Cleveland Clinic Quotes

The best approach is what they do at the Cleveland Clinic—doctors simply get paid flat salaries.

physicians, Drs. Bill Castelli, Bill Roberts and Caldwell Esselstyn, Jr., that in their long careers they had never seen a heart disease fatality among their patients who had blood cholesterol levels below 150 mg/dL. Dr. Castelli was the long-time director of the famous Framingham Heart Study of NIH; Dr. Esselstyn was a renowned surgeon at the Cleveland Clinic who did a remarkable study reversing heart disease (chapter five); Dr. Roberts has long been editor of the prestigious medical journal Cardiology. BLOOD CHOLESTEROL AND DIET

On October 10, 2011, researchers from the University of Minnesota found that women who took supplemental multivitamins died at rates higher than those who didn’t. Two days later, researchers from the Cleveland Clinic found that men who took vitamin E had an increased risk of prostate cancer.

On October 10, 2011, researchers from the University of Minnesota found that women who took supplemental multivitamins died at rates higher than those who didn’t. Two days later, researchers from the Cleveland Clinic found that men who took vitamin E had an increased risk of prostate cancer. “It’s been a tough week for vitamins,” said Carrie Gann of ABC News. These findings weren’t new. Seven previous studies had already shown that vitamins increased the risk of cancer and heart disease and shortened lives. Still, in 2012, more than half of all Americans took some form of vitamin supplements.

Subject: Your interview in last month’s Science magazine Hi Dr. Johnson, I’m just completing my biology degree at Case Western Reserve University, and I found your thoughts on the Cleveland Clinic’s trial use of nanomachines to address certain forms of cancer in last month’s issue of Science to be very interesting. Would you mind discussing your work further with me in a brief phone chat? I had a few follow-up questions, and your insights would be invaluable. Thank you for your time, Caroline Thomas

Ece Ozen MD did some of her rotations in MD-Anderson Cancer Center, Memorial Sloan Kettering Cancer Center, Cleveland Clinic.

Good Cholesterol, Bad Cholesterol You’ve probably heard the terms “good cholesterol” and “bad cholesterol.” These terms refer to two subtypes of lipoproteins, those tiny amphibious vehicles that carry fats throughout our circulatory system. One subtype, called low-density lipoprotein (LDL), is said to be the “bad” cholesterol. Another subtype, high-density lipoprotein (HDL), is said to be the “good” cholesterol. These terms are imprecise, at best, since there is only one molecule called cholesterol, and that molecule is the same in all our lipoproteins. Where did they come from? Way back in 1958, a doctor at Cleveland Clinic named Angelo M. Scanu coined the term “good cholesterol” when he observed that people with high HDL tended to have lower heart attack risk.3 He hypothesized that HDL might clean up the cholesterol that LDL seemed to deposit in our arteries. At some point, people started calling LDL “bad cholesterol” based on these ideas. But by the 1990s, accumulating evidence suggested that LDL does not, in fact, deposit cholesterol in our arteries—unless it’s oxidized.4 What’s more, we’ve also discovered that HDL can harm our arteries, too, when it’s oxidized.5 It seems time to abandon these imprecise, outdated terms and focus on the real “bad player”: oxidation.

True creativity in medicine doesn't take place within disciplines so much as it does at the boundaries between disciplines.

Putting together a care path for a complex disease or condition requires the involvement of doctors, nurses, administrators, and support personnel at all levels and in multiple specialties. Having all those entities on the same team, under the same leadership, and in the same general area greatly facilitates care path development. The

A pattern of shared basic assumptions learned by a group as it solved its problems of external adaptation and internal integration.”7

Healthcare culture is a system of shared values and behaviors that focus caregiver activity on improving the patient experience.

Patients may not know how to measure clinical outcomes, and they may not understand the technical know-how that a doctor must have in order to perform a complex heart surgery or neurosurgery, but they can form clear judgments about their experience. They know whether their rooms are clean and whether people are polite to them. They recognize differences in the quality of the food and in how an organization looks and feels. They know whether they feel cared for. Most of all, they can tell whether they’ve had a healing experience—or whether being in a hospital has only impeded their healing.

For a few years when I was at Cleveland Clinic, it was on the top ten U.S. News list for geriatric medicine even though we didn’t even have a geriatrics department!

Cleveland Clinic Case Study At Cleveland Clinic, we encourage different areas of the organization to perform the kind of analysis just described by holding them accountable for saving money. In 2009, Cleveland Clinic set an organizational goal of reducing the amount it was spending on supplies of various kinds. It took its inspiration from Apple, a company that maintains stringent control over the cost of supplies. To help the internal cost-cutting committees, we set out to raise care providers’ consciousness, putting price tags on instruments and supplies and posting the costs of supplies where caregivers could see them. The goal was to make caregivers mindful about supply use. These efforts helped the organization reach its goal of cutting spending on supplies by $100 million over two years. To promote ongoing cost awareness and savings, we created scorecards that quantify and measure quality and cost, and we set goals: “Cut your costs on heart valve implants by 20 percent while improving quality by 10 percent.” We check the progress on these scorecards every three months. If we don’t see movement in the right direction, we ask new questions and implement ways to encourage and reward cost-saving measures.

Time and again, I was told, “Don’t do it.” But sometimes the best advice is that which you don’t take. Instead of listening to people who told me to quit, I heeded the quote that sits on a small placard on my desk: “What can be conceived can be created.” I discovered only recently that it was from a 1980s-era car advertisement. That’s OK, though, because it reminds me that dreams should be lofty. T oby Cosgrove, MD, CEO of Cleveland Clinic

In recent years, scientists have come to understand that consciously controlling your breath can have huge benefits on your overall system, primarily with regard to the regulation of your nervous system in relation to anxiety, depression, and restlessness. The vagal response is the stimulation of the vagus nerve, which runs down along the anterior portion of your spine from your brain to your internal organs. When the vagus nerve is stimulated, a signal is sent to the brain to reduce your blood pressure and calm your body and mind, reducing stress and helping to manage chronic illness, as healing can happen only in a more relaxed state of being. For example, if your amygdala, the nerve center at the lower-central part of your brain, is agitated, it triggers your sympathetic nervous system (SNS) and your fight-or-flight response. You may become anxious, fearful, reactive, or frozen. Once triggered, this response lasts at least 20 minutes, but you can often find yourself stuck in this state for much longer. According to Dr. Mladen Golubic, an internist at Cleveland Clinic’s Center for Integrative Medicine, when in this state, you take shallow chest breaths, sometimes halting the breath completely, extending the effects of your SNS response. By taking deeper and fuller breaths, especially by allowing the abdomen to relax and expand, the vagus nerve is stimulated, and calm can quickly be restored. This calming and stress-reducing response is called the parasympathetic nervous system (PNS) response, or vagal response. When your SNS is calmed, you have more access to the prefrontal cortex of your brain, boosting your ability to think clearly and rationalize. Dr. Golubic goes on to say, “The vagal response reduces stress. It reduces our heart rate and blood pressure.” This regulation of the nervous system is one of the primary benefits of a consistent pranayama practice.

What sets healthcare apart is that it is a world of particularly difficult conversations and stressful relationships. Patients are sick, treatments are often less than fully effective, and complex medical information must be translated into a form comprehensible to laypersons.

Apersonality disorder is a mental disorder that affects 9% of US adults and 6% of the global population (Cleveland Clinic, 2022). It is characterized by rigid or distorted thinking patterns which affect how you perceive the world and others, as well as your decision-making and emotional regulation skills.

The Cleveland Clinic Foundation funded a study in which one group of healthy volunteers spent fifteen minutes a day practicing “finger abductions,” which are basically like a biceps curl but with one finger.

Equally influential is Dr. Caldwell Esselstyn’s book Prevent and Reverse Heart Disease. A former surgeon at the Cleveland Clinic, as well as a Yale-trained rower who garnered Olympic gold at the 1956 Melbourne Summer Games, Dr. Esselstyn concludes from a twenty-year nutritional study that a plant-based, whole-food diet can not only prevent and stop the progression of heart disease, but also reverse its effects.

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