Christian Espana MD PODCAST
Hello I am Christian Espana Schmidt MD. During my 25 years of medical career I have lived the change of the medical career. Starting as a medical student in Guatemala Central America where after medical school I completed my internal medicine residency and then I served in a rural community for 6 years with innovation that still persists, went to New York City where I repeated another internal medicine residency and was chief resident. My joy for teaching took me to Pensilvania where I learned about Point-of-care ultrasound (POCUS) a revolutionary technique to enhance physical examinations. I proudly started from scratch the POCUS program in Danbury Hospital and now I have started the POCUS program of CIFC Health a program dedicated exclusively to teach POCUS in the outpatient clinic. As you can see I already said I teach POCUS, however I am interested very much in other topics in medicine. I used to call the podcast the Danbury Medical Files, and you can hear the prior episodes.
Of course I will continue to discuss POCUS, however I hope to dive in new topics in medicine.
Welcome to my podcast and I hope you find something of value.
All of the content is not generated with AI, all content is cured and I try to present the evidence behind of my opinions.
The Podcast is mainly for entertainment purposes and my recommendations need to be taken as such.
Welcome again
Christian Espana MD PODCAST
Black History Month Special. An Interview with Dr. Brenda Ayers MD and her fascinating work towards equity.
Inequality in healthcare is a recognized problem. I had the privilege of interviewing Brenda Ayers, MD. The head of a task force to decrease and eliminate inequality in NUVANCE-HEALTH.
I met Dr. Ayers as the Chief Hospitalist at Vassar Brothers Hospital in Poughkeepsie, New York.
Her work in the Nuvance Health Network (Danbury Hospital, which is my employer, is part of this network) is already changing structures and effectively trying to deal with racial disparity.
I interviewed her at Vassar in the Hospitalist's office, so some noises were not completely filtered. However, the interview was well worth the occasional noise.
Please accompany me on this chapter of the Danbury Medical Files.
Here a couple of articles to read and reflect:
Sun M, Oliwa T, Peek ME, Tung EL. Negative Patient Descriptors: Documenting Racial Bias In The Electronic Health Record. Health Aff (Millwood). 2022 Feb;41(2):203-211. doi: 10.1377/hlthaff.2021.01423. Epub 2022 Jan 19. PMID: 35044842; PMCID: PMC8973827.
Inker LA, Eneanya ND, Coresh J, Tighiouart H, Wang D, Sang Y, Crews DC, Doria A, Estrella MM, Froissart M, Grams ME, Greene T, Grubb A, Gudnason V, Gutiérrez OM, Kalil R, Karger AB, Mauer M, Navis G, Nelson RG, Poggio ED, Rodby R, Rossing P, Rule AD, Selvin E, Seegmiller JC, Shlipak MG, Torres VE, Yang W, Ballew SH, Couture SJ, Powe NR, Levey AS; Chronic Kidney Disease Epidemiology Collaboration. New Creatinine- and Cystatin C-Based Equations to Estimate GFR without Race. N Engl J Med. 2021 Nov 4;385(19):1737-1749. doi: 10.1056/NEJMoa2102953. Epub 2021 Sep 23. PMID: 34554658; PMCID: PMC8822996.
Thank you for listening; follow us on X (Twitter) @danburymedfiles. Leave a review in your favorite app for podcasting.
You can suggest topics you would like to hear about.
Also I have a new youtube channel #IMPOCUS
https://www.youtube.com/channel/UCpzYai7ngGjZ00NOnUozc_w
