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RUSK Insights on Rehabilitation Medicine

RUSK Insights on Rehabilitation Medicine is a top podcast featuring interviews with faculty and staff of RUSK Rehabilitation as well as leaders from other rehabilitation programs around the country. These podcasts are being offered by RUSK, one of the top rehabilitation centers in the world. Your host for these interviews is Dr. Tom Elwood. He will take you behind the scenes to look at what is transpiring in the exciting world of rehabilitation research and clinical services through the eyes of those involved in making dynamic breakthroughs in health care.
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Now displaying: August, 2018
Aug 29, 2018
Nathan Zasler is CEO and Medical Director of the Concussion Care Centre of Virginia as well as Tree of Life Services, Inc., a living assistance and transitional neurorehabilitation program for persons with acquired brain injury in Richmond, Virginia. He is board certified in Physical Medicine and Rehabilitation, fellowship trained in brain injury and subspecialty certified in Brain Injury Medicine. He has lectured and written extensively on neurorehabilitation issues related to acquired brain injury.  He has won numerous awards for his work in traumatic brain injury research, clinical care, and advocacy.  Along with serving as chief editor of the international scientific publications, “Brain Injury” and “NeuroRehabilitation,” he also has edited seven books and currently serves as a reviewer for over 10 peer-reviewed scientific journals.  Dr. Zasler is an affiliate professor in the Department of Physical Medicine and Rehabilitation at Virginia Commonwealth University in Richmond, Virginia, and associate professor, adjunct, in the Department of Physical Medicine and Rehabilitation at the University of Virginia. Dr. Zasler also is a fellow of the International Academy of Independent Medical Evaluators, as well as the American Congress of Rehabilitation Medicine and a diplomate of the Academy of Integrative Pain Management. 
 
In Part 2 to this two-part interview, Dr. Zasler discusses:  conservative management of post-traumatic headache and concerns about the need for surgical intervention; overuse of pain medication; when appropriate treatments may be beyond the financial reach of segments of the population with inadequate third-party insurance coverage; importance of patient involvement in medical decision-making; patient resilience and maintenance of an engaged participation in their rehabilitation; use of complementary and alternative medicine; leveraging existing and emerging kinds of social media platforms and other modalities; role of in-home telehealth therapy programs;  age, gender, race, and ethnicity as factors that could affect the degree and speed of recovery from headaches; need for developing improved clinical care guidelines; need for improved assessment techniques, diagnostic measures, treatments, and/or modifications to the current classification systems; primary deficiencies in the currently available research; and the best way to avoid persistent symptoms of post traumatic headache?
Aug 22, 2018
Nathan Zasler is CEO and Medical Director of the Concussion Care Centre of Virginia as well as Tree of Life Services, Inc., a living assistance and transitional neurorehabilitation program for persons with acquired brain injury in Richmond, Virginia. He is board certified in Physical Medicine and Rehabilitation, fellowship trained in brain injury and subspecialty certified in Brain Injury Medicine. He has lectured and written extensively on neurorehabilitation issues related to acquired brain injury.  He has won numerous awards for his work in traumatic brain injury research, clinical care, and advocacy.  Along with serving as chief editor of the international scientific publications, “Brain Injury” and “NeuroRehabilitation,” he also has edited seven books and currently serves as a reviewer for over 10 peer-reviewed scientific journals.  Dr. Zasler is an affiliate professor in the Department of Physical Medicine and Rehabilitation at Virginia Commonwealth University in Richmond, Virginia, and associate professor, adjunct, in the Department of Physical Medicine and Rehabilitation at the University of Virginia. Dr. Zasler also is a fellow of the International Academy of Independent Medical Evaluators, as well as the American Congress of Rehabilitation Medicine and a diplomate of the Academy of Integrative Pain Management. 
 
In Part 1 of this two-part interview, Dr. Zasler discusses the following topics: time of onset of headaches following concussion and other more severe traumatic brain injury; the term “post-traumatic headache” as a diagnosis; factors that may influence the severity, frequency or aggravation of posttraumatic headaches; the degree to which preexisting conditions such as migraine and other conditions influence the likelihood that someone will suffer from posttraumatic headaches; whether screening should occur to determine the existence of sleep bruxism; other sleep disorders that may occur post concussion or TBI that clinicians should think about in the context of posttraumatic headache differential diagnosis; and factors important for clinicians to consider in the context of differential diagnosis of posttraumatic headache.

 

Aug 15, 2018

Dr. Douglas Elwood is a board-certified physician with over 15 years experience in health and wellness who has led innovation efforts for a number of companies and has dedicated his career to improving education, communication, and outcomes for patients, caregivers, and healthcare providers. As a thought-leader in the space, he has consulted to companies throughout the industry, presented at conferences worldwide, and has multiple publications including a featured chapter in the esteemed annual HIMSS publication on mHealth. He is on part-time faculty at NYU Langone Medical Center at Rusk Rehabilitation and led one of the country's first and largest clinical studies on the use of technology in clinical care at Rusk and how social media, digital, mobile, and connected health influence communications, patient behavior, and physician workflow. Along with his part-time work at Rusk, Dr. Elwood is the Chief Medical Officer for PWNHealth where he leads over 150 physicians and genetic counselors, creates clinical protocols, oversees all clinical quality issues, and provides virtual care to large numbers of patients on a daily basis. A graduate of Amherst College and Jefferson Medical College, he is the holder of both MD and MBA degrees.

In Part 2 of this two-part series. Dr. Elwood reviews: how his health career journey after medical school and residency training brought him to where he works today and how he arrived there; promising uses of virtual care technology with patients; and the importance of forecasting key trends and identifying potential new opportunities in the emerging American health care scene.

Aug 8, 2018

Dr. Douglas Elwood is a board-certified physician with over 15 years experience in health and wellness who has led innovation efforts for a number of companies and has dedicated his career to improving education, communication, and outcomes for patients, caregivers, and healthcare providers. As a thought-leader in the space, he has consulted to companies throughout the industry, presented at conferences worldwide, and has multiple publications including a featured chapter in the esteemed annual HIMSS publication on mHealth. He is on part-time faculty at NYU Langone Medical Center at Rusk Rehabilitation and led one of the country's first and largest clinical studies on the use of technology in clinical care at Rusk and how social media, digital, mobile, and connected health influence communications, patient behavior, and physician workflow. Along with his part-time work at Rusk, Dr. Elwood is the Chief Medical Officer for PWNHealth where he leads over 150 physicians and genetic counselors, creates clinical protocols, oversees all clinical quality issues, and provides virtual care to large numbers of patients on a daily basis. A graduate of Amherst College and Jefferson Medical College, he is the holder of both MD and MBA degrees.

In Part 1 of this two-part series, Dr. Elwood addresses: his involvement in a number of research activities exploring the use of technology to enhance patient care while serving as a resident/chief resident at Rusk and then later as a part-time clinical instructor; how technology has enhanced patient engagement in improving health care; value-based care as an emerging/blossoming approach to contain costs while enhancing care; shifts that may be occurring away from traditional providers, such as physician offices, clinics, and hospitals to a more technology-driven way of doing business; and how developments in the commercial sphere, such as the creation of apps and virtual technology parallel and augment what is unfolding in the clinical care and biomedical research domains. 

Aug 1, 2018

Dr. Tayyaba Ahmed is a doctor of physical medicine and rehabilitation. A native of New York City, after spending five years honing her skills in outpatient care, Dr. Ahmed focuses on her passion for treating pelvic pain, believing that concentrating on a specific field creates the greatest expertise. A board certified Physical Medicine and Rehabilitation physician, Dr. Ahmed also is a fellow of the Academy of Physical Medicine and Rehabilitation and a member of the International Pelvic Pain Society. She completed the BS/Doctor of Osteopathic Medicine program at New York Institute of Technology and was trained at the New York College of Osteopathic Medicine, Northwell Health Plainview Hospital, and the NYU Langone Medical Center/RUSK Institute for Rehabilitation. 

In Part 2 of this two part series, Dr. Ahmed discusses: among the interventions of electrical stimulation, biofeedback, and pelvic floor muscle training, deciding which of these approaches either singly or in combination are best suited for a particular patient; ways of evaluating the effectiveness of these interventions; medications involved in treatment and for what purposes; periods of time, such as weeks or months when most rehabilitation interventions take place and whether plateaus ever occur where further treatment is not associated with additional improvements; and instances such as the presence of a patient’s advanced old age or co-morbidities where watchful waiting may represent the best choice instead of any other kind of intervention.

 

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