Global Health Stories: Back on NPR

From age 11 until my first year of college I was featured as the “Roving Reporter” on a wonderful NPR show called From the Top. I traveled the country with an amazing group of talented producers and talent, taping our show live in front of hundreds of wonderful audience members. We would tape sometimes 24 shows a year in places as glamorous as Maui and as exotic as Nebraska.

Proud mom requesting a picture

Proud mom requesting a picture

Well, I recently participated in a medical “story slam” event at UPenn’s Health Equity Week. Last week my story was featured on the local NPR station.  Enjoy and let me know what you think.

Medicine is about stories in many ways. It helps us process our emotions, connect with those around us and find meaning in the gut wrenching, the mundane, and the sublime. I am forever thankful for the people who allowed me to share their stories and in turn became a part of my story.

Please also check out the website of my dear friend who publishes stories about the experience of being a physician.




6 easy tips: a beginners guide to staying news-savvy

A big part of my job is monitoring studies that are going to come out in major medical journals and helping decide which are newsworthy. This means that I get to read these studies while they are still under “embargo” and not available to the general public. Journals do this so that news outlets can plan their coverage. For example, last week the World Health Organization launched a massive report on Antimicrobial Resistance (which includes antibiotic resistance). They sent it around to major media organizations so that when the report was actually released to the public- we had already interviewed experts and our piece was ready to go.


Staying current and connected even while on location in Lebanon

What I love is opening up the paper or reading my daily “medical news roundups” and already knowing all the headlines. It’s an incredibly nerdy thrill but but I like keeping abreast of topics that are relevant to my career. I actually think it will make me a much better physician if I am up to date on the current research and controversies. So I intend to stay on top of the news coverage.

This can be very intimidating. The good news is that you don’t need to devote hours to stay current on current events. Here are some tips for people hoping to stay up to date:

  1. Get a subscription to a real old fashioned paper. If it’s sitting in front of you, you’re more likely to browse and read stories that might not have attracted your attention enough to click.
  2. Have a routine and use bookmarks to help: I have a bookmarks folder in my browser with 5 news sites that I check every morning when turn on my phone or sit down at my desk. I click through and
  3. Get email digests: for general news I subscribed to OZY’s Presidential Daily Brief. For medical news I subscribe to a few sites including email alerts from Medpage. These places curate emails and summarize the news of the day. If I miss something with my usual browsing, 9 time out of 10 it will show up in an email digest. I mostly delete them after skimming the headlines unless I find something that interests me.
  4. Use social media: Twitter is a great way to stay up-to-date. I follow the New York Times (@nytimes), the Associated Press (@AP), NBC News (@NBCNews) and many other outlets. They all post quick tweets with their breaking stories. I also follow other reporters or newsmakers who often post articles that I never would have otherwise read. I also appectiate my friends on Facebook who post interesting stories. In fact, I am currently developing a story for NBC News based on an article my friend posted.
  5. Consider downloading an app:  if I find an article I like on Twitter, Facebook, online etc- I often don’t have time to read it in real time. So I download it to my “read later” app which stores the story on my phone or computer so that I can read it later even if I’m not connected to the internet. This is especially great for subway/train commuters. Here is an article comparing a few of the most popular apps.
  6. Don’t get too ambitious: unless it’s your job it’s very difficult to be 100% on top of all news. If this is your goal, you will get overwhelmed and risk abandoning your efforts all together. Start by skimming headlines of one news site each day and build up as you see fit.

Happy reading everyone.

Speak English Please

Part of my job is helping translate medical speak into understImageandable language. While simple in theory, this can be more difficult than it seems. The practice of medicine requires learning tens of thousands of new words. Some of this is critical for communicating with other physicians: precision of language is critical when trying to explain nuances. Some of it, however, is simply the terminology of a sometimes elitist in-club and a way to further separate doctor from patient.

I have often been told that if you can’t simplify something- you don’t truly understand it. And this year has certainly put that to the test for me. On my first day on the job my producer jokingly told me that if I ever used the phrase “all-cause mortality,” she would fire me. And I like to think that since that day I havImagee grown leaps and bounds in my ability to explain medical research to a lay audience. Because honestly, this is a skill I will use constantly when speaking with patients- many of whom have limited education and may be intimidated by needlessly complex terminology.

Today I was called upon toimage(1) photo condense two complicated medical histories into 30 second script “bites” that would be understandable for a morning TV audience. Bacterial endocarditis, infarct, PICC line, complicated sepsis… to the untrained eye these charts basically read like a different language. I worked with the producers to translate this into a more understandable narrative.

The premise of the segment was two young ladies with medical issues who were going to their first big school dance, thanks to a charitable organization called Garden of Dreams. While this wasn’t breaking news, it was exciting to hear my (hopefully simple) words read on-air and it was so great to meet these two young women and see their excitement at being normal teenagers despite their medical issues.

And hopefully, when I return to clinical care I will be reminded to, quite simply, “speak English.”




My first NBC bylines and 15 minutes of fame

I’ve been working up a storm here at 30 Rockefeller center- NBC’s headquarters in Midtown, NYC. I do a lot of “vetting” medical studies- looking at the “embargoed” research that is going to come out in the next few weeks and help decide which ones might be “newsworthy” for the general public. But I’m also a sort of jack or all trades when it comes to medical research: I might be asked to write up a list of heart healthy foods, dispel some myths about concussions or summarize the current research on treating headaches.

bullyingBut I’ve also found some time to keep writing. I have a regular gig writing about healthy aging and palliative care for a Stanford website. I also have written two pieces so far for

In general it’s a lot like medical school. Mostly studying and research but with some moments of excitement mixed in. In med school we have something called “pimping” where a superior puts you on the spot and asks you a question in front of everyone while you are rounding on your patients. “Hayley, what are the reasons that we need to thin a patient’s blood with Heparin before just keeping them on Coumadin?” They might ask. It’s hardly surprising that I love it- I love having to think on my feet. Here it’s no different, except that the “attending physician” in this case might be NBC Nightly News anchor Brian Williams and he might be asking you in front of the whole team whether or not something is new in the medical community or constitutes breaking news. But the thrill is essentially the same thing.

I also needed to share a project I had been working on last year with the University of Pennsylvania- and my good friends in the alumni office (shoutout to LSK)- it was a video created for the “Making History” Campaign and I was asked to represent the medical school. It was certainly a shock: do they know I’m the girl who lost her keys a grand total of 3 times year? Or the one who forgot her white coat on the first week of rotations? I’m also the girl who essentially subsisted on Trader Joe’s frozen edamame and trail mix while my classmates cooked gourmet dinners, raised puppies and ran marathons– but obviously an honor. Most importantly it was an honor to be featured alongside my mentor Dr. Kovarik. So here is a little sneak peak:

Study Shows that Smart Phones Can Help Skin Docs Consult on Patients in the Hospital

One of the things I’m learning is how to best describe scientific research in simple terms. Below is piece I wrote about a new study from some of my Penn Derm mentors that was just published in JAMA Dermatology:

Doctors consulting using a smartphone “app” might be just as good as an in person visit from a doctor, according to a new study from the University of Pennsylvania. Many patients in the hospital end up with skin problems but most hospitals don’t have dermatologists to evaluate them.  A possible solution may lie in a an “app” that lets doctors look at pictures of the skin problems and tell hospital staff whether or not the patient merits an in person visit.

 The study, published Wednesday in JAMA Dermatology, took 50 patients from the Hospital of the University of Pennsylvania who needed to be seen by a dermatologist. Researchers took a picture of the skin problem using a smartphone and sent it virtually to dermatologists (“teledermatologists”) who provided an opinion. Another dermatologist saw each of the patients in person and recorded his decision: did the patient really need to be seen that day, the next day, sometime during their hospital stay or could it wait for an outpatient visit? He also wrote down whether the patient needed to have a biopsy (skin sample).

When the in person dermatologists decided a patient be seen the same day, the teledermatologists agreed in 90 percent of cases. And they agreed in 95 percent of cases where the in-person dermatologist had recommended a biopsy. The doctors completely agreed on a diagnosis 82 percent of the time, and partially agreed in 88 percent of cases, which is the standard variation expected between doctors.

This is encouraging news in a time when many areas of the United States have very little access to dermatologists. “In addition to addressing physician shortages from a clinical standpoint, teledermatology programs are very important for vulnerable citizens in the United States and abroad,” said Dr. William James, author in the study and past president of the American Academy of Dermatology. “It is wonderful that the impact of these teledermatology consultations continues to expand.”

Journalism roundup

IMG_8285It’s been strange to be out of the clinical world for this long. Sometimes I find myself striving to remember the name of a disease or drug that would have been second nature to me last year. On the other hand, it’s been great to look at medicine from the outside in – it’s given me a perspective that is hard to achieve when you are mired in the thick of it.

Here are some pieces that I’ve recently published. Any thoughts, suggestions and comments are welcome!

  1. Flu shot story + podcast/slideshow
  2. An opinion column on the Affordable Care Act (aka “Obamacare”) and medical students
  3. Cost containment in dermatology. I got to interview the president of the American Academy of Dermatology! 
  4. Local forum on the Affordable Care Act
  5. Superheros at the children’s hospital!

In case you missed them: there are also a few pieces that I published while in IndiaIMG_4202

  1. Living with leprosy
  2. Unhealthy eating in college campuses
  3. Leprosy in the modern world

Seat-mates and the Zombie Apocalypse- putting my public health work into practice

Sunset in New Delhi Airport where I met scores of interesting people

Sunset in New Delhi Airport where I met scores of interesting people

Sometimes being friendly and non intimidating can be the worst- you get roped into weird conversations that seem to go on forever. But sometimes it really serves me well. My journalism school friends have observed that I can get pretty much anyone to talk with me. This is clearly a boon for a reporter or a doctor. I’ve also exploited that skill for fund raising, networking but also just for fun.

Sidebar: On the plane back from LA a few years ago I was seated next to Tony Shalhoub (actor in the TV series “Monk”). He struck up a conversation after seeing my college physics textbook (wow am I glad not to be a pre-med anymore). We ended up talking the entire flight about life, acting, germaphobia and Martha’s Vineyard. Turns out he has a daughter my age. We shared an Emergen-C and he gave me his email in case I ever needed a place to stay on the vineyard. Random but very fun.

Fast forward to now: Flying back from the Tropical Medicine conference on Sunday I ended up with the trifecta of airline badness: middle seat, last row, close proximity to crying baby. Curse the fates! But I was seated next to a young air force engineer/pilot who was making hysterical wisecracks about our flight delay. We ended up talking the whole flight and he taught me to play Candy Crush (still don’t understand the appeal) and helped me with my Crosswords. The flight flew by. On the second leg of my journey I struck up a conversation with my seatmate who literally could not have been more of an Oregonian- he was friendly, wearing a plaid shirt and had a hipster mustache with waxed ends. I was just waiting for him to pull out a banjo and some sort of artisan pickled food item. He was reading World War Z so we started talking about zombies and he casually mentioned that the CDC has a plan for the zombie apocalypse.

If you're ready for a zombie apocalypse, then you're ready for any emergency.

I was so excited to go home and research this. Turns out that he is right: the CDC absolutely has published materials delineating how people should brace for the zombie apocalypse. I guess it helps encourage basic emergency preparedness. Turns out people are more willing to prepare for the zombie apocalypse than, say, a natural disaster (sigh). Suppose I shouldn’t be surprised given that there is apparently a commercial market for a $24,000 zombie apocalypse survival kit.

Get A Kit, Make A Plan, Be Prepared. emergency.cdc.govSo how does one prepare for the possibility of a siege by the un-dead? According to the CDC everyone should have an emergency preparedness kit and plan and stockpile basic necessities in your home.

From the CDC website:  “As it turns out what first began as a tongue in cheek campaign to engage new audiences with preparedness messages has proven to be a very effective platform. We continue to reach and engage a wide variety of audiences on all hazards preparedness via Zombie Preparedness.” Dr. Ali Khan, Director of CDC’s Office of Public Health Preparedness and Response, agrees: “If you are generally well equipped to deal with a zombie apocalypse you will be prepared for a hurricane, pandemic, earthquake, or terrorist attack.”

On the site is a virtual comic book, posters, a novella and even a lesson plans that uses the idea of a zombie apocalypse to help teach kids about pandemics.

Love the idea of making a public health message a little more fun. BRB gotta go stockpile some water, a flashlight and maybe some kind of zombie killing laser. If I had never sat next to the Oregonian guy I would never have known. The things you learn on planes.