WGN News examines the health care system in crisis

Those who care for sick patients know the system is in crisis.

But if medicine is sick, how will healthcare workers take care of themselves so that patients can get better? Over the next several weeks WGN News will talk with doctors, nurses and administrators about medicine.

People are leaving the profession, wait times to get help are astronomical while face-to-face time with a healthcare provider is minimal. Examining medicine under a microscope the only diagnosis is sick. But caregivers say even as they feel as if they are drowning, they are committed to finding a way to stay afloat.

In part one, WGN News spoke to two nurses who have left the profession. Statistics show nearly half of all doctors and nurses will leave the field altogether.

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Medicine is Sick: Nurses describe why theyve left the profession - WGN TV Chicago

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Siteman program widens reach, lowers costs of tobacco treatment

Researchers at Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine in St. Louis have found a way to help more patients who want to stop smoking. The successful strategy involves using electronic medical records to help identify smokers when they visit their oncologists and offering help with quitting during such visits.

Researchers at Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine in St. Louis have found that a program that targets patients for smoking-cessation treatment while theyre visiting a clinic for cancer care gets more cancer patients into such treatment than previous methods. The program also helps more cancer patients quit successfully, and its costs are lower than prior methods that involved referring cancer patients to specialists.

The findings are published in the May issue of the Journal of the National Comprehensive Cancer Network.

The same research team has found that even after a cancer diagnosis, quitting smoking doubles the survival rate and lowers the risk of cancer recurrence, no matter the stage of the cancer when a patient is able to stop smoking cigarettes.

The key thing is that treatment is offered on site, said first author Alex T. Ramsey, PhD, an assistant professor of psychiatry. Past care has tended to rely on referrals to specialists, requiring patients to make appointments in a different clinic. That creates hurdles involving time and transportation. When we built this program, we kept those barriers to treatment in mind, understanding that for a program like this to be sustainable, and to reach large numbers of people, it would need to be fully embedded in the care patients already receive.

The researchers used electronic health records to determine which patients at Siteman were smokers. Then, while the patients were in the clinic to see oncologists, nurses and medical assistants offered the patients help to quit smoking. This strategy has increased the percentage of patients receiving smoking-cessation treatment from about 2% at the start of the study to nearly 30%. Further, the number of patients who successfully quit smoking increased from about 12% to more than 17%.

Ramsey said the eventual goal is to make evidence-based tobacco treatment available to every cancer patient who smokes. And senior investigator Li-Shiun Chen, MD, said the best way to make that happen is to incorporate tobacco treatment into the point of care via electronic health record support.

We gather information before a patient gets to the clinic so that we can maximize what theyre offered when they arrive, said Chen, an associate professor of psychiatry. A cancer center visit is very busy for patients and for providers, but by using health informatics and technology tools to learn who smokes and to offer those patients tobacco treatment options, were saving time, money, and, most importantly, lives.

The program offered through the Siteman Cancer Network also is proving to be less expensive than prior approaches.

The cost of past tobacco-treatment strategies averaged about $500 per patient across national cancer centers, but with the ability to offer treatment to patients while they already are in the clinic, weve lowered the per patient cost to about $70, Chen said.

Patients are offered access to phone- or text-based counseling, an app designed to help them quit, referral to a smoking-cessation group, and evidence-based medications to support attempts to quit. Pharmacists are available to ensure that any smoking-cessation drugs prescribed will be safe to use in conjunction with chemotherapy.

Traditionally, there have been three pillars of cancer treatment, Ramsey said. Now, along with surgical treatment, radiation therapy and chemotherapy, we believe smoking-cessation treatment can be recognized as a fourth pillar of cancer care.

Ramsey and Chen plan to expand their efforts, both within the Siteman Cancer Network and by sharing their strategies with providers at other cancer centers. And theyre continuing to home in on personalized care recommendations, including for patients at risk for lung cancer.

Lung cancer remains the deadliest form of cancer: More than 80% of lung cancers and lung cancer deaths are caused by cigarette smoking. A new $2.8 million grant from the National Cancer Institute will assist the researchers as they investigate whether personalized risk feedback tools including patient-specific genetic risk results delivered to patients and to their primary care physicians may lead to more frequent lung cancer screening and use of smoking-cessation treatments, as well as opportunities to detect lung cancers at earlier, more treatable stages.

We want to help more patients stop smoking, both those who have and who have not been diagnosed with cancer, Ramsey said. We want to bring high-quality tobacco treatment to the point of care and ensure that we have systems in place so that everyone who needs treatment has access. With that increase in reach, we think well see smoking-cessation rates increase, too, and that should improve cancer outcomes moving forward.

Ramsey AT, Baker TB, Stoneking F, Smock N, Chen J, Pham G, James AS, Colditz GA, Govindan R, Bierut LJ, Chen LS. Increased reach and effectiveness with a low-burden point-of-care tobacco treatment program in cancer clinics. Journal of the National Comprehensive Cancer Network, May 11, 2022.

This work is supported by the National Cancer Institute, the National Institute on Drug Abuse and the National Center for Advancing Translational Sciences of the National Institutes of Health (NIH). Grant numbers P30 CA091842-16S2 (Cancer Moonshot Tobacco Cessation Supplement), P50 CA244431, P30 CA091842, K12 DA041449, R34 DA052928, UL1 TR002345, R01 DA038076, with additional funding from the Siteman Investment Program.

Washington University School of Medicines 1,700 faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Childrens hospitals. The School of Medicine is a leader in medical research, teaching and patient care, and currently is No. 4 in research funding from the National Institutes of Health (NIH). Through its affiliations with Barnes-Jewish and St. Louis Childrens hospitals, the School of Medicine is linked to BJC HealthCare.

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Smoking-cessation program that targets cancer patients effective Washington University School of Medicine in St. Louis - Washington University School...

DUBLIN--(BUSINESS WIRE)--The "Mindful Eating and Food as Medicine" report has been added to ResearchAndMarkets.com's offering.

The Mindful Eating and Food as Medicine global briefing offers an insight into the size and shape of the health and wellness marketplace, highlights buzz topics, emerging trends, categories and geographies as well as pressing industry issues and white spaces.

Mindful consumption is on the rise as health has become a top priority in a post-pandemic world. This report highlights emerging trends around functionality, clean label and digital wellness and examines the role of nutritional wellbeing in the context of mindful eating. It explores how food and beverage companies can adapt innovation strategies to win in the growing health segment.

It identifies the leading companies and brands, offers strategic analysis of key factors influencing wellbeing market - be they new product developments, packaging and ingredients innovations, introduction of new regulatory schemes, economic/lifestyle influences, distribution or retail pricing issues. Forecasts illustrate how the market is set to change and criteria for success.

Product Coverage: Focus Categories by Key Functional Ingredients, Health and Wellness by Category, Health and Wellness by Prime Positioning, Health and Wellness by Type.

Data Coverage: Market sizes (historic and forecasts), company shares, brand shares and distribution data.

Why buy this report?

Key Topics Covered:

1. Introduction

2. Examining Mindful Eating and Food as Medicine

3. Meeting Consumer Needs

4. Conclusion

For more information about this report visit https://www.researchandmarkets.com/r/fmogi2

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Examine Mindful Eating and Food as Medicine, 2022 Research Study - Focus on Key Functional Ingredients, Health and Wellness by Category, Health and...

Peer-reviewed / Observational study / People

Two years after infection with COVID-19, half of patients who were admitted to hospital still have at least one symptom, according to the longest follow-up study to date, published in The Lancet Respiratory Medicine. The study followed 1,192 participants in China infected with SARS-CoV-2 during the first phase of the pandemic in 2020.

While physical and mental health generally improved over time, the analysis suggests that COVID-19 patients still tend to have poorer health and quality of life than the general population. This is especially the case for participants with long COVID, who typically still have at least one symptom including fatigue, shortness of breath, and sleep difficulties two years after initially falling ill. [1]

The long-term health impacts of COVID-19 have remained largely unknown, as the longest follow-up studies to date have spanned around one year. [2] The lack of pre-COVID-19 health status baselines and comparisons with the general population in most studies have also made it difficult to determine how well patients with COVID-19 have recovered.

Lead author Professor Bin Cao, of the China-Japan Friendship Hospital, China, says: Our findings indicate that for a certain proportion of hospitalised COVID-19 survivors, while they may have cleared the initial infection, more than two years is needed to recover fully from COVID-19. Ongoing follow-up of COVID-19 survivors, particularly those with symptoms of long COVID, is essential to understand the longer course of the illness, as is further exploration of the benefits of rehabilitation programmes for recovery. There is a clear need to provide continued support to a significant proportion of people whove had COVID-19, and to understand how vaccines, emerging treatments, and variants affect long-term health outcomes. [3]

The authors of the new study sought to analyse the long-term health outcomes of hospitalised COVID-19 survivors, as well as specific health impacts of long COVID. They evaluated the health of 1,192 participants with acute COVID-19 treated at Jin Yin-tan Hospital in Wuhan, China, between January 7th and May 29th, 2020, at six months, 12 months, and two years.

Assessments involved a six-minute walking test, laboratory tests, and questionnaires on symptoms, mental health, health-related quality of life, if they had returned to work, and health-care use after discharge. The negative effects of long COVID on quality of life, exercise capacity, mental health, and health-care use were determined by comparing participants with and without long COVID symptoms. Health outcomes at two years were determined using an age-, sex-, and comorbidities-matched control group of people in the general population with no history of COVID-19 infection.

The median age of participants at discharge was 57 years, and 54% (n=641) were men. Six months after initially falling ill, 68% (777/1,149) of participants reported at least one long COVID symptom. By two years after infection, reports of symptoms had fallen to 55% (650/1,190). Fatigue or muscle weakness were the symptoms most often reported and fell from 52% (593/1,151) at six months to 30% (357/1,190) at two years. Regardless of the severity of their initial illness, 89% (438/494) of participants had returned to their original work at two years.

Two years after initially falling ill, patients with COVID-19 are generally in poorer health than the general population, with 31% (351/1,127) reporting fatigue or muscle weakness and 31% (354/1,127) reporting sleep difficulties. The proportion of non-COVID-19 participants reporting these symptoms was 5% (55/1,127) and 14% (153/1,127), respectively. COVID-19 patients were also more likely to report a number of other symptoms including joint pain, palpitations, dizziness, and headaches. In quality of life questionnaires, COVID-19 patients also more often reported pain or discomfort (23% [254/1,127]) and anxiety or depression (12% [131/1,127]) than non-COVID-19 participants (5% [57/1,127] and 5% [61/1,127], respectively).

Around half of study participants (650/1,190) had symptoms of long COVID at two years, and reported lower quality of life than those without long COVID. In mental health questionnaires, 35% (228/650) reported pain or discomfort and 19% (123/650) reported anxiety or depression. The proportion of COVID-19 patients without long COVID reporting these symptoms was 10% (55/540) and 4% (19/540) at two years, respectively. Long COVID participants also more often reported problems with their mobility (5% [33/650]) or activity levels (4% [24/540]) than those without long COVID (1% [8/540] and 2% [10/540], respectively).

Mental health assessments of long COVID participants found 13% (83/650) display symptoms of anxiety and 11% (70/649) displayed symptoms of depression, while for non-long COVID participants the proportions were 3% (15/536) and 1% (5/540), respectively. Long COVID participants more often used health-care services after being discharged, with 26% (169/648) reporting an outpatient clinic visit compared to 11% (57/538) of non-long COVID participants. At 17% (107/648), hospitalisation among long COVID participants was higher than the 10% (52/538) reported by participants without long COVID.

The authors acknowledge limitations to their study. Without a control group of hospital survivors unrelated to COVID-19 infection, it is hard to determine whether observed abnormalities are specific to COVID-19. While the moderate response rate may introduce selection bias, most baseline characteristics were balanced between COVID-19 survivors who were included in the analysis and those who were not. The slightly increased proportion of participants included in the analysis who received oxygen leads to the possibility that those who did not participate in the study had fewer symptoms than those who did. This may result in an overestimate of the prevalence of long COVID symptoms. Being a single centre study from early in the pandemic, the findings may not directly extend to the long-term health outcomes of patients infected with later variants. Like most COVID-19 follow-up studies, there is also the potential for information bias when analysing self-reported health outcomes. Some outcome measures, including work status and health-care use after discharge, were not recorded at all visits, meaning only partial analysis of long-term impacts on these outcomes was possible.

NOTES TO EDITORS

This study was funded by the Chinese Academy of Medical Sciences, National Natural Science Foundation of China, National Key Research and Development Program of China, National Administration of Traditional Chinese Medicine, Major Projects of National Science and Technology on New Drug Creation and Development of Pulmonary Tuberculosis, China Evergrande Group, Jack Ma Foundation, Sino Biopharmaceutical, Ping An Insurance (Group), and New Sunshine Charity Foundation. It was conducted by researchers from the Capital medical university, China-Japan Friendship hospital, Chinese Academy of Medical Sciences, Harbin Medical University, and Tsinghua University-Peking University Joint Center for Life Sciences, China.

[1] https://www.who.int/publications/i/item/WHO-2019-nCoV-Post_COVID-19_condition-Clinical_case_definition-2021.1%5B2%5D The Lancet: 1-year outcomes in hospital survivors with COVID-19: a longitudinal cohort study, https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01755-4/fulltext%5B3%5D Quote direct from author and cannot be found in the text of the Article.

The labels have been added to this press release as part of a project run by the Academy of Medical Sciences seeking to improve the communication of evidence. For more information, please see: http://www.sciencemediacentre.org/wp-content/uploads/2018/01/AMS-press-release-labelling-system-GUIDANCE.pdfif you have any questions or feedback, please contact The Lancet press office pressoffice@lancet.com

IF YOU WISH TO PROVIDE A LINK FOR YOUR READERS, PLEASE USE THE FOLLOWING, WHICH WILL GO LIVE AT THE TIME THE EMBARGO LIFTS: https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(22)00126-6/fulltext

The Lancet Respiratory Medicine

Observational study

People

Health outcomes in people 2 years after surviving hospitalisation with COVID-19: a longitudinal cohort study

11-May-2022

We declare no competing interests

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The Lancet Respiratory Medicine: Two years after infection, half of people hospitalized with COVID-19 have at least one symptom, follow-up study...

The story of Honey Monet Jones, an Acute Care Nurse Practitioner in the MICU at UNC Medical Center, and her mother, Venus Standard, a Certified Nurse Midwife, and current Assistant Professor at the UNC School of Medicine and Department of Family Medicine, is not your typical mother-daughter story.

The story of Honey Monet Jones (pictured left), an Acute Care Nurse Practitioner in the MICU at UNC Medical Center, and her mother, Venus Standard (pictured right), a Certified Nurse Midwife, and current Assistant Professor at the UNC School of Medicine and Department of Family Medicine, is not your typical mother-daughter story.

I was a nurse first, said Jones, with a laugh.

Standard previously had a number of jobs, including working as a photographer, massage therapist and an entrepreneur, as Jones, an only child, was growing up.

Originally both from New York, Jones came to North Carolina for college. She earned her Bachelors degree from UNC in 2000.

Joness original intent was to go to medical school. I always thought when I was a kid that I was going to be a doctor. I knew I needed to do something in healthcare. Thats where I wanted to be: taking care of people, helping people get better, so the plan was to go to medical school.

However, a slight change in plans occurred as her senior year of undergraduate neared. She started working in the hospital as a Health Unit Coordinator (HUC). While there, she gained an interest in critical care spaces. She also began to be drawn more to nursing, citing work-life balance.

After receiving her RN from Watts School of Nursing, she continued to work in a variety of critical and intensive care units. She eventually did end up earning her Doctorate of Nursing Practice (DNP) from Duke University School of Nursing.

Standard has enjoyed watching her daughters advancements and hard work. Its been amazing to watch her grow, and to watch her develop into the professional that she has, she said.

Jones credits her perseverance to her mother. All of that grit came from her, she said.

Meanwhile, Joness parents had moved to the Tar Heel State. Standard had gone back to school, working toward a nursing degree of her own. She had previously worked as a doula while still living in New York. That got her interested in midwifery.

After obtaining her nursing degree, Standard worked as a travel nurse before accepting a job with UNC Health. Her specialty has been in labor and delivery. She also works as an assistant clinical professor in the UNC School of Medicines department of family medicine.

Standard has been a fierce advocate for maternal and child health, especially among vulnerable populations. She is the co-founder of4moms2be, a group which offers support and resources to expectant mothers and their families. She also received the C. Felix Harvey Award and the accompanying $75,000 grant to Advance Institutional Priorities for her proposal regarding a program to train black women to become doulas. Standard has led that program training twenty black women to earn the DONA International Labor Doula certification, considered the gold standard in doula training. That grant has helped with another obstacle: the high training fees.

This doula training program wasprofiledby Sci NC, a division of PBS North Carolina.

As it stands, doula training is less extensive than training for nurses, doctors and other medical practitioners. Your typical basic doula training is a very long weekend, said Standard. Because we produced an extensive, it actually flowed to be an eight-week program. But its the only profession that can have healthcare status that be trained in a very short time.

Although Standard has made a considerable mark in her role in labor and delivery, as previously mentioned, this was far from her first professional success.

If you set out to do something, you can do it, said Jones of her mother. There wasnt really any area that she did not succeed in.

According to the Centers for Disease Control and Prevention, the maternal mortality rate for black women in the United States is more than three times that of white women. Standard seeks to lessen this disparity by connecting black women to black doulas. They (doulas) bring an extra layer of security to the birth space for that laboring person, said Standard.

Jones has been personally affected by this disparity. I similarly was a statistic in laboring, she said. Its being second-guessed when you present with symptomsand youre kind of passed off. Because black women have poorer outcomes, the medical community needs to shift its focus and say, I need to pay attention to this patient.'

Relating to this is the need to develop pathways that increase diversity among clinicians. Jones and Standard are hard at work on that, too.

Unfortunately, disparities in health arent unique to just laboring moms, said Jones. Its infiltrated all aspects of health and minorities remain underrepresented in a lot of spaces including clinical practice, research, education and leadership.

Recently, Jones she was awarded funding from the Clinical Investment Committee for the Critical Care Advanced Practice Provider Support Program (CCAPPS). This program works to standardize onboarding for newly-hired critical care APPs and offer a pathway for APP professional development. Jones currently serves as a Diversity Champion for the UNC Department of Medicine to promote, celebrate and encourage engagement for diversity initiatives across the UNC Department of Medicine. She was as an evaluator for the Health Equity Academy scholars program under the HRSA Nursing Workforce Diversity grant. She also co-draftedthe diversity commitment statementfor the American Association of Nurse Practitioners.

Jones says that through both her and her mothers work, the ultimate goal is not just representation, but helping vulnerable and marginalized populations feel safer when receiving healthcare. Theres certainly a distrust of the healthcare community among some populations..I think having a provider who understands the experience of the population they are serving and likewise their historical trauma is the key to establishing that trust and improving patient outcomes.

For both Jones and Standard, they hope their work makes an indelible imprint on the healthcare community and inspires others to do the same.

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Mother and Daughter Nurses Make Their Mark, Spread Message of Diversity At UNC Medical Center | Newsroom - UNC Health and UNC School of Medicine

DUBLIN--(BUSINESS WIRE)--The "Global Nuclear Medicine Isotopes Market 2021-2027" report has been added to ResearchAndMarkets.com's offering.

The global nuclear medicine isotope market is anticipated to grow at a considerable CAGR during the forecast period.

The growing usage of nuclear medicine isotopes in treatment of several disorders is a key factor driving the growth of the global nuclear medicine isotopes market. Nuclear medicine is used to diagnose and test the effect of a wide range of diseases, including heart diseases, tumors, gastrointestinal, neurological disorders, and endocrine disorders, as well as other abnormalities in the body.

The global nuclear medicine isotope market is segmented based on type and application. Based on type, the market is segmented into stable isotopes and radio isotopes. Based on application, the nuclear medicine isotope market is segmented into nuclear therapy, equipment radioactive source, and diagnosis.

Geographically, the global nuclear medicine isotope market covers the analysis of four major regions including North America (the US and Canada), Europe (UK, Germany, Italy, Spain, France, and Rest of Europe), Asia-Pacific (China, Japan, India, and Rest of Asia-Pacific), and the Rest of the World. Some of the companies operating in the global nuclear medicine isotope market include Bayer AG, General Electric Co., Siemens Healthcare, Cardinal Health, Inc., and Nordion Inc.

Market Segmentation

The Report Covers

Key Topics Covered:

1. Report Summary

1.1. Research Methods and Tools

1.2. Market Breakdown

1.2.1. By Segments

1.2.2. By Region

2. Market Overview and Insights

2.1. Scope of the Report

2.2. Analyst Insight & Current Market Trends

2.2.1. Key Findings

2.2.2. Recommendations

2.2.3. Conclusion

3. Market Determinants

3.1. Motivators

3.2. Restraints

3.3. Opportunities

4. Market Segmentation

4.1. Global Nuclear Medicine Isotopes Market By Type

4.1.1. Stable Isotopes

4.1.2. Radio Isotopes

4.2. Global Nuclear Medicine Isotopes Market by Application

4.2.1. Nuclear Therapy

4.2.2. Equipment Radioactive Source

4.2.3. Diagnosis

5. Regional Analysis

5.1. North America

5.1.1. United States

5.1.2. Canada

5.2. Europe

5.2.1. UK

5.2.2. Germany

5.2.3. Italy

5.2.4. Spain

5.2.5. France

5.2.6. Rest of Europe

5.3. Asia-Pacific

5.3.1. China

5.3.2. India

5.3.3. Japan

5.3.4. Rest of Asia-Pacific

5.4. Rest of the World

6. Company Profiles

6.1. Advanced Accelerator Applications

6.2. Bayer AG

6.3. Bracco Imaging

6.4. Cardinal Health, Inc.

6.5. Curium

6.6. Eczacybay-Monrol Nuclear Products

6.7. GE Healthcare

6.8. Lantheus Medical Imaging

6.9. Nordion

6.10. NTP Radioisotopes

For more information about this report visit https://www.researchandmarkets.com/r/ee00sy

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Global Nuclear Medicine Isotopes Market Report to 2027 - Featuring Bayer, Bracco Imaging and Cardinal Health Among Others - ResearchAndMarkets.com -...

When NASCAR fans tune into a Fox broadcast, they know theyll get a couple of things from Clint Bowyer. First and most importantly, hell provide a drivers perspective of whats happening on the track. In his second season, hes also shown a propensity to take a lighthearted approach, joking around, which often includes taking shots at anyone and everyone.

On Sunday at Darlington, the tables were turned. Bowyer had a shot fired directly at him, and it surprisingly came from none other than Bill Elliott. It was a hilarious moment and just one of several reasons fans were suggesting the Hall of Famer should become a regular in the booth in the future.

Since Clint Bowyer joined the Fox NASCAR team at the start of the 2021 season, hes been more than willing to joke at the expense of others. Last year, his target was often his boothmate and former competitor, Jeff Gordon.

This year, with Gordons departure, the former Stewart-Haas Racing driver has had moving targets in the booth with Fox using a rotational lineup of guest analysts. Despite that change, Bowyer didnt take long to start firing shots, beginning with the season-opening race at Daytona and Tony Stewart.

After the network aired a segment with Stewart interviewing Kevin Harvick, in which both made fun of Bowyers attire, the live broadcast returned to the set where the 42-year-old took aim at his former boss.

You made fun of the way I dress. Have you seen some of your Halloween outfits over the years? I mean, my gosh, Bowyer said as the broadcast showed Stewart in one of his Halloween outfits when he dressed like Carmen Miranda, wearing a pink hat, pink skirt, and matching top, exposing his hairy stomach.

Look at that. What is that? Bowyer asked. Are you kidding me?

After Stewart explained it was a Halloween-winning costume from 2015, Bowyer finished off his attack.

Thats a Halloween nightmare, he said. How would you like to wake up with that babe, folks? Leah, look out!

On Sunday at Darlington, Fox provided a Hall of Fame lineup of guests analysts, including Richard Petty in Stage 1, Bobby Labonte in Stage 2, and Bill Elliott wrapping up the race. With 56 laps remaining and Elliott joining Bowyer and Mike Joy in the booth, Chase Briscoe got loose and drove the No. 14 car hard into the outside wall. Bowyer drove the SHR 14 car for the last four years of his career.

14 got off of pit road, but I think youre right, man. Smoked the wall, Bowyer said as the replay showed Briscoe earning one of many Darlington stripes delivered throughout the race. The 14 way too high, jumped the cushion, is what Im going to call that, and got into the wall.

Are you driving that thing today? Elliott hilariously asked.

No, Bowyer quickly retorted. Thats not funny, Bill.

Just checking. Okay, the Hall of Famer responded with his familiar drawl.

That cut deep, Bowyer said. My hero just cut me. I mean right in the back.

Elliotts humorous dig at Bowyer was one of several highlights of his time in the booth, which most agreed was not only a top guest analyst performance for the day, but one of the better ones for the entire season.

Bill Elliott is actually doing pretty good in the booth, Xfinity Series driver Ryan Vargas tweeted. Seems like hes genuinely having a good time and I love to see that.

Side note: Bill Elliott has been wildly good in the broadcast booth this stage. Very informative, wrote reporter Dustin Albino.

Bill Elliott is absolutely crushing it in the booth right now, wrote one fan. The man is as sharp and up to date with the sport as hes always been.

Those were just a few of the comments that were overwhelmingly positive. Based on that response, if Fox decides to go down the same route in 2023 with its coverage implementing a rotation of analysts, the network would be smart to bring on Elliott earlier in the season and for a couple of races. Theres no doubt hes going to already be on location watching his son, so might as well put him to work and, more importantly, watch him put Bowyer in his place.

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RELATED: Chase Elliott Is a Star but Will Never Match His Dads Record Set at Talladega for Fastest Speed in NASCAR History

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Bill Elliott Gives Clint Bowyer a Dose of His Own Medicine and Takes Hilarious Swipe at Former Driver's Ability - Sportscasting

In the earliest days of the AMA, back when the idea of a national body for medicine was novel and few knew if it would last, the leaders of this organization had the wisdom to begin by carefully laying out the ethical standards that must guide our profession. This was a signal to doctors everywhere that the AMA was ushering in a more responsible and compassionate era for medicine.

To create the Code of Medical Ethics, as it would later be called, the AMAs leaders drew from historylanguage and concepts that emerged in the 5th century B.C. with the great Greek physician Hippocrates. The Code would be updated and modernized over the years to keep up with advancements in medical practice, but the core tenets drafted in 1847, which speak to physicians responsibilities to their patients, have remained largely unchanged.

As the AMA marks its 175-year anniversary on May 7, Ive been thinking about the key inflection points for our organization. By making the Code one of our first major acts, it is clear that our leaders solidified the AMAs standing and reputation as a principled and guiding light for medicine and set the tone for all that would follow.

Since our founding in 1847, the AMA has been the physicians powerful ally in patient care and we continuously strive to live up to our lofty mission of promoting the art and science of medicine and the betterment of public health. Recall that the AMA emerged in a time when quackery was rampant and widespread, when numerous unregulated medical schools failed to graduate qualified physicians, and when a patchwork of medical journals existed whose information was not reliable or credible.

This dysfunction fueled the creation of the Code of Medical Ethics, and soon after, pushed the AMA to create the Journal of the American Medical Association, now known as JAMA, with research also broadly published under the 12 JAMA Network journals. Both remain cornerstones of medical practice today, anchoring the broad work of the AMA in science, evidence and respect for the sanctity of the patient-physician relationship. By establishing a board to educate the public about the dangers of quack and unproven remedies in our early years, the AMA committed itself to protecting the publics health.

Advancing public health

Through policy and advocacy, the AMA has led many of the greatest public health achievements in the last century: from supporting universal childhood vaccines and launching a war on public smoking, to opposing acts of discrimination against patients with HIV/AIDS. More recently, the AMA has supported expanding health care coverage through the Affordable Care Act and other safety-net programs, and we implemented policies to combat systemic racism in health care and other forms of discrimination in medicine.

Today, we fulfill our mission in three important ways: by working to remove obstacles that interfere with patient care, by leading the charge to prevent chronic disease and confront public health crises, and by driving the future of medicine through innovation and improved physician training and education. In short, the AMA represents physicians with a unified voice on the issues that matter most to them, leveraging the power of physician experience and expertise to government and stakeholders across health care.

One of the great strengths of the AMA is our commitment to an internal democratic process that ensures a variety of perspectives, vigorous debate and good policymaking. Twice a year, the AMA convenes its House of Delegates, with representatives from more than 190 state and specialty medical societies. This legislative body develops and adopts policies on health care issues that influence AMA advocacy and medical practices throughout the United States and around the world. By elevating the concerns of physicians and speaking on behalf of the entire profession, the AMA has a tremendous impact in government agencies, Congress, state legislatures and the courts.

This has been invaluable over the last two years as we have provided counsel, support and leadership amid one of the most challenging times for health care in a century. Throughout the COVID-19 pandemic, the AMA has fought for personal protective equipment, financial resources, and telehealth regulatory flexibility on behalf of physicians, and we have helped lead a national effort to build support for COVID-19 vaccines and counter widespread misinformation.

Committed to rectifying wrongs

As we celebrate the AMAs many contributions to science and public health, we also recognize that there are periods in our long history that we are not proud of. At the point of our founding, AMA leaders made decisions to exclude women and Black physicians from our ranks, contributing to a health care system today that is plagued by inequities and injustices for patients and physicians alike.

In 2008, the AMA concluded a three-yearstudyon the racial divide in organized medicine and publicly apologizedfor our organizations past discriminatory practices against Black physicians, an effort we called a modest first step toward healing and reconciliation. This is a journey of reflection that continues today with an enterprisewide commitment to rectify past wrongs.

Working in partnership with other leading health organizations, we are educating physicians about the legacy and impact of structural racism in health care and advancing policies and programs to eliminate health inequities. We created a Center for Health Equity to lead these efforts, which range from establishing a new Medical Justice in Advocacy Fellowship to helping launch the national Release the Pressure campaign to improve the heart health of Black women.

The AMAs history is a complicated one, but one constant over 175 years is our commitment to delivering the tools, support and resources physicians need to deliver the very best care to patients. This wouldnt have been possible without the hard work of generations of AMA employees and the millions of physician members through the years who have dedicated their careers to meeting each moment in medicineimproving the health of communities and the entire nation. In fact, AMA membership is at its highest level since 1996 and has grown for 11 consecutive years.

We are proud of this work. We are humbled by the trust physicians have placed in us, beginning in those first, uncertain days in 1847. By defining what it means to be a physician, by uniting the profession around a common set of ethics and standards, we laid the groundwork for modern medicine. We made a promise to patients and physicians that we still keep today, and all the days to come.

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Elevating your voice, and medicine, for 175 years and counting - American Medical Association

As chaos ensues across the globe, the pandemic continues to instill loss, pain and fear in our communities, and mental health care demand spikes, we continue to find peace and serenity through music.

Music, whether performed or heard, has been seen as therapeutic in the history of many cultures across the globe. Music of prehistoric cultures is first firmly dated to c. 40,000 BP by evidence of bone flutes, though it remains unclear whether or not the actual origins lie in the earlier Middle Paleolithic period, 300,000 to 50,000 BP. (https://en.wikipedia.org/wiki/History_of_music) Plato said that music affected the emotions and could influence the character of an individual. Aristotle taught that music affects the soul and described music as a force that purified the emotions. The fact remains, music is a solid part of our human being, from indigenous peoples to the newer developments of music therapy as a profession in post-World War 2 era, music has long been curing our ills on a bad day.

May is Mental Health Awareness month. North Valley Music School and Nate Chute Foundation are joining forces to present Instruments of Resilience Music and Mental Health panel. The panelists will discuss how music and mental health are correlated and explore musics unique ability to unify people in difficult times. They will share their stories, explain how music has impacted their own mental health journeys, and even play some of their personal and poignant music.

Music in all forms has always served as a reminder of humanity. On days when Im feeling particularly down and non-human, there is always connection, expression and movement to be found in music, says Emily Freudenberger, NVMS alumni who will be speaking on the panel as a musician representative.

Also joining the panel is Kirsten Allen, MT-BC, Flathead Valleys neurologic music therapist.

Because music is so deeply rooted in us as people, and because our bodies and minds respond so uniquely to music, we can use music in a therapeutic manner, Allen says. Music therapists can use music to help others process and cope with emotions during difficult times, engage socially when isolated (whether that be physically or due to cognitive decline), learn, regain, or maintain motor or speech function, learn new skills, decrease pain perception, receive spiritual support, and more.

Join NVMS and NCF on Tuesday, May 17 at the Black Box Theater at Whitefish High School. Doors open at 6 p.m. with the panel occurring from 6:30 to 8 p.m. The event is free and open to the public.

Register at http://www.northvalleymusicschool.org. And dont forget to take your medicine, a little bit of music each day.

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Stay Tuned: Music is medicine to our Body, Mind and Soul - whitefishpilot.com