs, Novel Prize winners, and Olympic champions. She discovered that all these exceptional people shared four qualities:1.     Passion for their profession-they would do it even if they weren't paid!2.     Worked hard and smarter by controlling their schedules and focusing on their interests3.     Continuing their passion throughout their lives4.     Constantly reinforcing their education through books, conferences, and mentorsTo learn more, please watch our interview. https://youtu.be/H6vrV8wPXps"The Success Factor" is available on Amazon and wherever fine books are sold.To contact Dr. Gotian, go to www.ruthgotian.com. You can also find a free download at ruthgotian.com/passionaudit.For more fascinating interviews, please subscribe! P.S.: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To contact Dr. Wilner: www.andrewwilner.com.  https://www.patreon.com/andrewwilner @amazonmusic @uthsc #podcastsonamazonmusic#Thesuccessfactor
Show NotesLast year, when I interviewed Armin Feldman, MD, I learned about a new medical specialty called forensic consulting. In today's episode, Dr. Feldman, a former psychiatrist, gets into the nitty-gritty of what it takes to practice forensic consulting. He answers questions regarding the required training, liability risk, marketing strategy, potential earnings, and how this specialty differs from working as an expert witness. While this type of practice requires extensive medical knowledge, it is more of a nonclinical medicine role ideal for retired physicians looking to continue to utilize their medical knowledge and for actively practicing physicians looking for part-time work. If you are interested in forensic consulting, Dr. Feldman has taught over 1,600 physicians how to get started. You can learn more about his training program here: www.mdbizcon.com.If you haven't already, please subscribe to The Art of Medicine with Dr. Andrew Wilner! PS: Now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" Thanks for listening!https://www.patreon.com/andrewwilnerwww.andrewwilner.com#medicolegal #malpractice #sidegig #forensicconsulting #forensic #personalinjury #workmanscompensation #workmanscomp
Show NotesToday, my guest is Thomas Schneider, MD, author of "The Extraordinary Life of an Ordinary Man." I first heard Tom talk about his book on Burke Allen's podcast, "The Big Time Talker," and I was totally blown away. Tom started out as a ne'er do well, almost became a Jesuit Priest, enlisted in the Navy and became a fighter pilot (think Top Gun), survived being shot down three times, had a brief stint as a test pilot (crashed again!), became a Navy family physician, an ENT surgeon, and the list of adventures goes on. Tom has had an incredible, unusual, and not entirely pleasant life, from which he has taken away awesome lessons that everyone can learn from.Tom penned this book from the heart without any politically correct BS. He writes like he talks. Please listen to this 20-minute interview. I guaranty you will want to read his book. It's extraordinary!As always, thanks for watching (listening). Your comments are always welcome!If you haven't already, please subscribe!  PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!"  www.andrewwilner.comhttps://www.patreon.com/andrewwilner#memoir #sexualphysicalabuse #HolyCross #TopGun #Navypilot #Georgetown #ENT #theextraordinarylifeofanordinaryman #BurkeAllen@amazonmusic #theartofmedicine #podcastsonamazonmusic   
Show NotesToday is the 50th episode of "The Art of Medicine with Dr. Andrew Wilner." Many thanks to every listener and viewer, whether this is your first episode or their 50th! Thanks for your support!I'm so happy to share this special program with Kate Mangona, MD, who I daresay radiates enthusiasm and encouragement with every breath. Kate is a pediatric radiologist, Certified Life Coach, mother of 3 (all under five years old), married to a physician in private practice, and host of the podcast, "Medicine, marriage, and money." We discovered something unexpected in common during our chat before I pressed the record button—both of our spouses are from the Philippines!Kate describes herself as a "former perfectionist" and seems to have life all figured out. On today's show, I asked her how she does it. Kate explained her approach to balancing family, work as a pediatric radiologist, coaching, and, not the least important, taking care of herself. Just speaking with Kate made my day!Not to give it all away, but one of her secrets is not to try and be perfect at everything (except her medical work!). Her advice: "Think and share."Please listen to this 20-minute program and let me know what you think.If you would like to get in touch with Kate, you can find her on social media (@katemangonamd) and her website: https://www.medicinemarriageandmoney.com/.If you haven't already, please subscribe! Another 50 episodes are in the works!PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" www.andrewwilner.comhttps://www.patreon.com/andrewwilner #medicinemarriangeandmoney #marriage #medicine #worklifebalance @amazonmusic #katemangona #theartofmedicine #podcastsonamazonmusic  
Show NotesMany thanks to Stephanie Freeman, MD, a critical care locum tenens physician, for joining me on this episode of “The Art of Medicine.” According to Stephanie, locum tenens is the “best-kept secret” in medicine. Stephanie has been working locum tenens since 2008 and “fell in love with the locums lifestyle.” Locum tenens assignments have allowed Stephanie to work in far-flung locals such as Alaska, Florida, and St. Croix. Locums allows Stephanie to control her schedule and avoid hospital politics.  Given the current COVID19 pandemic, the need for locums for all specialties has increased. Stephanie works locums full-time and wrote two short books to give physicians the “quick and dirty” about locums. Both are available on Amazon.com.“Locum Tenens: Your Questions Answered: A Concise Guide for Physicians Considering Locums Work,” and “Locum Life Lessons: Your Guide to Surviving and Thriving as a Locums Doc.”Stephanie did a great job explaining locum tenens and how it can help physicians achieve more career satisfaction. Because locum tenens docs are business owners and 1099 employees, they may need a financial team to help file taxes accurately. We also discussed the pros and cons of staffing agencies.Stephanie is hosting a biannual locums conference for physicians interested in locums that will take place in May 2022. Stephanie also offers coaching and digital courses. She can be contacted at her website: https://drstephanieicu.com/ I am not on the conference roster but am an affiliate for this conference. That means I get a tiny commission if you register with my link (at no additional cost to you).  Click here to Register: https://gd352.isrefer.com/go/Order/DrAndrew email: Drstephanie@drstephanieicu.com, Facebook, Linked In, Instagram, and Twitter.   PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" www.andrewwilner.comhttps://www.patreon.com/andrewwilner#locums #locumsphysicians #locumtenens #1099 #physicianentrepreneur #staffingagencies #thelocumlife # 
Show NotesJoin me as Robyn Tiger, MD, tells her how she conquered a plague of stress-related symptoms and became “The Self-Care Doctor” to help others live more full and satisfying lives.Robyn helps physicians and other clients one-on-one and with online self-directed programs. She also offers free self-care videos on her website, www.stressfreemd.net.About 15 years ago, Robyn was a busy wife, mother, and practicing radiologist--doing it all. But she suffered abdominal pain, bleeding gums, fatigue, headaches, paresthesias, tinnitus, vertigo, vomiting, and other symptoms. Trips to specialists such as gastroenterologists, neurologists, periodontists, and mental health professionals never produced a diagnosis or clinical improvement.Finally, she decided to take matters into her own hands and tried a yoga class. The instantaneous stress relief also relieved her medical symptoms. Discovering this mind-body connection led Robyn to spend hundreds of hours training to become certified as a yoga therapist. She spent another three years to become certified in IRest Guided Meditation and more study to become a life coach.Dr. Tiger points out that excessive stress not only diminishes quality of life but may decrease life expectancy through adverse effects on chromosomal telomeres. According to Dr. Tiger, everyone has a “superpower” that enables them to regain control of their bodies and work towards a state of balance and wellness.For the last 18 months, Dr. Tiger has focused on helping physicians decrease work-related and other life stress. The fact that three of her physician colleagues died from suicide highlighted the necessity of her important work. Dr. Tiger offers an initial free consultation, therapy sessions, and a variety of self-study courses. You can contact her through her website: www.stressfreemd.net.For more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.”PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" www.andrewwilner.comhttps://www.patreon.com/andrewwilner#stress #yoga #stressfree #physiciansuicide #wellness #stressrelief #nonclinicalcareers 
Special Announcement: The Locum Life: A Physician's Guide to Locum Tenens is available on sale in the month of November only through this link:https://www.lulu.com/shop/andrew-n-wilner-md/the-locum-life-a-physicians-guide-to-locum-tenens/paperback/product-23929272.html?page=1&pageSize=4Show NotesMany thanks to Larry West III, MBA, EA, a tax planner with Precision Tax Planning, LLC, for joining me on today’s episode of “The Art of Medicine.” Larry was referred by Veena Jetti, an expert in Class B real estate. Veena shared her investment expertise on “The Art of Medicine” a couple of weeks ago. (Episode #46: Veena Jetti)During this 20-minute episode, Larry explained that tax planning requires a proactive approach. As an “EA,” an “enrolled agent,” he is licensed to represent individuals to the internal revenue service (IRS). Larry has worked as an EA for the last eight years and can serve clients in all 50 states.According to Larry, tax planning is most important for business owners and investors. Tax strategies can include deductions and employing family members. These family members could also potentially benefit from employer-sponsored retirement plans and other fringe benefits. When it comes to mounting an effective defense before an audit, documentation is critical. Employed family members must have a job description, records of hours worked, and an appropriate salary for the type of work.According to Larry, social security and medicare taxes can be avoided for children under 17 when employed under the proper entity such as an LLC.For additional tips on building wealth and “legal loopholes,” reach out to Larry at www.pb-strategies.com.Thanks for listening!PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!"  For more fascinating episodes, please subscribe!www.andrewwilner.comhttps://www.patreon.com/andrewwilner#taxplanning #precisiontaxstrategies #Bidentaxplan #certifiedpublicaccountants #EA #CPA #IRS
Special Announcement: The Locum Life: A Physician's Guide to Locum Tenens is available on sale in the month of November only through this link:https://www.lulu.com/shop/andrew-n-wilner-md/the-locum-life-a-physicians-guide-to-locum-tenens/paperback/product-23929272.html?page=1&pageSize=4Veena JettiReal Estate Investments for PhysiciansMany thanks to Veena Jetti, founder of Vive Funds, for sharing her expertise in real estate investing during this 20-minute interview. Veena’s company has a 1/2 billion dollar portfolio. Veena invests in Class B and Multifamily real estate, which includes apartments with 200 units or more. These buildings cost millions of dollars, which are far too expensive for most individual investors. Consequently, after vetting these properties and doing due diligence, Vive Funds harnesses the purchasing power of multiple investors to complete the deal. These purchases are typically long-term investments, which may not realize a profit until Veena resells the property several years later. Vive Funds puts their money where their mouth is by co-investing with the Limited Partners on every deal. Investors must balance the potential of high profits with the lack of guaranteed returns.Veena offers a Masterclass to provide prospective investors a solid understanding of where the money goes and the likelihood of larger amounts returning! Masterclasses are staffed by experts and run for six weeks. To register for the next class, check out MFmasterclass.com. You can register with this  link:  https://mf-masterclass.teachable.com/?affcode=779274_bincyq0u For more information on investing, please contact Veena Jetti at: ViveFunds.comFor more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” www.youtube.com/c/andrewwilnermdauthorPS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To contact Dr. Wilner: www.andrewwilner.comhttps://www.patreon.com/andrewwilner #investing #ClassBinvesting #Vivefunds #multifamily #portfolio #FIRE #retirement #masterclass #realestateinvesting #realestate #locums #locumtenens #physicianinvesting  
Show NotesAugust 16, 2021I was honored today to speak with Edward Halperin, MD, a pediatric radiation oncologist, and Chancellor and Chief Executive Officer of New York Medical College, Valhalla, NY. Dr. Halperin is an erudite student of medical history and authored the recent article, ‘“We do not want him because he is a Jew:” The Montreal Interns’ Strike of 1934,’ published in the Annals of Internal Medicine (1). The story resonated with me for several reasons, one of which is because I was a neurology resident and epilepsy fellow in Montreal from 1985-1989. Dr. Halperin’s research puts the current discussion of institutional racism in medicine into relevant historical context.During this 25-minute interview, Dr. Halperin relates the almost forgotten story of Samuel Rabinovitch, MD, the top medical student at the University of Montreal and Jewish intern (briefly!) at the Montreal Notre-Dame Hospital. To protest the hiring of a Jew, 75 French Canadian Roman Catholic interns from multiple hospitals chose to disregard their patient responsibilities and leave Dr. Rabinovitch as the sole intern on duty. Concerned that the strike deprived so many patients of medical care, Dr. Rabinovitch took the high road and resigned. Dr. Halperin also discussed his research regarding quotas that limited Jews and other ethnic groups from entering medical and dental school from the 1920s to the 1960s. Specifically, he investigated why some hospitals defied this policy and integrated their classes. To learn what happened to Dr. Rabinovitch and gain more insight into discrimination in medicine, please take time out of your day to listen to Dr. Halperin!For more fascinating discussions, please subscribe to “The Art of Medicine with Dr. Andrew Wilner” www.youtube.com/c/andrewwilnermdauthorAlso available on your favorite podcast player.PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" Contact me here:www.andrewwilner.comReferences1.     Halperin E. “We do not want him because he is a Jew”: The Montreal Interns Strike of 1934. Ann Intern Med 2021;174:852-857.#discrimination #institutionalracism #bigotry #internsstrike #Rabinovitch #Montrealhospitals #antisemitism #NewYorkMedicalCollege #segretation #quota
Show NotesRecent space adventures by Richard Branson on Virgin Galactic and Jeff Bezos’ flight on his rocket ship, “New Shepard,” have lowered the bar for travel beyond earth’s atmosphere.One consequence of humans entering space is the burgeoning and exciting field of space medicine. William Tarver, MD, MPH, discussed astronaut selection and the challenges of space flight with me in Episode #35: https://www.youtube.com/watch?v=eCGqeSkqVx8&t=39sToday, I’m joined by Karina Marshall-Goebel, Ph.D., to discuss health issues related to long-duration spaceflight. Dr. Goebel is a human physiologist with special training and ten years of experience in space medicine. As human beings venture further into space, health concerns related to long-duration space flight will inevitably increase. A round trip to Mars will be a 3-year journey, and some health issues like bone and muscle loss and exposure to radiation are foreseeable. But no one can yet predict all hazards to human health that must be addressed along the way.One recently described health issue that affects approximately 2/3 of the International Space Station crew is spaceflight-associated neuro-ocular syndrome (SANS). Astronauts may experience visual blurring as their eyeballs become distorted over time. Other, more subtle ocular effects such as retinal and optic nerve changes occur. The underlying cause seems to be an excessive amount of fluid that has shifted to the head that would normally be held lower in the body due to gravity. To learn more about this syndrome and devise preventive measures and treatments, astronauts currently study themselves while in space with ultrasound and eye examinations.Dr. Marshall-Goebel discussed countermeasures under development that astronauts could employ to counteract health problems associated with microgravity fluid shifts. Artificial gravity is one solution but tough to implement. A novel solution might be “vacuum pants,” which redistributes excess fluids from the upper body back to where they belong.Please join us for this 15-minute discussion to learn more about the challenges of space medicine.PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" For more fascinating interviews, please join me on “The Art of Medicine with Dr. Andrew Wilner” on your favorite podcast player or YouTube: www.youtube.com/c/andrewwilnermdauthor#astronaut #vacuumpants #Mars #missiontomars #artificialgravity#spaceflight #longdurationspaceflight #SANS #microgravity #NASA #outerspace
Show NotesJuly 9, 2021Many thanks to Rhonda Finnie, DNP, APRN (and a lot of other acronyms due to her many certifications!) for joining me today to examine the role of nurse practitioners and other nonphysician providers in the health care team.We discussed the recent article published in JAMA Neurology by Calli Cook, DNP, and Heidi Schwarz, MD, that called attention to the role of advanced practice clinicians (APCs) in neurology (1). Rhonda’s clinical focus for more than 15 years has been neurology and neurosurgery. Currently, she works as a nurse with a 5-member neurosurgical group where she evaluates and cares for patients in the emergency room and intensive care unit. Her clinical activities allow the neurosurgeons to spend more time in the operating room employing their unique skillsAdvanced practice clinicians are a growing part of the healthcare workforce. For example, of the 36,000 members of the American Academy of Neurology, more than 1,600 are APCs. How these providers integrate into patient care with respect to autonomy and scope of practice is very much a work in progress. The inclusion of “midlevels” has not been without its growing pains. Rhonda clarified how the addition of APCs to the healthcare team can benefit patients. Rhonda explained that postgraduate education such as specialty boards can help APCs prepare for roles in neurology. Mastering the neurologic clinical examination is another key to success. Physicians and organizations that employ APCs need to have appropriate expectations. Rhonda emphasized that APCs are “not there to replace the physician.” Physicians shouldn’t feel threatened by the integration of APCs into the healthcare team.Please enjoy this 20-minute interview. Your feedback is always welcome.PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" ReferencesCook CL, Schwarz HB. Advanced Practice Clinicians-Neurology’s Underused Resource, JAMA Neurology, May 24, 2021, doi:10.1001/jamaneurol.2021.1416. For more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” www.youtube.com/c/andrewwilnermdauthor www.andrewwilner.com #advancedpracticeclinicians, #midlevels, #AAN, #nursepractitioner, #APCs, #RN, #providers,#locums #locumphysicians 
Show NotesJuly 9, 2021Many thanks to Brian Bradley, Esq., for discussing the topic of asset protection during this 20-miunute podcast. Brian is an asset protection attorney with Bradley Legal Corp. The more assets one has, the more critical asset protection becomes. However, asset protection plans may be advisable even for those without private jets and multiple residences. Brian advised that anyone who invests in something beyond their personal residence should consider asset protection. For example, owning a single rental property may warrant a Limited Liability Company (LLC) or other strategies. According to Brian, real estate is a “very risky asset” because you become a landlord with tenants. Other assets, including “anything that needs a key that has a motor,” such as an airplane, boat, or recreational vehicle, requires inclusion in an asset protection plan.Brian explained that “asset protection” goes beyond insurance policies and estate planning. Asset protection is crucial because it places an additional legal barrier between assets and a potential creditor. As the stakes get higher, security can be layered. An asset protection trust may be advisable for high-net-worth individuals.Brian also explored whether malpractice insurance provides sufficient protection for most physicians. This depends upon the type of medical practice as well as personal risk tolerance.To learn more about malpractice, check out Chapters 11 and 12 of my book, “The Locum Life: A Physician’s Guide to Locum Tenens,” available on Amazon and through my website: www.andrewwilner.comIf you have assets to protect, it’s important to develop a continuing relationship with an attorney specializing in asset protection. A directory of asset protection attorneys is available at www.assetprotectioncouncil.com.Brian Bradley can be contacted at: www.btblegal.comFor more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” www.youtube.com/c/andrewwilnermdauthorwww.andrewwilner.com#risktolerance #malpractice #assetprotection #assetprotectionattorney #liability #LLC #realestate #realestateinvestmentSHOW LESS
Show NotesJuly 9, 2021Many thanks to Leighann Landy, FNP-C, for sharing her experience as a co-owner of a Medspa with her husband, Stephen Landy, MD. If you listen to “The Art of Medicine” regularly, you will remember that Dr. Landy and I had a great talk about migraines in Episode #32.Leighann explained the difference between a Medspa and Dayspa.  Botox, fillers, and lasers are popular Medspa treatments that require medical training to limit complications. Dark spots, telangiectasias, and wrinkles are all susceptible to amelioration. Leighann observed that the type of treatments available varies depending upon the individual Medspa.Leighann emphasized that prospective patients should check the staff’s medical credentials when selecting a Medspa. They must also have realistic expectations regarding the expected results. Before treatment begins, Leighann consults with each patient and discusses possible interventions and costs. Clients need to know that some procedures, like eliminating dark spots, may require more than one visit. Other treatments, like removing wrinkles with Botox, can be completed in one visit but wear off and need to be performed periodically. In some instances, Medspa techniques offer an alternative to more definitive surgery.To reach Leighann for a consultation, visit Landy Headache and Esthetics, 311 S. Gloster Street, Tupelo, MS: https://landyhe.com/Thanks for listening! #Medspa #Dayspa #esthetics #laser #filler #migraine #Botox #bodyimageFor more fascinating episodes, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” www.youtube.com/c/andrewwilnermdauthorwww.andrewwilner.com     
Show NotesJuly 7, 2021Many thanks to Ripal Patel, MD, founder and lead for Mercision Emergency Medicine, for joining me to discuss locum tenens and ER medicine. Dr. Patel received his MD at UT Southwestern Medical Center and his MPH at Kings College, London. He started in general surgery but quickly found his home in ER medicine. After an ER residency at Thomas Jefferson University Hospitals, Philadelphia, PA, he moved to Houston, TX, where he is an Assistant Professor at the Baylor College of Medicine. As a locum tenens ER physician, Dr. Patel has traveled to as many as 30 different ERs in a half-dozen states. He works with staffing agencies and also has his own group of ER physicians who contract directly with hospitals. During this 20-minute interview, Rip shares his experiences, both good and bad, with the world of locums.Dr. Patel explained that locums physicians work on their own schedule, receive excellent compensation, and avoid hospital politics. Assignments are time-limited. If they don’t work out, there’s no obligation to return. On the other hand, if it’s a good experience, recurring assignments offer many advantages.If you are a physician unhappy with your current employment, need supplemental income, or just ready to try something new, this interview will interest you. Dr. Patel advises that physicians disillusioned with clinical medicine consider locums before switching to a nonclinical career. Dr. Patel can be contacted through his website: www.mercisionem.comFor more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.”www.youtube.com/c/andrewwilnermdauthorIf you have questions about locums, don't hesitate to get in touch with me: www.andrewwilner.com#ER #ermedicine #locums #locumtenens #travel #locumsphysician #roadwarrior #1099 #sidegig #nonclinicalcareers
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