Medicine For Good
Digital Divide in Schools Accentuated by the Pandemic | Betsy Nikolchev and Fatai Heimuli
As Covid-19 continues to impact our daily lives, education is one of the areas that are heavily affected by this rapid transformation. Fortunately, the children of today have been surrounded by digital technology since birth.
However, despite the presence of widespread technology around us, children do not have equal opportunities or availability of these resources. There is a huge digital divide prevalent in many communities, schools, and institutions. The pandemic has suddenly and abruptly forced schools and education to pivot into this much-needed transformation to a digitalized world.
Now, more than ever, Covid-19 has accentuated and revealed the already known inequity.
This episode tackles how our students, though surrounded by a plethora of technology, are impacted by all these uncertainties, inequities, and expected competencies. But how about the parents who are ill-prepared to support their children at home?
I am joined by Betsy Nikolchev and Fatai Heimuli, who expounded on the digital divide and inequity of resources and what measures are taken to help the marginalized population cope with the challenges during the pandemic.
- This is about authentic conversations and about not pretending that any of us have all the answers. We’re each going to bring our funds of knowledge. As educators, we're going to bring our materials. Families and students bring their knowledge of experiences. And that is how you build trust. - Betsy Nikolchev
- It's really interesting to see the sparks of hope come alive in their eyes as they get excited about being a college student. And I'm watching that stigma disappear. The stigma surrounding community college, I'm watching it disappear as parents are really engaging in that kind of dialogue with their children, and also with our health as well. So it's just been a very rewarding opportunity. - Fatai Heimuli
About the Guests:
Betsy Nikolchev is the founder and Executive Director of the Family Engagement Institute (FEI) at Foothill College. She is committed to educational equity that promotes multigenerational pathways to college, for first-generation students and marginalized communities. Betsy has been in education for 30 plus years and began her teaching journey in Los Angeles as part of her goal to make a difference in the lives of children. She then realized that children come with families and the well-being of children is integral to the well-being of families and their respective communities, hence her involvement in FEI.
Fatai Heimuli is a Tongan-American student intern with FEI. She is passionate about serving marginalized communities as well as upholding equity in all her work.
Family Engagement Institute (FEI)
About the Host:
About ABC's for Global Health:
ABCs for Global Health is a non-profit organization dedicated to finding practical solutions to health problems of disadvantaged and underserved communities. Their programs include telemedicine, research on nutrition and healthcare, and disaster response.
Visit these links if you'd like to support either by volunteering or sharing your resources:
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41. Liberation of Women: Looking at Menopause in a New Light | Dr. Mindy Goldman44:18No more bloating, cramping, and irritability every month. No more migraines every period. No more birth control pills. No more worries about diapers, teenage children, and no more worries about getting pregnant, especially during these uncertain times.No more menstruation. Yes, menopause is the time when another door opens. It is the time when we can pursue what has been stalled during our time of raising children, where we were always laid in with guilt when work interferes with the time we want to spend with our children. It is a time when we realize our wants and are now ready to pursue them.It is the time when we can operationalize or actualize what we always planned for ourselves, but we're halted by marriage, pregnancy, and raising a family. It may be even time for probably a second career! Time to be better. So menopause - despite all its consequences - should not be viewed as a midlife crisis. It is a normal physiologic change in our bodily functions as we women grow older.So let us now fear menopause - let us embrace it!Memorable Quotes:Menopause is such a destabilizing time in a woman's life. It's nice to know that we have so many options for different particular symptoms depending on severity and importance to women. - Dr. Julieta GabiolaThe average age of menopause is 51. By the early forties, most women are already starting to be in perimenopause and may be experiencing some of these symptoms. - Dr. Mindy GoldmanFor women that are within 10 years of the onset of menopause, the benefits of hormone therapy outweigh the risks. - Dr. Mindy GoldmanPeople do not have to feel like they have to suffer from menopause. I want them to realize that there are alternatives to hormones. There are lifestyle changes, an integrative approach, botanical and herbs - all things that can help out in managing menopausal symptoms. - Dr. Mindy GoldmanAbout the Guest:Mindy Goldman is an Ob/Gyn who worked at UCSF for the past 29 years. Based on a personal experience helping her dearest friend battle breast cancer she changed the focus of her career to bridging gynecology and breast oncology. At UCSF she directs the Gynecology Center for Cancer Survivors and At-Risk Women helping women navigate menopause and other side effects of treatment. She recently joined Midi Health as their Chief Clinical Officer to help achieve her goals of scaling the type of care that she provides. At Midi, she helps develop the clinical protocols for guiding care and will be helping launch a cancer survivorship platform. Learn more about Dr. Goldman here.About the Host:Dr. Jette Gabiola is a Clinical Professor of Medicine at Stanford University and the President & CEO of ABCs for Global Health. Click here for her full profile or read her full interview here.
40. Broken Heart Syndrome: Takotsubo Cardiomyopathy, Can it be FIXED? | Dr. Annabelle Volgman38:05Have you ever had a broken heart? We have always been told stories about lovers or devastated individuals dying because of their shattered hearts. Maybe their pain and anguish were too much for their hearts to bear. But is this something that could truly happen, or are these just false tales?Takotsubo Cardiomyopathy or also known as the “Broken Heart Syndrome” has been linked to significant emotional stresses and physical stresses that an individual may have experienced and stressful conditions and intense emotions can cause this disease. Though this is a temporary heart condition, unfortunately, data shows that women are more likely prone to this disease.This week we are highlighting this topic as I’ve invited Dr. Annabelle Santos Volgman, a Professor of Medicine and Senior Attending Physician at Rush Medical College and Rush University Medical Center to share with us this cardiovascular disease, its causes, risk, and what we can do to prevent it.Dr. Anabelle also shares valuable statistics about this disease in men vs women and why we need to be knowledgeable about it to decrease the mortality rate through the help of lifestyle modification and awareness. Don’t miss it!Memorable Quotes:Cardiovascular disease is the number one killer of most people in the world, especially in the United States. - Dr. Annabelle Santos VolgmanIncreasing awareness can make a difference. Increasing awareness of the depressants - of all of these risk factors that can be prevented so we could prevent obesity and hypertension, all these cardiovascular diseases, and even cancer with lifestyle modification. - Dr. Julieta GabiolaAbout the Guest:Annabelle Santos Volgman is a Professor of Medicine and Senior Attending Physician at Rush Medical College and Rush University Medical Center. She is the Medical Director of the Rush Heart Center for Women and the recipient of the Madeleine and James McMullan-Carl E. Eybel, MD Chair of Excellence in Clinical Cardiology. She received her undergraduate degree with honors from Barnard College, Columbia University, and her medical degree from Columbia University College of Physicians and Surgeons in New York City.Annabelle is a fellow of the American College of Cardiology and the American Heart Association and completed her residency in Internal Medicine at the University of Chicago Hospitals and Clinics and my Cardiology and Clinical Electrophysiology Fellowship at Northwestern Memorial Hospital in Chicago. She is board-certified in Internal Medicine, Cardiovascular Disease, and Clinical Cardiac Electrophysiology. Follow Annabelle on:FacebookLinkedInAbout the Host:Dr. Jette Gabiola is a Clinical Professor of Medicine at Stanford University and the President & CEO of ABCs for Global Health. Click here for her full profile or read her full interview here.
39. Simple Solutions to Medical Challenges: The Wonder That Is Helmet-Based Positive Pressure Ventilation | Aurika Savickaite32:16In the medical industry, innovation is an integral part of the process to enhance systems and boost efficiency and productivity inside the facility while also improving patient outcomes.Helmet-based ventilation isn’t something new in the medical field yet through creative applications it can provide practical solutions even with the pandemic we are experiencing today.In Episode 39, we are learning more about NIV or Non-Invasive Ventilation as I’ve invited Aurika Savickaite, a registered nurse who is part of the team led by Dr. Bakhti Battelle who produced a training program for professionals highlighting the use of Helmet-based ventilation in acute respiratory distress syndrome. Aurika shares with us the parts, benefits, and importance of this helmet in the medical community, as well as its role to prevent intubation among patients and reduce their mortality rate. Don’t miss Episode 39 to learn more about how this old technology can be brought to modern medical care and improve the workload in your facility!Memorable Quotes:Every innovation leads to a new thing, but not every new thing is innovation. - Dr. Jette GabiolaIn a helmet, the aspiration chance is close to zero because the air is not pushing your stomach content into your lungs. - Aurika SavickaiteOther Resources Mentioned:Comparison of Helmet NIV, Face Mask and Invasive Mechanical VentilationOnline Training CourseEffect of Noninvasive Ventilation Delivered by Helmet vs Face Mask on the Rate of Endotracheal Intubation in Patients With Acute Respiratory Distress SyndromeAbout the Guest:Aurika Savickaite is a registered nurse, Master of Science in Nursing – Acute Care Nurse Practitioner degree at Rush University College of Nursing, and was actively involved in a three-year project and testing of helmet-based ventilation in the ICU at the University of Chicago.Led by Dr. Bakhti Battelle, Aurica and her team produced a training program for professionals highlighting the use of Helmet-based ventilation in acute respiratory distress syndrome. Her goal is to create and provide the medical community with the training necessary for the use of helmet-based ventilation.Follow Aurika on:WebsiteYouTubeLinkedInAbout the Host:Dr. Jette Gabiola is a Clinical Professor of Medicine at Stanford University and the President & CEO of ABCs for Global Health. Click here for her full profile or read her full interview here.
38. Why Do You Need A Birth Doula? Let's Find Out! | Suzanne Ledbetter36:52Becoming parents for the very first time can be quite scary. Fear, anxiety, and overwhelm are some of the challenges you will face. Whether you’re an expectant mother, in your postpartum stage, or overcoming a miscarriage or loss, you’ll definitely need someone whom you can trust, provide support and inform you about the options and decisions you’ll have to make.You might consider hiring your very own doula.Doulas are trained, non-medical companions who can help you before, during, and after birth, as well as in the early postpartum period. They are trained to provide you emotional, physical, and educational support especially to new and expectant parents for them to have a safe, healthy, and enjoyable birthing experience.This week, I’ve invited Suzanne Ledbetter, a certified birth doula who can share with us what a doula is and the benefits they provide for parents. She discusses the difference between birth doula and midwives, the different types of doula, and how someone can become an effective doula.If you’re a family looking for the perfect doula to match your lifestyle and expectations or if you’re a doula who looks for families to support, click here.Memorable Quotes:Giving our service to others is being able to connect with others in a much deeper way. - Dr. Jette GabiolaContribution to life beyond oneself is a fulfilling service and can be in any form. - Dr. Jette GabiolaEverybody has the ability to be a doula, it's a matter of learning what's out there and learning the different options. - Suzanne LedbetterThere's a group called “evidence-based birth”, who does the research and has the information. We give that to our clients a lot so that they can make their decision evidence-based. - Suzanne LedbetterPart of postpartum depression is that you get so overwhelmed with all of the hormonal changes. - Suzanne LedbetterOther Resources Mentioned:Open ArmsDoula MatchAbout the Guests:Suzanne Ledbetter is a birth doula, a mother of three, and a birth photographer in Seattle. She is passionate about helping families have the very best experience in welcoming their newborns.Follow Suzanne Ledbetter on:Doula ProfileAbout the Host:Dr. Jette Gabiola is a Clinical Professor of Medicine at Stanford University and the President & CEO of ABCs for Global Health. Click here for her full profile or read her full interview here.
37. Art - A Vision and An Expression from Pio, A Child with Cancer | Aedan Pio Zapanta, Dr. Arthur Gallo, Dr. Jay Nathan, and Dr. David Purger48:07Dealing with cancer is a very challenging battle that no one deserves to go through. Cancer can affect not only your physical health but also your mental well-being. Living with it may not only give you depression and distress, but it can also cause struggles that impact life in general.As a parent, seeing your child suffering from cancer or any other illness is the most heartbreaking experience. Witnessing their pain doubles the amount of emotional pain we feel to a point where we’d rather be in their position instead. In this episode, we will talk about the bravery amidst the suffering of a little kid named Pio, who was diagnosed with a very rare disease at the age of five. We have with us Dr. Arthur Gallo, Dr. David Purger, and Dr. Jay Nathan to help us understand Clival Chordoma and how this can be treated. Listen to Episode 37 to learn more!Memorable Quotes:Art is really an important method for kids to express themselves. - Dr. David PurgerKids have a tremendous capacity to understand and have emotional capacity. - Dr. Jay NathanHonesty is really appreciated by patients and art medicine itself is an art. - Dr. Arthur GalloAll living creatures on the earth are interconnected. - Aedan Pio ZapantaAbout the Guests:Aedan Pio Zapanta is a 10-year-old artist diagnosed with Chordoma at the age of five. He is the ambassador of bravery to kids with cancer.Follow Aedan Pio Zapanta on:InstagramFacebookYoutubeDr. Arthur Gallo, MD, is a Medical Doctor and a Thoracic Surgeon at Philippine General Hospital and Chief Medical Officer at ABC's for Global Health.Dr. David Purger, MD, PhD., is currently a resident physician in the Department of Neurosurgery at Stanford University and active in medical student mentorship, recently co-authoring an updated Medical Student Guide for Applying to Neurosurgery. Click here for his full profile.Dr. Jay Nathan, MD, specializes in degenerative spinal disease, cervical and lumbar disorders, and spinal tumors. Along with these, he is also involved in health policy, quality improvement and outcomes, and patient safety at a national level. He is also a licensed pilot and enjoys his quality time traveling with his wife. Click here for his full profile.About the Host:Dr. Jette Gabiola is a Clinical Professor of Medicine at Stanford University and the President & CEO of ABCs for Global Health. Click here for her full profile or read her full interview here.
37. Art Heals | Dr. Patricia Isis35:31Art is found in almost everything. It can be the songs you listen to while you drink your morning coffee, the scenery outside your window, the packaging of your family’s favorite cheese, or even this beautiful description you are reading. Art is everywhere.With all the challenges we face in life, we tend to develop anxiety and depression where we lose inner peace. During these times, we need to remember that there is art - always ready to comfort us.Art Therapy helps us explore our emotions, improve our self-esteem, and relieve stress. It involves creative techniques such as drawing to help us express ourselves artistically. With the guidance of art therapists, we can delve into the nonverbal messages through art which can help us better understand our feelings and behavior and aid the healing process.Today, we are joined by the well-known author and art therapist, Dr. Patricia Isis, to share with us the beauty and power of art. She’s been practicing Art Psychotherapy and Mental Health Counseling for over 40 years in South Florida, providing full-time clinical art therapy services in public schools, and offers an array of Mindfulness training in her private office. Get to know her and art therapy on Episode 36.Memorable Quotes:Art Therapy is a mental health profession designed to help all sorts of people, ages, and ranges of disorders. - Dr. Patricia IsisIt's so hard to refocus nowadays, so I hope people could use art therapy or therapeutic art to help them thrive, not just to survive. - Dr. Jette GabiolaOther Resources:www.MiamiArtTherapy.comThe Mindful Doodle Book: 75 Creative Exercises to Help You Live in the Moment.About the Guests:Dr. Patricia Isis, Ph.D., ATR-BC, LMHC-QS, ATCS has been practicing art psychotherapy for over 41 years with multiple populations and settings throughout her career. She offers services in public schools with youngsters labeled with emotional and behavioral disabilities and holds a private practice offering art therapy to children, adolescents, adults, and families. She is also the author of The Mindful Doodle Book: 75 Creative Exercises to Help You Live in the Moment. Click here for her full profile.About the Host:Dr. Jette Gabiola is a Clinical Professor of Medicine at Stanford University and the President & CEO of ABCs for Global Health. Click here for her full profile or read her full interview here.
35. Omicron: The New Contagion, The Latest Twist in the Pandemic | Nicole Zamignani26:43It’s been two years since the pandemic forced us to isolate ourselves, pivot, and even transform our lifestyles. We had no choice but to adapt and find ways to continue our lives despite the limitations COVID has caused us. As the cases go down and solutions arise, a new variant is becoming more prolific and has quickly spread with vengeance, leading to more uncertainty. The Omicron variant goes around with its name sounding ‘ominous’. It spreads much easier compared to the original SARS-CoV-2 and other variants, plus, breakthrough infections to those vaccinated are likely to occur. But compared to the global situation last 2020, we can say that our defenses have improved and we are much wiser than before.In this episode, Nicole Zamignani joins us again to talk about Omicron as the new contagious variant of COVID-19. This variant is spreading globally at the same time during the flu season in some countries. Listen and gain valuable information about the Omicron variant from Dr. Julieta Gabiola and Nicole Zamignani to keep you safe during this pandemic.Memorable Quotes:Rapid home testing is another layer of protection and another way to make wise decisions. - Dr. Julieta GabiolaTake care of yourself, boost your immune system, and be compassionate. - Dr. Julieta GabiolaIt is winter time and it’s flu season and everyone might get a little bit worried about getting the flu. It’s better to get tested frequently to be safe. - Nicole ZamignaniAbout the Guests:Nicole Zamignani is the secretary for ABCs for Global Health. She is taking a master’s degree in Global Health at the University of California San Francisco. Most recently, she is a Fellow of Stanford’s Clinical Observation and Medical Transcription (COMET) post-baccalaureate program at Stanford Express Care Clinic.About the Host:Dr. Jette Gabiola is a Clinical Professor of Medicine at Stanford University and the President & CEO of ABCs for Global Health. Click here for her full profile or read her full interview here.About ABC's for Global Health:ABCs for Global Health is a non-profit organization dedicated to finding practical solutions to the health problems of disadvantaged and underserved communities. Their programs include telemedicine, research on nutrition and healthcare, and disaster response.Visit these links if you'd like to support either by volunteering or sharing your resources:Get InvolvedDonate
34. What COVID 'Long-Haulers' Deal With | Dr. Linda Geng37:46The COVID-19 pandemic has affected millions of people not physically, and mentally, but also in their day-to-day life. It has also affected the global economy and led to a dramatic loss of human life worldwide. The virus has spread so fast that it destroys the body’s immune system causing different symptoms most especially to those who are already suffering from comorbidities.Fortunately, after a year of living with the fear of getting infected, the vaccines were created and have been disseminated globally to prevent infections and counter severe COVID-19 cases. However, some who were infected by the virus continue to experience persistent symptoms of COVID-19 infection. In this episode, the co-director of Post-Acute COVID-19 Syndrome (PACS) clinic at Stanford Healthcare medical center, Dr. Linda Geng, joins us to share what POST-Acute COVID-19 Syndrome is and what its long-haulers deal with. This episode features discussions on the predictors of the syndrome and how to prevent and treat Long COVID. Listen to Episode 34 to learn more.Memorable Quotes:Let your patients be your book and learn from them. - Dr. Julietta GabiolaLong COVID lasts at least four weeks to three months. - Dr. Linda GengVaccines at this point are our best-known tool and a facilitator to help prevent long COVID. - Dr. Linda GengAbout the Guests:Dr. Linda Geng is an internist focusing on puzzling conditions and director of a team-based diagnostic second opinion clinic called “Consultative Medicine.” During the pandemic, it became clear that many people with COVID-19 had lingering puzzling and complex symptoms after their initial infection, so Dr. Geng joined forces with a multidisciplinary group of physicians to build the PACS program here at Stanford to tackle this challenging public health problem and advance the care of patients with persistent symptoms after COVID-19 infection. Currently, Dr. Geng is co-director of the Post-Acute COVID-19 Syndrome (PACS) clinic at Stanford Healthcare medical center.About the Host:Dr. Jette Gabiola is a Clinical Professor of Medicine at Stanford University and the President & CEO of ABCs for Global Health. Click here for her full profile or read her full interview here.
33. Obesity Medications: What’s the Best Drug Therapy for You? | Dr. Marilyn McGowan25:34In previous episodes, we’ve discussed the health consequences of obesity, its lifestyle modifications, and surgical options to counter this medical condition The primary job of every physician is to enable patients to have quality of life and low mortality. Lifestyle modification and healthy eating habits are not enough to help you lose weight. You should know that there are medications taken in conjunction with obesity treatment and they can also be linked to different comorbidities like osteoarthritis, PCOS, hypertension, diabetes, and sleep apnea that will most likely put you at life-threatening risk.If you are among countless others who have been struggling with obesity or if you know someone who needs help battling it, this episode cant help, guide and inform you on certain medications to choose fromToday’s episode features Dr. Marilyn McGowan who graciously discusses the drug therapies for obesity that work to decrease appetite, slow down the digestion, help the pancreas work better, and many other benefits. We discuss the different medications and go further into their generic names, side effects, and price point. Listen in to know which drug therapy fits you best.Before taking any of the medications discussed, make sure that you consult with your doctor first and be knowledgeable about their contraindications and side effects. Let’s jump right into Episode 33!Memorable Quotes:Persevere to achieve what you want because it really would improve the quality of life and will prevent all other consequences of obesity. - Dr. Julieta GabiolaThe safest, most tolerated, and best obesity medication for you is the one prescribed by your doctor. - Dr. Marilyn McGowanWe can do all the medications in the world, but it needs to be working very closely with diet, exercise, and lifestyle modification. - Dr. Marilyn McGowanWork with your doctor to know what medication really fits you. - Dr. Marilyn McGowanAbout the Guests:Dr. Marilyn McGowan is a 2nd-year Internal Medicine Resident at Stanford University. She is interested in primary care, particularly the treatment of chronic diseases, and in helping her patients achieve their health goals. Her hobbies are playing music, getting outside, or visiting her family on their farm in Northern California. About the Host:Dr. Jette Gabiola is a Clinical Professor of Medicine at Stanford University and the President & CEO of ABCs for Global Health. Click here for her full profile or read her full interview here.