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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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Feb 20, 2019

Dr. J.R. Rizzo is a physician scientist at NYU Langone Medical Center’s Rusk Rehabilitation Institute, where he is an Assistant Professor of Physical Medicine and Rehabilitation with a cross-appointment in the Department of Neurology. He leads the Visuomotor Integration Laboratory where his team focuses on eye-hand coordination as it relates to acquired brain injury and the Technology Translation in Medicine Laboratory, where the focus is on assistive technology for the visually impaired and benefits from his own personal experiences with vision loss.  He recently completed an R03 grant through the National Institute of Aging, as a GEMSSTAR Scholar, focusing his research goals on eye-hand coordination in elderly stroke, and is completing a K12 award, as an RMSTP Fellow, focusing on visuomotor integration in brain injury. He has funding at the federal, state, municipal and foundational levels. He has numerous peer-reviewed publications and book chapters, in addition to domestic and international patents filed for his rehabilitation tools. An honors graduate in neuroscience at NYU, hcompleted medical school on scholarship at New York Medical College and was elected to the Alpha Omega Alpha Honor’s Society Iota Chapter. He completed his residency, including a chief year, at NYU’s Physical Medicine & Rehabilitation Program where he subsequently was awarded funding to complete a clinical research fellowship at Rusk.

In the second part of this Grand Rounds presentation Dr. Rizzo continues his description of a pilot research project involving chronic stroke patients who were recruited from outpatient clinics. The investigation included eye tracking while simultaneously recording motion capture of patients’ limbs. He indicates how eye errors correlate with limb errors in this study and mentioned some cognitive implications derived from the project. A question and answer period followed his presentation.

Feb 6, 2019

Dr. J.R. Rizzo is a physician scientist at NYU Langone Medical Center’s Rusk Rehabilitation Institute, where he is an Assistant Professor of Physical Medicine and Rehabilitation with a cross-appointment in the Department of Neurology. He leads the Visuomotor Integration Laboratory where his team focuses on eye-hand coordination as it relates to acquired brain injury and the Technology Translation in Medicine Laboratory, where the focus is on assistive technology for the visually impaired and benefits from his own personal experiences with vision loss.  He recently completed an R03 grant through the National Institute of Aging, as a GEMSSTAR Scholar, focusing his research goals on eye-hand coordination in elderly stroke, and is completing a K12 award, as an RMSTP Fellow, focusing on visuomotor integration in brain injury. He has funding at the federal, state, municipal and foundational levels. He has numerous peer-reviewed publications and book chapters, in addition to domestic and international patents filed for his rehabilitation tools. An honors graduate in neuroscience at NYU, hcompleted medical school on scholarship at New York Medical College and was elected to the Alpha Omega Alpha Honor’s Society Iota Chapter. He completed his residency, including a chief year, at NYU’s Physical Medicine & Rehabilitation Program where he subsequently was awarded funding to complete a clinical research fellowship at Rusk.

In the first part of a grand rounds presentation, Dr. Rizzo discussses eye-hand coordination or what is known as the eye-hand mystique. He describes perception, the ocular motor system, perception to action, and eye-hand control deficits as they relate to visual motor integration. He discusses visual crowding as it pertains to peripheral vision and the importance of material categorization. He also describes research involving chronic stroke patients recruited from outpatient clinics using eye tracking and simultaneously recording motion capture of their actual limbs. The session includes questions from attendees at the presentation and his responses.

In the second part of a grand rounds presentation by Dr. John Ross Rizzo on December 12, 2018 at the Rusk Institute of Rehabilitation at NYU Langone Health, he continued his description of a pilot research project involving chronic stroke patients who were recruited from outpatient clinics. The investigation included eye tracking while simultaneously recording motion capture of patients’ limbs. He indicated how eye errors correlated with limb errors in this study and mentioned some cognitive implications derived from the project. For example, in reaching for a cup of tea there could be an eye movement that has some computational load, meaning what is the cerebral load to complete that task and what is involved if the reaching is done using peripheral vision? In this context, it is worth considering what is occurring in the presence of an impaired brain, such as after a stroke. A central idea is that stroke interferes with cognitive resource sharing between eye and hand movement during eye-hand coordination. A question and answer period followed his presentation.

 
 
 
 
 

 

Jan 23, 2019

Rondel King is a certified strength and conditioning specialist and corrective exercise specialist. His programming aims to bring out the best in a person’s health and performance. He has a strong interest in postural asymmetries and the nervous system as it relates to biomechanics, human performance, and general health. Mr.King leads group fitness classes at NYU Langone Orthopedic Center and is a clinician with the Running Lab and the Golf Lab.

In his interview, Rondel discusses: the relationship between gaining muscle mass versus strength and stability and the topic of weight loss; kinds of patients who can benefit from losing weight; extent of eating disorders; influence of demographic factors on the attainment of successful outcomes; role of diet in weight loss reduction; kinds of lifestyle interventions that prove to be effective in achieving weight loss; role that wearable devices play in contributing to weight loss; whether poor nutrition can be out-trained; if crunches can produce flat abs; whether more sweat burns more calories; effect of running and squats on the knees; if more gym time always is better than less; the notion of No Pain, No Gain; whether yoga can help with back pain; if lifting heavy weights can make women “bulky;" and whether machines are better than free weights.

Jan 9, 2019

Heather Milton leads group fitness classes at NYU Langone Orthopedic Center and is a clinician with the Running Laboratory and Golf Laboratory. She is a board-certified exercise physiologist and strength and conditioning specialist. She is certified in Functional Movement Systems® and by the Titleist Performance Institute. She develops specialized programs to help athletes reach their maximum potential and ability. Ms. Milton creates unique and motivational programs to inspire health and fitness clients and designs injury prevention programs for at-risk athletes and youth sports teams. She also identifies limitations that may affect sport performance, including gait faults in running, swing faults in golf, and swing, kick, and throw patterns in rotational sports. Her undergraduate degree in cardiopulmonary science and her master’s degree in clinical exercise physiology are from Northeastern University.

In this interview, she discusses: kinds of patients who can benefit from building stability, strength, and muscle; measures to assess current physical abilities of patients; conditions where building stability, strength, and muscle can produce a preventive effect; impact of strength training on other abilities, such as improved balance and mobility; influence of demographic factors on the attainment of successful outcomes; the difference between stability and strength; progression of building stability, strength and muscle; difference between strength and mass; key components of a program to build stability, strength, and hypertrophy/muscle mass; common mistakes individuals make in their training programs; whether individuals naturally bulk up; gaining strength and avoidance of adding muscle mass; what to say when efforts to gain muscle for years fail; and who benefits from each type of training.

Dec 26, 2018
David Biderman is a Clinical Assistant Professor in the Department of Rehabilitation Medicine at NYU Langone Health and serves as supervisor of the Brain Injury Day Treatment Program. He joined Rusk Rehabilitation, NYU Langone Health in 1996 as a research assistant and started working at the Brain Injury Day Treatment Program in 1999, becoming the supervisor in 2010. A New York City native, he earned his Doctoral Degree in Health Psychology from the Albert Einstein College of Medicine.  Prior to coming to Rusk, he worked in research at other major medical centers in New York. Most recently he has presented and published on the role of significant others in the rehabilitation of individuals with a brain injury. He currently is working on cognitive retraining software to improve attention functions and continues his efforts to educate Brain Injury fellows, Psychology Doctoral Interns, and other professionals interested in learning about the comprehensive neuropsychological rehabilitation of individuals with an acquired brain injury.
 
This discussion includes: assessments performed to determine if cognitive remediation is an appropriate intervention for patients who experienced a traumatic brain injury; aims pursued when engaging in cognitive remediation; the effect of TBI level of severity on kind of treatment and anticipated outcomes; the influence of demographic factors such as age, gender, and race/ethnicity on the attainment of successful outcomes; the role music can play in cognitive remediation; ways in which cognitive remediation could be enhanced through the use of existing and emerging kinds of social media platforms, along with other modalities, such as apps, wearable devices, and virtual reality technology; self- or family caregiver-treatment plans outside the clinical setting;  and current research and proposed studies at NYU aimed at producing a greater understanding of the effectiveness of cognitive remediation kinds of intervention.
 
Dec 12, 2018

Dr. Steven Flanagan is the Chair, Department of Rehabilitation Medicine and Howard A. Rusk Professor of Rehabilitation Medicine at Rusk Rehabilitation. He is highly recognized, nationally and internationally, as one of the leading experts in the area of brain injury rehabilitation. He serves on numerous medical advisory boards, including the Brain Trauma Foundation and is a peer reviewer for several scientific journals. He currently is chairperson of the Medical Education Committee and sits on the Board of Governors of the American Academy of Physical Medicine and Rehabilitation Medicine. The author of numerous chapters and peer-reviewed publications, he has received awards from several organizations and been continually listed as one of America’s Top Doctors by Castle Connolly.

Nov 28, 2018
Dr. Kimberly Sackheim is an Assistant Professor in the Department of Physical Medicine & Rehabilitation at New York University Langone Medical CenterAs a post-traumatic headache specialist, she has a focus on interventional pain management of chronic headache. She is board certified by the American Board of Physical Medicine & Rehabilitation with sub-specialties in both pain management and brain injury medicine. Her medical degree is from the Nova Southeastern University College of Osteopathic Medicine. She completed her residency in physical medicine and rehabilitation at the Broward General Medical Center in Fort Lauderdale, FL.  Post-doctoral training took place at the Beth Israel Medical Center in New York City. Dr.Sackheim also had an anesthesia-based fellowship in interventional pain medicine, hospice & palliative care at the Mount Sinai School of Medicine in New York City.
 
In Part 2 of this two part series, she discusses: the extent to which patient health behaviors can be targeted routinely to improve headache management; new headache medications that are effective for treatment; demographic factors that could affect both the degree and the speed of recovery from headaches when they occur; the importance of patient involvement in medical decision-making; use of complementary, alternative, and integrative medicine by patients; the role of in-home telehealth therapy programs; if there is a need for improved diagnostic measures and treatment; and key topics within the realm of rehabilitation research aimed at improving the care of patients who suffer from headaches and any possible emerging areas. 
Nov 14, 2018
Dr. Kimberly Sackheim is an Assistant Professor in the Department of Physical Medicine & Rehabilitation at New York University Langone Medical Center. As a post-traumatic headache specialist, she has a focus on interventional pain management of chronic headache. She is board certified by the American Board of Physical Medicine & Rehabilitation with sub-specialties in both pain management and brain injury medicine. Her medical degree is from the Nova Southeastern University College of Osteopathic Medicine. She completed her residency in physical medicine and rehabilitation at the Broward General Medical Center in Fort Lauderdale, FL.  Post-doctoral training took place at the Beth Israel Medical Center in New York City. Dr.Sackheim also had an anesthesia-based fellowship in interventional pain medicine, hospice & palliative care at the Mount Sinai School of Medicine in New York City.
 
In Part 1 of this two part series, Dr. Sackheim discusses: headache forecasting models in accurately predicting future headache activity; situations in a patient’s life that serve as useful forecasts of the onset of headache; the degree to which preexisting conditions, such as mood disorders influence the onset of a headache; diagnostic challenges involved when patients present with both headache and neck pain; whether individuals hospitalized due to a head injury are more likely to have a new onset of headaches and a worsening of pre-existing headache and persistent headache; and the role depression and anxiety play in the development of headaches. 

 

 

Oct 31, 2018

Dr. Armando Fuentes recently completed his ARRT fellowship at NYU Rusk Rehabilitation. While doing so, he focused on racial and cultural health disparities in traumatic brain injury. In October 2018, he began working as a clinician at the World Trade Center Survivors Clinic in Elmhurst Hospital, where he hopes to build a culturally informed mental health and clinical training program. He graduated with his PhD in clinical psychology from Fordham University where his research focused on culture, health beliefs, and neurocognition among Latinx patients living with HIV.

In this interview, Dr. Fuentes discusses: his presentation at a Rusk course on October 20 and 21, 2018 to highlight some of the latest evidence in complex TBI rehabilitation; clinical practice guidelines in general and for TBI patients from racial and ethnic groups in particular; outcomes in overall functioning by members of minority groups compared to whites; and lower retention rates in TBI research by Hispanics one to two years post-injury.  

 

 

 
 
 

 

Oct 24, 2018
Tara Denham is a Clinical Assistant Professor in the Department of Rehabilitation Medicine at NYU Langone and a Program Manager in Physical Therapy. She is a leading expert in the field of vestibular therapy and is the founder of the Vestibular Physical Therapy Center at Rusk. As an American Physical Therapy Association certified vestibular clinician, she lectures extensively to a wide range of audiences.
 
Joseph Adams is a Senior Physical Therapist and Clinical Instructor of Rehabilitation Medicine at the NYU School of Medicine. He is a board-certified clinical specialist in Neurologic Rehabilitation with advanced training in Vestibular Rehabilitation. He is a faculty member at Rusk's Neurologic Residency program and also an adjunct professor at Touro College. 
 
Dr. Eva Mihovich is a Senior Psychologist and a clinical instructor at the NYU School of Medicine. She has done research and made professional presentations on the psychological assessment and treatment of vestibular patients. She is an integral part of the multidisciplinary care team at Rusk treating patients with vestibular disorders in individual and group therapy settings.
 
This special interview with these three leaders explores a course on November 3-4, 2018 being offered at Rusk on the topic of vestibular evaluation and treatment of the dizzy patient; the association of vestibular dysfunction associated with certain demographic factors; the contribution of polypharmacy to creating bouts of dizziness; psychological aspects associated with vestibular disorders; conditions besides anxiety that lead to vestibular disorders; common central and peripheral disorders; how patients' lives are affected by benign paroxysmal positional vertigo (BPPV) and how this condition is tested for; the extent to which problems involving vestibular systems affect vision; evaluation techniques used in developing treatment plans for patients; the status of clinical practice guidelines and the evidence base for treatments; and current research and proposed studies on the drawing board at Rusk that are aimed at shedding additional light on vestibular disorders. 

 

 

Oct 17, 2018

Dr. Estelle Gallo is a Clinical Specialist at the Rusk Rehabilitation NYU Langone Ambulatory Care Center. She is a certified clinical specialist in Neurology from the American Board of Physical Therapy Specialties who specializes in adult neurological rehabilitation. She serves as a faculty member of the accredited physical therapy neurology residency program and holds a faculty position as a Research Assistant Professor in the Physical Medicine and Rehabilitation Department at NYU School of Medicine. She has received internal funding for her research. Dr. Gallo has published her work in several peer-reviewed journals as well as presented at both national and international conferences. Currently, she is conducting a feasibility and safety study on high level mobility training in patients with non-progressive acquired central neurological injuries.  She also serves as a member of the Locomotor Training Clinical Practice Guidelines Knowledge Translation Task Force for the Academy of Neurologic Physical Therapy. She received her doctorate degree from New York University. 

In this interview, Dr. Gallo discusses: the ability to run a short distance in the rehabilitation of patients with acquired brain injury; existing evidence to make recommendations about the examination and intervention for high level mobility and to facilitate a return to running; examination techniques and outcome measures that are used; objective criteria used to guide initiation of high-level mobility training; recent developments in clinical practice guidelines on outcome measures for the neurologic population; upcoming recommendations about locomotor training, research being done in the physical therapy department to test the feasibility and safety of high-level mobility training; and some key rehabilitation research topics in physical therapy and some emerging areas. 

 

Oct 10, 2018

Liat Rabinowitz is the Program Manager of Speech Language Pathology at Rusk. Her experience has been in evaluation and treatment of adults with acquired brain injury with a specific area of interest in cognitive communication impairments and working with patients in disorder of consciousness. Most of her current work involves managing the Speech Language Pathology department, along with supervising and training staff. A native of South Africa, she trained as a therapist at the University of Cape Town. Her master’s degree in speech-language pathology is from Columbia University. She currently teaches as an adjunct faculty member at NYU-Steinhardt school on language disorders in adults and has taught cognitive disorders at Columbia University. 

In this interview, she discusses: meaning of the term post-confusional state and kinds of available treatment for it; interventions to treat acquired stuttering; language, cognitive communication, or swallowing disorders associated with the occurrence of a TBI and what can be done from the perspective of speech-language pathology; impairment of conversational ability following a brain injury; key topics within the realm of rehabilitation research in speech-language therapy; and the most common kinds of symptoms involved in post-traumatic amnesia.

 

 

Oct 3, 2018
Dr. Brian Im is the medical director for the NYU Rusk brain injury rehabilitation program and program director for the ACGME accredited brain injury medicine fellowship at NYU School of Medicine. He is heavily involved in program development and academic medicine. He has an active role in TBI research with a focus on studying health care disparities and differences that exist in traumatic brain injury care for different populations. In this interview, Dr. Im discusses some of the medical complexities associated with complex TBI. After completing medical school at SUNY, Syracuse, a rehabilitation residency at NYU School of Medicine/Rusk Rehabilitation, and a fellowship in brain injury medicine at UMDNJ/Johnson Rehabilitation Institute, his subsequent tenure at Bellevue Hospital focused upon an interest in improving brain injury rehabilitation for underserved populations.
 
In Part 2, we discussed: becoming overweight as a risk following a TBI, whether a preexisting endocrine dysfunction can trigger a thyroid dysfunction, gait abnormalities that might stem from a TBI, the status of pharmacological treatment of a brain injury, and research on TBI being conducted at Rusk, along with any system enhancements either underway or being planned.

 

Sep 26, 2018
Dr. Brian Im is the medical director for the NYU Rusk brain injury rehabilitation program and program director for the ACGME accredited brain injury medicine fellowship at NYU School of Medicine. He is heavily involved in program development and academic medicine. He has an active role in TBI research with a focus on studying health care disparities and differences that exist in traumatic brain injury care for different populations. In this interview, Dr. Im discusses some of the medical complexities associated with complex TBI. After completing medical school at SUNY, Syracuse, a rehabilitation residency at NYU School of Medicine/Rusk Rehabilitation, and a fellowship in brain injury medicine at UMDNJ/Johnson Rehabilitation Institute, his subsequent tenure at Bellevue Hospital focused upon an interest in improving brain injury rehabilitation for underserved populations.
 
In Part 1, we discussed: an October 20-21, 2018 program at Rusk on the topic of complex TBI rehabilitation, paths that patients take to arrive at Rusk for treatment, measures used to determine recovery, whether treatment plateaus are reached, and differences in how patients experience a TBI and living with its aftermath.
 
 

 

Sep 19, 2018

Until this interview, this podcast series has focused on healthcare professionals and researchers and the myriad activities in which they all engage. We are very excited that, for this interview, listeners have an opportunity to hear the views of an individual who was on the other side. Mr. Pierre Lucien is an individual who had both legs amputated above the knee. In 2008, while on a training run with the Atlanta, Georgia Police Department, he fell to the ground unconscious when he experienced massive organ failure. In an effort to save his life, doctors had to amputate both of his legs above the knees. He later was transferred to the Rusk Rehabilitation Institute at NYU Langone where he underwent additional surgery and began rehabilitation. Today, he is married and the father of two children and earns a living while employed at a police department in Marietta, Georgia. The interview with him consists of three parts.

In Part 3 we discussed: experience of phantom pain in missing limbs and how to treat it; a sensation of feeling the presence of missing limbs; what he does to stay physically active; his family life and what he does for a living; providing assistance to new patients who undergo an amputation; additional activities in which he is engaged to inspire other individuals to cope with life’s challenges successfully; and thoughts or recommendations important to convey to health professionals.

 

Sep 12, 2018

Until today, this podcast series has focused on healthcare professionals and researchers and the myriad activities in which they all engage. We are very excited that, for this interview, listeners have an opportunity to hear the views of an individual who was on the other side. Mr. Pierre Lucien is an individual who had both legs amputated above the knee. In 2008, while on a training run with the Atlanta, Georgia Police Department, he fell to the ground unconscious when he experienced massive organ failure. In an effort to save his life, doctors had to amputate both of his legs above the knees. He later was transferred to the Rusk Rehabilitation Institute at NYU Langone where he underwent additional surgery and began rehabilitation. Today, he is married and the father of two children and earns a living while employed at a police department in Marietta, Georgia. The interview with him consists of three parts.

In Part 2 Pierre discusses: from the perspective of an amputee what is considered both a good day and a bad day; amount of time elapsed from time of surgery before prostheses were prescribed and use of them began; length of time to accommodate to having prosthetic limbs; kinds of problems that can develop when a prosthetic device exerts pressure on a limb’s soft tissue and how to deal with them; once prosthetics are fitted and used how much maintenance of them is involved; and adjustments in prostheses necessary to carry anything heavy or in trying to navigate uneven ground or a flight of stairs and the kinds of challenges involved, such as feeling a loss of balance. 

 

Sep 5, 2018

Until today, this podcast series has focused on healthcare professionals and researchers and the myriad activities in which they all engage. We are very excited that, for this interview, listeners have an opportunity to hear the views of an individual who was on the other side. Mr. Pierre Lucien is an individual who had both legs amputated above the knee. In 2008, while on a training run with the Atlanta, Georgia Police Department, he fell to the ground unconscious when he experienced massive organ failure. In an effort to save his life, doctors had to amputate both of his legs above the knees. He later was transferred to the Rusk Rehabilitation Institute at NYU Langone where he underwent additional surgery and began rehabilitation. Today, he is married and the father of two children and earns a living while employed at a police department in Marietta, Georgia. The interview with him consists of three parts.

In Part 1 we discussed: if there had been any signs or symptoms prior to his collapse and loss of consciousness; where he obtained treatment; his age when his legs were amputated; length of time as both an inpatient and an outpatient; time elapsed from time of surgery to rehabilitation; kinds of health and other kinds of professionals who provided care; amputation as a life changing event;  adjustments that had to be made in various aspects of daily living and functioning; and for a single person who experienced amputation, how dating was affected.

 

 

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.

 

Jul 25, 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 1 of this two-part interview, Dr. Ahmed discusses: kinds of interventions involved in pelvic rehabilitation; types of health problems that necessitate pelvic rehabilitation; roles played by factors such as age and gender in determining which patients are candidates for pelvic rehabilitation services, and biofeedback as an effective technique to enhance positive outcomes and how it is used. 

 

Jul 18, 2018

Dr. John Dodson serves as director of NYU Langone’s Geriatric Cardiology Program. He maintains an active general cardiology practice, which focuses on patients over age 70, and also provides care for patients undergoing cardiac rehabilitation at NYU's Rusk Rehabilitation. He currently is the Principal Investigator for a Patient-Oriented Research Career Development Award (K23) from the NIH/NIA and a Mentored Clinical and Population Research Award from the American Heart Association. An Assistant Professor in both the Department of Medicine and the Department of Population Health, he is Board certified in both cardiovascular disease and internal medicine by the American Board of Internal Medicine. A recipient of a fellowship in epidemiology from Brigham and Women’s Hospital, he also had a fellowship in geriatrics from Yale University School of Medicine and another fellowship in cardiovascular disease from Yale-New Haven Hospital. His medical degree is from NYU and he has an MPH degree from Harvard. He did his residency at Columbia University Medical Center.

In Part Two of this two-part interview, Dr. Dodson discusses: if care is compromised when a patient is discharged from one hospital and readmitted to another hospital; exclusion of older patients from cardiovascular clinical trials; educating family caregivers and viewing them as members of the health care team; translation of clinical findings and evidence-based research to the bedside in a timely manner;  addressing foreign born patients’ treatment preferences; use of CAM therapies by patients; patient resilience and positive willingness to want to participate actively in all aspects of rehabilitation; role of in-home telehealth therapy programs; and NYU Langone’s monthly interdisciplinary geriatric cardiology conference.

Jul 11, 2018

Dr. John Dodson serves as director of NYU Langone’s Geriatric Cardiology Program. He maintains an active general cardiology practice, which focuses on patients over age 70, and also provides care for patients undergoing cardiac rehabilitation at NYU's Rusk Rehabilitation. He currently is the Principal Investigator for a Patient-Oriented Research Career Development Award (K23) from the NIH/NIA and a Mentored Clinical and Population Research Award from the American Heart Association. An Assistant Professor in both the Department of Medicine and the Department of Population Health, he is Board certified in both cardiovascular disease and internal medicine by the American Board of Internal Medicine. A recipient of a fellowship in epidemiology from Brigham and Women’s Hospital, he also had a fellowship in geriatrics from Yale University School of Medicine and another fellowship in cardiovascular disease from Yale-New Haven Hospital. His medical degree is from NYU and he has an MPH degree from Harvard. He did his residency at Columbia University Medical Center.

In Part One of this two-part interview, Dr. Dodson discusses: use of cardiac catheterization in frail patients, the associations of incident heart failure with rates of cognitive decline, rehabilitation interventions to deal with slow gait speed, factors involving discharge after transcatheter aortic valve replacement to either the home or a skilled nursing facility, and steps in the discharge process.

 

 

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