Hear Me Now Podcast

Providence Institute for Human Caring

Providence, one of the nation's largest healthcare systems, is dedicated to caring for the whole person. The twice monthly Hear Me Now Podcast helps fulfill the unmet needs of patients, their loved ones, caregivers, and communities by offering a place for in-depth conversations that matter. Contact us at HumanCaring@providence.org Winner of the PR News Nonprofit Podcast of the Year Award 2022

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Caring for addicts
3d ago
Caring for addicts
Last year in the U.S., more than 100,000 people died of drug overdoses. It's a staggering statistic that was unthinkable just a few years ago. A paper by Dr. Honora Englander and attorney Corey Davis in the New England Journal of Medicine took hospitals and policy-makers to task last month for not doing enough to support and engage people who use drugs and who are hospitalized. They write, "The United States is in the throes of a decades-long exacerbation of drug-related harm. Hospitals are a key domain for implementing person-first, evidence-based interventions for reducing that harm. Yet despite the obvious need, hospitals have been slow to enact reforms to improve the health of people who use drugs. We believe that systemic reform, led by the federal government, is necessary to mitigate the ongoing crisis of drug-related harm." † In this episode they talk with Seán about current impediments to the best care possible and their vision for improving standards of care nationwide. ..Honora Englander, M.D.Professor of MedicineDirector/PI, Improving Addiction Care Team (IMPACT)Division of Hospital MedicineSection of Addiction Medicine in DGIMDepartment of Medicine, Oregon Health & Science UniversityPortland, Ore...Corey Davis, J.D., M.P.H.S.Deputy Director, Southeastern Region OfficeDirector, Harm Reduction Legal ProjectNetwork for Public Health LawEdina, Minn...† Englander, H. & Davis, C. (Aug. 25, 2022) Hospital standards of care for people with substance use disorder, New England Journal of Medicine, 387:672-675. DOI: 10.1056/NEJMp2204687  (N.B. Article is behind paywall, though free access is possible with registration.)..
Caring for addicts
3d ago
Caring for addicts
Last year in the U.S., more than 100,000 people died of drug overdoses. It's a staggering statistic that was unthinkable just a few years ago. A paper by Dr. Honora Englander and attorney Corey Davis in the New England Journal of Medicine took hospitals and policy-makers to task last month for not doing enough to support and engage people who use drugs and who are hospitalized. They write, "The United States is in the throes of a decades-long exacerbation of drug-related harm. Hospitals are a key domain for implementing person-first, evidence-based interventions for reducing that harm. Yet despite the obvious need, hospitals have been slow to enact reforms to improve the health of people who use drugs. We believe that systemic reform, led by the federal government, is necessary to mitigate the ongoing crisis of drug-related harm." † In this episode they talk with Seán about current impediments to the best care possible and their vision for improving standards of care nationwide. ..Honora Englander, M.D.Professor of MedicineDirector/PI, Improving Addiction Care Team (IMPACT)Division of Hospital MedicineSection of Addiction Medicine in DGIMDepartment of Medicine, Oregon Health & Science UniversityPortland, Ore...Corey Davis, J.D., M.P.H.S.Deputy Director, Southeastern Region OfficeDirector, Harm Reduction Legal ProjectNetwork for Public Health LawEdina, Minn...† Englander, H. & Davis, C. (Aug. 25, 2022) Hospital standards of care for people with substance use disorder, New England Journal of Medicine, 387:672-675. DOI: 10.1056/NEJMp2204687  (N.B. Article is behind paywall, though free access is possible with registration.)..
Being well
Sep 8 2022
Being well
Today,  we look at well-being with wisdom gleaned from the first two years of this podcast. We listen with an ear to taking care of ourselves in ordinary times from people in the throes of extraordinary times… warfare… pandemic… social change… illness… and the challenges of just being human..Explore the complete list of past episodes...BE UNCOMFORTABLEProvidence caregivers Jeremy Edmonds and Victoria Johnson reflect on their experiences of racism in our first podcast episode, "I see you. I hear you. I ache for you," published just weeks after the murder of George Floyd...UNPLUGGING IS OKSyndicated advice columnist Amy Dickinson talks with Seán about her strategies for the first winter of the COVID-19 pandemic in the episode, "COVID Winter Strategies," published in October 2020. ..ANIMALS ARE OUR FRIENDSMazie B. is 11 years old and she offers advice for social distancing and building relationships with pets. Also heard in the episode, "COVID winter strategies," from October 2020. ..PERSON TO PERSON IN WARTIMEProvidence caregiver Inna Pashniak talks with her friend Oleksyi  Kurka who is internally-displaced in Ukraine. He talks about the ways people are reaching out to one another, even as missiles are fired at civilian targets, in the episode "Life during wartime" from March 2022...GENDER-AFFIRMING CARE FOR KIDSIn June 2022, we talked about the standards of care for trans kids with pediatricians and endocrinologists and we augmented that conversation with stories from trans youth, parents of trans kids, and trans and non-binary adults. Sam Pleger, who is 19, talks with his mom Erin about his experiences as a kid in Montana and her experiences parenting a trans kid...COVID-19 REALITIESDr. Zahra Esmail and social worker Christina Rothans, palliative care team members, talk about the realities of caring for dying patients during the height of a COVID-19 surge in Southern California in an episode from January 2021. ,,
Understanding Long COVID
Aug 25 2022
Understanding Long COVID
The syndrome that's appearing after someone is infected with COVID is an emerging global health crisis. Yet, confusion about Long COVID remains. Which symptoms get ruled-in? Which get ruled-out? Can anything be a symptom of Long COVID if it occurs after a COVID infection?On today's program, we talk with researchers studying the illnesses that people who have had COVID are living with, including persistent fatigue, loss of the sense of smell, vascular conditions, and brain fog and other neurological problems. We also talk with a psychologist who began support groups for Long COVID patients who often feel their symptoms are ignored (or not understood) by their doctors and families. And four patients describe their life with Long COVID for us. .James R. Heath, Ph.D.PresidentInstitute for Systems BiologySeattle, Wash.The Heath Lab.Jason D. Goldman, M.D., MPHInfectious Disease SpecialistSwedish Center for Comprehensive CareSeattle, Wash..Drs. Heath and Goldman are co-principal investigators of the PASC study — (Post-acute sequelae of COVID-19) — published in the March 3, 2022 issue of the journal Cell.  It is part of a nationwide initiative to study the aftermath of COVID-19 infection known as RECOVER: Researching COVID to Enhance Recovery..James C. Jackson, Psy.D.Research Associate Professor of MedicinePsychiatry and Behavioral SciencesDirector of Long-Term Outcomes, ICU Recovery CenterVanderbilt UniversityNashville, Tenn..Dr. Jackson welcomes email from clinicians interested in starting Long COVID support groups at their institutions...PATIENT STORIESThis episode begins with the voices of four people who are living with Long COVID in conversations facilitated by producer Scott Acord. We're grateful for them taking the time to talk about their experiences. You can listen to extended cuts of their conversations here:Pam & Lyla Bishop: Bedbound  Alicia Swift: Bone-tired Suzanne Martin: The hardships of having Long COVIDTJ Roseberry: A wanderer is homebound..
Hearing voices
Jul 28 2022
Hearing voices
It’s estimated that 1 in 10 of us hear voices, which may be a sign of mental illness. Or not. We examine the phenomena through Caroline Mazel-Carlton. She’s part of a movement of people who have come to find meaning in the experience of hearing voices (or seeing visions) and who learn to incorporate those experiences in their life. Many forgo use of some or all medications and are seeking wellness through peer-support networks and harm-reduction strategies.Mazel-Carlton tells host Seán Collins that many of the voices she hears have a cautionary or protective role in her life and have reminded her to be more mindful of the aspects of her life the voices comment upon.She serves on the board of the HEARING VOICES NETWORK—USA  (@HVN_USA) and works at the Wildflower Alliance (@WildflwrAlliance) in western Massachusetts, a grassroots peer support, advocacy, and training organization with a focus on harm reduction and human rights. Her work includes training in suicide alternatives.Earlier this year, Caroline Mazel-Carlton was profiled in a story in the New York Times reported by Daniel Bergner: Doctors gave her antipsychotics. She decided to live with her voices.If you are thinking about harming yourself, HELP IS AVAILABLE. Call or text 988 and connect with someone today. FURTHER READINGA comprehensive review of auditory verbal hallucinations: lifetime prevalence, correlates and mechanisms in healthy and clinical individuals. by S de Leede-Smith, E, Barkus   Frontiers of Human Neuroscience. (2013)
Gender-Affirming Care for Kids
Jun 9 2022
Gender-Affirming Care for Kids
A discussion of the accepted standard of care when assessing and treating pediatric patients whose gender expression is different from what was assigned at birth. In addition to clinicians and  public health experts, we hear from parents of transgender kids, others who love them, and trans+ kids themselves..Not seeing the glossary & all of the resources below? Try this link to our podcast website....PERSONAL STORIES (BONUS MATERIAL)Longer versions of the stories excerpted in this episode are available as BONUS MATERIAL for you to listen to at your leisure along with additional one-on-one interviews from trans+ & non-binary people, and their loved ones. These stories are being archived at the American Folklife Center at the Library of Congress as part of the HEAR ME NOW oral history project, the largest collection of healthcare narratives in the country.  If you're interested in talking with someone about your experience with Trans+ healthcare, write to us and tell us something about your story. Our email: HearMeNowStories@providence.org .SAM & ERINSam Pelger, a 19-year-old trans man in New York, talks with his mother Erin Pelger about his transition when he was younger and living in Montana. (44:34).EVY & HOLLYHolly talks with her daughter Evy (14-year-old trans girl) about her transition seven years ago. (49:09).KAREN & DANIELRabbis Karen and Daniel Bogard talk about their young son's transition, about support they have received in their family, school, and faith communities — and the threats they face from the state legislature as parents of a trans child in Missouri. (30:42).VINNY & HENRYVinny and Henry Fox discuss their life together and Vinny's identification as a queer non-binary trans+ person. (38:03).CARMEN & ELBECarmen Marshall talks with her friend Elbe about shared experiences as mothers of trans+ individuals. (48:45).ELBE & ELLAElbe talks with daughter Ella, a preteen trans girl. (38:33).JAMI & SCOTTProducer Scott Acord talks with Jami Gramore, a queer non-binary adult. (40:49).TRAVIS, CINDY, & ROWANA  conversation between Travis, a pre-teen trans boy, and his parents Cindy & Rowan… who’ve asked us to use pseudonyms when referring to their family. (27:53).JAYNE & SCOTTProducer Scott Acord talks with  his colleague Jayne Hopke, who identifies herself as pan sexual. (39:53)...PODCAST GUESTSPonrat Pakpreo, M.D., MPH  Pediatrician focusing on Adolescent HealthProvidence Medical GroupSpokane, Wash. Marcie Drury Brown, M.D. Pediatric EndocrinologistProvidence St. Vincent Medical CenterPortland, Ore. Bentley Moses, MPH Senior Program ManagerTrans+ Health InitiativeProvidence Institute for Human CaringGardena, Calif. .,.RESOURCESWorld Professional Association for Transgender HealthAmerican Academy of PediatricsSociety of Adolescent Health & MedicineThe Endocrine SocietyLGBTQIA+ Comprehensive Treatment at SwedishTransgender Health at SwedishGLAAD Transgender ResourcesNational LGBTQIA+ Health Education CenterTransgender Law Center / Health ResourcesHRC Resources for Providers & Hospital AdministratorsThe Trevor ProjectThe Lavender Rights ProjectGALAP: Gender-Affirming Letter Access ProjectStraight for Equality: Trans Ally MaterialsICATH: Informed Consent for Access to Trans HealthcareUS Trans Survey...GLOSSARYA guide to some of the language you'll hear used when we talk about gender. CISGENDER – Describes someone whose gender identity matches the sex they were assigned at birth.GENDER — The behavioral, cultural or psychological traits associated with one's sex, which can vary depending on time and place. Sex and gender are not the same.GENDER-AFFIRMING CARE – Medical care that affirms a person's gender identity. For minors, this can include the use of puberty-blocking hormones. For adults, this could mean hormone therapy, speech therapy, and various surgical procedures.GENDER DYSPHORIA – A term for the psychological and physical distress that can occur when one's sex assigned at birth does not align with their gender.GENDER EUPHORIA – The satisfaction and happiness someone feels when their gender is affirmed.GENDER EXPRESSION – How someone presents their gender outwardly, through behaviors, mannerisms, clothing, name, pronouns, and more.GENDER IDENTITY – One's internal knowledge of one's own gender. For many, it aligns with the sex they were assigned at birth. But others may identify with another or multiple genders.GENDER TRANSITION – The multilayered process of aligning one's life with one's gender identity. This can include social, cultural, medical, and legal changes.MISGENDER – An action when someone refers to another person by the wrong gender, either accidentally of intentionally.NONBINARY – A term used by people whose gender identity or expression does not align neatly with "male" or "female."SEX – Usually assigned at birth and based on the appearance of external anatomy. It's typically categorized as male, female, or intersex.TRANS+ – An inclusive term relating to people with gender expressions such as transgender, genderqueer, agender, or nonbinary.TRANSGENDER – Describes someone whose gender identity differs from the sex they were assigned at birth.TRANSPHOBIA – Prejudice or hatred shown in speech or actions toward transgender or gender-nonconforming people. This bias is centered on gender identity. .Based on a series of Instagram posts  published in April 2022 by the washingtonpost newspaper...
Tele-Palliative Care
Apr 28 2022
Tele-Palliative Care
Twenty percent of Americans live in a rural setting and full access to some medical care is limited: often requiring long drives or temporary relocations. That includes specialty palliative care -- the interdisciplinary services of physicians, nurses, social workers, and chaplains aimed at helping patients control symptoms of a serious illness.On today's podcast, we explore a demonstration project underway in rural Stevens County, Washington undertaken by the Palliative Practice Group at the Providence Institute for Human Caring.The in-person nursing and chaplaincy providers in two rural hospitals are being joined by physicians and social workers through a Tele-PC video connection or by phone, allowing patients to avoid 70-100 mile drives to seek consultations. And the Tele-PC connection allows far-flung family members to be involved in bedside conversations about the goals of care..JOIN US ONLINE ON JUNE 16thHUMANIZING HEALTHCARE EXPERT SERIESFor information on the June 16th online event, Remote Palliative Care: A telehealth roadmap to reaching rural communities, featuring a number of guests heard on this episode of the podcast, visit this link. Registration is now open. .Gregg VandeKieft, M.D., MA, FAAFP, FAAHPM Executive Medical Director, Palliative Practice Group and Tele-PCProvidence Institute for Human CaringOlympia, Wash..Kevin Murphy, M.D., MSW Executive Director, Palliative Practice GroupProvidence Institute for Human CaringSeattle, Wash..Adie Goldberg, Ph.D., LICSW Palliative Care Social WorkerSpokane, Wash..Amber Moody, RNPalliative Care NurseProvidence Mount Carmel HospitalColville, Wash.(LISTEN to extended conversation).Kelly CorcoranChief Mission OfficerProvidence Mount Carmel HospitalColville, Wash.(LISTEN to extended conversation).Matthew Gonzales, M.D., FAAHPM Associate Vice President, Chief Medical and Operations OfficerProvidence Institute for Human Caring.Ira Byock, M.D., FAAHPMFounder/Senior Vice President for Strategic InnovationProvidence Institute for Human Caring. .