Where will virtual therapeutics take healthcare in upcoming years? Dr. Brennan Spiegel, MD, MSHS, gastroenterologist at Cedars-Sinai, writes about this in his book VRx: How Virtual Therapeutics Will Revolutionize Medicine. Directing the Center for Outcomes Research and Education at Cedars, he guides investigation of the application of digital health technologies, which include wearable biosensors, smartphone applications, virtual reality and social media.
Dr. Spiegel is editor-in-chief of the American Journal of Gastroenterology, the leading clinical gastroenterology journal in North America. He has also published “numerous best-selling medical textbooks, editorials and more than 200 articles in peer-reviewed journals. He is listed in the Onalytica ‘Top 100 Influencer’ lists for digital health (No. 13) and virtual reality (No. 14). His digital health research has been featured by major media outlets, including NBC News, PBS, Forbes, Bloomberg, NPR and Reuters.”
There are a select few individuals who have gone through such a recent moment of intensity and pressure as Dr. Maryam Baqir, M.B.B.S., of Maimonides Medical Center in Brooklyn, New York. As Covid-19 cases quickly ramped up in the epicenter of the virus, doctors like her began to respond to an onslaught of cases that turned hospitals into treatment zones far more packed and adaptive than would be the case in calmer times.
Dr. Baqir specializes in Internal Medicine, and received her medical/surgical degrees from Aga Khan University in Pakistan. She grew up in Karachi, though she was born in Tehran, Iran (similar to myself). We met in Manhattan, along with her companion Shan of episode 258. Our discussion in this episode involved much about her recent experience, life messages we both understand and take note of, and a deeper view of what an active response to life challenges looks like. Much was shared and expressed.
how she got into this career path, and what it means to her at this time
what it is like to live in the area of Brooklyn, and how Dr. Baqir got there
the difference in culture between Pakistan and the US
what the response to coronavirus entailed on its initial run-through
how the hospital had to adjust in order to be able to treat all the new patients of one specific condition
processing what occurred, and what the main issues were in relation to the virus, as far as equipment/resources
the feel of the patients, and what it is/was like for them getting treatment from individuals behind masks and shields
empathy shared with patients and their families in a time of anguish
seeing trucks show up because of the out-flux of those who passed away
healthcare workers deciding whether or not to self-quarantine at their home
some of the impacts of in-hospital aerosolization of the virus
fighting for patients for an extensive period of time, and decisions a doctor has to make along the way
how procedure priorities were changed at the hospital, and how doctors were switched from their specialty to tackling the current epidemic
the influx of volunteers from around the country to Dr. Baqir’s hospital, among others, in order to meet the response requirements
connection/unity between healthcare workers on a shared mission
resilience and strength shown in various stories of the moment
how some of the responses to the pandemic were come up with on the spot, or served as an impromptu training
some of the improvements that have been arrived at through these few months of trials and understanding in relation to the virus
comparing symptoms of individuals in similar proximity, and noting differences
use or non-use of shame as a response to public hygiene/safety habits, such as the use of a mask
some of the growth felt by Dr. Baqir during these months
the value of human compassion, and the difference that makes in care
a range of emotions that you feel during an intense experience, and not holding back on showing/expressing them
the concept of not living while being alive, and accepting mortality
preparing for end-of-life care before it gets to an emergency situation
the passing of Maimonides Medical Center Chief of Medicine Dr. Stephan Kamholz due to Covid-19, and his career and impact
a closing message for all people
It was wonderful to have Dr. Baqir on the show. We were able to cover her experience and related life messages in a free-flowing and spontaneous discussion full of detail. You can follow her on Twitter at @MaryamBaqir.
Dr. Daniel Z. Lieberman, co-author of The Molecule of More: How a Single Chemical in Your Brain Drives Love, Sex, and Creativity–And Will Determine the Fate of the Human Race, joins on episode 201 of the show~.
He divides his time between teaching, writing, and patient care. He is a clinical psychiatrist who received his medical degree from New York University School of Medicine, after undergraduate work at St John’s College. He is Professor of Psychiatry and Behavioral Sciences at George Washington University, and is also Vice Chair for Clinical Affairs.
In this episode, we discussed:
Dr. Lieberman’s career, and the steps he took to be where he is at
some of the nice features of the Great Books program at St. John’s College
the details of his co-written book that focuses on dopamine
anticipatory effects and the connection to the unexpected
how drugs give hits of dopamine, and the pull to return to them
percentages of rewards needed to keep people playing games or using social media
desire dopamine versus control dopamine, and how dopaminergic individuals can flourish
agentic and affiliative relationships, and the people who prefer each type
control dopamine’s importance inhibiting aggression driven by passion
7R variant of the D4 receptor gene for dopamine and its link to migration
conservative and liberal perspective, and their connection to a dopamine or H&N(here-and-now) based set of neurotransmitters
liability of dopaminergic individuals, and their elements of most success
how to take into account one’s state for balance purposes