Episodit

  • Maj. Gen. (Ret.) Sean Murphy, MD, sits down with MG(R) Jeff Clark, MD, who is a proven leader, to discuss the complexities of leadership in military medicine. With 35 years of distinguished service, including his tenure as US Army Medical Command Deputy Commander for Operations and Defense Health Agency Director of Healthcare Operations, Dr. Clark emphasized the essence of leadership: ensuring mission success while creating conditions for the well-being of the persons on our Team and their Families.

    In this captivating exchange, we explore how Dr. Clark's leadership philosophy, shaped by luminaries like former Commanding General of the 82nd Airborne Division retired LTG Mike Steele, advocates for a 'graduate level' approach where accomplishing the mission and nurturing one's team are not disparate tasks but intertwined imperatives. Dr. Clark recounts how this principle influenced his leadership style and became a mission-essential task within the units he led, particularly during his time with the 21st Combat Support Hospital and Walter Reed National Military Medical Center. This episode is an ode to leadership excellence, offering a profound look into the heart of military medicine, where the prosperity of the team is as critical as the operational objectives they strive to achieve.

    Take Home Messages:

    Leadership in military medicine requires a holistic approach that integrates the accomplishment of the mission with the welfare of personnel and their families. Good leaders do not treat these aspects as separate tasks but consider them as interconnected priorities that need to be managed simultaneously.A successful leader in military healthcare sets a high standard by developing structured strategies, such as creating a "prosperity plan," to ensure that taking care of the team is not just an ideal but a mission-essential task. This plan encompasses personal, professional, spiritual, and family domains to promote overall well-being.Effective leadership involves active engagement and attentive listening to understand the morale and challenges faced by the team. It is crucial to walk around, observe, and communicate with team members to gauge their well-being, especially in demanding environments such as providing healthcare to detainees in combat zones.Merging different cultures within military medical units presents unique challenges that require deliberate team-building efforts. Leaders must choose their words carefully and foster a sense of unity, emphasizing the common purpose and pride across all branches while respecting individual service identities.Continuous learning and self-improvement are essential for leaders. Reading and reflecting on leadership memoirs and philosophical works can provide valuable insights into improving care for others without demanding perfection, understanding the human aspect of leadership, and becoming more effective in guiding teams.

    Episode Keywords:

    military medicine leadership, balancing mission success, team well-being in healthcare, combat medicine challenges, healthcare operations in military, leadership in armed forces, military medical command, soldier welfare strategies, leadership philosophy in military, team prosperity in healthcare

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd

    #MilitaryMedicineLeadership, #CombatHealthcare, #MissionAndMorale, #TeamWellBeing, #HealthcareOperations, #LeadershipStrategies, #MilitaryHealthcare, #LeadershipPhilosophy, #SoldierWelfare, #GraduateLevelLeadership

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • In this heartfelt episode of War Docs, we pay tribute to BG(R) Norvell “Van” Coots, MD, who tragically passed away on June 12, 2024. Van was a loving and devoted father and husband, a cherished friend, a colleague, and a dedicated soldier medic. Throughout his nearly three-decade career, he exemplified core values such as loyalty, duty, respect, selfless service, honor, integrity, and personal courage. Van's journey from military high school to becoming a distinguished leader in military medicine is a testament to his resilience and commitment. This episode revisits his inspiring story, from his time as a medical supply officer to his leadership roles in Korea and Afghanistan, and finally, his impactful transition into civilian healthcare leadership. Join us as we honor Van Coots's remarkable legacy and his indelible mark on military medicine and beyond. Van, you are deeply missed but never forgotten. May God bless.

    In this episode, we learn how Van transformed from a military high school student to a celebrated physician and soldier medic. We recount his inspiring path of perseverance, from setbacks in medical school to his commission as a medical supply officer and his eventual triumph as a medical logistician and commander. Through first-hand accounts, we capture the essence of Van's unwavering dedication and the core values that defined his extraordinary career.

    We explore the captivating world of military medicine and leadership through the eyes of our guest, a seasoned Dermatologist and military officer. From groundbreaking dermatology practices in Germany to strategic medical planning during the Kosovo campaign, we share pivotal moments that shaped a dynamic career. The narrative takes us through leadership challenges at Keller Army Hospital and the intricate oversight of medical operations across Europe, shedding light on the critical support provided to Ukrainian forces in modern warfare.

    The episode culminates with a deep dive into Van’s tenure as Surgeon General for US Forces Afghanistan and the critical initiatives that transformed battlefield medical care. Transitioning to a civilian role, the host reflects on how military experiences continue to inform leadership in the healthcare sector. We round out the episode with a tribute to Dr. Coots’s significant contributions, including his pivotal role in the honorable closure of Walter Reed Army Medical Center. Join us for a compelling tribute and insightful exploration of military medicine and leadership.

    Chapters:

    (00:01) Remembering Brigadier General Van Coots

    (09:12) Medical Assignments and Military Leadership

    (23:02) Military Medical Leadership and Operations

    (29:53) European Military Medicine and Refugee Healthcare

    (38:19) Military Medicine Leadership and Transitioning

    (46:43) Closing Walter Reed Army Medical Center

    Chapter Summaries:

    (00:01) Remembering BG(R) Norvell “Van” Coots

    Van Coots's journey from military school to West Point, medical school, and eventually becoming a commander in Korea.

    (09:12) Medical Assignments and Military Leadership

    A dermatologist and military officer shares experiences from practice, strategic planning during the Kosovo campaign, and leadership at West Point.

    (23:02) Military Medical Leadership and Operations

    Surgeon General for US Forces Afghanistan and Medical Advisor to ISAF Command, advocating for V-22 Osprey and implementing blood on medevac flights.

    (29:53) European Military Medicine and Refugee Healthcare

    Regional Health Command Europe oversees military medical operations, adapting European practices, preparing for asymmetric warfare, and relying on host nations.

    (38:19) Military Medicine Leadership and Transitioning

    A Medical Corps General Officer's leadership challenges and experiences translate to civilian healthcare, managing logistics, partnerships, and budgets.

    (46:43) Closing Walter Reed Army Medical Center

    Retired Army Brigadier General Dr. Van Coots's role as the last commander of Walter Reed Army Medical Center and his contributions to military medicine.

    Take Home Messages:

    **Resilience and Determination are Key**: Van’s journey from military high school to a significant medical career demonstrates that setbacks and challenges can be overcome with persistence and a clear vision. Their story illustrates the importance of resilience in achieving one's goals.**Multifaceted Leadership in Military Medicine**: The episode highlights the complexities and rewards of leadership roles in military medicine. Van’s experiences, from being a medical supply officer to leading medical detachments and hospitals, show how diverse and dynamic military medical leadership can be.**Innovative Medical Practices in Challenging Environments**: Van’s initiatives, such as pioneering dermatology techniques in Europe and advocating for the use of the V-22 Osprey for medevac missions, underscore the necessity of innovation in military medicine to improve care under challenging conditions.**The Impact of Strategic Planning and Diplomacy**: Through their roles during the Kosovo campaign and overseeing medical operations in Europe, the guest illustrates the critical role of strategic planning and diplomacy in military operations, emphasizing how these skills are vital for effective military leadership.**Seamless Transition to Civilian Healthcare Leadership**: The episode sheds light on how the skills and lessons learned in military medical leadership can be successfully applied to civilian healthcare. Van’s transition to leading a civilian healthcare organization demonstrates the transferability of military leadership qualities to other sectors.

    Episode Keywords:

    Brigadier General Van Coots military medicine, leadership in military healthcare, Walter Reed Army Medical Center closure, military medical logistics, Kosovo campaign medical strategy, V-22 Osprey medevac missions, healthcare leadership transition, military dermatologist role, European military medical operations, Holy Cross Health CEO

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd #LeadershipJourney #MilitaryMedicine #BrigadierGeneral #MedicalLeadership #VanCootsLegacy #HealthcareHero #WalterReed #HolyCrossHealth #KosovoCampaign #AfghanistanMedical

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) veteran-run organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

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  • Join us on War Docs as we sit down with Navy CAPT Matthew Tadlock, a trauma surgeon with a remarkable journey through Navy medicine. Listen in as CAPT Tadlock recounts his entry into Navy medicine via the Health Professions Scholarship Program, his time as a flight surgeon aboard the USS Carl Vinson during Operation Enduring Freedom, and his amusing tales from the surgical frontlines. With a career shaped by the mentorship of senior enlisted corpsmen and punctuated by memorable patient encounters, CAPT Tadlock shares his commitment to military medicine and its critical role in combat care.

    Our conversation also navigates the treacherous waters of maritime surgery, revealing the unique challenges of operating in this environment. CAPT Tadlock, the mind behind the "Expeditionary Surgery at Sea" textbook, discusses the evolution from his surgical residency to becoming a ship surgeon and how this experience led to the creation of a vital resource for medical professionals. He illuminates the contrasts between large warships with extensive facilities and smaller vessels with limited medical supplies, emphasizing the indispensable role of independent duty corpsmen and the need for tailored medical resources.

    Wrap up your listening experience as we discuss the intricate decision-making and resource management crucial to maritime surgery. CAPT Tadlock walks us through the complexities surgeons and independent duty corpsmen face on naval ships, from conducting surgeries with limited resources to handling mass casualty situations. Hear firsthand about the innovative practices that ensure surgical readiness and the new book that provides essential guidance to Navy residents and surgeons. With proceeds going towards charitable causes within the military community, CAPT Tadlock's dedication to advancing military medicine shines through every story and piece of advice shared.

    Chapters:

    (00:04) Military Medicine and Combat Care

    (13:27) Maritime Surgery Textbook Project

    (18:10) Challenges of Maritime Medical Practice

    (23:44) Challenges of Surgery at Sea

    (27:15) Expeditionary Surgery in Maritime Environments

    (33:09) Surgical Challenges in Deployed Maritime Medicine

    Chapter Summaries:

    (00:04) Military Medicine and Combat Care

    Navy CAPT Matthew Tadlock's career journey, mentorship from senior enlisted corpsmen, and current role as chair of the Joint Trauma System.

    (13:27) Maritime Surgery Textbook Project

    Maritime surgery presents unique challenges due to limited resources and the role of independent duty corpsmen.

    (18:10) Challenges of Maritime Medical Practice

    Surgeons at sea face challenges with limited resources, emphasizing the importance of X-ray reading and strategic medical supply distribution.

    (23:44) Challenges of Surgery at Sea

    Nature's surgical challenges and quality improvements in maritime environments, including ectopic pregnancy management, hand injuries, and medical evacuation.

    (27:15) Expeditionary Surgery in Maritime Environments

    Maritime surgery involves complex decision-making, the urgency of patient transfers, resource management, teamwork, and a new resource for Navy residents and surgeons.

    (33:09) Surgical Challenges in Deployed Maritime Medicine

    Surgeons aboard naval ships must be adaptable, skilled in various surgeries, and prepared for emergencies and limited resources.

    Take Home Messages:

    The high seas present unique challenges for medical professionals, requiring adaptability and resourcefulness due to the limited availability of modern diagnostic tools and varying medical facilities on naval vessels.Independent duty corpsmen play a critical role in Navy medicine, especially on smaller ships, where they must rely on specific maritime medical resources and their extensive training to provide care in resource-constrained environments.A deep understanding of trauma care logistics and resource management is essential aboard naval ships, where every medical decision can significantly impact the mission and the health of service members.Maritime surgery requires innovative practices to ensure readiness, such as mastering clinical decisions without advanced technology and managing mass casualty situations in a moving and remote setting.Sharing knowledge through educational resources like textbooks and hands-on mentorship is vital in preparing the next generation of military healthcare professionals for the complexities of maritime medical practice and combat care.

    Episode Keywords:

    Navy CAPT Matthew Tadlock, maritime surgery, trauma care, military healthcare, surgical challenges, high seas medicine, naval medical operations, expeditionary surgery textbook, USS Carl Vinson, independent duty corpsmen, maritime medical resources, damage control surgery, mass casualty management, surgical logistics at sea, military charities

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd

    #NavyMedicine, #CAPTMatthewTadlock, #USSCarlVinson, #MilitaryHealthcare, #ExpeditionarySurgery, #CombatCare, #TraumaCareAtSea, #MaritimeMedicine, #SurgicalReadiness, #LifeAtSea

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • Join us on War Docs as we sit down with the remarkable Dr. Hassan Tetteh, a retired Navy Captain and esteemed cardiothoracic surgeon, whose roots as a Brooklyn-born son of West African immigrants shaped his extraordinary path in military medicine. Listen in as Dr. Tetteh recounts his initial draw to the military, influenced by Junior ROTC, and how an unexpected commitment to a Navy career after medical school led to fulfilling his ambition to provide care for Marines. His stories take us aboard the USS Carl Vinson and into the heart of Afghanistan, where his service with the Second Marine Expeditionary Force brought both intense challenges and unparalleled triumphs.

    Dr. Hassan's journey doesn't end at the operating table; his career expands into realms such as clinical informatics and the integration of artificial intelligence into healthcare. Hear how his experiences with data and technology have revolutionized the way we approach patient outcomes, offering a glimpse into the future of military and federal medicine. But amidst this technological advancement, Dr. Tetteh emphasizes the timeless art of human care—sharing personal stories highlighting the irreplaceable impact of empathy and connection in healing.

    As we wrap up our conversation with Dr. Hassan Tetteh, we delve into the burgeoning field of Human Care Technologies and its potential to support military service members and their families. Dr. Tetteh shares how his time at the Pentagon and the Joint Artificial Intelligence Center inspired his company's mission and discusses projects like Project SALUS, which played a crucial role during the pandemic. Don't miss his insight on the use of AI to streamline veterans' transition to civilian life and how these innovations are changing the landscape of healthcare and providing structured support for those who've served our nation.

    Chapters:

    (00:04) Military Medicine Career Journey & Specializations

    (11:35) Defining Moments in Afghanistan Deployment

    (15:35) Military Medicine and Transplant Expertise

    (19:58) Medical Training Prepared Surgeon for Crisis

    (28:21) Informatics and AI in Healthcare

    (41:44) The Art of Human Care

    (51:05) Human Care Technologies and Military Benefits

    Chapter Summaries:

    (00:04) Military Medicine Career Journey & Specializations

    Brooklyn-born Dr. Hassan Tetteh's journey from military medicine to cardiac surgery, deployments, and insights on AI in healthcare.

    (11:35) Defining Moments in Afghanistan Deployment:

    A trauma surgeon shares a vivid memory of their intense experiences in Afghanistan, highlighting the critical role of military medical personnel on the front lines.

    (15:35) Military Medicine and Transplant Expertise

    Providing medical care to young Marines, training in thoracic transplantation, and the influence of the STAR team on a surgeon's career.

    (19:58) Medical Training Prepared Surgeon for Crisis

    Professional growth, cardiac care, transplantation, leadership, war zone surgery, and mentorship in high-pressure environments.

    (28:21) Informatics and AI in Healthcare

    Informatics and AI are transforming military medicine, improving outcomes through data and technology, with potential for future breakthroughs.

    (41:44) The Art of Human Care

    Transformation in doctor-patient relationship, embracing responsibility and partnership, and impact beyond technology in healthcare.

    (51:05) Human Care Technologies and Military Benefits

    Transitioning from military to civilian life, integrating AI into healthcare, supporting veterans, Project SALUS, large language models, and podcast with LTG Jack Shanahan.

    Take Home Messages:

    Life experiences, including those in the military, can significantly shape a physician's approach to healthcare, blending traditional medicine with advanced technology such as artificial intelligence to improve patient outcomes.Frontline medical professionals in war zones face unique challenges that test their skills and psychological resilience, emphasizing the importance of quick adaptation and robust training for high-stakes environments.Clinical informatics is transforming healthcare by utilizing data and technology to enhance the delivery of medical services, with military medicine at the forefront of these advancements.The integration of artificial intelligence in healthcare promises to revolutionize the field by providing more precise and efficient care, though it's crucial to maintain a balance with the human element of compassion and empathy in patient treatment.Post-military careers can lead to innovative ventures that support service members' transitions to civilian life, showcasing how specialized knowledge and experience can be repurposed to address broader societal needs, particularly within healthcare technology.

    Episode Keywords:

    Military Medicine, Dr. Hassan Tetteh, Cardiothoracic Surgeon, Navy, Afghanistan, Second Marine Expeditionary Force, Clinical Informatics, Artificial Intelligence, Human Care Technologies, Military Benefits, Warzone, Trauma Surgeon, Transplantation, University of Minnesota, Brigham, Heart Failure Program, Electronic Health Records, Doctor-Patient Relationship, Purpose, Partnership, Pentagon, Joint Artificial Intelligence Center, Veterans, Transition to Civilian Life, Project SALUS, Large Language Models, Lieutenant General Jack Shanahan, Active Duty

    Hashtags:

    #WarZoneSurgeon #MilitaryMedicine #AIinHealthcare #CompassionateCare #MedicalTechnology #FrontLineStories #VeteranSurgeon #ArtificialIntelligence #HumanCareTech #MedicalInnovation

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • Join us as we welcome Dr. Donnelly Wilkes, a family physician and former Navy doctor whose story takes us from medical school halls to Fallujah's intense battlegrounds. Listen in as Dr. Wilkes recounts how the tragic events of 9/11 pivoted his career from a peaceful Navy service to the adrenaline-charged life of combat medicine alongside the Marines. His vivid narrative includes the grueling preparation for battlefield medicine, his on-the-ground decisions, and the powerful motivations behind his memoir, "Code Red Fallujah." Dr. Wilkes's personal journey offers a raw glimpse into the heart of military medical service and the indelible lessons that transcend the chaos of war.

    In this heartfelt episode, we explore the psychological and emotional landscapes shaped by military deployment. Hear about the profound experiences that forever altered Dr. Wilkes's medical practice and personal life, from treating the first Marine killed in action near Fallujah to the complex readjustment to civilian life. Dr. Wilkes shares how moments of stillness and empathetic connections with patients have enriched his role as a physician. He also imparts wisdom for medical professionals gearing up for future service, underlining the importance of mentorship and strategic foresight in combat medicine. Tune in for a conversation that bridges the front lines of military service with the compassionate care of family medicine.

    Chapters:

    (00:04) Combat Medicine in Fallujah

    (08:31) Fallujah Field Medical Station Experiences

    (24:22) Military Deployment Impact on Medical Practice

    Chapter Summaries:

    (00:04) Combat Medicine in Fallujah

    Dr. Donnelly Wilkes shares his journey from medical school to deployment in Fallujah, exploring the impact of 9/11 and military medicine.

    (08:31) Fallujah Field Medical Station Experiences

    Nature's intense realities at a field medical aid station near Fallujah, including a powerful moment of prayer and treating a Marine with a severe head wound.

    (24:22) Military Deployment Impact on Medical Practice

    Military deployment's impact on medical practice and personal life, including stillness, listening skills, and readjustment to civilian life.

    Take Home Messages:

    **The Unpredictable Path of Military Medicine**: The tragic events of 9/11 can pivot the career trajectory of medical professionals in unexpected ways. This episode highlights how one doctor's path shifted from the prospect of peaceful Navy service to the intense realities of combat medicine on the battlefields of Fallujah.**Rigorous Preparation for Battlefield Medicine**: The transition from medical school to serving as a physician in a combat zone requires extensive and specialized training. From officer training and combat casualty care courses to field exercises and trauma rotations, military doctors must be equipped with a unique set of skills to make life-saving decisions under the pressure of war.**The Emotional Toll of Combat on Medical Personnel**: Experiencing the front lines of battle has a profound psychological and emotional impact on medical personnel. Dealing with casualties and the loss of life in a warzone requires not only medical expertise but also immense mental resilience and the ability to cope with high-stress situations.**Post-Deployment Challenges and Growth**: Returning to civilian life after serving in a combat zone presents its own set of challenges, including readjusting to a different pace of life and dealing with the after-effects of constant vigilance and exposure to trauma. However, these experiences can also result in personal growth, leading to improved empathy and patient care practices.**Mentorship and Foresight in Military Medicine**: For medical professionals considering or preparing for military service, seeking mentorship and learning from those with firsthand combat experience is invaluable. Strategic foresight, such as choosing between stationary or mobile medical units, is also critical for effectively managing medical services in potential future conflicts.

    Episode Keywords:

    Combat Medicine, Fallujah, Military Deployment, Medical Practice, Battlefield Readiness, Code Red Fallujah, Family Physician, Navy Doc, 9/11, Medical School, Mentorship, Foresight, Empathy, Listening Skills, Life and Death, Field Medical Aid Station, Marines, Harrowing Medical Procedures, Emergency Medical Procedures, Combat Environment, Emotional Toll, Physical Toll, Stillness, Hypervigilance, Resilience, Military Medical Professionals, Strategic Decisions, Mobile Medical Units

    Hashtags:

    #MilitaryMedicine #CombatDoctor #FallujahFrontlines #NavyPhysician #HealingUnderFire #BattlefieldMedic #WarzoneStories #MilitaryMemoirs #FromMedSchoolToWar #VeteranTales

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • Join us as we speak with Dr. Niten Singh, a respected vascular surgeon and director at the University of Washington, who shares his remarkable journey from the child of immigrants to a distinguished figure in military medicine. Listen in as Dr. Singh reflects on the influence of his late father's values and the pragmatic benefits of attending the Uniformed Services University. His anecdotes from serving as an aviation brigade surgeon in Korea provide a compelling narrative of the challenges he faced balancing medical duties with military hierarchy.

    In our conversation, Dr. Singh recounts the evolution of vascular surgery from open to endovascular techniques, drawing on his own experiences during his fellowship and while deployed in Baghdad. He gives us a candid look at the emotional weight carried by military surgeons, discussing the lasting impressions of trauma cases from his deployment. Dr. Singh's insights offer invaluable advice for those embarking on a military medical career and highlight the importance of specialized training in building confidence and skill in the operating room.

    The episode rounds out with Dr. Singh detailing his transition from military to civilian practice and the culture of camaraderie that extends from the battlefield to the operating room. Hear about his leadership role at Harborview and his involvement in fostering the growth of the Pacific Northwest Endovascular Conference, which has become a premier event for the vascular surgery community. Dr. Singh's personal stories of memorable surgical cases and the lessons learned throughout his career underscore the importance of teamwork, mentorship, and maintaining balance in both personal and professional life. Tune in for an enriching discussion filled with heart, humor, and a wealth of knowledge from a leader in military and vascular surgery.

    Chapters:

    (00:04) Military Medicine Career and Insights

    (13:10) Combat Hospital Vascular Surgery Experience

    (18:19) Military Surgery and Academic Success

    (26:21) Transition and Growth in Vascular Surgery

    (36:28) Lessons From Military and Medical Leadership

    (40:29) Memorable Surgical Cases in Military

    Chapter Summaries:

    (00:04) Military Medicine Career and Insights

    Dr. Niten Singh shares his journey from child of immigrants to renowned vascular surgeon, reflecting on military service and transitioning to civilian practice.

    (13:10) Combat Hospital Vascular Surgery Experience

    Transition from open to endovascular techniques, impact of specialized training, and emotional aspects of military medicine.

    (18:19) Military Surgery and Academic Success

    Marine Corps camaraderie, advancements in military medical tools, and the importance of academic productivity and mentorship in vascular surgery.

    (26:21) Transition and Growth in Vascular Surgery

    Transitioning from military to civilian life, humorous middle name mix-up, and growth of PNEC as a premier vascular surgery conference.

    (36:28) Lessons From Military and Medical Leadership

    Military service, residency, and civilian life are discussed, along with building a successful residency program and the importance of teamwork and mentorship.

    (40:29) Memorable Surgical Cases in Military

    Surgical cases, military career, and life lessons learned are discussed in this chapter.

    Take Home Messages:

    Overcoming Challenges of Immigrant Heritage: The episode highlights the importance of hard work and dedication, as instilled by immigrant family values, in achieving success in demanding fields such as military and vascular surgery.Military Service Shapes Medical Proficiency: The episode emphasizes the unique learning opportunities provided by military service, which can significantly enhance a surgeon's confidence and technical skills, particularly through specialized training and frontline experiences.Advancements in Surgical Techniques: The podcast delves into the evolution of vascular surgery, detailing the transition from open surgeries to endovascular techniques and how these innovations have transformed patient care, even within the constraints of a combat hospital setting.Mentorship and Academic Contributions: The importance of mentorship, academic productivity, and continuous education in surgery is underscored, showcasing the guest's commitment to fostering growth in the field through conferences and the development of residency programs.The Power of Camaraderie in Medicine: Stories from the episode convey the deep sense of camaraderie and support within the military and medical communities, illustrating how these bonds can aid in navigating the challenges of both military service and civilian medical practice.

    Episode Keywords:

    Dr. Niten Singh, Vascular Surgeon, Military Medicine, Immigrant Roots, Uniformed Services University, Aviation Brigade Surgeon, Endovascular Techniques, Trauma Cases, Civilian Practice Transition, Cultural Camaraderie, Harborview Medical Center, Pacific Northwest Endovascular Conference, Medical Mentorship, Surgical Teamwork, Deployment Experiences, Academic Productivity in Military

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd, #MilitaryMedicine #VascularSurgeon #ImmigrantStory #MilitarySurgeon #SurgicalInnovation #VascularVictories #CombatHospital #SurgeonLife #EndovascularTechniques #MedicalMentorship

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • Join us as we welcome Army 2LT Ryan Leone, a dedicated Columbia medical student and WarDocs Ambassador. Ryan shares a fascinating look into his path to military medicine, a journey that began outside the traditional military family sphere. His experiences, from the Boy Scouts to the American Legion, and his discovery of the Health Professions Scholarship Program (HPSP), illustrate a unique route that has fueled his passion for the intersection of service and healthcare. Listen in as Ryan recounts his pre-med experiences at the US Army Institute for Surgical Research and the Defense Health Agency, and the profound impact of mentorship on his career trajectory.

    In our engaging discussion, we explore the myriad of opportunities for those interested in federal and military healthcare. We shed light on how to bolster medical school applications and gain valuable experience through various institutes and programs. Ryan offers up invaluable advice for leveraging positions and resources, like the Geneva Foundation and the Henry M. Jackson Foundation, to pave the way for a successful career in military medicine. Hear about the importance of reaching out and staying current on military healthcare and disaster medicine topics, as well as ways to actively seek out experiences that align with personal interests in the field.

    Lastly, we delve into the different avenues for involvement in military medicine, whether you're a student or a seasoned professional. From national organizations to annual conferences, there are countless ways to deepen your knowledge and connections. We emphasize the importance of mentorship, the value of staying open to new opportunities, and the significance of paying it forward. Ryan also shares his aspirations in emergency medicine and supporting Special Operations Forces, reminding us of the broad spectrum of roles that intersect with medicine, national security, and management. Tune in for an inspiring conversation that will leave you optimistic about the future of military medicine and the people dedicated to advancing it.

    Chapters:

    (00:04) Military Medicine Opportunities and Experiences

    (10:07) Exploring Government Health Opportunities

    (16:38) Connecting to Military Medicine Opportunities

    (25:13) Opportunities for Involvement in Military Medicine

    (35:20) Military Medicine Career Path Planning

    Chapter Summaries:

    (00:04) Military Medicine Opportunities and Experiences

    Army 2LT Ryan Leone shares his journey into military medicine, from non-military background to HPSP and mentorship from military healthcare professionals.

    (10:07) Exploring Government Health Opportunities

    Individual's journey from Presidential Management Fellowship to the DHA, a State Department rotation, and acceptance to Columbia University for medical school.

    (16:38) Connecting to Military Medicine Opportunities

    Enhance medical school applications by gaining experience in military and federal healthcare through research institutes, government agencies, and programs like Geneva and Henry M. Jackson Foundation.

    (25:13) Opportunities for Involvement in Military Medicine

    Join national organizations, attend conferences, seek mentorship, and showcase diverse opportunities in military medicine.

    (35:20) Military Medicine Career Path Planning

    Ryan's journey to specialize in emergency medicine and join the operational medicine community, emphasizing mentorship and optimism for the future of military medicine.

    Take Home Messages:

    Exploring Federal Healthcare Opportunities: The importance of gaining diverse experiences in federal healthcare before attending medical school is stressed. Internships and fellowships at institutions like the US Army Institute for Surgical Research and the Defense Health Agency provide a wide-ranging view of healthcare, policy, and military readiness.Navigating Military Medicine Pathways: Unconventional routes often lead to a career in military healthcare. Diverse experiences through programs like the Presidential Management Fellowship can enhance skills and offer insights into the intricate relationship between healthcare and military operations.Mentorship and Networking: Building connections with mentors and networking within the military medicine community is crucial. Actively participating in organizations, attending conferences, and reaching out to experienced professionals can provide guidance, support, and open up new opportunities.Accessing Resources and Research Opportunities: Numerous resources and research opportunities exist for those interested in military medicine. Leveraging positions in government agencies, consulting firms, and programs like the Geneva Foundation and the Henry M. Jackson Foundation can strengthen applications and expertise.Pursuing Passion with Openness to Opportunities: Being dedicated to a dream while being open to new experiences is vital. The aspiration to support Special Operations Forces with emergency medicine expertise should be paired with continuous learning and service. Commitment to improving care for military service members and their families serves as a model for future military healthcare professionals.

    Episode Keywords:

    Military Medicine, Health Professions Scholarship Program, Federal Healthcare, Medical School, Military Service, Government Health Opportunities, Military Healthcare, Military Readiness, Healthcare Policy, Military Medicine Opportunities, Military Family, Boy Scouts, American Legion, US Army Institute for Surgical Research, Defense Health Agency, Scientific Research, Healthcare Management, Mentorship, Special Operations Forces, Emergency Medicine, Operational Medicine, National Security, Management, Medical Effects of Ionizing Radiation, Military Chapters, Annual Conferences, MHSRS, Mentorship, Outreach, Military Service Members, Military Families

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #HPSP #MilitaryHealthcare #EmergencyMedicine #MilitaryService #SpecialOperations #MedicalScholarship #DefenseHealthAgency #OperationalMedicine #MedicalLeadership

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • Join us as we speak with retired Colonel Dr. Peter Tan, an esteemed oral maxillofacial surgeon and Civilian Aide to the Secretary of the Army, to explore his remarkable journey through military medicine. Dr. Tan offers a personal narrative that captures the essence of his family's military legacy and how it shaped his career path, from his early education to his advanced medical training. His experiences reflect a lifetime of service, both on active duty and the Reserves, and he imparts the wisdom he's gained from his strategic level commands. Listen in as he shares his unique perspective on advising the Secretary of the Army and the importance of a ready medical force.

    Our conversation with Dr. Tan also delves into the intricacies of juggling the dual roles of military officer and medical professional. We uncover the pivotal role of familial and peer support, the transformative impact of 9/11, and the significance of leadership and mentorship in shaping one's career. Dr. Tan's stories from the front lines of military health care units are not only inspiring but also offer valuable lessons in decision-making and the power of continuous learning. Tune in for an insider's look at the application of clinical skills in deployment settings and the ongoing journey of professional development.

    Dr. Tan's account of how cautious decision-making in healthcare can lead to lifesaving outcomes serves as a testament to responsible leadership. The role of a Civilian Aide to the Secretary of the Army is demystified as Dr. Tan explains the responsibilities and impact of this position. Be inspired by the profound effect that mentorship can have within the military community, and discover how military medicine offers a unique avenue for medical professionals to serve their country while honing their leadership skills. Don't forget to show your support for War Docs by joining Team War Docs on our website and engaging with our content across podcast platforms and YouTube.

    Chapters:

    (00:04) Military Medicine Career Journey

    (09:40) Balancing Military and Medical Career Leadership

    (19:08) Service and Leadership in Military Medicine

    Chapter Summaries:

    (00:04) Military Medicine Career Journey

    Retired Colonel Dr. Peter Tan shares his family's military background, educational path, and leadership philosophy in Army medicine.

    (09:40) Balancing Military and Medical Career Leadership

    The delicate balance of a medical and military career, the impact of 9/11, leadership, clinical skills, and continuous learning.

    (19:08) Service and Leadership in Military Medicine

    Responsible leadership in healthcare, mentorship in the military, and the role of a CASA in supporting the Army and its families.

    Take Home Messages:

    A legacy of military service can shape one's career choices and instill a deep sense of duty and pride.Pursuing a career in military medicine requires a unique blend of clinical expertise and leadership skills, often learned through a combination of education and hands-on experience.Strong support systems, including family and professional networks, are crucial for balancing the demands of a dual career in the medical field and the military.The events of 9/11 had a profound impact on personal and professional perspectives, reinforcing the importance of strong leadership in times of crisis.Leadership in military medicine is not just about rank but involves making decisions that have significant consequences for the well-being of others.Mentorship plays a critical role in shaping the next generation of leaders in military medicine, with a ripple effect on the entire healthcare team.The Civilian Aide to the Secretary of the Army (CASA) position is a vital link between the military and the community, playing a key role in recruitment, retention, and support for service members and their families.The Soldier for Life program exemplifies the enduring commitment of military medical professionals to their country, even after active duty service has ended.Lifelong learning and continuous professional development are essential for maintaining competency and achieving success in both military and civilian medical careers.Military medicine offers unparalleled opportunities for service, leadership development, and career fulfillment, contributing to the greater mission of caring for service members and their families.

    Episode Keywords:

    Military Medicine, Career Journey, Leadership, Military and Medical, Service, Healthcare, Oral Maxillofacial Surgeon, Civilian Aide, Secretary of the Army, Educational Roots, Strategic Command, Career Integration, Lifelong Learning, Valor, Healing, Service Beyond Active Duty, Military Physicians, Soldier for Life, War Docs, National Pride, Decision-making, Mentorship, Deployment, Professional Development, Recruitment and Retention, Soldier for Life Program, Leadership Skills, Fulfilling Career, War Stories, Medical Drama

    Hashtags:

    #MilitaryMedicine #DrPeterTan #MilitarySurgeon #Leadership #VeteranStories #ArmyHealthcare #MentorshipInMedicine #CivilianAideArmy #SoldierForLife #MilitaryTradition

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • Step into the world of military and civilian medical excellence as we share the stage with Dr. Peggy Knudsen, a leading trauma surgeon whose work bridges these two critical spheres. Her journey from a Minnesota mining town to the front lines of trauma surgery reveals the profound impact of military-civilian partnerships in healthcare. Through stories of her time in Iraq and Germany, Dr. Knudsen unravels the complexities of trauma care and the incredible strides made possible by the collaboration between military-civilian expertise and innovation.

    Imagine stepping off a plane and straight into an active war zone as a civilian surgeon. Our latest episode brings that reality to light, showcasing civilian surgeons who volunteered to serve in military hospitals during the Iraq and Afghanistan conflicts. Their integration into military teams and the skills honed in the heat of battle are not only harrowing tales of service but also invaluable learning experiences that have reshaped their professional and personal lives. Join us as we examine the rigorous process that prepared these civilians for the battlefield, and the indelible mark it left on their approach to surgery back home. These civilian heroes didn't just bring their expertise to the theater of war; they returned with invaluable insights that have since transformed the landscape of civilian trauma care.

    We address the evolving landscape of trauma medicine, where military innovations have found their place in our local hospitals. Dr. Knudsen sheds light on the importance of programs like Stop the Bleed and the pioneering strategies of damage control resuscitation, illustrating the profound influence of military protocols on saving lives in civilian emergencies. As we consider the future readiness of military medical professionals, she eloquently speaks to the importance of ongoing collaboration to maintain a high standard of combat casualty care, ensuring that, even in peacetime, our surgeons are prepared for the realities of war. Her experiences offer a unique lens on the Excelsior Surgical Society's role in nurturing military surgeons' professional development, painting a vivid picture of how these collaborations are pivotal in advancing modern trauma systems.

    As we face concerns over a potential decline in deployment experience among military medical personnel, Dr. Knudsen sheds light on collaborative efforts to ensure that the next generation of military surgeons retains the expertise necessary for future combat casualty care. It's an enlightening discussion that solidifies the critical nature of these ongoing partnerships in trauma care.

    Chapters:

    (00:04) Military-Civilian Partnerships in Trauma Care

    (11:56) Civilian Surgeons in War Zones

    (24:22) Improving Trauma Care Through Military-Civilian Partnerships

    (31:42) Military-Civilian Trauma Care Partnerships

    Chapter Summaries:

    (00:04) Military-Civilian Partnerships in Trauma Care

    Dr. Peggy Knudsen's journey in trauma surgery, her role in pediatric surgery, and the importance of military-civilian partnerships in advancing trauma care.

    (11:56) Civilian Surgeons in War Zones

    Civilian surgeons volunteered in military hospitals during Iraq and Afghanistan conflicts, learning from and working with military personnel.

    (24:22) Improving Trauma Care Through Military-Civilian Partnerships

    Military trauma care advancements, tourniquet use, damage control resuscitation, burn care improvements, and preserving surgical skills through partnerships.

    (31:42) Military-Civilian Trauma Care Partnerships

    Firsthand trauma experience, military-civilian partnerships, and readiness of trauma community to respond to large-scale operations.

    Take Home Messages:

    Civilian and military trauma care partnerships are critical for advancing modern trauma systems and ensuring readiness for future conflicts.Civilian surgeons gain transformative experiences and valuable insights from volunteering in war zones, which they bring back to improve civilian trauma care.Military innovations, such as the use of tourniquets and damage control resuscitation, have significantly influenced trauma care protocols in civilian medical practice.The integration of civilian medical expertise with military precision has led to life-saving advancements in trauma care and emergency response strategies.Collaborative efforts between professional medical societies and the Department of Defense are essential for maintaining and reinforcing combat casualty care knowledge among military medical professionals.The importance of programs like Stop the Bleed is highlighted, aiming to educate the public on life-saving techniques that stem from military medical practices.Trauma medicine is constantly evolving, with military medical protocols being adapted for use in civilian emergencies, underscoring the need for continuous learning and adaptation.Active-duty military surgeons benefit from being integrated into civilian trauma centers, helping them stay deployment-ready and enhancing their trauma care skills.The Mission Zero Act plays a role in funding military-civilian trauma care partnerships, aiming to improve preparedness and response capabilities in both military and civilian settings.The trauma community is committed to responding to large-scale military operations, showcasing the readiness and willingness of civilian surgeons to support military efforts when necessary.

    Episode Keywords:

    Trauma Care, Military-Civilian Partnerships, Medical Excellence, Military Precision, Civilian Practice, Senior Visiting Surgeon, Iraq, Germany, Military Surgeons, Professional Development, Excelsior Surgical Society, War Zones, Battlefield Medicine, Civilian Surgeons, Volunteer, Military Teams, Civilian Heroes, Battlefield Medicine, Military Innovations, Local Hospitals, Stop the Bleed, Damage Control Resuscitation, Combat Casualty Care, Military Protocols, Civilian Emergencies, Future Readiness, Military Medical Professionals, Peacetime, War, Trauma Surgery, Pediatric Surgery, Evolution of Trauma Systems, Excelsior Surgical Society, Professional Growth, American College of Surgeons, American Association for the Surgery of Trauma, Logistics, Deployment, Learning Opportunities, Collaborative Work, Military Personnel, Specialties, Trauma, General, Vascular, Orthopedic, Neurosurgery, Selection Process, Balad, Iraq, Military Healthcare System, Tourniquet, Stop the Bleed Program, Life-Saving Techniques, Damage Control Resuscitation, Whole Blood Resuscitation, Burn Care, Patient Resuscitation, Combat Casualty Care Knowledge, Curriculum, Skill Assessments, Mission Zero Act, Funding, Blue Book, Trauma

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • Join us on WarDocs as we chat with the legend himself, Dr. Norman Rich, who pioneered the field of military vascular surgery. We journey through his life and career, from his humble beginnings in a small Arizona copper mining town to becoming an international authority in his field. Listen as Dr. Rich discusses his groundbreaking work in Vietnam, his creation of the Vietnam Vascular Registry, and the completion of his landmark textbook, Vascular Trauma.Dr. Rich shares insights on his journey of pioneering military vascular surgery and his unique experiences operating on President Eisenhower in this riveting discussion. Hear his fascinating story about meeting with Dr. DeBakey. Discover his career's challenges and triumphs and valuable contributions to the military medicine field. Learn about the unique military pathologies that Dr. Rich brought to light through his extensive research and the role of international collaboration in spreading the word about military vascular surgery. You will also gain an understanding of the importance of having consultants to help with the newly formed USUHS medical school surgical program and the value of the Excelsior Surgical Society in advancing military medicine. Don't miss out on this chance to hear from a true visionary in military surgery.

    --------- EPISODE CHAPTERS WITH SHORT KEY POINTS ---------(0:00:00) - Dr. Norman RichDr Norman Rich was a pioneer in military vascular surgery, chairing surgery for 25 years and authoring the landmark textbook Vascular Trauma.(0:17:16) - Vietnam Vascular Trauma and RegistryDr. Norman Rich pioneered vascular surgery in the military, developing a registry system and writing the book Vascular Trauma.(0:33:51) – Walter Reed Fellowship Growth and ChallengesDr Rich pioneered military vascular surgery, strengthened fellowship through general surgery, and reached out internationally to start the Uniform Services University medical school.(0:41:39) - Military Unique Pathologies in Vascular SurgeryDr Rich assembled a team of specialists to pioneer military vascular surgery, addressing unique pathologies like Popliteal Entrapment Syndrome.(0:45:35) - International Collaboration on Vascular IssuesDr. Norman Rich spread knowledge of military vascular surgery, with consultants and Excelsior Surgical Society marketing, emphasizing the importance of expertise.(0:58:26) - Memorable Surgical CasesDr. Rich reflects on his experience operating on Eisenhower, meeting with Dr. DeBakey, and the importance of experience and organization in military medicine.

  • Embark on a journey to the front lines of military medicine with our esteemed guest, retired Army Lieutenant Colonel Dr. Randi Schaefer. With her wealth of experience, Dr. Schaefer takes us through the intense world of emergency trauma care and her personal evolution from a college student to an accomplished military nurse and emergency medicine expert. We explore the educational paths and specialization opportunities within the military nursing field and the life-saving innovations in pre-hospital blood administration that have triumphed on the battlefield and transformed civilian emergency care.

    Dr. Schaefer pulls back the curtain on the progressive tactics and challenges that have shaped blood transfusion practices over the years. From the early days of relying on hospital staff donors to the current state-of-the-art application of whole blood in the thick of combat, we discuss the critical observations and strategic collaborations that have driven these practices forward. The role of STRAC in revolutionizing pre-hospital care and the crucial impact of timely blood transfusions in saving lives take center stage in this compelling narrative that intertwines military precision with medical breakthroughs.

    Our final moments with Dr. Schaefer reveal the innovative solutions combat medics deploy to save lives under the most extreme conditions, including providing blood transfusions amidst the chaos of active fire. We also shine a light on the advancements that continue to elevate the field, like the Vampire Program and the Tactical Combat Casualty Care training. Dr. Schaefer's ongoing consulting work and vision for emergency medicine not only reflect her unwavering dedication but also promise to guide the future of trauma care to even greater heights. Join us for this captivating episode where valor meets the rigor of medical science, and discover the incredible impact of one woman's journey on the world of emergency medicine.

    Chapters:

    (00:00) Addressing Hemorrhage in Trauma

    (07:22) Early Blood Transfusion in Emergency Settings

    (15:49) Pre-Hospital Blood Transfusion and Innovations

    (27:57) Enhancing Pre-Hospital Blood Transfusion Rates

    (37:26) Consulting on Pre-Hospital Blood Administration

    Chapter Summaries:

    (00:00) Addressing Hemorrhage in Trauma

    Army nurse Randi Schaefer discusses pre-hospital hemorrhage control and the potential for future improvements in military and civilian sectors.

    (07:22) Early Blood Transfusion in Emergency Settings

    Nature's role in trauma care: reliance on hospital staff, evolution of transfusion practices, and efforts to improve pre-hospital capabilities.

    (15:49) Pre-Hospital Blood Transfusion and Innovations

    Nature's emergency blood transfusion process in pre-hospital settings, including training, logistics, and clinical guidelines for improved trauma care outcomes.

    (27:57) Enhancing Pre-Hospital Blood Transfusion Rates

    TCCC training, missed transfusion opportunities, and improvements in pre-hospital blood programs for combat medics.

    (37:26) Consulting on Pre-Hospital Blood Administration

    Practical aspects of pre-hospital blood product administration, logistics, military background, and legacy of service.

    Take Home Messages:

    Military medicine has played a critical role in innovating trauma and emergency care, specifically in the field of pre-hospital blood administration, due to the need for immediate life-saving measures in combat scenarios.Career progression within the Army can lead to educational opportunities and specializations in emergency medicine and trauma care, as evidenced by the journey of a retired Army Lieutenant Colonel and military nurse.The shift in blood transfusion practices, such as the transition from crystalloids and component therapy to the use of whole blood, has been influenced by clinical observations and the necessity for timely interventions to reduce mortality rates.The Southwest Texas Regional Advisory Council (STRAC) has been instrumental in connecting military and civilian trauma care practices, especially in pre-hospital blood administration.Training and protocols developed for combat medics, such as Tactical Combat Casualty Care (TCCC), have resulted in innovations that guarantee timely and safe blood transfusions even in active combat situations.The logistical challenges of storing and transporting blood products in combat situations have spurred innovative solutions, like the use of drones and advancements in non-liquid blood products such as spray-dried plasma.Clinical guidelines, such as using the shock index, assist medics in making decisions about when blood transfusions are necessary, leading to improved patient outcomes in pre-hospital trauma care.Doctoral research focused on increasing pre-hospital blood transfusion rates highlighted the significance of training, refining dispatch operations, and managing distractions during emergencies to prevent missed opportunities for life-saving transfusions.The practical implementation of pre-hospital blood product administration involves navigating logistical challenges, adhering to blood bank and FDA requirements, and ensuring the proper storage and temperature maintenance of blood products.The episode underscores the significance of continuous innovation and adaptation in emergency medicine, using lessons learned from military experiences to enhance civilian trauma care and ultimately save more lives.

    Episode Keywords:

    Military Medicine Innovation, Trauma Care Advancements, Blood Transfusion Practices, Pre-Hospital Care Strategies, Emergency Medicine Podcast, Combat Medics Training, Dr. Randi Schaefer, Tactical Combat Casualty Care (TCCC), Whole Blood Transfusion, Medical Frontiers in Trauma, Battlefield Medicine Developments, Civilian Emergency Care Techniques, Military Nurse Education, Southwest Texas Regional Advisory Council (STRAC), Vampire Program Army, Pre-Hospital Hemorrhage Control, Trauma Care Lessons from Military, Blood Product Administration, Paramedic Blood Transfusion Training, Innovation in Military Healthcare.

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #TraumaCareInnovation #DrRandiSchaefer #EmergencyMedicine #BloodTransfusion #CombatMedics #PreHospitalCare #MedicalFrontiers #TCCC #VampireProgram #MilitaryNurse #LifesavingInnovations #WholeBloodAdvancement #EmergencyCarePodcast #MilitaryHealthcare

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • Embark on an unforgettable exploration of leadership and resilience with CMSgt Tanya Y. Johnson, the influential senior enlisted leader for the Defense Health Agency. With a legacy steeped in military healthcare and wisdom to impart, Chief Johnson unwraps the layers of her journey, from her roots in an Air Force medic family to her strategic prowess in overseeing the TRICARE Health Plan and combat support missions. This episode is an education in the nuances of guiding with compassion and clarity in the military and medicine high-stress environments.

    As we traverse the landscape of the Military Health System's strategy, Chief Johnson illuminates the importance of transparent communication and the creation of an environment where feedback flourishes and trust is the cornerstone. This dive into the human side of healthcare delivery and the intricate dance of accountability and compassion in leadership is as enlightening as it is essential. Chief Johnson highlights the power of clear communication, the significance of fostering a culture where feedback thrives, and the importance of trust-building Listen in as she shares pearls of wisdom on leadership, especially the art of leading with grace in the high-stakes environment of military medicine.

    Finally, the episode captures the transformative journey of healthcare technology within the military, sharing how it reshapes care delivery and the necessity of readiness in times of crisis. Chief Johnson recounts the poignant memories of her deployment, including the impactful mission during the Ebola outbreak in Liberia, painting a vivid picture of the adaptability and resilience of military teams. Her insights offer invaluable advice for anyone considering a career in military medicine and underscore the profound dedication that defines this noble field. Whether you're a current service member, a healthcare professional, or simply intrigued by military medicine, this episode offers a unique perspective on the dedication and innovation that define the field.

    Chapters:

    (00:04) CMSgt Tanya Johnson's Leadership Journey

    (09:02) Military Health System Strategy Discussion

    (15:22) Future of Military Healthcare Technology

    (28:30) Leading With Grace in Military Medicine

    (33:22) Military Career Advice and Deployment Experiences

    (38:53) Military Deployment to Liberia Experience

    Chapter Summaries:

    (00:04) Tanya Johnson's Leadership Journey

    Chief Master Sergeant Tanya Y. Johnson's military legacy, personal journey in Air Force Medicine, and leadership philosophy in the Defense Health Agency.

    (09:02) Military Health System Strategy Discussion

    Leadership decisions impact teams through communication, trust-building, and care, as seen in the Defense Health Agency's strategy for modernizing healthcare.

    (15:22) Future of Military Healthcare Technology

    Medical technology transforms healthcare delivery, addressing staffing shortages and enhancing patient-centric care, while also discussing TRICARE Health Plan administration and DHA's role in combat support.

    (28:30) Leading With Grace in Military Medicine

    Leading with grace in military medicine, managing expectations, treating professionals with respect, and opportunities for personal growth.

    (33:22) Military Career Advice and Deployment Experiences

    Military service and recruiting insights from a guest who found a rewarding career in military medicine, advice for young service members, and profound experiences during deployment.

    (38:53) Military Deployment to Liberia Experience

    Rapid deployment to Liberia during Ebola outbreak, building medical facility, avoiding virus, overcoming challenges through teamwork.

    Take Home Messages:

    Leadership Resilience:

    Resilient leadership in high-pressure environments is key to successful outcomes, especially in military medicine where the stakes are high. The ability to maintain composure and lead with empathy and understanding is essential for managing teams effectively in challenging situations.

    Communication and Feedback:

    Clear communication and fostering a feedback-rich environment are critical components of effective healthcare leadership. Creating a culture where team members feel valued and heard contributes to the successful execution of strategic goals and the overall improvement of healthcare delivery.

    Technology Integration:

    Integrating advanced technology into healthcare systems is vital for modernizing care and enhancing service delivery. Embracing a digital-first approach not only addresses staffing shortages but also empowers healthcare professionals and improves patient outcomes.

    Growth Opportunities:

    The personal and professional growth opportunities within military medicine are unparalleled. Individuals interested in this field can expect a unique career path that offers education, leadership development, and the chance to serve one's country while making a significant impact on the health and well-being of service members and their families.

    Deployment Experiences:

    Experiences from deployment highlight the importance of adaptability, resourcefulness, and teamwork in crisis situations. The ability to navigate unfamiliar and often volatile environments while providing critical healthcare services exemplifies the dedication and innovation inherent in military medical teams.

    Episode Keywords:

    Military Medicine, Leadership, Military Health System, Defense Health Agency, Patient-Centered Care, Technology, Deployment, Ebola Outbreak, Resilience, Teamwork, Military Career, Combat Support, Medical Technology, Military Service, Military Legacy, Military Deployment, Military Strategy, Military Healthcare, Military Leadership, Military Teams

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicineLeadership #ChiefJohnsonInsights #HealthcareStrategy #ResilientMilitaryHealth #AirForceMedicStories #TRICAREInnovation #DeploymentExperiences #MilitaryHealthTechnology #DefenseHealthAgency #LeadingWithGrace

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • Embark on a captivating journey with Master Chief Troy Brown, a decorated Navy veteran whose life story unfolds like an epic saga across the globe's most challenging terrains, from the detainee cells of Camp Delta to the bustling medical tents of Camp Leatherneck. As a native of Joplin, Missouri, Troy's life took an unexpected turn during a fateful dinner conversation, setting him on a path that would define his character and commitment to military healthcare. Our latest episode navigates his transition from aspiring serviceman to a revered corpsman, revealing the hurdles overcome and the passion kindled for supporting the well-being of warfighters.

    The echoes of 9/11 resonate through the personal narratives shared in our heartfelt discussion, casting light on the ripple effects such historical moments have on those in uniform. Troy's account of the ethical conundrums faced while caring for detainees at Guantanamo Bay is both enthralling and thought-provoking, offering listeners a rare glimpse into the realities of wartime medical practice. We also delve into the essence of leadership, as seen through the trials and triumphs of military service.

    Concluding our session, we admire the indelible mark left by leaders such as Troy, who underscore the value of seizing diverse opportunities and forging robust relationships throughout one's career. Heeding the advice to 'Be the one,' we reveal the transformative power of initiative and the innovative strategies that bolster team support. Troy's reflections on a gratifying career in military medicine are a testament to the impact of dedication and the art of thinking beyond conventional limits.

    Chapters:

    (00:00) Navy Career

    (07:24) Challenges of Military Deployments

    (22:26) Military Leadership Experiences and Lessons

    (36:31) Supporting People in Leadership Roles

    (41:49) Career Legacy and Leadership Advice

    Chapter Summaries:

    (00:00) Navy Career

    Master Chief Troy Brown's journey from Missouri to Navy corpsman, specializing in physical therapy and preventive medicine, with deployments in specialized roles.

    (07:24) Challenges of Military Deployments

    9/11's impact on military personnel, career effects, and wartime medical ethics in Guantanamo Bay.

    (22:26) Military Leadership Experiences and Lessons

    Veteran instructors' impact on students, adaptability in deployments, leadership in military health system, and low casualty rates.

    (36:31) Supporting People in Leadership Roles

    Flexibility and support in the workplace, prioritizing personnel issues, and the impact of individual initiative in leadership roles.

    (41:49) Career Legacy and Leadership Advice

    Seizing opportunities, valuing diversity, and building relationships are crucial in avoiding career limitations and leaving a positive legacy.

    Take Home Messages:

    **The Significance of Adaptability in Military Service**: The story underscored in this episode highlights the importance of adapting to diverse and challenging environments, particularly in military healthcare. Multiple deployments, including those to Guantanamo Bay and Camp Leatherneck, demonstrate the need for flexibility and the ability to learn from every situation to provide the best care possible in varying circumstances.**The Complex Ethical Landscape of War Medicine**: The episode delves into the ethical considerations of treating enemy combatants and the moral obligations of military medics. The experiences shared about treating detainees with combat-related injuries in Guantanamo Bay serve as a poignant reminder of the unique challenges faced by those serving in military healthcare.**Leadership and Mentorship are Crucial in Military Careers**: Through the reflections shared in this episode, the emphasis is put on the impact that strong leadership and mentorship can have on the careers of those in the military. The stories illustrate how experienced individuals can influence and shape the path of upcoming service members, highlighting the importance of legacy in military service.**'Be the One' - Taking Initiative in Command**: The conversation explores the leadership principle of 'Be the one,' which encourages taking initiative and being responsible in leadership roles. This actionable wisdom is not only applicable to military command but also translates into leadership in various fields.**Building a Fulfilling Career by Caring for Others**: The episode concludes with an exploration of the fulfilling nature of a career in military medicine. It is the relationships formed, the diverse opportunities embraced, and the impact made through caring for others that collectively contribute to a rewarding career and leave a lasting legacy in military healthcare.

    Episode Keywords:

    Navy Career, Military Healthcare, Deployments, Leadership, Relationships, Military Medicine, 9/11, Guantanamo Bay, Wartime Ethics, Adaptability, Mission and Morale, Leadership Roles, Career Legacy, Diversity, Seizing Opportunities, Relationships and Networks, Military Personnel, Medical Care, Physical Therapy, Preventive Medicine, Athletic Training, National Defense University, Camp Delta, Camp Leatherneck, NATO Role 3 Multinational Medical Unit, Command Senior Chief, Tyrone, Camp X-ray, Kandahar, Officer, Casualty Rates, One-Trick Pony, Diversifying Experiences, Typecast, Pushing Boundaries, Thinking Outside the Box, Fulfilling Career

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #LeadershipLegacy #NavyCorpsmanJourney #MasterChiefBrown #WarMedicineValor #MentorshipInUniform #HealthcareHeroes #DeploymentChallenges #EthicsInWar #MilitaryHealthcareEvolution

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes

    Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: https://www.youtube.com/@wardocspodcast

  • Retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero joins us to share his remarkable journey from the front lines to the forefront of surgical innovation. Imagine the battlefield's high stakes where every second counts, and the tools at your disposal can mean the difference between life and death. His tales of life-saving speed and adaptability in the most austere conditions reveal the genesis of his revolutionary contribution to surgical technology—a battlefield-optimized surgical retractor. Our conversation with Dr. Cestero isn't just a walk through his experiences; it's a masterclass in the resilience and resourcefulness required in military and civilian trauma surgery.

    Throughout the episode, we witness the evolution of surgical retractors over the past few centuries, from their rudimentary origins to the state-of-the-art devices we see today. From the necessity that birthed his new retractor system to the behind-the-scenes look at transforming a concept into a globally utilized device, the narrative is as engaging as it is instructive. Dr. Cestero's insights into balancing the demands of a full-time surgical career with medical entrepreneurship are a candid reflection on the challenges and triumphs of innovation.

    As we round out the discussion, Dr. Cestero doesn't just rest on his laurels; he casts a strategic eye toward the future of trauma surgery. With a nod to the lessons of past conflicts, we discuss the dynamic nature of military medicine and the implications for surgeons in rapidly evolving combat environments. We get into the Navy's shifting strategies, the importance of adaptable surgical teams, and the next wave of advancements set to revolutionize trauma care. It's a riveting exploration of how technologies like Dr. Cestero's retractor, along with advancements in operating room efficiency and training, stand to elevate patient care in both military operations and civilian trauma centers. Prepare to be inspired by the potential that lies ahead, as we uncover the innovations set to revolutionize the experience of patients and surgeons alike.

    Chapters:

    (00:04) Military Trauma Surgeon's Innovative Approach

    (08:07) Innovating Surgical Retractors

    (13:51) From Idea to Global Commercialization

    (19:06) Innovative Surgical Retractor System Design

    (31:10) Future Innovations in Trauma Surgery

    Chapter Summaries:

    (00:04) Military Trauma Surgeon's Innovative Approach

    This chapter features retired Navy Commander and Trauma Surgeon Dr. Ramon Cestero, who shares insights from his multiple global deployments, emphasizing the importance of proper equipment, speed, and adaptability in trauma surgery under austere conditions. I discuss with him how these experiences led to his development of a battlefield-optimized surgical retractor and the challenges of bringing such innovations to widespread use. Dr. Cestero also reflects on the unique aspects of serving as a trauma surgeon in the Navy Reserves, highlighting the balance between maintaining military connection and civilian practice, and offers suggestions for enhancing reserve surgeons' team experience and training. We explore the current gaps in trauma surgery research and what future innovations Dr. Cestero envisions.

    (08:07) Innovating Surgical Retractors

    This chapter uncovers the pressing need for innovation in surgical equipment, specifically retractors, through a surgeon's experiences working in both austere military settings and a Level 1 trauma center. I discuss the challenges faced during surgeries without adequate resources, such as the absence of platelets and the struggle for exposure in critical procedures, which can lead to life-threatening delays. The narrative is anchored by a poignant case of a young soldier with severe injuries, whose outcome might have been different with better surgical tools. We explore the history of surgical retractors, from their evolution in the Renaissance to modern table-mounted systems, and the inspirations behind famous designs like the Balfour and Bookwalter retractors.

    (13:51) From Idea to Global Commercialization

    This chapter unfolds the journey of developing a new surgical retractor system, from the spark of innovation to international commercialization. Dr. Cestero shares his story of collaborating with a tech transfer office and co-inventing with a biomedical engineer to create a prototype, which we tested successfully on a cadaver. He highlights the challenges of balancing a full-time surgery career with entrepreneurship, leading to a gradual transition to dedicating myself fully to the company. Ramon also touches on the process of patenting, fundraising, and gathering feedback from various medical professionals to refine the prototype.

    (19:06) Innovative Surgical Retractor System Design

    This chapter, we explore the design and functionality of a revolutionary surgical retractor system that addresses common frustrations surgeons face with traditional retractors. We examine how its one-way assembly prevents incorrect setup, the satisfying ratchet sound that signals secure placement, and its adaptability to different incision sizes. The system's lightweight nature at only two pounds and compatibility with Bookwalter components are highlighted, along with its efficiency in providing exposure of the abdominal wall and retroperitoneum. A personal story reveals the retractor's surprising lightness and convenience in a combat environment, emphasizing its practicality for both the operating room and field surgery. Additionally, we discuss how the retractor can be adapted for upward lift, enhancing visibility in deep pelvic or upper abdominal procedures.

    (31:10) Future Innovations in Trauma Surgery

    This chapter focuses on the anticipated changes in military medical operations, drawing parallels with historical conflicts such as World War II and emphasizing the necessity for adaptability in modern warfare environments. We discuss the likelihood of increased casualties, the need for prolonged field care, and the possibility of surgeons re-operating on patients due to limited evacuation options. Additionally, we cover the Navy's evolving role and the potential shift toward more mobile surgical teams at sea. In terms of trauma surgery advancements, we touch on the ongoing efforts to improve blood product availability and the challenges faced by trainees with the transition from open to minimally invasive surgery. The conversation also highlights the importance of enhancing operating room efficiency, particularly through innovations in surgical retractors, lighting, and integration of suction to improve patient outcomes and the overall surgical experience.

    **This Episode was supported in part by a generous educational grant from Advanced Surgical Retractor Systems, INC.**

    Take Home Messages:

    Military trauma surgery experiences have significantly contributed to the development and innovation of surgical technology, particularly in the design of surgical retractors optimized for battlefield conditions.The evolution of surgical retractors has been influenced by the necessity to operate efficiently under resource-limited conditions, with historical designs like the Balfour and Bookwalter retractors laying the foundation for modern advancements.A surgeon's ability to adapt and operate quickly in austere environments can have life-saving implications, underscoring the importance of equipment that is both effective and transportable.Bringing a new medical device from concept to global commercialization involves collaboration with engineers, navigating the patenting process, fundraising, and obtaining feedback from medical professionals to refine the design.The design of the discussed innovative surgical retractor system aims to address common frustrations, such as incorrect assembly, while providing rapid and secure placement, adaptability to different incision sizes, and compatibility with existing surgical components.Future innovations in trauma surgery are anticipated to include improved blood product availability, more efficient operating room technologies, and training adjustments to accommodate the transition from open to minimally invasive surgery.Military medical operations are likely to face changes with increased casualty numbers, necessitating adaptable and mobile surgical teams capable of prolonged field care and re-operation on patients.Enhancements in surgical tools can lead to better patient outcomes by improving exposure and efficiency in the operating room, even under combat or emergency conditions.Surgeons must balance maintaining traditional techniques with embracing new, potentially life-saving technologies, and training is essential for the successful adoption of innovative surgical devices.Operating room efficiency is critical not only in civilian trauma centers but also in military operations, with technological advancements being crucial to adapting to future combat environments and potentially high-casualty scenarios.

    Episode Keywords:

    Military Trauma Surgery, Surgical Retractors, Innovation, Battlefield, Austere Conditions, Surgical Technology, Resilience, Resourcefulness, Operating Room Efficiency, Medical Entrepreneurship, Trauma Care, Navy, Surgical Teams, Blood Product Availability, Minimally Invasive Surgery, Operating Room Integration, Suction, Patient Outcomes

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd #TraumaSurgery, #SurgicalInnovation, #MilitaryMedicine, #CombatSurgeon, #MedicalBreakthroughs, #OperatingRoomTech, #SurgicalRetractor, #MedicalEntrepreneurship, #TraumaCare, #MilitaryHealthcare

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: WarDocs-The Military Medicine Podcast

  • Step into the boots of Army BG Jennifer A. Marrast Host, our guest on this episode of WarDocs, the Military Medicine podcast. From her origins in Grenada to her current role as Deputy Commanding General Professional Services for the 807th Medical Command deployment support, BG Marrast Host’s journey will leave you astounded and inspired. The insights she shares about the battlefield hardships and the immense emotional toll of her profession are both gripping and poignant.

    Get a firsthand account of her time with the 452nd Hospital in Afghanistan and the graphic trauma cases she encountered. Feel the palpable intensity as she narrates the heartbreaking memory of a young burn victim she couldn't save, and how that experience informs her work today. As we traverse through her tenure as a battalion surgeon in Iraq and her time at Task Force Victory in Afghanistan, you'll get an insider view of the daunting challenges of military medical decision-making and how rank plays into it all.

    Towards the end of our discussion, BG Marrast Host turns the spotlight onto future military medics. She imparts her wisdom on maintaining balanced dedication between civilian and military commitments and shares invaluable leadership lessons. Wrapping up, she expresses her hopes for her legacy and the future of Army medicine. Regardless of whether you're considering a military medical career or are simply intrigued by the intricate world of military medicine, this episode promises a deeply insightful journey. Don't miss out!

    Chapters:

    (00:00) Military Medicine and Leadership Lessons

    (09:00) 452nd Hospital Experiences in Afghanistan

    (13:14) Challenges in Afghanistan and Iraq

    (19:56) Challenges in Military Medicine and Readiness

    (39:03) Legacy of Military Medicine

    Chapter Summaries:

    (00:00) Military Medicine and Leadership Lessons

    BG Jennifer A Marrast Host shares her journey from Grenada to medical school and the military, discussing the role of reserves in medical missions and leadership lessons for military medical careers.

    (09:00) 452nd Hospital Experiences in Afghanistan

    BG Marrast Host shares her experiences of treating severe trauma in austere conditions in Afghanistan.

    (13:14) Challenges in Afghanistan and Iraq

    Jennifer’s experiences in Afghanistan and Iraq, including medical decision-making, care of soldiers, and setting up an MC4 system, are discussed.

    (19:56) Challenges in Military Medicine and Readiness

    BG Jennifer A. Marrast Host shares her experience of a heartbreaking case in Afghanistan and how it taught her to debrief her team after trauma cases, as well as the challenges of balancing civilian and military jobs.

    (39:03) Legacy of Military Medicine

    BG Marrast Host’s legacy includes her passion for caring for soldiers and modernizing Army medicine.

    Listeners Will
..

    Embark on a journey from immigrant background to high-ranking military status.Gain a deep understanding of emotional and physical challenges encountered on the battlefield.Gain a complex perspective on military medicine, emphasizing the role of leadership, decision-making, and adaptability.Understand the role and significance of military reserves in medical missions and preparation for large-scale combat operations.Gain insight into the emotional strain of military medicine through the recounting of a young burn victim in Afghanistan.Understand the demanding balance between civilian careers and military obligations for reserve medical personnel.Learn valuable leadership lessons applicable in various contexts.Recognize the need for military medical personnel to maintain combat skills alongside medical expertise.Get a glimpse of the aspirations and dedication required to improve care and prepare the next generation of military medics.Use the podcast as an informative and inspiring resource for anyone considering a career in military medicine or interested in gaining insights into the demands of front-line healthcare.

    Episode Keywords:

    Military Medicine, Army Brigadier General, Jennifer A. Marrast Host, 807th Medical Command, 452nd Hospital, Afghanistan, Iraq, Trauma Cases, Burn Victim, Battalion Surgeon, Task Force Victory, Medical Decision-Making, Rank, MC4 System, Comfort, Pain Relief, Reserve Component, Modernize Army Medicine, Combat, Fighting Strength

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #BrigGenMarrastHost #WarDocsPodcast #BattlefieldMedicine #LeadershipLessons #TraumaCare #MilitaryHealthcare #CombatMedics #VeteranStories

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

    YouTube Channel: WarDocs-The Military Medicine Podcast

  • Join the conversation with Lieutenant Colonel Dr. Jeanne Krick, as she brings the weighty world of medical ethics into focus, sharing her journey from Neonatology to being the Army Surgeon General's consultant for Medical Ethics. Our discussion orbits the moral quandaries that surface in military medicine, dissecting the intricate balance between patient autonomy and the rigors of military policy and regulations. Dr. Krick provides a riveting narrative on the daily impact of ethical decision-making and the burgeoning field of bioethics. Join us for a candid discussion about what it takes to make life-and-death decisions when duty, honor, and humanity intersect.

    As we unpack the layers of Dr. Krick's expertise, the fabric of military medical ethics is revealed in its full complexity. The establishment and significance of ethics committees take center stage, as we navigate through complex scenarios where commanders and medical professionals must align on treatment decisions for service members. Dr. Krick's role in shaping policies at a non-deployed level juxtaposes the high-stakes ethical calls required in active war zones, sparking a conversation on the critical need for robust ethical guidelines and training.

    The forecast for military medical ethics is a combination of change, challenges, and innovation as we look to the horizon where artificial intelligence and human enhancement technologies promise to redefine the boundaries of healthcare. Dr. Krick's insights on the ethical dimensions of AI in medicine, the military's stance on pandemic responses, and the intricacies of cultural sensitivity within patient confidentiality offer a guide for navigating these uncharted waters. Her perspective underscores the importance of early ethicist involvement in policy-making and the role of shared decision-making in aligning medical actions with patients' values. For medical professionals, ethicists, or anyone intrigued by the moral challenges of healthcare, this episode is an indispensable look into the courageous work of those who serve in medicine's toughest arenas.

    Chapters:

    (00:00) Exploring Medical Ethics and Consultations

    (10:21) Military Medical Ethics and Committees

    (18:23) Ethics in Healthcare and Deployed Settings

    (30:28) Cultural Differences and Patient Confidentiality

    (36:19) AI Impact on Medical Ethics

    (44:54) Medical Ethics and Decision-Making Challenges

    (50:03) Future of Military Medical Ethics

    Chapter Summaries:

    (00:00) Exploring Medical Ethics and Consultations

    Dr. Jeanne Krick discusses the impact of her bioethics training and education on her problem-solving approach in military medicine and the evolving horizon of medical ethics.

    (10:21) Military Medical Ethics and Committees

    Military medical ethics, diverse committees, and educational opportunities for ethical training within the military healthcare system.

    (18:23) Ethics in Healthcare and Deployed Settings

    Patient-centered care, organizational ethics, resource allocation, and treatment of enemy combatants in deployed environments.

    (30:28) Cultural Differences and Patient Confidentiality

    Cultural differences in medical ethics, patient autonomy, confidentiality, and military readiness are discussed with real-life scenarios.

    (36:19) AI Impact on Medical Ethics

    Ethical considerations in AI healthcare, human enhancement in the military, and balancing autonomy and mission readiness during pandemics.

    (44:54) Medical Ethics and Decision-Making Challenges

    Equipping medical students with ethical tools, understanding principles and care, reconciling legal constraints, and debating neonatology.

    (50:03) Future of Military Medical Ethics

    Future of medical ethics in military medicine, involving ethicists in policy-making, rapid decision-making in emergencies, and balancing guidance with patient wishes.

    Take Home Messages:

    Medical ethics in the military setting require balancing individual autonomy with military protocol, highlighting the unique ethical challenges faced by military medical professionals.The journey from neonatology to a consultant for the Army Surgeon General underscores the importance of interdisciplinary backgrounds and analytical thinking in navigating complex ethical decisions in military medicine.The role of ethics committees in military medical treatment facilities is critical, offering diverse perspectives and aiding in difficult decision-making processes when commanders and medics must align on service member treatment.Ethical training and guidelines are essential for military healthcare providers, particularly in deployed settings where high-pressure situations demand rapid and morally sound decision-making.Cultural sensitivity and confidentiality issues present unique ethical dilemmas in military medicine, necessitating careful consideration of cultural relativism and the intent behind sharing medical information within the command structure.The advent of artificial intelligence and human enhancement technologies in healthcare brings forth new ethical dimensions that require transparency and the involvement of ethicists to ensure moral foundations are integrated.The COVID-19 pandemic has highlighted the need for robust ethical frameworks in military medicine, particularly regarding vaccinations and individual autonomy versus mission readiness.Early ethicist involvement in policy-making and shared decision-making processes is key to aligning medical actions with patients' values, ensuring that care remains patient-centered even amidst rapid changes in the medical landscape.Medical students, especially those in military programs, must be equipped with a strong ethical toolkit to face the challenges of contemporary and future medical practice, including varying treatment approaches and legal constraints.The future of military medical ethics points towards an increase in formal ethics training and the early incorporation of ethical considerations in policy-making to better prepare for complex situations such as pandemics and large-scale combat operations.

    Episode Keywords:

    Medical Ethics, Military Medicine, Bioethics, Ethical Decision-Making, Patient Autonomy, Military Protocol, Ethics Committees, Artificial Intelligence, Cultural Sensitivity, Patient Confidentiality, Healthcare, Ethics Consultations, Military Healthcare System, Ethical Training, Organizational Ethics, Resource Allocation, Combat Operations, Cultural Relativism, AI Algorithms, Human Enhancement, Informed Consent, Pandemic Response, Vaccinations, Harm Principle, Ethical Toolkit, Ethics of Care, Legal Constraints, Neonatology, Formal Ethics Training, Shared Decision-Making, Emergency Situations, Guidance

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicalEthics #DrJeanneKrick #BioethicsInUniform #HealthcareOnTheFrontlines #EthicalDecisionMaking #ArtificialIntelligenceEthics #PatientAutonomy #MedicalEthicsTraining #NeonatologyEthics #CulturalSensitivityInMedicine

    Other Medical Ethics Resources:

    -DoD Medical Ethics Center- https://www.usuhs.edu/research/centers/dmec The DMEC is situated out of USUHS and has several resources for those in uniform on medical ethics (I am a little embarrassed that I forgot to mention them in the actual interview last night...). Their website has a link to their internal training course, which is really a series of YouTube videos that cover some basic bioethics topics. They also have an app (I believe it's available through all the usual sources and on all devices) that is free to download and has plenty of resources. The app could be a great resource for folks looking for more material, especially in austere environments.

    -American Society for Bioethics and Humanities- https://asbh.org/ This is the main organization for medical ethics within the US. There are links to many helpful resources on their site, including professional development, endorsed meetings, and guidelines/standards for clinical ethics consultation.

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

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  • Dr. Crosland is a graduate of West Point and the Uniformed Services University of Health Sciences. She is board-certified by the American Board of Family Medicine and is a Fellow of the American Academy of Family Physicians. She has held many significant responsibilities in her Army Medicine Career. She currently serves as the Director of the Defense Health Agency.

    On this episode of our Military Medical Mentorship Moments Series, LTG Crosland focuses on important things that successful mentors know. You will hear her provide insightful answers to the following questions:

    How do you choose a Mentee? What are the characteristics of effective mentors? How many Mentees should you have? Does it matter? What are some Mentor competencies? What “process skills” are necessary for Mentors How do you know you are ready to be a Mentor? How do you prepare to be a mentor? What are some “Don’ts” for a Mentor What do you do if the relationship is not working out or you just want out?

    Personal Reflections on Mentorship

    Who was your most influential mentor? Why What was the best advice you got from a mentor? What do you know now that you wish you would have learned much earlier? What characterizes a “good” or “not so good” mentorship relationship from your experience? Provide examples What is some practical advice for someone interested in mentoring or being mentored? What are the next steps to take?

    Telita shares many insights and mentorship lessons learned over a distinguished career. You don’t want to miss this special episode!

    Take Home Messages

    Mentorship in military healthcare is a critical aspect of professional development, with nuances unique to the armed forces environment.Effective mentors within the military medicine context are approachable, self-aware, and invested in the growth and development of their mentees.A successful mentor-mentee relationship requires clear communication, commitment from both parties, and the alignment of career guidance with personal aspirations.Mentors in military healthcare often have to navigate their mentees' professional paths while considering work-life balance and family commitments.One key to effective mentorship is the mentor's ability to provide honest feedback and advocate for their mentees when necessary.It's essential for mentors to avoid imposing their own career ambitions on mentees, as this can strain the relationship and hinder the mentee's individual growth.Mentorship is a dynamic process, and the readiness to mentor comes when one becomes genuinely excited about aiding in the development of others.Mentors should proactively reach out to potential mentees they believe they can help, showcasing the proactive nature of mentorship in fostering future leaders.Both mentors and mentees can benefit from formal mentorship programs, but the most impactful relationships are often organic and based on mutual respect and investment.Mentorship is not just about climbing the ranks; it's about lifting others as you go, embodying the ethos of leadership within the military healthcare system.

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

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    LinkedIn: WarDocs-The Military Medicine Podcast

  • Ever wondered what it takes to lead in one of the world’s most challenging environments, the US Navy? Do you find yourself intrigued by the thought of making critical decisions under immense pressure? Then this episode is for you. As we sit down with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton, we uncover a lifetime of leadership lessons, critical decision-making insights, and stories from his remarkable 37-year-long career. Admiral Moulton shares his experiences deployed during Operation Desert Storm to the heart of the Pentagon on one of the darkest days in US history.

    In our conversation, Admiral Moulton delves into the challenges he faced during his deployment on the USS Nimitz, his time in Okinawa, and the unforgettable experience of being in the Pentagon on 9/11. His accounts of these events, woven with lessons on leadership, draw a vivid picture of the realities of Military Medicine. You will hear about the intuitive decisions Admiral Moulton made to handle patient safety concerns, his performance-based approach to promotions, and the importance he placed on trusting his staff. His story illustrates the courage, resilience, and dedication necessary to thrive in high-stakes environments.

    RADM (Ret) Moulton opens up about his time leading the Tidewater Multiservice Market Office. His unique perspective on uniting the three Services, aligning with the needs of the MHS, and managing dual responsibilities offers invaluable advice for those navigating leadership roles within similar structures. Whether you're a veteran, on active duty, or simply interested in learning about leadership from a unique perspective, this episode promises a wealth of wisdom and a deeper understanding of Military Medicine. Terry's wisdom and advice, combined with his fascinating experiences, make this episode a must-listen for anyone seeking inspiration and leadership guidance.

    Chapters:

    (0:00:00) - Lessons From Early Years in Navy Medicine

    (0:05:28) - Military Assignments, Mentoring, and Medical Readiness

    (0:12:08) - Military Experience Around 9/11

    (0:19:04) - Leadership Challenges in Okinawa and During Deployment

    (0:26:18) - Leadership Approach in Multiservice Market

    Chapter Summaries:

    (0:00:00) - Lessons From Early Years in Navy Medicine (5 Minutes)

    We speak with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton. Admiral Moulton shares his story of joining the Navy, his deployment lessons learned aboard the USS Nimitz, and the experience of being in the Pentagon on 9-11. He provides advice to those advancing in roles with increased levels of accountability and responsibility. Admiral Moulton also shares his understanding of how enhanced multi-service markets and managed care support contractors can enable a ready medical force and a medically ready force. We discuss his early years and his early assignments, his roles and responsibilities, and the leadership lessons he learned. Join us as we explore these topics and more with Admiral Moulton.

    (0:05:28) - Military Assignments, Mentoring, and Medical Readiness (7 Minutes)

    Retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton reflects on his experience joining the Navy and the people who had a lasting impact on his career. He recounts his deployment on the USS Nimitz during Operation Desert Storm, and his efforts to ensure medical readiness on the ship. Finally, Admiral Moulton shares how the USS Midway Fire After-Action Report informed his approach to medical readiness.

    (0:12:08) - Military Experience Around 9/11 (7 Minutes)

    RADM (Ret) Moulton recalls his time serving in the Pentagon on 9/11. He reflects on the events of that day and how staying in the Pentagon to help set up a triage station transformed his future medical and military service. He speaks about the training he had done in the past that prepared him for this moment and the leadership challenges he faced when he was put in command roles.

    (0:19:04) - Leadership Challenges in Okinawa and Navy (7 Minutes)

    RADM (Ret) Moulton reflects on his leadership challenges in Okinawa. He discusses how he addressed patient safety concerns and relied on his intuition when making decisions. Admiral Moulton also shares his involvement in the planning for the evacuation of US citizens from mainland Japan and his role in ensuring their safe arrival to Okinawa. He emphasizes the importance of trusting his staff and the performance-based approach to promotion boards.

    (0:26:18) - Leadership Approach in Multiservice Market (17 Minutes)

    Terry speaks about his experience leading the Tidewater Multiservice Market Office. Admiral Moulton shares his approach to leading the three services with a focus on unity of effort and alignment with what the MHS needed. He then offers advice to the nine DHA directors and MTF directors on how to effectively communicate direction and understand their dual-hatted responsibilities. Lastly, Admiral Moulton counsels those in leadership positions on resolving conflicts between the hats they are wearing.

    Take Home Messages:

    Leadership often involves tackling difficult situations with honesty and integrity, whether it's addressing patient safety concerns or making critical decisions in high-pressure situations.Trusting your staff and adopting a performance-based approach to promotions are key leadership principles in any organization.When leading diverse teams, it's crucial to unite everyone with a common vision and align them with the organization's needs.Good leaders communicate effectively, providing clear direction and follow-ups. They ensure their teams understand what is important and what needs to be executed.It's essential for leaders to understand their dual responsibilities and roles, particularly in complex organizations where they might be wearing different 'hats.'Effective leadership requires an understanding of when to delegate tasks and when to be directly involved, often trusting one's gut instinct to make this decision.In challenging times, such as the evacuation of citizens during a crisis, leaders must make quick decisions, trust their staff, and have a plan in place to ensure safety and security.In healthcare, patient safety and quality of care should always be the top priorities. Leaders should pay close attention to these aspects and act promptly on any concerns.Mentorship is a valuable tool in leadership. It's important to learn from senior leaders and, in turn, guide those who are new to the organization or role.Embracing change and adaptability are critical to leadership. With changing scenarios, leaders must be ready to adapt their strategies and reassure their teams about the future.

    Episode Keywords:

    Navy, Medical Service Corps, Terry J Moulton, USS Nimitz, Operation Desert Storm, Pentagon, 9/11, Leadership Challenges, Medical Readiness, Military Assignments, Mentoring, Evacuation of US Citizens, Performance-Based Approach, Multiservice Market, DHA Directors, MTF Directors, Unity of Effort, Alignment with MHS, Effective Communication, Dual-Hatted Responsibilities, Conflict Resolution, Local Civilian Medical Providers, Quality Care for Veteran Patients, Leadership Impact

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd #NavyLeadership #MilitaryMedicine #TerryMoulton #RearAdmiralInsights #Pentagon911 #LeadershipPrinciples #TidewaterMultiservice #MilitaryCareer #LeadershipChallenges #DHAAdvice

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all Military Medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

  • Episode Summary:

    Retired Navy Captain Dr. Matthew Provencher shares his incredible journey from the decks of the USNS Mercy to the sidelines with the New England Patriots, revealing the profound connections between military orthopedics and sports medicine. His stories take us from the skies he once dreamed of conquering as a fighter pilot to the operating rooms where he honed his skills in orthopedics sports medicine, ultimately shaping the future of musculoskeletal injury research. Dr. Provencher's unique perspective not only discusses his transformative work in developing the Special Forces Tactical Athlete Program but also delves into the global impact of military medicine on orthopedic care. His stories will captivate you, revealing the profound impact of military medicine both in the field and on the homefront.

    Feel the ocean's swell as we set sail on the USNS Mercy, where Dr. Provencher once led surgical teams on life-saving missions. He recounts the evolution of these floating hospitals, detailing their critical role in disaster relief and humanitarian aid. As we navigate through his experiences, the leadership lessons gleaned from his tenure resonate with anyone seeking to foster accountability, integrity, and inclusive environments—whether at sea or in any professional setting. The lessons learned extend far beyond the operating room, spotlighting the core values of accountability and integrity that resonate in any high-pressure environment. His accounts of international collaboration and safety-forward medical practices on these ships underscore military medicine's extraordinary capabilities and adaptability.

    The podcast wraps up with Dr. Provencher transitioning from the high-stakes world of the NFL to providing second opinions for athletes across the sports spectrum. He reflects on pioneering surgical approaches born from the battlefield that have advanced orthopedic practices, sharing an anecdote involving Coach Bill Belichick that perfectly encapsulates the nexus of military service and professional sports. Through these discussions, Dr. Provencher illuminates the ever-present thread of innovation and excellence that military medicine weaves throughout the fabric of societal health and well-being.

    Chapters:

    (00:00) Military Medicine and Orthopedic Training

    (09:49) Military Sports Medicine and Humanitarian Missions

    (17:10) Leadership Lessons From a Hospital Ship

    (23:21) Ophthalmology, Cataract Surgery, and Military Orthopedics

    (31:08) The Evolution of Military Fitness Programs

    (44:50) Sports Medicine and Military Orthopedics Advances

    (50:00) Military Medicine and NFL Experiences

    Chapter Summaries:

    (00:00) Military Medicine and Orthopedic Training

    Retired Navy Captain Dr. Matthew Provencher's journey from Naval Academy to medical career, experiences as orthopedic surgeon, and contributions to research.

    (09:49) Military Sports Medicine and Humanitarian Missions

    Military sports medicine, treating complex battlefield injuries, innovative techniques, collaborative efforts, humanitarian missions, rewarding aspects.

    (17:10) Leadership Lessons from a Hospital Ship

    US Navy's hospital ships, their capabilities and operations, evolution of use, leadership challenges, and importance of safety in medical operations.

    (23:21) Ophthalmology, Cataract Surgery, and Military Orthopedics

    Nature's challenges in performing cataract surgeries in equatorial regions, the importance of ophthalmology in medical diplomacy, and the establishment of the Military Orthopedic Tracking Injuries Network (MOTION).

    (31:08) The Evolution of Military Fitness Programs

    The evolution of the Tactical Athlete Program for Special Warfare personnel, collaborative efforts to enhance soldier readiness and resilience, and strategies for preventing and treating common injuries.

    (44:50) Sports Medicine and Military Orthopedics Advances

    Sports medicine advancements, military lessons, and SOMOS collaborations enhance orthopedic care and research for athletes.

    (50:00) Military Medicine and NFL Experiences

    Transition from NFL to medical second opinions, military case of ankle bone in shoulder reconstruction, and intersection of sports and military service.

    Take Home Messages:

    Military discipline can significantly influence and improve sports medicine practices, fostering a culture of accountability and precision.The integration of military medical techniques in sports medicine has been transformative, especially in the development of programs for elite athletes like those in the NFL.Hospital ships such as the USNS Comfort and Mercy play a crucial role in disaster relief and humanitarian aid, highlighting the adaptability of military medicine.Leadership skills honed in military environments, including accountability and creating inclusive workspaces, are invaluable in any professional setting.The evolution of military fitness programs has led to a reduction in injury rates and improved recovery processes, benefiting the broader military and potentially civilian populations.Innovations in orthopedic surgery and treatment, such as the bridge-type repair for tendon injuries and the use of biologics, have been spurred by military medical research.Collaboration between military and civilian surgeons through organizations like the Society of Military Orthopedic Surgeons is critical for advancing orthopedic care and research globally.Military medicine's focus on fundamental training, such as thorough histories and physical exams, is essential for diagnosing and treating injuries when advanced technology is not available.The importance of comprehensive fitness, wellness, and rehabilitation programs in professional sports has roots in military medicine practices.The episode underscores the continuous thread of innovation, excellence, and global impact that military medicine contributes to societal health and well-being.

    Episode Keywords:

    Military Medicine, Orthopedic Training, Sports Medicine, Humanitarian Missions, Leadership Lessons, Hospital Ships, Ophthalmology, Cataract Surgery, Military Orthopedics, Military Fitness Programs, Tactical Athlete Program, Special Warfare, Sports Injuries, Biologics, Professional Sports, NFL, Second Opinions, Military Service, WarDocs Podcast

    Hashtags:

    #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #SportsMedicine #DrMatthewProvencher #OrthopedicSurgery #NavyToNFL #TacticalAthleteProgram #USNSMercy #LeadershipLessons #InjuryPrevention #HumanitarianMissions

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast

  • This podcast contains remarks from a JUN 23 presentation by Dr. Warren Dorlac to the Excelsior Surgical Society.

    Prepare to be enlightened as we embark on an insightful journey into the world of combat casualty care with trauma surgeon and military veteran Dr. Warren Dorlac. With his firsthand experience from multiple deployments and active role in the American College of Surgeons, Dr. Dorlac offers an unparalleled perspective on the evolution of battlefield medicine over the past two decades. We explore impactful initiatives like the Ranger Regiment's life-saving mission to eliminate preventable deaths and the profound influence of Secretary Gates' mandate to expedite surgical care for combat patients. Prepare to delve into the complexities of paramedic involvement in the battlefield and the vital importance of continuous in-route care.

    Dr. Dorlac puts the spotlight on extremity trauma management and the multitude of challenges it presents in military settings, from temporary vascular shunts to the alarming rise in osteomyelitis cases in long-term patient follow-ups. He focuses on the high re-operation rates in major lower extremity amputations and the game-changing role of initiatives like the Integrated Orthotic Rehabilitation Initiative in returning our brave service members to duty. He also reflects on the critical role of CCATT in military casualty care and how it's revolutionizing the field.

    Wrapping up his discussion, Dr. Dorlac delves into the remarkable advancements in military trauma care from 1993 to 2012 and covers the courageous efforts of the Ukrainian military's tactical healthcare initiatives in their ongoing conflict with Russia. He highlights the indispensable role of education, collaboration, and technological innovations in this field, with a special mention of the groundbreaking REBOA catheter. From the pivotal development of the Acute Lung Rescue Team to the enriching insights brought by civilian surgeons through the Senior Visiting Surgeon Program, Dr. Dorlac leaves no stone unturned. This enlightening episode is a must-listen for anyone interested in the intricate world of military medicine, where lives are saved on the front lines every day.

    Chapters:

    (00:00) Innovations in Combat Casualty Care

    (17:01) Vascular Shunts, Infections, Amputations, Rehabilitation

    (25:29) Advancements in Military Trauma Care

    (30:48) Ukrainian Military's Tactical Healthcare Initiatives

    Chapter Summaries:

    (00:00) Innovations in Combat Casualty Care

    Combat casualty care advancements and challenges, eliminating preventable deaths, in-route care, and need for paramedics in the field.

    (17:01) Vascular Shunts, Infections, Amputations, Rehabilitation

    Nature's extremity trauma management in military settings, including vascular shunts, venous repair, transport time, infections, amputations, irrigation, orthosis, and rehabilitation.

    (25:29) Advancements in Military Trauma Care

    Advancements in military trauma care from 1993-2012, including transport challenges, education, collaboration, and technological innovations, leading to decreased case fatality ratio.

    (30:48) Ukrainian Military's Tactical Healthcare Initiatives

    Military medical care in conflict zones: tactical combat training, rethinking traditional practices, damage control, continuity of care, and evacuation challenges.

    Take Home Messages:

    Battlefield medicine has undergone significant evolution over the past two decades, with considerable advancements in combat casualty care.The Ranger Regiment has been at the forefront of efforts to eliminate preventable deaths in pre-hospital settings on the battlefield, highlighting the importance of mastery and continuous rehearsal of basic life-saving skills.The mandate to deliver surgical care to combat patients within an hour has substantially improved survival rates, underscoring the critical nature of rapid medical intervention in combat zones.Continuous in-route care and the presence of paramedics in the field are vital for improving outcomes for military personnel who sustain injuries during combat.The management of extremity trauma, particularly in military settings, presents unique challenges that have led to innovations like temporary vascular shunts and increased focus on preventing osteomyelitis in long-term patient care.Rehabilitation initiatives, such as the Integrated Orthotic Rehabilitation Initiative, are transformative in helping service members return to duty and maintain unit cohesion and operational readiness.The introduction of CCATT (Critical Care Air Transport Teams) has revolutionized the transport of critically injured service members, ensuring they receive the necessary care during transport from the combat zone to medical facilities.Military trauma care from 1993 to 2012 witnessed remarkable advancements, with a decrease in case fatality ratios despite an increase in the severity of injuries, demonstrating improved effectiveness of trauma care systems.Education, collaboration, and technological innovations are crucial in advancing military medicine and enhancing the ability to save lives in combat scenarios, as seen with tools like the REBOA catheter.Tactical healthcare initiatives, such as those adopted by the Ukrainian military, illustrate the ongoing need to adapt and improve combat casualty care in response to different conflict environments and challenges.

    Episode Keywords:

    Combat Casualty Care, Trauma Surgeon, Military Veteran, American College of Surgeons, Battlefield Medicine, Preventable Deaths, Secretary Gates, Surgical Care, Paramedic, Extremity Trauma Management, Vascular Shunts, Osteomyelitis, Lower Extremity Amputations, Integrated Orthotic Rehabilitation Initiative, CCATT, Advancements, Military Trauma Care, Ukrainian Military, Tactical Healthcare Initiatives, Education, Collaboration, Technological Innovations, Acute Lung Rescue Team, Senior Visiting Surgeon Program, Conflict Zones, Targeted Attacks, Medical Personnel, Military Damage Control Techniques, Continuity of Care, Evacuation

    Hashtags:

    #BattlefieldMedicine #CombatCasualtyCare #MilitaryTrauma #LifeSavingInnovations #TraumaSurgery #MilitaryMedics #WarriorHealth #TacticalHealthcare #MedicalAdvancements #VeteranSurgeons

    Honoring the Legacy and Preserving the History of Military Medicine

    The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.

    Find out more and join Team WarDocs at https://www.wardocspodcast.com/

    Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes

    Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm

    WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.

    WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.

    Follow Us on Social Media

    Twitter: @wardocspodcast

    Facebook: WarDocs Podcast

    Instagram: @wardocspodcast

    LinkedIn: WarDocs-The Military Medicine Podcast