Rescue Page: Recent Episodes

Monee & Meredith

Being a well physician is hard! Like you, we can’t hear another wellness lecture without feeling horribly inadequate. We are here to give you a practical framework to achieve the state of being well.

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Hard to believe, but covid invaded our consciousness almost exactly a year ago. Monee and Meredith take a reflective trip down memory lane and realize that is has not been all bad. Plus! Not-so-subtle nods to The Lion King and Charles Barkley. Also, Monee gets a little greedy and gives herself 3 Midnight ICEEs.

There are no articles referenced in this week's episode. 

Our Twitter handle is @rescue_page
Our email is mmrescuepage@gmail.com

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Meredith and Monee open up the closet to Dr. Amy Miller to discuss gratitude. It seems to be a low hanging yet high yield fruit in the realm of wellness. Together, the three are able to put "thank you" in the larger cultural context. Plus a return to definitions and data!

Sources referenced in this episode:
breathe. Gratitude edition
Caste by Isabel Wilkerson

**Buetow SA, Aroll B. Doctor gratitude: a framework and practical suggestions. CMAJ. 2012 Dec 11

Rao N, Kemper KJ. Online Training in Specific Meditation Practices Improves Gratitude, Well-Being, Self-Compassion, and Confidence in Providing Compassionate Care Among Health Professionals. J Evid Based Complementary Altern Med. 2017

Kelly JD 4th. Your Best Life: Breaking the Cycle: The Power of Gratitude. Clin Orthop Relat Res. 2016 Dec

Riskin A, Bamberger P, Erez A, Riskin-Guez K, Riskin Y, Sela R, Foulk T, Cooper B, Ziv A, Pessach-Gelblum L, Bamberger E. Expressions of Gratitude and Medical Team Performance. Pediatrics. 2019 Apr

Huang CH, Wu HH, Lee YC, Li L. What Role Does Patient Gratitude Play in the Relationship Between Relationship Quality and Patient Loyalty? Inquiry. 2019 Jan-Dec

Melnyk BM, Kelly SA, Stephens J, Dhakal K, McGovern C, Tucker S, Hoying J, McRae K, Ault S, Spurlock E, Bird SB. Interventions to Improve Mental Health, Well-Being, Physical Health, and Lifestyle Behaviors in Physicians and Nurses: A Systematic Review. Am J Health Promot. 2020 Nov;34(8):929-941. doi: 10.1177/0890117120920451. Epub 2020 Apr 27.

Fogarty CT. Compassion, gratitude and awe: The role of pro-social emotions in training physicians for relational competence. Int J Psychiatry Med. 2020 Sep**

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SPOILER ALERT: No data this week! Meredith and Monee talk their treks around the world. Their conversation leads to some revelations about their childhoods. Monee reminisces about a time in a simpler setting. Meredith recalls family travels with purpose. Midnight ICEEs this week include some sentiment and some sick beats (guess who has which...)

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Life needs a soundtrack. Meredith and Monee discuss the importance of music in their lives. Elsewhere: Learn the origin story of DJ Money! Dude what?! is the most embarrassing song in Meredith and Monee's music collections??? Some hints: a prepubescent rapper and a prepubescent boy band.

Articles referenced in this episode

A rapid review of home-based activities that can promote mental wellness during the COVID-19 pandemic

https://pubmed.ncbi.nlm.nih.gov/33270755/

The impact of relaxing music on prisoners' levels of anxiety and anger

https://pubmed.ncbi.nlm.nih.gov/24265309/

Promoting wellbeing and health through active participation in music and dance: a systematic review

https://pubmed.ncbi.nlm.nih.gov/32267216/

Book referenced in this episode:
This Is Your Brain On Music by Daniel Levitin

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Diet! Everyone knows we "should be better" about it, but how exactly can we be better? As usual, Meredith and Monee don't necessarily have all the answers, but they recall their food journeys. Plus! A new segment! Dude what?! 

Articles referenced in this episode:
While we did not reference any specific articles in this episode, we recommend that you review that sixth grade food pyramid we all loved. 

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That's right, two women are talking about their love of sports. Not just any sport, though. Just the pure, unadulterated bliss of watching college football. Amidst the football madness, Meredith dares Monee to pick between her two greatest loves in life. If you can't guess at least one of those, you haven't been listening.

Articles referenced in this episode

Understanding the positive social psychological benefits of sport team identification: The team identification-social psychological health model.
https://psycnet.apa.org/doiLanding?doi=10.1037%2F1089-2699.10.4.272

The team identification–social psychological health model: Sport fans gaining connections to others via sport team identification.
https://psycnet.apa.org/buy/2010-23158-001

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Monee finds her inner zen but probably not the way you think. Sometimes a girl just needs a minute. Elsewhere, there's data! Maybe. Plus this week's Midnight ICEE harkens back to its roots and also involves a heated discussion about Rory Gilmore's romantic endeavors. Yup. We went there.

“Mindfulness Based Stress Reduction” course

Abbreviated Mindfulness Intervention for Job Satisfaction, Quality of Life, and Compassion in Primary Care Clinicians: A Pilot Study. Fortney, et alhttps://www.annfammed.org/content/annalsfm/11/5/412.full.pdf

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Meredith and Monee welcome one of their wisest friends! They discover friendships that span generations aren't all that rare. Plus, they concoct the perfect app for finding friends that don't know your pop culture references.

Articles referenced in the episode (links not provided for space reasons):
"The Importance of Intergenerational Friendships"-AARP
"The positive impact of intergenerational friendships"-AARP

And a few words from Dr. Julie Jackson-Murphy

We‎ keep‎ talking‎ about‎ wellness‎ as‎ if‎ it's‎ a‎ ‎ trademarked‎ commodity,‎ ‎ but,‎ like‎ much‎ in‎ medicine‎ that's‎ overly‎ high‎ falutin'‎ when‎ it‎ doesn't‎ need‎ to‎ be,‎ I‎ think‎ we're‎ just‎ talking‎ about‎ happiness.‎ How‎ can‎ I‎ purposely‎ build‎ a‎ happier‎ life‎ and‎ what‎ are‎ the‎ benefits‎ of‎ friendships‎ with‎ people‎ of‎ all‎ ages‎ in‎ that‎ pursuit.

Well,‎ there's‎ the‎ benefit‎ of‎ perspective.‎ That's‎ the‎ beauty‎ of‎ intergenerational‎ friendship.‎ If‎ my‎ pendulum‎ is‎ swinging‎ a‎ little‎ too‎ far‎ for‎ my‎ good‎ on‎ the‎ fear‎ to‎ apathy‎ or‎ despondency‎ spectrum,‎ an‎ older,‎ more‎ experienced‎ friend‎ can‎ let‎ me‎ know‎ it's‎ going‎ to‎ be‎ alright,‎ and‎ a‎ younger,‎ ‎ less‎ experienced‎ friend‎ can‎ fire‎ me‎ up‎ and‎ let‎ me‎ know‎ I‎ don't‎ have‎ as‎ much‎ to‎ lose‎ as‎ I‎ fear‎ I‎ might.‎ Those‎ sorts‎ of‎ friendships‎ help‎ me‎ to‎ cope‎ better‎ with‎ reality,‎ rather‎ than‎ being‎ too‎ afraid‎ to‎ approach‎ it‎ or‎ just‎ opting‎ out‎ of‎ dealing‎ with‎ it‎ by‎ denial‎ or‎ whatever‎ other‎ method.‎ ‎ Those‎ relationships‎ can‎ help‎ me‎ accept‎ life's‎ realities‎ and‎ create‎ a‎ different‎ outlook,‎ swinging‎ my‎ pendulum‎ closer‎ to‎ a‎ middle‎ state‎ where‎ the‎ goal‎ is‎ to‎ be‎ happier.‎

For‎ some,‎ ‎ it‎ may‎ require‎ broadening‎ your‎ imagination‎ of‎ who‎ you‎ call‎ a‎ friend.‎ When‎ you‎ think‎ about‎ it,‎ for‎ example,‎ there‎ are‎ people,‎ young‎ and‎ old,‎ who‎ make‎ music,‎ or‎ write,‎ or‎ generally‎ do‎ inspiring‎ things‎ in‎ this‎ world‎ that‎ move‎ us‎ and‎ we‎ imagine‎ what‎ it‎ could‎ be‎ like‎ to‎ know‎ and‎ talk‎ to‎ that‎ person.‎ Why‎ shouldn't‎ the‎ same‎ be‎ true‎ in‎ our‎ real‎ lives‎ with‎ real‎ life‎ people‎ we‎ actually‎ have‎ a‎ chance‎ to‎ know?

When‎ I‎ was‎ a‎ tortured‎ soul‎ about‎ which‎ direction‎ to‎ take‎ my‎ life,‎ before‎ the‎ med‎ school‎ decision,‎ there‎ were‎ literally‎ 2‎ people‎ at‎ work,‎ one‎ a‎ 20‎ yr‎ older‎ superior‎ and‎ the‎ other,‎ ‎ an‎ intern‎ almost‎ 15‎ yrs‎ younger,‎ ‎ who‎ told‎ me‎ I‎ should‎ be‎ a‎ doctor.‎ I‎ can't‎ recall‎ what‎ it‎ was‎ I‎ shared‎ with‎ them‎ exactly,‎ but‎ I‎ can‎ recall‎ being‎ honest‎ about‎ being‎ at‎ a‎ crossroads‎ about‎ where‎ to‎ invest‎ whatever‎ passion‎ I‎ felt‎ I‎ had‎ to‎ offer.‎ And‎ I‎ remember‎ to‎ this‎ day‎ where‎ I‎ was‎ sitting‎ and‎ how‎ I‎ felt‎ when‎ they‎ told‎ me‎ so‎ precisely‎ to‎ be‎ a‎ doctor‎ in‎ a‎ way‎ that‎ seemed‎ so‎ unimaginable‎ at‎ the‎ time.

Likewise,‎ it‎ makes‎ me‎ happy‎ to‎ think‎ that‎ I‎ could‎ possibly‎ be‎ that‎ same‎ soul‎ whisperer‎ for‎ someone‎ else,‎ you‎ know.‎ Because‎ that's‎ the‎ other‎ benefit.‎ ‎ It‎ teaches‎ you‎ that‎ you‎ have‎ something‎ to‎ offer‎ as‎ well‎ and‎ that‎ when‎ you‎ figure‎ whatever‎ it‎ is‎ you‎ have‎ to‎ offer‎ it‎ can‎ make‎ both‎ of‎ your‎ lives‎ feel‎ more‎ satisfying.

The‎ other‎ benefit‎ is‎ that‎ intergenerational‎ friends‎ reveal‎ something‎ about‎ us.‎ Esther‎ Perel,‎ and‎ I'm‎ sure‎ many‎ other‎ wise‎ people,‎ says‎ we‎ know‎ who‎ we‎ are‎ in‎ the‎ presence‎ of‎ others.‎ Friends‎ of‎ all‎ types‎ can‎ provide‎ a‎ mirror,‎ reflecting‎ aspirational‎ traits,‎ calling‎ you‎ out‎ on‎ your‎ nonsense,‎ ‎ and‎ just‎ provide‎ a‎ table‎ for‎ the‎ potluck‎ you‎ want‎ to‎ add‎ your‎ dish‎ to‎ in‎ life.‎ So‎ it's‎ as‎ much‎ about‎ what‎ you‎ want‎ to‎ offer‎ in‎ the‎ friendship‎ too.‎ What‎ can‎ you‎ add‎ that‎ enriches‎ both‎ of‎ you.‎

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Monee is always searching for friends. And not  the "on Wednesdays we wear pink" kind of friends. She apparently has a method to the madness. Listen and find out what her master plan is. Are friends good for wellness? What does the data show?! Plus, the usual dose of Midnight ICEE.

Articles referenced in this episode:

Howick, J et al. “How empathic is your healthcare practitioner? A systematic review and meta-analysis of patient surveys.” BMC medical education vol. 17,1 136. 21 Aug. 2017, doi:10.1186/s12909-017-0967-3 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5563892/ Dyche, Lawrence. “Interpersonal skill in medicine: the essential partner of verbal communication.” Journal of general internal medicine vol. 22,7 (2007): 1035-9. doi:10.1007/s11606-007-0153-0

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Meredith tries yoga! Did she survive? Is Monee secretly a guru of the ancient art? Find out on this episode of Rescue Page! And as always, there are midnight ICEEs to go around.

Articles referenced in this episode:
https://pubmed.ncbi.nlm.nih.gov/30969208/
Babbar S, Renner K, Williams K. Addressing Obstetrics and Gynecology Trainee Burnout Using a Yoga-Based Wellness Initiative During Dedicated Education Time. Obstet Gynecol. 2019 May;133(5):994-1001. doi: 10.1097/AOG.0000000000003229. PMID: 30969208.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230658/
La Torre G, Raffone A, Peruzzo M, et al. Yoga and Mindfulness as a Tool for Influencing Affectivity, Anxiety, Mental Health, and Stress among Healthcare Workers: Results of a Single-Arm Clinical Trial. J Clin Med. 2020;9(4):1037. Published 2020 Apr 7. doi:10.3390/jcm9041037

Meredith's yoga recs
I pretty much just searched youtube videos for yoga when I started and found her videos to be the most down to earth, so I did her 30 day intro to yoga challenge. She's also from ATX which gave me a taste of home during quarantine which was very welcome as well.
https://www.youtube.com/user/yogawithadriene

Then, I switched to the Peloton app, which is not free. It's 12.99 a month, but I liked the app because it was not just yoga. It included strength, outdoor running, indoor cardio, etc. I felt like during quarantine where everyday is the same, it was nice to have some options outside of yoga.

Last resource I will say (which I have not tried), is that some studios are offering virtual class options. If yoga is something that you think you might like, but are overwhelmed by the number of studios and which one might be a good fit, then quarantine is the time to try. You don't have to leave your home, and it is pretty easy/judgement free to try different places, until you find one you like! When we all feel safe to return, you will have a good idea of the place that you would like to go to, which is a huge step in the process!

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Meredith and Monee set out to tell you who the heck they are. And to answer a few burning questions: What exactly IS wellness? There's a Richmond, Texas??? What is a pager? What is an ICEE?

Articles referenced in this article:
Brady, K.J.S., Trockel, M.T., Khan, C.T. et al. What Do We Mean by Physician Wellness? A Systematic Review of Its Definition and Measurement. Acad Psychiatry 42, 94–108 (2018). https://doi.org/10.1007/s40596-017-0781-6

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Welcome to Rescue Page! The physician wellness podcast that aims to be practical.