One of few females in her field, Dr. Sheth focuses on educating women about heart health – Chicago Tribune

Dr. Reema Sheth is no stranger to being the exception to the rule, especially when it comes to her career.

Shes an interventional cardiologist, a field in which fewer than 5% are women, according to a news release from Silver Cross Hospital in New Lenox, where shes been on staff for 18 months and is a member of the Heart Care Centers of Illinois practice.

I think I act who I am and have been very lucky to have found care centers who have a long history with the community, she said. I come to work, try my best, work hard, and feel like Im treated fine with the Heart Care group. The guys have been great. I enjoy going to work every day.

Sheth speculated her specialty draws few women because of its very nature, both the experience itself and the hours that result.

I think maybe because its more of a technical field with procedure, and when you go into internal medicine and cardiology, you focus more on the medical aspect than the technical aspect. So I think its more preference, or people cant choose when they have heart attacks because the hours can vary because of the unpredictability, she said.

Its not a strict 9 to 5 job. Procedures can be scheduled throughout the day, but emergencies can happen any time.

Her father and sister also are in the medical field both are psychiatrists but she chose a different path.

Im the odd one out, Sheth shared. But they are very supportive. Interventional cardiology has different hours, so I was lucky to have a family that was celebratory and supported my accomplishments. I wouldnt be here without them.

Her interest in a medical career came about partly because of her familys careers but also thanks to her own experience as an infant with surgery to correct a heart defect she was born with.

I definitely went into my schooling with an open mind but always gravitated toward cardiology, she said. I just love working with the heart and working with my hands and doing procedures, so cardiology was a really good fit.

Sheth attended medical school at Michigan State University and completed her training in Michigan after earning her degree.

After medical school I did my internal medicine residency. Directly after that, I did my cardiology fellowship, and after that I went for a year of interventional training, doing procedures nonstop every day within the cardiac field.

She truly enjoys working as an interventional cardiologist.

Not only can I help prevent developing cardiovascular disease, but I help treat progression. I can help identify current disease, treat current disease and take it one step further where if its significant damage, I can treat the disease with a coronary stent and help make blood flow to the heart better, more efficient.

Cardiologys continual advances also make Sheths job fulfilling, such as a trans-radial approach for cardiac catheterizations, performing coronary angiograms through an artery in the wrist.

Thats another great thing about cardiology as a field ever progressing with technology with approaches to not only get the best outcomes and the best care. Its a more convenient way for the procedure to be performed through the wrist rather than your groin, she explained. Its more comfortable for the patient after the procedure, plus less rest time and less risk of bleeding because of the small size of the artery as opposed to the groin.

Sheth, who is board-certified in internal medicine, reading cardiac echocardiograms, cardiac nuclear stress tests, general cardiology and interventional cardiology, is just starting to provide presentations and training to others.

Ive only been in the area for about 18 months, so now that Ive gotten my feet on the ground, Ive started to do more for the community. Im open to giving more lectures when the opportunity arises, she said. I have helped train female interventional cardiologists at one of the hospitals that I cover. I offer any guidance that I can.

The cardiologist gave a presentation Feb. 20 to theLincolnway Area Business Womens Organization in New Lenox that focused on women and heart disease, and a program for the community on preventing heart disease is planned Feb. 28 at the Silver Cross Conference Center in New Lenox.Registrationis required. Both are provided as part ofAmerican Heart Month.

More than 140 people signed up for the program Feb. 28, which Sheth called exciting.

Were focusing on general cardiac prevention and general cardiovascular care. Im hoping to keep it educational but also open conversation with questions, she said. It will be me presenting PowerPoint slides but will be broad-based points for general discussion to keep the flow of what were talking about. Sometimes I feel like we know the general idea of being healthy but not the specifics.

She said those specifics are important because the leading cause of death in the United States is heart disease, so as much education as we can get out there only helps in the long run.

Even for women specifically, its the leading cause of mortality in the U.S. Specifically with women, there are document studies that they are underrepresented. There are conditions in women that they may not be aware of, Sheth explained. Symptoms can be unique more commonly to women than men. All that information is paramount for women to know.

In-person presentations are important to provide correct information, she believes. It may not be the typical thing presented online, she said. You might not get that information just Googling online.

Additional information about heart health can be found by viewing or listening to Seths episode of Silver Cross iMatter Health podcast titled Is Heart Disease Genetic or Environmental? via the hospitals YouTube channel or a podcast platform.

Melinda Moore is a freelance reporter for the Daily Southtown.

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One of few females in her field, Dr. Sheth focuses on educating women about heart health - Chicago Tribune

WVU, Valley Health offer pediatric cardiology in Tri-State | Special Sections | loganbanner.com – The Logan Banner

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First patient treated using A-Flux Reducer interventional system for angina – Cardiac Rhythm News

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VahatiCor has announced the treatment of the first patient with the A-Flux Reducer system, an interventional treatment for patients with angina or chest pain.

The implant is placed in the coronary sinus and is designed to provide more blood flow to the ischaemic portion of the heart and improve patient symptoms and quality of life.

The first patient received the A-Flux reducer implant through the Special Access Program (SAP) of Health Canada. A prospective multicentre clinical study of the device is scheduled to begin enrolment this year.

We have many interventional or surgical revascularisation options for patients with advanced large coronary artery disease. However, a significant proportion still suffer from angina. The A-Flux Reducer could help to fill that therapeutic void. It was an honour to perform the first-in-human implant and the patient is doing great, said Jean-Michel Paradis, specialist in coronary and structural interventional cardiology at Quebec Heart and Lung Institute (Quebec, Canada), who co-treated the first patient.

The A-Flux Reducer system is a promising intervention with the potential to provide a predictable and low-risk treatment for a growing population of patients with angina symptoms that do not respond well to medicines and lifestyle changes, added Can Manh Nguyen, interventional cardiologist who co-treated the first patient with Paradis.

At VahatiCor, were driven to improve patient outcomes with solutions that provide rapid relief and long-term effectiveness. While many interventions are available to treat the blockages in the large coronary arteries, very few options exist for an even larger group of patients with microvascular angina, said Howard Edelman, CEO of VahatiCor. We are encouraged by the positive early clinical experience with A-Flux and are moving forward quickly to a larger study that will support the availability of the device for more patients.

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Euphemisms increasingly used to soften behavior that would be questionable in direct language – Norfolk Daily News

During questioning of Fulton County, Georgia, prosecutor Nathan Wade about his relationship with District Attorney Fani Willis there was a moment that cut through all the euphemisms we have become accustomed to when it comes to human behavior.

Scott Sadow, an attorney for Donald Trump, who is trying to get an indictment against Trump dismissed for Trumps alleged interference in the 2020 presidential election, received an answer to a question that appeared to surprise him. Asked about his relationship with Willis, Wade said, Do you mean intercourse? Sadow said he wasnt going to use that word, but since Wade brought it up, then yes, thats what he meant.

It was a classic example of how euphemisms are increasingly used to soften the meaning of questionable behavior.

A forceful Willis tried to obfuscate her relationship with Wade, even calling him at one point a Southern gentleman. But in an earlier court filing, she admitted to an affair (meaning sex) with Wade, who she put on the payroll as part of her Trump prosecution team.

So many descriptions of human behavior have been modified or changed to gloss over their real meaning. In part, I think, it is to avoid judgment which can lead to a change in behavior that benefits individuals and the wider culture. Failing to identify certain behavior for what it is can have the effect of legitimizing that behavior in the eyes of people who are engaging in it and in the wider culture that refuses to accept a standard defining right and wrong.

How many speak of cheating on ones spouse, as Wade is alleged to have done, as adultery? Todays preferred description is a romantic relationship.

Could we also stop saying boyfriend and girlfriend when speaking of adults? These are not dating teenagers. They are mature people who have presumably been exposed to what used to be called the right way to live, but who have chosen another way.

Lying doesnt always bring the consequences it once did, even when witnesses take an oath to tell the truth. It is more than fishy that Wade and Willis exchanged cash and have no receipts or other records to back up their claims of legal behavior and propriety. Wade refused to say where he keeps his cash, but suggested some of it might be under his pillow. Willis said she once paid Wade $2,500 in cash that came from her pocketbook. Who carries around that kind of money? Wade even obfuscated on whether he used a credit card and how he was reimbursed for part of his expenditures when he and Willis traveled together. Who doesnt keep receipts, especially for tax purposes? Will the IRS investigate?

Two of the Ten Commandments prohibit adultery and bearing false witness. Those two forms of behavior are increasingly allowed in our non-judgmental culture. We see daily the corrosion violating these commands have caused.

Using words that accurately describe behavior, instead of euphemisms, can have the effect of limiting that behavior. It once seemed to. Approving, or at least failing to reject such behavior, contributes to more of it. As one translation of Proverbs 29:18 puts it, If a nation is not guided by God, the people will lose self-control.

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Euphemisms increasingly used to soften behavior that would be questionable in direct language - Norfolk Daily News

Emerson’s Insight: Navigating the Three Fundamental Desires of Human Nature – The Good Men Project

Earlier today, I had a brief conversation with a superintendent at my worksite; he had a long career in construction spanning 45 years, so he is a wealth of knowledge. I asked him what he does to keep himself motivated in our industry. He paused momentarily and mentioned some words that his favorite writer, Ralph Waldo Emerson, had said.

If you dont know Ralph Waldo Emerson, he is a towering figure in American literature and philosophy and is often remembered for his insightful observations on human nature and society.

The superintendent told me that Emerson once said that 3 wants are fundamental desires that drive human behavior:

1 The want for more (greed),

2 The want for health,

and

3 The want of Anywhere but here.

While seemingly straightforward, these desires offered a deep glimpse into the complexities of human motivation and our quest for fulfillment. So, I decided to dig deeper for a better understanding.

The first desire Emerson identifies is the want for greed, encapsulated in the phrase its never enough. This desire stems from an insatiable longing for more more wealth, more success, more possessions. It reflects a deeper discontentment, a belief that happiness and satisfaction can be attained through the accumulation of material wealth.

However, this endless pursuit often leads to a cycle of dissatisfaction, where each achievement or acquisition only fuels the desire for more, leaving people trapped in a perpetual state of wanting.

This want for greed speaks to a broader societal issue, where success is often measured by material wealth and social status.

It challenges us to reconsider our values and question whether true contentment can ever be achieved through external means.

Emersons observation invites us to explore alternative sources of fulfillment that are not contingent on accumulating wealth but are rooted in the richness of our internal lives and relationships.

The second desire Emerson discusses is the want for health.

This desire is universal, transcending cultural, economic, and social boundaries.

To want to be healthy is not merely to be free from illness but to experience a state of complete physical, mental, and social well-being. It reflects an understanding that health is the foundation upon which we build our lives, enabling us to pursue our goals, enjoy our relationships, and engage fully with the world around us.

However, the want for health also highlights the challenges and inequalities within our societies. Access to healthcare, nutritious food, clean air and water, and safe living conditions are not uniformly available, making pursuing health a privilege for some and a distant dream for others.

Emersons identification of health as a fundamental desire serves as a call to action, urging us to address these disparities and work towards a world where the want for health can be a reality for all.

The third desire, characterized by the sentiment anywhere but here, is a longing for change, something different from our current circumstances. It reflects a belief that happiness and fulfillment lie elsewhere, that if we could only change our location, situation, or surroundings, we would find what we are looking for.

This desire is often rooted in dissatisfaction with the present and romanticizing the unknown.

However, Emerson suggests that this want overlooks a crucial truth: that our external circumstances are not the sole determinants of our happiness. The energy we bring to our experiences, the attitudes we adopt, and the meaning we find in our daily lives shape our fulfillment. By focusing on changing our perspective rather than our location, we can discover that contentment is not a distant reality but a possibility within our current existence.

The energy we bring to our experiences, the attitudes we adopt, and the meaning we find in our daily lives shape our fulfillment.

Emersons identification of these three wants greed, health, and the desire for change serves as a powerful reminder of the complexities of human desire and the search for fulfillment. It challenges us to look beyond the superficial markers of success and happiness and to delve deeper into the values and attitudes that truly shape our well-being.

In doing so, we can address the underlying discontent that drives these wants and work towards a more fulfilled, contented existence.

I was fortunate to come across this wisdom passed on to me from my worksite superintendent from Ralph Waldo Emersons insights.

Examining these desires invites us to contemplate the true sources of happiness and fulfillment. Emersons observations encourage us to reconsider our priorities, to value our health and well-being above material wealth, and to find contentment in our current circumstances through a shift in perspective.

In embracing these lessons, we can navigate the complexities of life with a deeper understanding and appreciation for the journey toward fulfillment.

What are your thoughts? I would love to know.

This post was previously published on medium.com.

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Dogs can recognize a bad person and there’s science to prove it. – GOOD

Dogs can smell fear, but can they sniff out the truth? Your dog might actually be smarter than you're giving it credit for.

It turns out, dogs are pretty good at picking up on human behavior. Science says so. A team led by Akiko Takaoka of Kyoto University in Japan conducted a study which found out that dogs actually know if you're to be believed or not.

The study involved tricking dogs in the name of science. Humans have known for a long time that if you point at an object, a dog will run to it. Researchers utilized this information in their study. During the experiment, they pointed at a container that was filled with hidden food. Sure enough, the dog ran towards the container. Then, they pointed at a container that was empty. The dogs ran towards it, but found that it had no food.

The third time the researchers pointed at a container with food, the dogs refused to go to the container. They knew the person pointing wasn't reliable based off their previous experience. 34 dogs were used in the experiment, and every single dog wouldn't go towards the container the third time. This experiment either proves that dogs can spot a liar or that dogs have major trust issues.

In other words, if you lie to your dog, your dog forms the opinion that your word isn't good and will behave accordingly. "Dogs have more sophisticated social intelligence than we thought. This social intelligence evolved selectively in their long life history with humans," said Takaoka, who was also surprised that dogs were quick when they devalued the reliability of a human."

John Bradshaw of the University of Bristol in the UK, who wasn't involved in this study, says that the results indicate that dogs prefer predictability. When gestures are inconsistent, dogs tend to become nervous and stressed.

The researchers have plans to repeat the experiment swapping out the dogs with wolves because wolves are closely related to dogs. The point of this isn't to get bitten by wolves, but rather, to see the "profound effects of domestication" on dogs.

This article originally appeared on 06.06.19

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Dogs can recognize a bad person and there's science to prove it. - GOOD

Boston Medical Center Establishes Endowed Chair in Emergency Medicine with $4 Million Gift from Philanthropist and … – Boston Medical Center

BOSTON Boston Medical Center (BMC) today announced that William F. Ted and Kathy O. Truscott have donated $4 million to establish the Innovation in Exceptional Care Chair in Emergency Medicine at BMC. Mr. Truscott, the CEO of Columbia Threadneedle Investments, is a Trustee of BMC and Chair of its Philanthropic Trust. BMC Chief of Emergency Medicine Christian Arbelaez, MD, MPH, was named inaugural chair.

Nationwide, emergency departments serve as the front door to societal challenges that impact patients and the healthcare system, including mental illness, substance use disorder, and homelessness, among other conditions plaguing historically underinvested communities. Emergency departments across the country have also seen operational challenges like overcrowding and staff shortages. Addressing these demands will involve an evolved, comprehensive, and holistic approach that includes greater access to timely care, improved healthcare system capacity, and added finances.

The Truscotts gift, funding the first philanthropically endowed chair at BMC, gives current and future endowment recipients the resources to tackle these challenges by innovating and pushing the frontiers of emergency medicine.

This extraordinary gift, along with his service to our Philanthropic Trust and Board of Trustees, exemplifies the dedication and commitment Ted has to BMC. He is truly a champion for our patients and believes deeply in our work and mission, said Alastair Bell, MD, MBA, President & CEO of Boston Medical Center Health System. This gift will further enhance BMCs innovative and equitable approach to emergency medicine, creating new operational and clinical models to meet the most pressing challenges faced by health systems across the nation.

Chief Arbelaez will leverage support to advance clinical care and health equity in emergency departments to continue BMCs work as a national model in emergency medicine.

Arbelaez leads the largest and busiest emergency department in New England, which provides expert emergency medical care to over 130,000 patients each year. In response to rising patient volume since the COVID pandemic, he helped redefine patient care in the emergency department by implementing a Rapid Assessment Zone, a nationally recognized multidisciplinary model to improve patient flow and reduce crowding.

This is a critical time for emergency medicine, said Christian Arbelaez, MD, MPH, Chief of Emergency Medicine at BMC and Chair of the Department of Emergency Medicine at Boston University Chobanian & Avedisian School of Medicine. As one of the busiest emergency departments in the country caring for patients with a range of needs, innovation is essential to improving care. What we learn and develop here at BMC with support from this gift can be applied to improve care nationwide.

In June 2023, Arbelaez spearheaded the first ever Leaders of Essential Emergency Departments Conference in Boston. The conference brought together leaders of hospitals and emergency medicine departments from across the country for a bold opportunity to reshape and improve emergency care to ensure systems across the nation are poised to provide innovative and equitable care for all.

Kathy and I believe deeply in furthering the mission of BMC and are committed to supporting the essential work that Dr. Arbelaez and his colleagues undertake every day to provide exceptional emergency medical care to all who need it, regardless of their circumstances, Mr. Truscott shares. It is a privilege to make this gift and recognize the critical role that emergency medicine plays at BMC and in our healthcare system.

About William F. Ted Truscott

Ted Truscott is CEO of Columbia Threadneedle Investments, a leading global asset manager headquartered in Boston that provides a broad range of actively managed investment strategies and solutions for individual, institutional, and corporate clients around the world.

Truscott is a corporate leader committed to service and philanthropy. Throughout his career, he has given back to non-profit organizations, both locally and nationally, with his time, expertise and generosity. In addition to his work with BMCs Board of Trustees and Philanthropic Trust, he serves on the Investment Company Institutes Board of Governors, as Chair of the Board of Trustees of Middlebury College, and as Chair of the Board of Directors of The Greater Boston Food Bank.

The Columbia Threadneedle Investments Boston Triathlon annually supports BMCs health equity programs to benefit patients. Over the eight years that Columbia Threadneedle has sponsored the Boston Triathlon, it has raised nearly $500,000 for BMC and hundreds of its employees have participated as athletes and volunteers.

About Boston Medical Center

Boston Medical Centermodels a new kind of excellence in healthcare, where innovative and equitable care empowers all patients to thrive. We combine world-class clinicians, cutting-edge treatments, and advanced technology with compassionate, quality care, that extends beyond our walls. As an award-winning health equity leader, our diverse clinicians and staff interrogate racial disparities in care and partner with our community to dismantle systemic inequities. And as a national leader in research and the teaching affiliate for Boston University Chobanian & Avedisian School of Medicine, were driving the future of care.

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Boston Medical Center Establishes Endowed Chair in Emergency Medicine with $4 Million Gift from Philanthropist and ... - Boston Medical Center

Informed Consent & Use of AI in Emergency Medicine – Physician’s Weekly

Applying artificial intelligence in emergency medicine may lead to advancements in care, but it also poses some ethical and practical concerns.

The application of artificial intelligence (AI) in medicine promises great advancements in care. This new technology, however, poses some ethical and practical concerns for practitioners, specifically in the field of emergency medicine. Kenneth V. Iserson, MD, MBA, explores and addresses these concerns in a guide he developed and published in the American Journal of Emergency Medicine.

Dr. Iserson spoke with Physicians Weekly regarding key concerns about using AI in the emergency medical setting, specifically the importance of informed consent. Dr. Iserson explains, Informed consent is a key element of Western medical practice. It helps preserve patient autonomy.

Applying informed consent appropriately to the application of AI poses some challenges. Dr. Iserson elaborates, To provide this information [informed consent] to patients, physicians first must understand the big picture of how AI systems are developed, function, and integrated into clinical medicine. Key to this is the understanding that due to their source training material and programming, AI may make errors, be biased, may not produce the same answer every time, and not even a systems developers may be able to explain how it came to a decision.

He continues, Physicians must also know where in their practice AI is usedbefore they see the patients (triage), in nursing assessments, evaluation of lab and imaging results, to generate differential diagnoses, etc. Furthermore, a complete understanding of AI includes knowledge of its drawbacks. As Dr. Iserson clarifies, Limitations: A serious limitation is that if AI is baked into the system so that it is so tightly integrated that patients cannot refuse its use, informed consent will be useless. Patients and clinicians will be concerned about privacy and accuracy. Privacy issues come with knowledge about how safe the information that the AI program acquires from the patient is. Will it be used or made available to teach other AI programs or be otherwise accessible?

In addition to privacy concerns, Dr. Iserson also discussed an understanding of AIs precision, As for accuracy, they [practitioners] will need to be able to explain their system (and, of course, have a system) for resolving discrepancies between the physicians plan/diagnosis and that recommended by AI. The article suggests several that are currently in use.

Perhaps the greatest challenge in integrating AI into emergency medicine is its ever-evolving nature and the administrators involvement in its execution. Dr. Iserson addresses these concerns: Lastly, this is a rapidly developing area. Lots of money is being made, and administrators who often will decide whether to use AI may be more concerned with their own and the institutions bottom line than the efficacy and accuracy of the AI system, its applicability, the purpose for which it is being used, and the physician and patients autonomy and welfare.

When asked about the future of AI and its use in emergency medicine, Dr. Iserson shared, In the future, I see the need for incorporating honest, factual training about AI into every part of the physicians educationfrom medical school to CME. The field will constantly change, and the big players will lure medical institutions and physicians to use (sometimes inappropriately) their AI systems, probably using the same sales techniques now used by the pharmaceutical and medical equipment industries.

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Informed Consent & Use of AI in Emergency Medicine - Physician's Weekly