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Preventive medicine at the state level: Shadowing Dr. Braund – American Medical Association (blog)

As a medical student, do you ever wonder what its like to specialize in preventive medicine? Meet Wendy E. Braund, MD, MPH, the state health officer for Wyoming and a featured physician in the AMA WireShadow Me Specialty Series, which offers advice directly from physicians about life in their specialties. Check out her insights to help determine whether a career in preventive medicine might be a good fit for you, and compare her responses with those of two other physicians in this specialty, Daniel Blumenthal, MD, and Robert Carr, MD, MPH.

Shadowing Dr. Braund

Specialty: General preventive medicine and public health

Practice setting: State health department

Employment type: Government

Years in practice: 10

A typical day and week in my practice:

As the state health officer for Wyoming, I have broad jurisdiction over public health events that occur in Wyoming. We get a surprising number of inquiries from residents looking for answers on things covered within the public health statute, from rodent infestations in empty lots to ownership rights on common graves. My staff and I also respond to any public health emergencies that arise, such as communicable disease outbreaks, floods and fires.

The most challenging and rewarding aspects of caring for preventive medicine patients: Everyone in Wyoming is my patient, which poses some unique challenges and opportunities. Lack of funding and inability to hire staff with formal public health training and expertise are chronic issues. Many of the public health problems we are addressing have long-term outcomes, so determining appropriate proxy measures to determine the impact of our programs and initiatives in the short term is challenging but necessary.

It is a tremendous privilege to be the state health officer and to have the opportunity to set the public health agenda for the state. Everyone within this enterprise knows they are working for the public good, which is very rewarding, especially when we see people getting healthier and living longer, better lives because of it.

Three adjectives to describe the typical preventive medicine specialist: Dedicated, resourceful and data-driven.

How my lifestyle matches, or differs from, what I had envisioned in medical school: Like most medical students, I envisioned a life of seeing individual patients, but now populations are my patients. I do much more administrative work than I envisioned, but like many other specialists, Im on call.

Skills every physician in training should have for preventive medicine but wont be tested for on the board exam: Leadership, systems thinking and financial management. Also, if youre going to practice governmental public health, you absolutely have to be politically savvy, because getting things accomplished, particularly from the legislative perspective, requires navigating the system. You have to be able to put public health issues in terms that are understandable to decision-makers and also know which battles to choose and how to frame them.

One question physicians in training should ask themselves before pursuing this specialty: Are you OK with not seeing patients on a regular basis?

Books every medical student in preventive medicine should be reading: Anything by Abraham Verghese, MD, and Oliver Sacks, MD, as well as A Chancellor’s Tale: Transforming Academic Medicine, by Ralph Snyderman, MD.

The online resource students interested in my specialty should follow: The Community Guide.

Quick insights I would give students who are considering preventive medicine: Do a rotation in preventive medicine. Also, talk with preventive medicine doctors in multiple settings. Preventive medicine physicians have very broad skill setsincluding clinical preventive medicine, occupational medicine, health policy, health systems and health administrationand there is huge variability in their practices, from public health to academic medicine to clinical preventive and lifestyle medicine.

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Preventive medicine at the state level: Shadowing Dr. Braund – American Medical Association (blog)

Pressure To Publish Leads To Shoddy Science And Bad Medicine … – NPR

Mick Wiggins/Ikon Images/Getty Images

Mick Wiggins/Ikon Images/Getty Images

A surprising medical finding caught the eye of NPR’s veteran science correspondent Richard Harris in 2014. A scientist from the drug company Amgen had reviewed the results of 53 studies that were originally thought to be highly promising findings likely to lead to important new drugs. But when the Amgen scientist tried to replicate those promising results, in most cases he couldn’t.

“He tried to reproduce them all,” Harris tells Morning Edition host David Greene. “And of those 53, he found he could only reproduce six.”

That was “a real eye-opener,” says Harris, whose new book Rigor Mortis: How Sloppy Science Creates Worthless Cures, Crushes Hope, and Wastes Billions explores the ways even some talented scientists go wrong pushed by tight funding, competition and other constraints to move too quickly and sloppily to produce useful results.

“A lot of what everybody has reported about medical research in the last few years is actually wrong,” Harris says. “It seemed right at the time but has not stood up to the test of time.”

The impact of weak biomedical research can be especially devastating, Harris learned, as he talked to doctors and patients. And some prominent scientists he interviewed told him they agree that it’s time to recognize the dysfunction in the system and fix it.

“If it’s not operating at full steam … and not doing everything right,” Harris says, “it’s worth pointing that out and saying, ‘No. Think about this. Let’s make it better.’ ”

The following has been edited for clarity.

On the ways unreliable research results affect patients

Tom Murphy was a healthy rugby player diagnosed with ALS in his 50s. …. With his doctor’s help he signs up for an experimental treatment with a drug called dexpramipexole, or “Dex.” At first, he’s very hopeful, and it seems to be helping him, but they run the tests and figure out that it actually doesn’t work. In fact none of the ALS drugs work. I focus on Tom Murphy because he’s a victim of the system here of these failures.

What happened in the case of ALS was there were at least a dozen drugs that had been tried in a handful of small studies way too small of animals. And they all seemed to have some sort of promise some of them went into very large clinical trials. We spent tens of millions of dollars developing these drugs, and they all failed. There’s a group in Cambridge, Mass. the ALS Therapy Development Institute that went back and reviewed all these studies and realized all the initial studies were wrong. They used very few mice. They weren’t thinking enough about the different genetics of the mice. And a lot of other problems. … This therapy institute came away thinking none of these drug candidates were really realistic.

On the ways the scientific enterprise in Charles Darwin’s time was very different

Darwin was very interesting. It took him decades to come up with his theory of evolution and he was not in a hurry he was studying barnacles, he was studying birds, all sorts of things. He felt no pressure to publish until somebody came up with a similar idea, and he decided, ‘Hmmm … maybe I do want to be first. …” But we’re not in that world anymore. Things are very competitive, very fast-paced. So the competitive world of biomedicine is shaping this problem of evidence that can’t be replicated a lot.

On why the delight that’s long been an intrinsic part of science can disappear over time and why that’s bad

I think a lot of people go into science out of a sense of wonder. But … as time goes on, people feel the career pressures, and they realize it isn’t just about exploring and having big ideas. They have to have research that helps them progress toward their first job, toward tenure, then the next grant, and so on. Those pressures are different from just, sort of, exploring and understanding fundamental biology…. And the less you’re focusing on delight, the less maybe you’re aiming at the truth and the more you are, inadvertently, often aiming at other goals career goals, financial goals and so on. This may give you a fruitful life as an individual, but may produce less value to us as a society.

On how the public should respond when they hear of a big biomedical advance

I think it is good to question it. Every time you hear something like this, just remember, it’s all contingent here is one study, and it may not stand the test of time. I think that’s healthy. … When scientists read the scientific literature, they realize, “Oh, probably half of this is wrong.” It’s just, not knowing which half that’s the vexing part.

On the risk that pointing out flaws in science will make people question its value

It’s always uncomfortable to point out problems, but it’s also essential. I mean, we are taxpayers we are citizens, and we support this enterprise and we expect to reap its rewards. If it’s not operating at full steam … and not doing everything right, it’s worth pointing that out and saying, “No. Think about this. Let’s make it better.” Many prominent scientists agree with me and are concerned about this and are thinking hard about how to make things better, from the top of NIH on down. There are solutions, and I talk about them in my book.

On why the Trump administration’s proposed cuts to NIH funding wouldn’t make things better

It’s a very appealing idea, obviously, to say, “Oh, well, let’s just identify the waste and root it out.” But that’s not the way science works. … If you cut the [$30 billion] budget of the National Institutes of Health, you’re going to shrink that already very small pool of money even smaller, and you’re going to increase the competitive pressures. You’re going to increase all these perverse incentives that put us in this position to begin with. So I think that would actually be devastating to biomedical research.

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Pressure To Publish Leads To Shoddy Science And Bad Medicine … – NPR

Is medical marijuana right for you? Concerns about the medicine … – WEAR

Is medical marijuana right for you? Concerns about the medicine addressed

Interest in medical marijuana in Northwest Florida skyrocketed this week after the first dispensary opened its doors.

Dr. Michelle Beasley at the Medical Cannabis Clinic of Florida said many people have concerns about using the drug to treat their illnesses.

One of her patients is Channel 3 producer Brett Haskell.

Haskell was diagnosed with Hodgkin’s Lymphoma in November and has plenty of questions about how medical marijuana could help him.

He’s following up at the clinic 90 days after first asking about medical marijuana.

Under the law, he had to wait that amount of time to build a relationship with Dr. Beasley before she could prescribe the medicine for the first time.

Haskell said, “I was kind of concerned with the 90 days and my time period of getting the cancer cured and going through chemo.”

He’s gone through chemo and researched medical cannabis to see if it would help with the side effects of his treatment.

“They have other drugs out there that they have for me right now, which is dealing with the nausea and it gives your drowsiness,” Haskell said. “There was another one I actually had an allergic reaction to.”

Dr. Beasley said many people are worried about taking the medicine and going through their normal everyday lives. She said cannabis use is very patient specific.

The same dosage doesn’t work for everyone.

“Some strains are more, make you sleepy. Other ones are more energizing so depending on the type of illness, the age of the patient, their exposure to cannabis in the past, that can all change how much medical cannabis I would start using,” Dr. Beasley said.

There’s a wide range of medical cannabis from non-euphoric Cannabidiol (CBD) to others that can make you high containing high levels of Tetrahydrocannabinol (THC).

She said prescribing both is important because they work well together.

Dr. Beasley said, “Having CBD around you gets your own medical benefits from the CBD, but CBD actually helps keep the THC in check so patients can benefit from the medical properties of THC without having to have the side effects.”

The end goal is to help patients like Haskell live better lives without pain or suffering.

“All the patients I’ve seen, their goal is to be more functional in their life,” Dr Beasley said.

Haskell is waiting for a required registry card before he can actually go buy medical marijuana.

Dr. Beasley has over 100 patients on the registry and at least double that currently in the 90-day waiting period.

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Is medical marijuana right for you? Concerns about the medicine … – WEAR

A New Health Affairs Series: The Practice of Medicine – Health Affairs (blog)

Bridget Verrette

April 7, 2017

The April 2017 issue ofHealth Affairsfeatures the first article in a new series on The Practice of Medicine.

The series will explore many facets of the practice environment and how that environment affects physicians and other clinicians. It will cover a broad range of topics, including how clinicians respondboth on a daily basis and in a strategic senseto regulatory requirements, payment policy, quality measurement, technology, and more. The articles will also explore how these factors affect care delivery.

This months debut Practice of Medicine article examines the amount of time physicians actually spend with patients compared to time spent on the various tasks associated with desktop medicine. The study, conducted by Ming Tai-Seale, Associate Director of the Palo Alto Medical Foundation Research Institute, and a group of co-authors, features some surprising findings.

Health Affairs welcomes submissions for The Practice of Medicine series on a rolling basis throughout 2017. Successful submissions will be timely and relevant to the current policy environment. The next paper in the series, scheduled for the journals May issue, will take a look at the potential impact of MACRA on the practice of medicine. Between journal articles, continue to check the Health Affairs Blog for related content, such as a recent post by a group of hospital CEOs that explains the phenomenon of physician burnout and offers solutions to reduce its burden.

This series is supported by The Physicians Foundation.

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A New Health Affairs Series: The Practice of Medicine – Health Affairs (blog)

Fake Denver plastic surgeon pleads guilty to assault, unauthorized … – The Denver Post

A 37-year-old surgical assistant who posed as a plastic surgeon, performing face-lifts, tummy tucks and other medical procedures with limited if any anesthesia, pleaded guilty to second-degree felony assault, criminal impersonation and unauthorized practice of a physician Friday.

Provided by Denver District Attorney’s Office

Carlos Hernandez Fernandez claimed to be a licensed doctorsince at least January 2015, performing procedures at Hernandez Fernandez Clinic at 424 S. Federal Blvd., according to a statement from Denver District Attorney Beth McCann.

He was initially charged with 15 counts against four victims in August, according to the DAs office. But more victims came forward, bringing the total charges up to 126 counts with 37 victims. Under a plea deal, he pleaded guilty to onlyone count of assault, one count of impersonation and one count of unauthorized practice.

Fernandez faces a prison sentence of up to six years with three years of parole, according to the DAs office. The term length will be determined at a sentencing scheduled for June 2. Fernandez must pay victims roughly $175,000 in restitution before or at the time of sentencing, according to the DAs office. If more victimsshow documentation, more restitution will be paid.

RJ Sangosti, The Denver Post

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Fake Denver plastic surgeon pleads guilty to assault, unauthorized … – The Denver Post

‘Medicine is really about giving back’ – Post-Bulletin

Ahmed Mohamed was 6 years old when he and his family arrived in Rochester as part of the first wave of Somali immigrants in 1996. His knowledge of English at the time consisted of three words.

By the time he had reached medical school, Mohamed had become the pride of many in Rochester’s Somali-American community. They began to call him doctor, despite his protestations at the time that he had yet to earn his degree.

Today, Mohamed is a doctor, a resident physician in Mayo Clinic’s Department of Internal Medicine, one of a tiny handful of Somali-American doctors at the clinic. And to those who have witnessed his progress, it hasn’t come as a great surprise.

Despite a starting point well back of his native-born peers, Mohamed doesn’t convey a sense that he faced more challenges and struggles than any other person.

Yes, there was a language barrier at first, but by fourth grade, Mohamed had mastered English well enough to graduate from the district’s English for Speakers of Other Languages program. Yes, belonging to a minority immigrant community in majority-white Rochester did lead to an occasional fight but only when it became necessary.

“Going back to first grade, I was very good studen,t and I never disrupted class,” Mohamed said. “I rarely said anything. I was quiet in class up until I got into med school.”

Yet his mild and his soft-spoken manner belie a relentless drive and sharp mind, teachers and mentors say.

“He was just a wonderful student,” said retired Mayo High School history teacher Larry Fowler, who taught Mohamed in 10th grade. “He was just a really bright kid.”

Mohamed credits his success to his parents, who instilled within him high expectations. Both preached education’s power to achieve one’s dreams. His dad, Abdullahi Hassan, was an agronomist in Mogadishu who spoke five languages before civil war forced the family to flee.

As a boy, he and his brothers were expected to have their homework finished before they could go out and play. Sometimes his mom, Khadija Naji, would insist on him reading a book before he could join his friends.

“I think they kept a pretty good leash on us,” Mohamed said. “We never really wandered outside of within eyesight of the house.”

Mohamed said the idea of becoming a doctor first began to impress itself on him in his teens. His first extended exposure to doctors came when he would accompany his grandmother on her doctor’s visits. Blessed with a sharp memory, he was able to recall and relay everything the doctor said about his grandmother’s care to his mom.

It was seeing the care that doctors provided and the clear benefits his grandmother received that created the impetus to become a doctor. That coupled with a discovery that he was fascinated with science and “learning about living things and how they work” drove him.

Mohamed said he was neither daunted nor particularly preoccupied with the fact that African-Americans are woefully under-represented in the medical field. While more black men have graduated college over the past few decades, the number of black men applying to medical school dropped from 1978 to 2014.

“I just wanted to pursue becoming a doctor on my own,” he said. “I made a detailed plan for what i wanted to accomplish each year of college.”

While a student at the University of Minnesota, Mohamed was introduced to Eddie Mairura, a Kenyan-born man who is now an orthopedic surgeon in Dallas. At the time that he started mentoring Mohamed, Mairura was a medical student at the U when Mohamed was working on his undergraduate degree.

Mairura’s own experiences in medical school underscored the demographic challenges facing blacks. In his own medical class of 220 people at the U, there were only four black people. Mairura hoped to be a guide, opening the door wider for minority students.

“I think medicine is really about giving back. When people achieve success, they don’t celebrate by themselves, they got there by standing on the shoulders of other people,” Mairura said.

Mairura found Mohamed to be a person with no shortage of determination and motivation “100 percent committed” to becoming a doctor. Mairura set him up on job shadowing opportunities and recommended certain courses that he take. Mohamed picked his brain whenever he could.

“He was very very focused,” Mairura said. “I’ve mentored a lot of people, but I think he’s the only one that makes me look good. I laid out a road map for him and then stepped out of the way or (risked getting) run over.”

Graduating from medical school at Michigan State University was an occasion for celebration. But it was also a bittersweet moment for Mohamed. His dad was hospitalized at Mayo Clinic suffering complications from leukemia.

Though weak and struggling to speak, his dad gave Mohamed a thumbs up when Mohamed told him about his job interview opportunities, including an offer at Mayo Clinic in Rochester, which was his top choice.

One of Mohamed’s mentors who was also visiting the hospital at the time told Mohamed’s dad, “you did it,” acknowledging his influence as a role model in Mohamed’s life. But his dad quietly raised his hand and pointed to Mohamed as if to say, “he deserves the credit.” Mohamed’s dad died a week later.

As a first-year resident, Mohamed divides his time between seeing patients as a primary care physician at the Baldwin Building and rotating through sub-specialties, such as cardiology and neurology.

Mohamed, 27, is cognizant of his responsibilities as a role model for his community. With his country still trying to rise from the ashes of a civil war and public perceptions often defined by media portrayals of Somali terrorists, he hopes to offer a counterbalance to those views.

In the same way that mentors have offered shoulders for him to stand on, so he hopes to do the same for others.

At Somali public gatherings, parents will approach Mohamed seeking advice for their college-bound children. They’ll ask for his phone number, so he can talk to their kids.

“It does motivate me, because I want to see younger kids in the community achieve success, whether it’s in medicine or something else,” Mohamed said. “And the advice that I give younger kids in the community is, do something you enjoy doing.”

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‘Medicine is really about giving back’ – Post-Bulletin

Board of Medicine revokes license of Virginia Beach chiropractor accused of sexual misconduct – Virginian-Pilot

RICHMOND

State health officials revoked the license of a Virginia Beach chiropractor Friday night after hearing more than two hours of testimony from patients who said he touched them in a sexually inappropriate manner, and even engaged in sex acts during treatment sessions.

The Virginia Board of Medicine voted unanimously to revoke the license of Jerry Hedrick, who has been accused by seven patients of acting inappropriately during treatment sessions. One of those patients also filed a sexual battery charge against him, which will go to trial in Virginia Beach in May.

The board spent less than 15 minutes in a closed-session deliberation before announcing the revocation, which is the strongest action it can take and is rarely used. The board had suspended his license in March, pending the formal hearing Friday.

One patient, described as Patient A in Board of Medicine records, testified Hedrick ran his hands across her buttocks, breasts and between her legs during her third chiropractic session with him. She was so appalled, she filed a sexual battery charge against him in Virginia Beach in October, two days after the treatment session.

A pretrial hearing is scheduled for April 24 and a trial for May 16 in that case, which Hedrick appealed after a December conviction in lower court.

Patient A testified Hedricks hands went underneath her underwear and his fingers touched her skin at the top of her buttocks. He also moved her head by grabbing a handful of her hair and pulling on it. He inappropriately massaged her chest area through her clothing, ran his hands across her breast and touched her vaginal area through her clothing.

At the conclusion of the session, he asked how it felt to be ravaged on your birthday.

She called a friend and said she thought her chiropractor had molested her.

Asked why she was testifying, Patient A said, He doesnt need to be doing this to people, period.

She said she found him through her companys health insurance program, and didnt want other women to experience the same thing.

Three other patients testified in person, and another by telephone.

The patients involved in the Board of Medicine case ranged in age from 21 to 48, and reported inappropriate sexual behavior dating back as far as 2004.

Hedrick sent the board a letter saying he would not appear at Saturdays hearing. In the past, he has declined comment to The Virginian-Pilot on the accusations. The patients names are not being used to protect their privacy.

A patient identified as Patient B said Hedrick straddled the table behind her and held his groin area against her buttocks during a 2013 session. She immediately got up, told him point-blank what he was doing was wrong and left. She also reported him to the insurance company who covered the treatment.

Not all the patients testified willingly.

One, described as Patient C, said she was testifying because she received a subpoena. Between August 2008 and April 2009, Hedrick kissed the woman, who was 31, massaged her upper-chest muscles while she was uncovered from the waist up and brushed his hand across her nipples.

He sent text messages to this patient suggesting oral orgasms. One text said: Do you like erotic stories? I sometimes like to write them. Pretty hot. Even working on a pirate-themed one.

Hedrick unzipped his pants and began rubbing his erect, exposed penis against her.

In one case, he seemed to acknowledge crossing professional boundaries: I apologize if I ever made you uncomfortable if so, I am truly sorry. I will remain professional if that is what you want.

He engaged in kissing, genital touching, oral sex and sexual intercourse with this patient at his office, sometimes after appointments.

I felt like I was living out his porn fantasies, the woman testified during the hearing.

The woman said she understands the doctor-patient boundaries of medical doctors,but was unclear about chiropractors. She said she and a few other patients involved in this case met Hedrick through a history re-enactment group called Blackbeards Crew.

I didnt want to get Dr. Hedrick in trouble, she testified. I felt just as responsible as he was.

One board member, Dr. Lori Conklin, asked whether she thought Hedrick had brought the trouble on himself by violating the doctor-patient relationship, and whether she was concerned about other women who might be treated the same way.

It was a shock to learn he was coming on to women with unwanted advances, Patient C testified.

Another patient testified by phone that Hedrick had used what was called trigger point treatment, in which he used his gloved hand to touch her pelvic area to treat pelvic floor dysfunction. She felt he eventually moved into movements that were meant to be sexually arousing rather than as treatment, and she quit seeing him.

Tracy Robinson, a lawyer with the Virginia Department of Health Professions who was presenting the case to the board, said Hedrick made a point of being a solo practitioner with no employees in order to prey on female patients for his sexual gratification. He also talked to patients about other patients he was treating, a violation of patient confidentiality.

Testimony indicated the Department of Health Professions had investigated Hedrick in the past, and that he denied acting inappropriately, and agreed to create an office setting with more people so he would not be treating patients as a lone practitioner. He also said he would give more verbal cues so that patients would not misinterpret his treatment.

But Robinson said he continued the same pattern of practicing in a solo atmosphere, to enable him to find new victims to exploit.

The board unanimously agreed with Robinsons recommendation of a revocation. Hedrick will not be able to reapply for a license for five years.

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Board of Medicine revokes license of Virginia Beach chiropractor accused of sexual misconduct – Virginian-Pilot

Collected Wisdom: Dr. Val Gene Iven combines love of sports with medicine – NewsOK.com

Dr. Val Gene Iven goes over some medical issues with Marcus Smart, an OSU basketball star from 2012-14. [PHOTO BY BRUCE WATERFIELD, OKLAHOMA STATE UNIVERSITY]

Val Gene Iven grew up in Pond Creek, north of Enid, then graduated from OSU and the OU Health Sciences. In 1993, he became the team doctor for University of Tennessee athletics. In 2007, Iven returned to OSU in the same role. Iven’s brother, Van Shea, was the longtime Channel 4 sports reporter who now is on staff with the Oklahoma Secondary School Activities Association.

I was born in Enid. I’d have had to be born at the house if I was born in Pond Creek.

Growing up in Pond Creek, small-town values, to me those are the best days of my life. Just because the community, your work ethic, growing up on a farm, school system, everybody in town knew you. Can’t beat that.

I thought at a pretty early age I wanted to be a doctor. Probably somewhere in the junior high years. I loved the farm life but had terrible allergies, just couldn’t be around wheat dust. I could be on the tractor, but the wheat dust just ate me up. So I kind of thought, I want to be a doctor. Had a great role model in Enid, my pediatrician, Dr. (Robert) Shuttee. Went to college, and that’s the route I went and never wavered.

Got my M.D. from OU Health Sciences Center. Stayed there, did my residency there in family medicine. Then stayed there and did a fellowship in primary care sports medicine. I was the first fellow that they had in primary care sports medicine.

I thought I wanted to go into medicine and probably thought early on, I just liked kids, maybe going into pediatrics. But I loved sports. Grew up around sports. Tried to combine the two worlds.

Right out of my fellowship, ’93, there were a couple of openings at Division I, Tennessee and Florida. Interviewed with both. Tennessee, got the call back from them first. Didn’t know anybody at Knoxville or anybody affiliated with the university. I remember telling mom and dad, I’m going to go do this for two or three years and I’ll be back. Dad reminded me of that when I came back 13 years later.

This job is a lot that you don’t learn in med school. There’s just so much nowadays, from the NCAA, from the Big 12. It’s much more than just being a physician. From all the things we do in regards to training, from rehabilitation, from nutrition, the whole world of drug testing. All of the people that you have to communicate with nowadays, in regards to coaches and administrators and families. So it’s grown so much over the years, it’s just a full-time job.

The opportunity brought me back to Stillwater. I had kept in contact with people. And Dr. (Mark) Pascale, our orthopedist, called and said the team physician, Dr. Ken Smith, who had replaced Dr. (Donald) Cooper, decided he was just going to fulfill a role in the student health center and they were looking for somebody full time. It was just an opportunity I couldn’t pass up. Your folks are back in Oklahoma. My grandmother at the time was nearing 100. Kids having the opportunity to be around their grandparents. Being back at your alma mater.

Great opportunity in the SEC, meet those people. Now back at your alma mater for 10 years. I’ve just been blessed.

I missed most of Coach (Eddie) Sutton. But yeah, we’ve had unprecedented times now, in regards to the run we’ve had in football, in particular. When I first got back in ’07, we were in the process of building. I remember (growing up) sitting in the end zone, wasn’t bowled in. Dad and I would drive over on a Saturday, just for the game, drive back. Just wasn’t near the world it is now, game day or facilities. So we’ve come a million miles.

Van Shea is six years younger. Mom thought she was pretty clever with our names. Dad’s name is Gene. So she started with Val Gene. She’d heard there was a Val Gene’s restaurant. I think that was part of it. And once she came up with Val Gene, she couldn’t go with Frank. So she had to come up with something. And we’ve both been called each other’s names.

I’m completely just Van Shea’s brother. Anywhere I go, anybody I’m introduced to, it’s all, Oh, your Van Shea’s brother. And I’m proud of that.

Pond Creek is our roots. That’s your family. That’s what you’re always going to remember and go back to in life in regards to kind of where you got your values and knowing people. I credit a lot of things I’ve learned through the years, dating back to my days from grade school and high school in Pond Creek.

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Collected Wisdom: Dr. Val Gene Iven combines love of sports with medicine – NewsOK.com

Trying to ‘change the culture of medicine’ by letting patients decide what gets researched – CBC.ca

A new approach to medical research in Canadalets patients help decide what gets studied, and how.

No longer are scientists toiling away in labsin isolation. Patients and their family members or caregiversare increasingly involved behind the scenes,working alongside researchers, doctorsand decision-makers at all stages of the research process.

“Fairness and justice would say these people have got the disease surely they should have a bit of a say,” says Dr. Andreas Laupacis of Toronto’s St. Michael’s Hospital.

As a health researcher at the Li KaShingKnowledge Institute, he’s advocated that patients should be more involved in setting research priorities.

For him, the light bulb went off during a visit to the JamesLindAlliancein the U.K., which works withpatients to establish “top 10” research priorities for a variety of medical conditions.

He’s now used the same methods with several groups in Canada. The first one involved patients with chronic kidney disease who were receiving, or approaching the need for, dialysis.

Once patients were brought into the process, they identified that itching was a major problem, an issue that had received practically no research attention. In fact, four of the top 10 priorities they came up with were hardly being studied at all.

Emily Nicholas Angl has helped hospitals, governments and other organizations engage patients in health research. (Emily Nicholas Angl)

Emily Nicholas Anglhas spent the past eight years trying to bridge the gap between researchers and patientsafter her own encounters with the health care system led her to advocate for more patient involvement.

She says working alongside researchers is a new idea for many patients, who are used to participating only as subjects in studies or clinical trials.

“Understanding why it makes a lot of sense [to get involved] isn’t always that obvious,” she says. “But once they do, everyone feels like this is important and meaningful.”

The Canadian government threw its support behind the idea in 2011, when the Canadian Institutes of Health Research launched its Strategy for Patient-Oriented Research,or SPOR. At its heart was a mandate to get patients involved as partners in health research.

SPOR now funds a number of networks that include patients in the research of chronic diseases such as kidney disease, chronic painand diabetes.

Dr. Adeera Levin is one of the principal investigators at the Can-SOLVE network, which received funding to involve patients and Indigenous people in research on chronic kidney disease. A council of more than 30 patients from across the country helps guide all aspects of the research projects.

“What we’re trying to do is change the culture of medicine by putting patients in all our activities,” she says.

It’s hadits challenges. Researchers and patients have had to find a common language free of scientific jargon. Dialysis machines also need to be made accessible at the group’s meetings in cities across Canada. But for Levin, involving patients has helped focus the research on what’s important.

“Sometimes if you’re really trying to change the way you understand a disease or care for a group of patients, having them there is very groundingand makes you much more efficient.”

In addition to nationalnetworks like Can-SOLVE, every province now has its own organization to foster patient-oriented research.

Virginia Vandall-Walker leads patient engagement for Alberta’s SPOR Support Unit, which was first out of the gate in 2013. Her team communicates with researchers who want to get patients involved in their work, and helps them recruit patients, add patient engagement to theirgrant applicationsand facilitate sessions with patients.

Patients with chronic kidney disease are engaged in all aspects of research projects at the Can-SOLVE CKD network. (Can-SOLVE CKD Network)

She notes that some of the researchers who are getting involved are well regarded in their fields, and she hopes they will help engage other researchers from the province.

And she says that because the initiatives are so new, various groups across the country continue to learn from each other and make improvements. “It’s like we’re in the test tube,” she says.

Health researcher Dr. Donald Redelmeier sees a number of upsides to patient engagement in research, but cautions that there are some drawbacks.

He points out that it can be a time-consuming process for researchers who are already facing a tremendous amount of work in launching a new study.

“Maybe it’s worth their time, but that’s a bit of an open question,” he says.

He also points out that the slow, incremental movement of science, and the inevitable failures, can be disheartening for patients who also must invest a lot of time.

For Emily Nicholas Angl, though, the past eight years havetaught her that patients are often keen to lend their expertise.

“I’m always amazed by how much people want to improve things for others,” she says. “The altruism is vast in the patient community.”

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Trying to ‘change the culture of medicine’ by letting patients decide what gets researched – CBC.ca

New trends and troubles for AI in medicine – SiliconANGLE (blog)

Medicine is a complex field. So complex that any given person cant know more than a fraction of whats going on. Keeping up with the latest discoveries is impossible. Machine learning and other forms of artificial intelligence offer a new way of looking at medicine and a great power to automate medical tasks.

At the South by Southwest conference event in Austin, TX, a panel of experts came together to discuss the state of medical AI and how machine learning can benefit both patients and doctors. The discussion was moderated by Kay Eron, general manager of health and life sciences at Intel.

The conversation opened with a look at how the panelists found themselves in the machine learning field. Naveen Rao, Ph.D., vice president and general manager of artificial intelligence solutions at Intel, answered that his interest came from a realization that machines werent all that different from biological beings. He was also concerned with how skills were so individual.

Its always been strange to me that knowledge is locked away inside a few individuals, he said.

My mission is to put powerful analytic tools in the hands of every decision maker, said Bob Rogers, chief data scientist for analytics and AI solutions at Intel. He stated that we need tools to navigate this very complex world we live in.

When asked about current trends, neural networks came up instantly. John Mattison, MD, assistant medical director and chief health information officer, Southern California region, at Kaiser Permanente, explained that engineers are discovering that neural nets have increasingly evolved toward how living brains work. Because of this, he felt there was a real role for looking at biological examples for technical solutions.

Rao backed up this thought, offering that neural networks represent the world in almost the same way the world is built. All data in the world seems to be hierarchical, and people can break it down.

One of the things thats changed in machine learning, you could use data to make models, but they had limited utility. You had to do a lot of work up front. Whats exciting in this new generation, it can learn from example data without preprogramming, said Rogers.

The world of genetics has also offered incredible new tools to medical practitioners. Machine learning and genetics together show awesome potential. The panel spoke on some of the challenges to overcome before that potential could be realized.

The cost of testing used to be an issue, but that cost has since been dropping. In its place, the threat of data discrimination has become a prime concern. People simply wont share their medical information if theres a chance it could be used against them. Without shared data, it will be hard, if not impossible, to create the massive sample sizes machine learning needs.

Secondly, in medicine, good enough isnt good enough. Trust is an issue. The proof points in the technology are really important to start with, Rao said. He continued, saying the technology must be well beyond the experimental point before people can trust it.

Another concern the panel shared was the response from the Food and Drug Administration. The panel admitted the FDA would love to change its procedures to keep up with the pace of technology, but government, much like medicine, is a conservative creature that moves slowly. On the other side, companies resist opening their research to the kind of transparency the FDA requires.

Even with these hurdles, the combination of medicine and machine learning offered huge business opportunities. Mattison shared his thoughts on the subject, saying that things are changing so fast the real opportunities are in generalized solutions and areas that will last through the change.

What are the kinds of applications that are most impactful? Rogers asked. He mentioned the least-trained person in the medical field was the patient themself. An AI agent could help them navigate their complex healthcare future.

Medical research is mostly a case of accidents, and the systems involved are too complex to model, Rao mentioned. Neural network techniques, however, could make those impossible models possible.

Watchthe complete video interview below, and be sure to check out more of SiliconANGLE and theCUBEs coverage of the South by SouthWest (SXSW). (*Disclosure: Intel sponsors some SXSW segments on SiliconANGLE Medias theCUBE. Neither Intel nor other sponsors have editorial control over content on theCUBE or SiliconANGLE.)

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New trends and troubles for AI in medicine – SiliconANGLE (blog)

Evangelical Acquires Central Penn Interventional Pain Medicine in Williamsport – NorthcentralPa.com

WILLIAMSPORT — Evangelical Community Hospital has acquired the practice of Central Penn Interventional Pain Medicine (CPIPM) in Williamsport. With the acquisition, Shiyi Abla-Yao, MD, lead practitioner of CPIPM, joins the Evangelical family of physicians.

Dr. Abla-Yao will continue practicing at the CPIPM location as well as at the new Pain Medicine of Evangelical practice at West Branch Medical Center (WBMC), Lewisburg. Construction at Pain Medicine of Evangelical at WBMC is expected to be completed in March with the office opening for patient care in April 2017.

Kendra Aucker, President and CEO of Evangelical, said, The addition of CPIPM and its seasoned professionals to the Evangelical family is another example of the Hospital listening to what the community needsin this case, specialty relief from painand finding the best possible way to make it available to them.

This acquisition represents a perfect fit for both Evangelical and Dr. Abla-Yao, ensuring patients have seamless access to the pain management care theyve received in the past as well as the opportunity to take advantage of Dr. Abla-Yaos expertise at a new location.

Were excited to be part of this venture with Evangelical, said Dr. Abla-Yao. As a physician, there is nothing more rewarding than helping patients be relieved of ailments that hinder them from living life fully.

With over two decades of experience in anesthesiology and pain medicine, Dr. Abla-Yaos expertise is a welcome addition to the new Pain Medicine of Evangelical practice. She received her Bachelor of Science in Nursing Degree in Nursing from Gwynedd Mercy College, Gwynedd Valley, Pa., and went on to receive her Doctor of Medicine Degree from Jefferson Medical College, Philadelphia. She completed her residency in anesthesia with an emphasis on multidisciplinary pain management and an Accreditation Council for Graduate Medicine Education (ACGME) fellowship in Pain Medicine at the Hospital of the University of Pennsylvania, Philadelphia.

Dr. Abla-Yao is no stranger to Evangelical Community Hospital, in 2000 she was integral in the establishment of a pain clinic at the facility and worked with the Evangelical Surgical Center in treating a wide variety of pain syndromes. She has maintained her relationship as a courtesy staff member at the Hospital from 2011 to present.

Dr. Abla-Yao is board certified by the American Board of Anesthesiology including certification in anesthesiology, pain medicine, and medical acupuncture. She is a professional member of the American Medical Association, the American Society and the Pennsylvania Society of Anesthesiologists, the American Academy of Pain Medicine and of Medical Acupuncture, and the International Spine Injection Society.

For more information about Evangelical Community Hospital and its family of services, visit http://www.evanhospital.com.

Evangelical is a non-profit organization that employs over 1,600 individuals and has more than 170 employed and non-employed physicians on staff. The Hospital is licensed to accommodate 132 overnight patients, 12 acute rehab patients, and 18 bassinets. The Hospital serves residents throughout the Central Susquehanna Valley, including those living in Snyder, Union, Northumberland, and Lycoming counties.

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Evangelical Acquires Central Penn Interventional Pain Medicine in Williamsport – NorthcentralPa.com

Third arrest in expired medicine racket – Times of India

KOLKATA: The police have arrested one more middleman on Saturday for being allegedly involved with a gang that sold expired drugs as valid over-the-counter drugs. The investigating sleuths said that the accused was picked up from the Burrabazar area of central Kolkata. “We had identified the accused Paltu Hazra (35) from the statements of the two other accused, especially printing press owner Pawan Jhunjhunwala. He is a resident of Janai in Hooghly with a shop at 22, Sukhia Street. While Pawan used to erase off the manufacturing date and batch details, Paltu used to reprint new dates and batch number on those,” said joint commissioner (crime) Vishal Garg. There are a few more who would play a similar role in the gang for the past eight years,” said an investigating officer. This fresh arrest takes the total number of those nabbed in this illegal business to three. The investigators have also identified a third company whose executives took active help of this gang to dispose unsold expired products. These companies allegedly even alleged arranged the printing machines at Burrabazar to the two Howrah based businessmen. “You can say that the two arrested men – printing press owner Pawan Jhunjunwala and wholeseller Niresh Sarogi who were arrested by the police on Thursday night on the charge of changing the expiry date of expired medicines with new ones along with their batch numbers – were key ground players. The main culprits who ran the show from behind are yet to be arrested,” claimed a source. The accused duo erased the expiry dates of medicines using those machines. “We are preparing a list of the top officials of these companies. They would be interrogated,” a senior official of the detective department said. Sources in Lalbazar said that the probe has now revealed that most of the expired medicines were generic products. “These medicines were sometimes sold in the open between 17-30 percent discounts passing them off as fair price shop items thus fooling the buyers. These medicines were mostly sold from the Burrabazar-Posta region,” claimed an officer adding that they will soon meet the Bagri Market traders whose cooperation would be sought to weed out such malpractices. The cops said that the probe will also look in to the role of several pharmacists who hand over the unsold expired drugs. “We strongly believe that the gang took full help of the lapses in the system,” said a police source. During investigations, the probe team found that several chemists complained that were not getting the cost of the expired drug reimbursed while returning them to the manufacturer. “The medical representative pushes us to buy products but if we don’t sell them, they return only 20% of the cost price,” an ARS officer quoted a distributor. The cops claim it was this “recovering of costs that the accused took to this illegal printing and selling of expired drugs,” explained an officer.

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Third arrest in expired medicine racket – Times of India

Ivorian authorities have burnt 50 tonnes of counterfeit medicine – africanews


africanews
Ivorian authorities have burnt 50 tonnes of counterfeit medicine
africanews
International Institute of Research on Counterfeit medicines in Ivory Coast deplores that the trade in fake medicines remains largely unpunished in the world or is being considered as a simple offense of violation of intellectual property, although it

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Ivorian authorities have burnt 50 tonnes of counterfeit medicine – africanews

A prescription for better medicine that is grounded in the real world – The Times (subscription)

Chief medical officer is on a mission to have patients treated as human beings, writes Magnus Linklater

Quite how Catherine Calderwood juggles her job as chief medical officer for Scotland with her continuing practice as an obstetrician and being the mother of three young children is a mystery she keeps to herself. Seated in her office in St Andrews House in Edinburgh, she appears coolly on top of all three tasks. Yet they are formidable. Among them are tackling Scotlands appalling health record, persuading doctors to reassess the way they treat their patients, changing the national diet and revolutionising the way that health professionals communicate with the public.

Dr Calderwood, 48, regards her medical practice as vital it keeps her in touch with real life. Among her patients last week was a girl from Romania, 33 weeks pregnant and living with two

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A prescription for better medicine that is grounded in the real world – The Times (subscription)

Step of faith: Local grad to support Malawian medicine – Greenfield Daily Reporter

NEW PALESTINE Her hands were sweaty and shaky, but still, she said it was time.

Ashley Malloy remembers the butterflies she felt when she decided she would move to Malawi.

Wes Gunn remembers, too. Board members of Chikondi Health Foundation had gathered for their meeting in Montgomery, Alabama, to talk about the mobile medical clinic work developing in the southeastern Africa. Malloy, a nurse practitioner, approached Gunn.

I could see the immense fear in her eyes because of all the what if questions, said Gunn, president of the foundations board of directors. But in that moment, I knew God had been preparing her for many years.

Blessings Hospital in Lumbadzi, Malawi, spends about $9 to treat each patient, from performing surgeries to treating malaria to delivering babies. Patients pay about 45 cents toward their care, which goes back into the hospital’s work. Donors help pay for the rest. Submitted

Ashley Malloy spent some of her night shift during a 2015 mission trip waking a patient periodically to make her turn and move after surgery. Malloy said the woman had been bleeding during surgery, so much so that some team members left to buy a unit of blood. Meanwhile a group gathered at the door and prayed for the bleeding to stop; when team members returned with the blood, Malloy said, the bleeding had stopped and it was no longer needed. Submitted

Ashley Malloy holds Josh, who was visiting Blessings Hospital in Malawi, after a family member had had surgery there. Malloy, who attends Park Chapel Christian Church in Greenfield, is preparing to serve in Malawi for three years.”Her integrity is highly respected by all people who know her,” said Wes Gunn, president of Chikondi Health Foundation, her sending agency. “She walks the walk.” Submitted

Blessings Hospital in Lumbadzi, Malawi, spends about $9 to treat each patient, from performing surgeries to treating malaria to delivering babies. Patients pay about 45 cents toward their care, which goes back into the hospital’s work. Donors help pay for the rest. Submitted

A mobile medical clinic carries supplies from Blessings Hospital. According to Chikondi Health Foundation, 2,300 people received care through mobile clinic visits in 2016. Ashley Malloy, a New Palestine High School graduate who will make clinic visits, hopes they will eventually offer opportunities for education and preventive care. Submitted

Blessings Hospital in Lumbadzi, Malawi, spends about $9 to treat each patient, from performing surgeries to treating malaria to delivering babies. Patients pay about 45 cents toward their care, which goes back into the hospital’s work. Donors help pay for the rest. Submitted

Ashley Malloy gathers with a group of children in Malawi. Submitted

The view from Blessings Hospital shows people across the road walking. Submitted

It was a moment years in the making, one foreshadowed by other moments. There was the day in Ukraine in 2008 when the mission trip was ending, but she felt she could have stayed; she said that is when God first approached her heart for the mission field. There was also the time, on another mission trip to Tanzania, when she was lodging with church planters in a remote area and became interested in village medicine.

Those moments and others point to one coming at the end of April, when the New Palestine High School graduate will board a plane to begin 17 hours of flights to take her back to Lumbadzi, Malawi, the place she found hardest to leave. Of her first trip there in 2010, she wrote to mission supporters recently, It was on this trip that I realized my heart would not be satisfied until I returned.

She did return with short-term teams in 2012 and 2015. During the next three years, her challenge is to help expand access to medical care for those living in remote areas of one of the worlds poorest nations, where health care is free but more difficult for rural residents to access.

People die needless deaths for lack of treatment, Gunn said.

But by putting care ranging from malaria medicine to blood pressure checks within reach, and by working to build the skills of Malawians, Chikondi hopes to change that.

Chikondi (which means love in the native tongue of many who live in Malawi) was formed by people who wanted to support the work of Blessings Hospital. The foundation paid, for example, for a hospital administrator to receive more training.

Gunn said donors pay about three-fourths of the cost to operate the hospital and mobile clinic, a cost that reached $102,000 in 2016. The hospital and mobile clinic treated nearly 11,000 patients most of them outpatients last year, Gunn said; patients pay about 300 kwacha, or 45 cents, per visit.

A foundation donor paid for the vehicle to launch the mobile medical clinic. It carries care providers and supplies weekly to villages, where they set up clinics in churches often fashioned of mud-brick walls and dirt floors.

Malloy, a member of Chikondis board of directors, will partner with the Malawians already providing care at the hospital by offering routine care as the clinic visits three villages a week. The hope is to visit five villages by years end, and after that, for Malloy to help launch a second mobile clinic.

There was a time when such a goal was not on her mind, a time when her aim was to become an athletic trainer and return to New Palestine. Shes done that, graduating from Franklin College in 2005 and over the years staffing the sideline for a number of Dragon teams.

When youre working with Ashley, you have her full undivided attention, said Adam Barton, dean of students at New Palestine High School. She is 100 percent invested in everything that she does.

Barton has known Malloy as a student in his biology class, a boys basketball manager during his coaching days and a trusted family babysitter. Years later, she remains close to the family; he and his wife were among the first she told of the plan to serve in Malawi.

After graduating from high school and college, Malloy went on to graduate school at Troy University in Alabama, remaining down south after those studies to be an athletic trainer for the Faulkner University football team.

Its funny how random everything seemed at the time, she said, but how God was fitting the pieces together, too.

During those years, a new thought formed: She really enjoyed what she did, but she didnt know how useful it would be globally. It was a thought that would eventually push her to nursing school and later to become a family nurse practitioner.

During those years in Alabama, she also met Gunn, missions pastor of the church she was attending. She was part of trips he organized to Ukraine and Tanzania.

Later, he began organizing visiting surgical teams to visit Blessings Hospital in Malawi, which Gunn said has about 15 surgeons for the countrys 17 million people. Even after Malloy returned to New Palestine, she traveled with the first team in 2012, returning in 2015.

Having personally witnessed her work in that setting, having seen the way she engages patients at the hospital and children at the nearby orphanage, Gunn feels confident Malloy is a good fit for the work shell be doing.

The Malawians respond in an incredible way to her, he said. She just has a deep love, and people sense that in her.

Barton, knowing Malloys friends in the community have also noticed that, anticipates many will be following her journey.

Shes made so many connections around here, Barton said, that theres going to be a lot of people here praying for her.

Getting involved

The non-profit organization MedSend will make Ashley Malloys student loan payments while shes in Malawi. Part of her living expenses will be paid by a $15,000 grant from the Sara Walker Foundation in Nashville. Fundraising continues for the other half. Those interested in contributing can donate at http://www.chikondihealth.org.

Chikondi Health Foundation welcomes medical professionals to join its visiting surgical teams and also has posted a wish list of medical supplies. The next trip is June 2-11. Learn more at http://www.chikondihealth.org/serve/travel.

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Step of faith: Local grad to support Malawian medicine – Greenfield Daily Reporter

Hoping Trump makes medicine great again – Lexington Herald Leader


Lexington Herald Leader
Hoping Trump makes medicine great again
Lexington Herald Leader
The Democratic response to President Donald Trump's speech to Congress by our former governor of Kentucky does not represent an accurate perspective of medicine from the standpoint of a practicing internist. As a physician practicing in Kentucky over

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Hoping Trump makes medicine great again – Lexington Herald Leader

Column: Arizona gives UCLA a taste of its own medicine, move to Oregon for Pac-12 Championship – Arizona Daily Wildcat

Simon Asher | The Daily Wildcat

Arizona’s Lauri Markkanen (10) slam dunks during the pac-12 Semi-finals on Friday, March 10. Arizona beat UCLA 86-75.

Published Mar 10, 2017 10:55pm

Updated Mar 11, 2017 2:09am

LAS VEGAS When No. 7 Arizona beat No. 3 UCLA 86-75 in the semifinals of the Pac-12 Tournament, it was a sight straight out of a movie. Payback.

Head coach Sean Miller called a timeout with 0.9 seconds left in the game so the Wildcats could relish in the glory that they beat a team that split them in the regular season.

When UCLA played us in McKale, I thought they did a great jobthey called a timeout with one second left just to make sure they had poise,” Miller said on Pac-12 Networks.”I wanted to make sure our guys had poise with one second left.”

The memory of Kadeem Allen shooting the air ball a few weeks ago stewed in Millers mind, because the Wildcats have only lost two games at home in four seasons and that second loss was against UCLA on senior night. The mindset for Arizona was to play for Allen.

It was personal for us, Allen said. My team dedicated this game to me before it even started. They told me they were going to give it their all and they followed up what they said and got the job done.

Miller copied UCLA head coach Steve Alfords method of calling a timeout in order to secure the win and essentially rub it in the other teams face, but the Wildcats also replicated the high-pace offense the Bruins have been known for all season long. Remember the time Miller said UCLA was the Golden State Warriors of college basketball?

Miller had every right to say that, because the Bruins are actually the No. 1 offensive team in the country averaging 90 points per game and are fourth in three-point field goal percentage (41.3 percent).

Arizona shot 10-for-20 (50 percent) from beyond the arc Friday while UCLA only went 4-for-25 (16 percent). The two primary threats from deep, guardsBryce Alford and Lonzo Ball went a combined 2-for-16. At one point, an Arizona fan sitting behind me said, keep shooting Steph! in regards to his fathers comments claiming Ball is better than Stephen Curry.

The usual suspects Lauri Markkanen and Allonzo Trier shot 7-for-14 from three-point range so the script was flipped and the holy UCLA offense was left running around trying to make defensive plays, but Arizona didnt let upnot even a little bit.

Were a hard team to beat when were in transition, Allen said. Coach gets on us some games when we slow the ball downwalk the ball up. We dont play that style. We play fast, we play aggressive, we play physical and thats Arizona basketball.

Another page Arizona ripped out of UCLAs playbook was being active on the glass, because a few weeks ago, the Bruins outscored the Wildcats 20-4 in second chance points. The Cats denied any chance of that repeating, because they scored eight more second chance points and collected five more offensive rebounds than UCLA.

Its not a lie UCLA played an uncharacteristic game against Arizona and the Bruins still remain a potential Final Four team if the offensive production returns to full force, but the Wildcats gave them a taste of their own medicine.

Next up, Arizona will play the other Pac-12 regular season co-champion, the No. 5 Oregon Ducks. We all remember the last time the Ducks and the Wildcats played each other when Oregon thumped UA by 27 points and shot 64 percent from three-point range.

I dont know if we really had a chance that game, because they made so many shots,” Trier said.”It doesnt matter if we play a [Division II] team, if they make that many threes, its going to be tough to beat them.”

Saturdays Pac-12 Championship is not only for bragging rights of the conference, but also for seeding in the NCAA Tournament. If the Cats want to beat an arguably more athletic team than UCLA, bringing the A-game is a must.

Let the games begin.

Follow Justin Spears onTwitter.

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Column: Arizona gives UCLA a taste of its own medicine, move to Oregon for Pac-12 Championship – Arizona Daily Wildcat

Chakra healing is the latest growing trend in medicine – WFLA

TAMPA, Fla. (WFLA)East meets West in the world of medicineas more doctors are willing to help patients explore alternative treatments to deal with stress or pain through chakra healing.

Something released inside of me and I felt more connected to myself and the people around me and I feel like Im living my life again, said retired disabled Army veteran, Savannah Gentry.

She was tired of medications and turned to chakra healing as a last resort.

Im 100% disabled and they want to give me every pill imaginable and I cant live my life pilled out, Gentry said.

Pharmacist turned chakra practitioner Elena Bensonoff says she works with four Tampa doctors who refer her patients who are seeking alternative treatments.

It could be anything from anxiety it could be physical symptoms a person could be lost or overwhelmed with whats happening in life., said Bensonoff of Wholistic of Tampa.

Bensonoff also works with patients on how to deal with stress and pain, through exercises, foods and lifestyle practices.

So when things start to get stressful or chaotic in your life you go back to that moment of peaceful feeling and you have those gentle reminders., said Melissa Pierce who is a therapist who not only refers patients to Bensonoff, but found relief herself after several sessions.

The chakra trend is growing, and medicine merges and ancient practices are more accepted.

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