Heart of a Woman Medical Symposium 13-14 July, 2019

Heart of a Woman Medical Symposium

Lloyd Erskine Sandiford Centre, Barbados

13 July 2019 9am-5pm, 14 July 2019 9am-1pm

Event Brief

Cardiovascular disease is the number one cause of morbidity and mortality in women worldwide. Yet, research consistently reveals a profound lack of awareness of this fact, not only among women, but also among many healthcare professionals. Beyond this lack of awareness, disparities in treatment of cardiovascular disease in women exist, often because of failure to appreciate differences in disease presentation between men and women. 

It is for these reasons that the Heart and Stroke Foundation of Barbados conceptualized HoW, a forum designed to educate both the Barbadian public and healthcare providers in concurrent symposia.  The aim of the CME activity is to heighten awareness and to bridge the knowledge gap of manifestations, diagnosis and management of CVD in women.

The conference programme is led and developed by Dr. Dawn Scantlebury, Medical Director, HFSB and will feature some leading cardiologists from the USA and other guest presenters. Speakers include:

Dr. Jennifer Mieres, Cardiologist, USA

Jennifer Mieres, MD, is one of the leading experts and patient advocates in the fields of cardiovascular disease in women. She is the author of ‘Heart Smart for Black Women and Latinas’ and ‘Heart Smart for Women’. Her documentary, ‘A Woman’s Heart’ was nominated at the 46th Annual New York Emmy Awards. In her role as leader of Northwell Health’s Center for Equity of Care, Dr. Mieres has oversight of the Katz Institute for Women’s Health, all of Northwell’s health, wellness, community health education and healthcare access programs. She is also the health system’s chief diversity and inclusion officer and is a member of the health system’s leadership team.

Dr. Gina Price Lundberg, Cardiologist, USA

Gina Price Lundberg, MD is the Clinical Director of the Emory Women’s Heart Center and a Preventive Cardiologist with Emory Clinic in Marietta, Georgia. Dr. Lundberg is an Associate Professor of Medicine at Emory University School of Medicine. She has been interviewed on the subject of Heart Disease in Women in various media channels including CNN and in USA Today.

Dr. Selma Mohammed, Cardiologist, USA

Selma Mohammed, MBBS, PhD,  is a Heart Failure and Transplant Cardiologist at MedStar Health, and Assistant Professor of Medicine, Georgetown University of School of Medicine, Washington, DC. She conducts clinical research in heart failure as a scientific lead for the heart failure research team at MedStar.

Dr. Patricia Best, Cardiologist, USA

Patricia J M Best, MD, is an associate professor of internal medicine and cardiovascular diseases at Mayo Clinic College of Medicine and Science. She is an interventional cardiologist, an active member of the Women’s Heart Clinic and a researcher at Mayo Clinic in Rochester, Minnesota. She is a fellow of the American College of Cardiology and a fellow of the Society for Cardiac Angiography and Intervention.

Helene Charlebois, Registered Dietitian, Canada

Helene Charlebois is a Registered Dietitian and Obesity Expert with over 25 years of experience in counselling, nutrition education and weight management.

Dr. Dawn Scantlebury, Interventional Cardiologist, Barbados

Dawn Scantlebury, MBBS  is a consultant cardiologist at the Queen Elizabeth Hospital, and senior associate lecturer in cardiology, University of the West Indies. Dr. Scantlebury’s areas of practice include interventional cardiology, echocardiography and cardiac rehabilitation. Her main research focus is cardiovascular disease in women, particularly stress-induced cardiomyopathy and the long-term cardiovascular effects of hypertensive pregnancy.

Dr. Alafia Samuels, Epidemiologist, Barbados

Alafia Samuels, MBBS, PhD is the Director, George Alleyne Chronic Disease Research Centre, Deputy Dean for Research and Graduate Programmes, Faculty of Medical Sciences, University of the West Indies, Cave Hill campus Barbados and co-Principal Investigator of the IDRC (International Development Research Centre, Canada) funded evaluation of the CARICOM Heads of Government 2007 NCD Summit Declaration. She is currently a member of the Barbados National NCD (Non Communicable Diseases) Commission and the principal author of the Barbados Ministry of Health Strategic Plan of Action for the Prevention and Control of NCDs 2015-2019 as well as the CARICOM Regional NCD Plan 2010-2015

Other speakers may include:

Dr. NaTisha Robinson, Materno-Fetal Medicine Specialist, Barbados

Dr. Aderemi Soyombo, Cardiologist, Barbados

Dr. Ariane Harvey, Internist and Hypertension Specialist, Barbados

Rosanna Springer, RN, Barbados

Dr. Colette George , Endocrinologist

Dr. Cindy Flower, Rheumatologist

Heart of a Woman Medical Symposium

Lloyd Erskine Sandiford Centre, Barbados

13 July 2019 9am-5pm, 14 July 2019 9am-1pm

Draft Programme

Day 1 – 9AM-5PM

  1.  Introduction
  2. What does it matter?
  3. Inequities in cardiovascular care
  4. Barbadian data- from the BNR
  1. Risk factors and prevention
  2. Prevention Guidelines and role for risk prevention scores
  3. Hypertension guidelines
  4. Lipid management
  5. Autoimmune disorders and the heart
  6. Diabetes
  7. Other conditions in women (e.g. migraine).
  1. Break
  1. Common Cardiac Conditions.
  2. Stable coronary artery disease
  3. Acute Coronary syndromes- including spontaneous coronary artery dissection, takotsubo cardiomyopathy
  4. Heart failure with reduced EF
  5. Heart failure with preserved EF
  6. Atrial fibrillation and Stroke
  1. Lunch 
  1. Bikini Medicine!
  2. Normal cardiac findings in pregnancy
  3. Cardiac problems in pregnancy- from minor to major
  4. Pregnancy complications including HPD and CVD
  1. Lifestyle management
  2. Beneficial effects of exercise on the heart
  3. Cardiac Rehab
  4. Nutrition counselling
  5. Weight management counselling
  6. Stress management counselling and resources.

Day 2: 9AM-1PM

  1. ECG workshop
  1. Cases (break out: docs vs nurses)
    1. Primary prevention
    2. Acute coronary syndrome
    3. Heart failure

Updated Programme: Surgical Techniques for General Practitioners – April 13

Surgical Techniques for General Practitioners & Updates in Cancer Treatment

Saturday, 13 April 2019, 1PM to 7.30PM

Bagnall Point Gallery, Pelican Village , St. Michael

 

The aim of this CME is to enhance the GP’s knowledge in the clinical and procedural skills required in the office setting and to inform on new techniques available for cancer treatment.

Target: Doctors, nurses, allied health professionals.

Objectives:    

  • To familiarize GPs with common surgical presentations to decrease the rate of misdiagnosis and or delayed diagnosis.
  • To embolden GPs to surgically manage some of their cases
  • To refresh GPs on surgical intervention techniques
  • To recall skills in common office-based procedures
  • To inform on new techniques available for cancer treatment

Special Guest Presentation: Stereotactic Radiosurgery (SRS), Dr. Fernandez, Radiation Oncologist, Miami

Chairperson: Mr. Ian Lewis, General Surgeon

Programme

Time Topic Speaker
1.00 Opening Remarks Chairperson
1.05 Common Surgical Presentations in a GP Office Dr. Danielle Reid, GP
1.35 Common Keratotic Lesions of the Foot Rosamund James, Podiatrist
2.05 Common Anal & Rectal Complaints in the Office Dr. Ian Lewis, Surgeon
2.35 Common Causes of Abdominal Pain/ Abdominal Masses Dr. Lynda Williams, GP
3.05 Break  
3.35 Wound Care: Best Practices Alyssa-Sue Norville, Wound Care Nurse
4.05 Nuclear Medicine and Practice Dr. Andrew Porte, Nuclear Physicist
4.35 Local Anaesthetic Use & Mis-Use Dr. Adrian Waterman Anaesthetist
5.05 Common Skin Lesions including Sebaceous Cysts, Folliculitis Dr. Suleman Bhamjee, Dermatologist
5.35 Interesting Cases: Radiology Dr. Latha, Radiologist
6.05 Interesting Cases: Surgery Dr. Ian Lewis, General Surgeon
6.35 Current Situation: Cancer in Barbados

Haematological Updates

Dr. Christopher Nicholls, Haematologist
7.05 Guest Presentation Stereotactic Radiosurgery (SRS) Dr. Eduardo Fernandez, Radiation Oncologist

 

7.30 End of Event  

 

Surgical Techniques Flyer-01

Medical Nutrition Therapy – April 2 – Final Agenda

Hibiscus Health Caribbean & The Barbados Diabetes Foundation presents:

Medical Nutrition Therapy: Updates in Diabetes, Chronic Diabetic Wounds & Cancer

Tuesday, 2 April 2019, 500pm – 10.00pm

Bagnall Point, Pelican Village, St. Michael

Cost: BDS$60 – All Participants; Students: $40

Guest Presenters: Dr. Long Wang, Physician/ Registered Dietitian, California State University & Dr. Cheryl Rock, Food Scientist, California State University

CPE Credit Available

Medical nutrition therapy is now regarded as a pillar in the prevention and management of several chronic medical conditions. A sound understanding and application of nutrition principles is critical in the management of diabetes and diabetic foot ulceration. Cancer and cancer therapies can wreak havoc on the constitution of the patient, and nutrition plays a pivotal role in prevention, treatment and recovery. Join us as we explore the pathophysiological basis and latest updates in medical nutrition therapy in relation to diabetes, diabetic foot ulceration and cancer. Physicians, nurses, nutrition professionals, allied health professionals, students and those with a specific interest are welcomed. CPE credit is available.

Programme:

Time Topic Speaker
5.00 Opening Remarks Chairperson
5.05 Macro & Micronutrients and Impact on Health in 2019: A Practical Perspective Dr. Diane Brathwaite, Diabetologist
5.20 Practical Assessment of Nutritional Status Victoria Cox, RD
5.40 Formulating, Developing and Marketing Food for Diabetics Dr. Cheryl Rock, Food Scientist
6.25 Updates & New Trends in Nutrition & Diabetes Dr. Long Wang, RD/ Physician
7.00 Discussion  
7.10 Break  
7.30 The Chronic Wound Microenvironment & It’s Impact Toni Pickering, Podiatrist
7.50 Medical Nutrition Therapy in Chronic Wounds Dr. Long Wang, RD/ Physician
8.25 Impact of Cancer & Cancer Treatments on the Human Body Dr. Tanya Sargeant, GP
8.45 Functional Nutrition & Cancer Dr. Cheryl Rock, Food Scientist
9.25 Medical Nutrition Therapy in Cancer Dr. Long Wang, RD/ Physician
10.00 End of Event Chairperson

 

About the Guest Speakers:

Dr. Long Wang received his medical degrees from Hebei Medical University with a focus on radiation oncology. He holds a PhD in nutrition from Purdue University and conducted postdoctoral research at University of California, Davis Medical Center before becoming a professor. Currently, Dr. Wang works in the nutrition and dietetics program at California State University, Long Beach. Dr. Wang is a registered dietitian/nutritionist (RDN) and is actively involved in the Academy of Nutrition and Dietetics.

Dr. Cheryl Rock is a Barbadian Food Scientist and Assistant Professor & Food Science Club Advisor at California State University. Her areas of Specialization & Research include: Ethical Dilemmas in Food Science and Technology, Food Product Development, Food Processing, Food Engineering and Novel Processing Technologies, Sustainable aspects of Food Science and Technology, Nutritional Biochemistry and Carcinogenesis, Functional Foods.

 

Pre-registration:

www.hibiscushealthcaribbeanevents.eventbrite.com

Payment:

www.ticketpal.com

Select TicketPal Locations:

Lloyd Erskine Sandiford Centre, St. Michael

Origin Boutique, Limegrove, St. James

A & B Music Supplies, Sheraton Mall, Christ Church

Payment pick-up: 253-9384 (text or whatsapp)

Queries: hhccmeevents@gmail.com; 269-6193/ 253-9384

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NEW!!! PROFILE: Dr.Cheryl Rock, Guest Speaker at Medical Nutrition Therapy April 2, 2019

Profile of Dr. Cheryl Rock

Meet Dr. Cheryl Rock….she is currently an Assistant Professor of Food Science at the California State University, Long Beach (CSULB), since 2014.

Dr. Rock also serves as the faculty advisor of the Food Science Club Chapter at CSULB, California USA, where she facilitates the mentorship of students and their involvement in the Institute of Food Technologists (IFT) and

IFT Student Association (IFTSA) sponsored activities. She is a native of Barbados and after completing her Associate’s degree in Biology and Chemistry at the Barbados Community College (BCC); she received her Bachelor’s Degree (B. Sc.) in Food Science and Technology with a minor in Chemistry from the Alabama Agricultural and Mechanical (A & M) University. In 2007, she continued with her Master’s Degree (M. Sc.) at the same university specializing in Nutritional Biochemistry and Carcinogenesis. In 2012, she obtained her Doctor of Philosophy (Ph.D.) from the University of Florida (UF), where she specialized in Food Engineering and Processing, primarily Power Ultrasound (PU) and Pulsed Ultraviolet Light (PUV) technologies. Her research experiences and interests include dietary chemoprevention as well as studying the effects of novel food processing technologies such as bioactive compounds in food products. 

In her short track record as an academic, Dr. Rock has published over 13 peer-reviewed article(s) in the Journal of Food Engineering Reviews, Journal of Food Engineering, International Journal of Food Science and Florida State Horticultural Society Proceedings, Sustainable Agriculture Research as well as the Journal of Food Research respectively.

One fun fact is that she served as a Judge in the Institute of Food Technologist Disney Student Product Development competition in Chicago, USA and is currently facilitating a short-term study abroad course here in the beautiful island of Barbados, where 35 CSULB students have joined her to engage in some of the cultural activities. 

She will be presenting on Functional Foods &  “Formulating, Developing and Marketing Foods for Diabetics”. 

 

Surgical Techniques for General Practitioners & Updates in Cancer Treatment

Surgical Techniques Flyer-01

Surgical Techniques for General Practitioners & Updates in Cancer Treatment

Saturday, 13 April 2019, 1PM to 7PM

Bagnall Point Gallery, Pelican Village , St. Michael

 

The aim of this CME is to enhance the GP’s knowledge in the clinical and procedural skills required in the office setting and to inform on new techniques available for cancer treatment.

Objectives:    

  • To familiarize GPs with common surgical presentations to decrease the rate of misdiagnosis and or delayed diagnosis.
  • To embolden GPs to surgically manage some of their cases
  • To refresh GPs on surgical intervention techniques
  • To recall skills in common office-based procedures
  • To inform on new techniques available for cancer treatment

Special Guest Presentation: Stereotactic Radiosurgery (SRS), Dr. Fernandez, Radiation Oncologist, Miami

Chairperson: Mr. Ian Lewis, General Surgeon

Surgical Techniques Session:

  • How to Manage Surgical Presentations in the GP Office
  • Common Podiatric Complaints: Ingrown toenails, Corns, Plantar Warts & More.
  • Common Skin Lesions including Sebaceous Cysts, Folliculitis
  • Common Anal & Rectal Complaints in the Office
  • Common Causes of Abdominal Pain/ Abdominal Masses
  • Joint Effusion & Tendonitis
  • Local Anaesthetic Use & Mis-use
  • Interesting Cases

Cancer Update Session

  • Current Situation: Cancer in Barbados
  • Haematological Cancer Updates
  • Special Guest Presentation: Stereotactic Radiosurgery (SRS), Dr. Fernandez, Radiation Oncologist, Miami
  • Cancer Cases

Registration: http://www.hibiscushealthcaribbeanevents.com

Cost:

BDS$180 – Physicians

BDS$$130 – Nurses & Allied Health

BDS$75 – Students

Payment:

www.ticketpal.com

Select TicketPal Locations:

Lloyd Erskine Sandiford Centre, St. Michael

Origin Boutique, Limegrove, St. James

A & B Music Supplies, Sheraton Mall, Christ Church

Payment pick-up: 253-9384 (text or whatsapp)

Queries: hhccmeevents@gmail.com; 269-6193/ 253-9384

Medical Nutrition Therapy: Updates in Diabetes, Chronic Wounds & Cancer

Medical Nutrition Therapy: Updates in Diabetes, Chronic Wounds & Cancer

Tuesday, 2 April 2019, 500pm – 930pm

Bagnall Point, Pelican Village, St. Michael

Cost: BDS$60 – All Participants; Students: $40

Guest Presenter: Dr. Long Wang, Physician/ Registered Dietitian, California State University

CPE Credit Available

Medical nutrition therapy is now regarded as a pillar in the prevention and management of several chronic medical conditions. A sound understanding and application of nutrition principles is critical in the management of diabetes and diabetic foot ulceration. Cancer and cancer therapies can wreak havoc on the constitution of the patient, and nutrition plays a pivotal role in prevention, treatment and recovery. Join us as we explore the pathophysiological basis and latest updates in medical nutrition therapy in relation to diabetes, diabetic foot ulceration and cancer. Physicians, nurses, nutrition professionals, allied health professionals, students and those with a specific interest are welcomed. CPE credit is available.

Topics Include:

  • Macro & Micronutrients and Impact on Health in 2019: A Practical Perspective
  • Practical Assessment of Nutrition Status
  • Updates & New Trends in Nutrition & Diabetes
  • The Chronic Wound Microenvironment & its Impact
  • Impact of Cancer & Cancer Treatments on the Human Body
  • Medical Nutrition Therapy in Cancer

 

Pre-registration:

www.hibiscushealthcaribbeanevents.eventbrite.com

Payment:

www.ticketpal.com

Select TicketPal Locations:

Lloyd Erskine Sandiford Centre, St. Michael

Origin Boutique, Limegrove, St. James

A & B Music Supplies, Sheraton Mall, Christ Church

Payment pick-up: 253-9384 (text or whatsapp)

Queries: hhccmeevents@gmail.com; 269-6193/ 253-9384

Medical Nutrition Therapy Flyer-01.jpg

Updated Common Cardiovascular Complaints December 2, 2018

Common Cardiovascular Complaints

Sunday, 2 December 2018

3W’s Pavilion, UWI, Cave Hill, St. Michael

10.00AM-4.00PM

Physicians: $175; Nurses & Allied Health: $125; Students: $75

CPE Credit Available

Programme

Chairperson: Dr. Dawn Scantlebury, Interventional Cardiologist

From palpitations to chest pain to leg swelling, cardiovascular complaints keep the General Practitioner, Emergency Specialists and other health professionals busy. This CME explores some common symptoms which may suggest cardiovascular disease and the differential diagnoses outside the cardiovascular system. We will focus on the approach to diagnosis and treatment. Presenters include local Cardiologists, Emergency Specialists, Psychiatrist, Internists and others. Doctors, nurses, allied health, mental health professionals & other interested persons are invited to attend. CPE credit is available.

10:00- 10:45 a.m. Palpitations: Dr. Aderemi Soyombo, Cardiologist

The differential diagnosis for palpitations is broad, ranging from anxiety disorders to life-threatening arrhythmias. Dr. Soyombo will discuss the approach to the investigation of palpitations. Red flags will be discussed.

10:45- 11:30 a.m. Syncope: Dr. Stephen Moe, Cardiologist

Fainting is always a dramatic event. Yet it can have a relatively benign cause. When should we be concerned? Dr. Moe will review the approach to the patient with syncope, from the all-important history to advanced investigations such as invasive rhythm monitoring.

11:30 a.m. to 12:30pm – Panel: Chest Pain in the Emergency Setting and GP Clinic. Panelists: Dr. Winston Batson, GP; Dr. Linda Williams, GP; Dr. Harold Watson, ER Physician; Dr. Dawn Scantlebury, Interventional Cardiologist.

When patients experience chest pain, the first thing that comes to mind is a Heart Attack! Yet, there are multiple structures within the chest, abdomen and neck that can result in chest pain. On the other side of the spectrum, a heart attack may present without chest pain. How confusing can it get?! The panel will discuss the approach to the patient with chest pain in the ambulatory setting and in the emergency setting. We will discuss clues to a life-threatening differential diagnosis

Lunch: 12:30-1:30 p.m.

1:30-2:10 p.m. Shortness of Breath – Dr. Anne-Marie Hassell, Intensivist/ Pulmonologist  

Is it asthma? Is it heart failure? Dr. Hassell will discuss the approach to the patient with shortness of breath.

2.10-2.30 p.m.         Shortness of Breath: A Primer for Nurses – Tracy Davis, RN

Nurses are often the first point of contact for patients presenting to the emergency room, or patients on the ward.Are you going to direct this patient to the asthma bay? Or are you going to call your doc to assess stat? RN Davis speaks directly to nurses.

 

2:30-3:00 p.m. Leg Pain/ Claudication: Dr. Nina Yhap, Senior Registrar, Surgery

Barbados is known in some quarters as the amputation capital of the world. Yet this is an avoidable complication of peripheral arterial disease. Dr. Nina Yhap will guide us through the clues to considering the diagnosis of PAD, as well as its investigation and management.

3:00-3:30 p.m. Leg Swelling: Dr. Jocelyn Brookes, Interventional Radiologist

Is that swelling in your obese patient heart failure? Or is it the ever-prevalent venous disease? Dr. Brookes will focus on the diagnosis and management of venous disease along with a discussion of the differential diagnosis.

3:30-4:00 p.m. Cardiovascular Disease & Stress, Janelle Chase-Mayers, Mental Health Consultant

Stress! We all experience it, and some handle it better than others. How does it impact your patient? Is that cardiovascular complaint simply a manifestation of poor stress coping skills?

Common Cardiovascular Complaints – Dec 2

Common Cardiovascular Complaints

Sunday, 2 December 2018

3W’s Pavilion, UWI, Cave Hill, St. Michael

10.00AM-4.00PM

Physicians: $175; Nurses & Allied Health: $125; Students: $75

CPE Credit Available

 

Programme

Chairperson: Dr. Dawn Scantlebury, Interventional Cardiologist

From palpitations to chest pain to leg swelling, cardiovascular complaints keep the General Practitioner, Emergency Specialists and other health professionals busy. This CME explores some common symptoms which may suggest cardiovascular disease and the differential diagnoses outside the cardiovascular system. We will focus on the approach to diagnosis and treatment. Presenters include local Cardiologists, Emergency Specialists, Psychiatrist, Internists and others. Doctors, nurses, allied health, mental health professionals & other interested persons are invited to attend. CPE credit is available.

10:00- 10:45 a.m. Palpitations: Dr. Aderemi Soyombo, Cardiologist

The differential diagnosis for palpitations is broad, ranging from anxiety disorders to life-threatening arrhythmias. Dr. Soyombo will discuss the approach to the investigation of palpitations. Red flags will be discussed.

10:45- 11:30 a.m. Syncope: Dr. Stephen Moe, Cardiologist

Fainting is always a dramatic event. Yet it can have a relatively benign cause. When should we be concerned? Dr. Moe will review the approach to the patient with syncope, from the all-important history to advanced investigations such as invasive rhythm monitoring.

11:30 a.m. to 12:30pm – Panel: Chest Pain in the Emergency Setting and GP Clinic. Panelists: Dr. Winston Batson, GP; Dr. Linda Williams, GP; ER Physician – TBA; Dr. Dawn Scantlebury, Interventional Cardiologist.

When patients experience chest pain, the first thing that comes to mind is a Heart Attack! Yet, there are multiple structures within the chest, abdomen and neck that can result in chest pain. On the other side of the spectrum, a heart attack may present without chest pain. How confusing can it get?! The panel will discuss the approach to the patient with chest pain in the ambulatory setting and in the emergency setting. We will discuss clues to a life-threatening differential diagnosis

Lunch: 12:30-1:30 p.m.

1:30-2:10 p.m. Shortness of Breath – Dr. Anne-Marie Hassell, Intensivist/ Pulmonologist  

Is it asthma? Is it heart failure? Dr. Hassell will discuss the approach to the patient with shortness of breath.

2.10-2.30 p.m.         Shortness of Breath: A Primer for Nurses – Tracy Davis, RN

Nurses are often the first point of contact for patients presenting to the emergency room, or patients on the ward. Are you going to direct this patient to the asthma bay? Or are you going to call your doc to assess stat? RN Davis speaks directly to nurses.

 

2:30-3:00 p.m. Leg Pain/ Claudication: Dr. Nina Yhap, Senior Registrar, Surgery

Barbados is known in some quarters as the amputation capital of the world. Yet this is an avoidable complication of peripheral arterial disease. Dr. Nina Yhap will guide us through the clues to considering the diagnosis of PAD, as well as its investigation and management.

3:00-3:30 p.m. Leg Swelling: Dr. Jocelyn Brookes, Interventional Radiologist

Is that swelling in your obese patient heart failure? Or is it the ever-prevalent venous disease? Dr. Brooks will focus on the diagnosis and management of venous disease along with a discussion of the differential diagnosis.

3:30-4:00 p.m. Cardiovascular Disease & Stress, Janelle Chase-Mayers, Mental Health Consultant

Stress! We all experience it, and some handle it better than others. How does it impact your patient? Is that cardiovascular complaint simply a manifestation of poor stress coping skills?

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