Tag Archives: Rachel Schenkel

Short Coat Podcast

Bonus Episode! Palliative Care: A Perspective from A Land Where It Barely Exists, ft. Dr. MR Rajagopal

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Palliative care is not a thing in India, mostly.

In most of India, palliative care–a medical specialty focused on improving the quality of life of people with life-limiting or disabling diseases–is available to only 1% of people who need it.  But in Kerala, one organization is making lots of headway in promoting this vital specialty.  In this episode, Pallium India’s founder, chairman, and 2018 Nobel Peace Prize nominee Dr. MR Rajagopal visited the University of Iowa College of Medicine to talk about their efforts to introduce to Indian providers a new way of thinking about pain and other symptoms by providing emotional, social and spiritual support.

As you might expect from such a practitioner, Dr. Rajagopal is an extraordinarily thoughtful man with a kind, quiet voice that belies what must be an extraordinary force of will needed to accomplish his goals.  Tony Rosenberg, Ellie Ginn, Rachel Schenkel, and Jayden Bowen discussed how he began his journey, what his fellow Indian providers made of these ideas, and what his hopes are for the future of palliative medicine around the world.

We Want to Hear From You

Do you or anyone in your family have experience with palliative care? Tell us about it at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  We’d love to hear from you!

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Short Coat Podcast

Superstition is the Human Condition

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Halloweeeeeeennnn! It’s upon us, and while we’re women and men of science around here, we’re not completely able to shed our lizard-brain’s need to take shortcuts.  Which is why we are not at all surprised to know that ER docs still think the moon’s revolutions around the big blue marble are in any way important.  Fortunately, the post-cave-dwellers at the Marburg Center for Undiagnosed and Rare Disease are putting IBM’s Watson to good use by diagnosing–in seconds– rare diseases that defy the efforts of meatier doctors.  And a Rutgers study finds that med school faculty severely underestimate students’ stress and mental health issues.

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Short Coat Podcast

Shocking the Habits Away

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This week, Dave volunteers to wear a device that’s received a lot of buzz lately, Pavlok.  It’s creator says that through classical conditioning it will help eliminate bad habits–nail biting, unhealthy eating, procrastination, for instance.  It’s ubiquity on Dave’s social media feeds this past summer got Dave thinking about how much of human disease is based in behavior, bad habits. So Dave asked the company to send it’s crowdfunded, wrist-mounted electrical shocker for evaluation, and they inexplicably said yes.  Aline Sandouk, Lisa Wehr, and Nick Sparr all had a crack at it, and share their experience. Along with Rachel Schenkel, they attempt to use it to teach Dave  not to say “Uh.” Is it effective and worth the $169 price tag?  Are its integrations with the Internet of Things or its Chrome plugin a help for those looking to kick their bad habits?  Are there better, cheaper alternatives?

Also, the Affordable Care Act has begun withholding Medicaid reimbursements to hospitals  based on patient satisfaction surveys, and giving bonuses to those which do well on those surveys.  We explore medical education’s trade-offs in a game of what if. Hint: it turns out that our little group members are a bit mercenary.
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Short Coat Podcast

Losing the white coat, psych fears, and Internet questions answered

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short-coat-petrie-dish2Cole Cheney returns from our state capital, where he’s been doing his clerkships at our kind-of satellite campus (more about this program specifically is here, if you’re interested). He and Kaci McCleary, John Pienta, and Rachel Schenkel talk about the differences between doing rotations in a teaching hospital and doing them in a community hospital. For example, how are community hospital patients different? And in that setting, what does it really mean if your patient is non-compliant? Cole reveals that he’s ‘afraid’ he’s going to love psychiatry and wants to know: are other students also wary of the specialty? We talk about the downsides of the field, as well as the rather big professional and caregiving upsides.
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