Medicine in ASL from Dr. Zach Featherstone, DO, and Ian DeAndrea-Lazarus, MPH, MD-PhD Student
For those that are interested- Dr. Featherstone is presenting at 2024 TerpAcademy Summit on July 24-27. If interested, you can use this link to register and get $10 off on your registration fee!
events.hellocirrus.com/2024summitregistration?ref=AAVRVT
Discount code: AAVRVT
We're excited to announce the 5th Annual Summit is almost here! The premier online summit for ASL Interpreters is back.
Yes we can.
The answer on how to resuscitate a baby in respiratory distress! Or is it?
Transcript: Hello! In our last post, it showed a clip of an infant with breathing difficulties. That clip is one of my videos and is a case I saw approximately 1 or 2 years ago. Before we discuss what happened with that case and what the steps are of managing that case, it's important to clarify on some things about delivering babies.
This device here you see is called a warmer. It radiates heat from the top to the baby. It has several accessories to it as well, such as oxygen delivery (This is how I sign oxygen, 'O-2'). It also has suctioning. It has an oximetry that can indicate the heart rate and the oxygen saturation (oxygen level) of a baby.
When a baby is born, there is a program (algorithm) we go by that helps us determine whether the infant needs help or not. This is called Neonatal Resuscitation Program (NRP) and it is the algorithm we follow. You can see it on the poster behind me.
The first things we always ask ourselves when a baby is born is the following:
1. Is the baby full-term? Meaning is the gestational age of the baby greater than 37 weeks?
2. Is the baby screaming/breathing? It something we want to see.
3. Does the infant have good tone? Meaning is the baby active, wriggling around? That's something we want to see. If the infant is limp, that's a different conversation.
When an infant is delivered, we check off the list from the aforementioned criteria. If they check-off all three of them, we give the infant to the mother and allow the infant and the mom to enjoy that golden hour together! I love seeing those moments!
TRANSCRIPT:
Hello! We’re back! We stopped making videos because we got busy! Here’s what we did the past year!
I finished my pediatric residency and am now working at Northeastern Nevada Regional Hospital as a Pediatric Hospitalist and General Pediatrician.
Ian defended his dissertation and got his Ph.D. His dissertation was on "Anticipatory Biasing of Visuospatial Attention in Deaf Native Signers." It's a very interesting complex topic and I highly recommend you to google it and look it up!
We presented at many workshops and conferences! We also helped host the AMPHL (Association of Medical Professionals with Hearing Loss) conference in Las Vegas. If you're interested in becoming a doctor, nurse, PA, or anything in the medical field, I highly recommend you to go to their website!
We also partnered with several research projects, including we helped with their translation with the purpose of helping expand/improve the medical interpreting qualifications/workforce.
We’re still very busy! Ian is now working on finishing his medical school, as he got 1.5 years to go! I’m still active in several other projects. But we look forward to sharing more cool medical tidbits with all of you!
AMPHL: www.amphl.org
Ian's Dissertation: https://twitter.com/UR_CTSI/status/1600535798448885760/photo/1
Medical Interpreting Projects:
https://www.isu.edu/pehi/
https://healthcareinterpreting.org/level-up-cohort/
Patients and companions need full access during medical appointments and visits. If you experienced communication barriers, use the letter: https://www.nad.org/wp-content/uploads/2020/06/Health-Care-Providers.pdf.
[Video Description & Transcript: Dr. Zach talks to the camera from inside a hospital hallway.
DR. ZACH: Deaf people go to the hospitals too. Sometimes it’s because we need help ourselves, or we’re going to visit our families or friends.
Dr. Zach stands in a different hallway, facing the camera.
DR. ZACH: Hospital staff sometimes forget that deaf people need access while they need care, for themselves or for their loved ones.
Dr. Zach stands in a hospital room, facing the camera.
DR. ZACH: We face discrimination even when we’re trying to live.
Dr. Zach sits in a hospital room, facing the camera.
DR. ZACH: The Americans with Disabilities Act protects deaf and hard of hearing people, even when they’re in the hospital. It covers a list of things:
TEXT-ON-SCREEN: Title III of the ADA applies to all private health care providers; Healthcare providers must provide services that are necessary for effective communication with deaf patients; services include interpreters, captioning, video remote interpreters, and more; also applies to a deaf companion of a patient.
DR. ZACH: Take care! Bye!]
Dr. Featherstone explains the answer to case 2 and what findings supported the answer. (Many pictures in video!)
DR. FEATHERSTONE GIVES ANOTHER CASE AND YOU HAVE TO GUESS WHAT THIS PERSON HAS! PUT YOUR ANSWERS IN THE COMMENTS SECTION! ANSWERS COMING IN 2-3 DAYS.
Dr. Featherstone gives the answer for Case I which he posted a few days ago, and the rationale behind it.
Dr. Featherstone tells of a patient with a condition and you have to figure out what this patient has!
Dr. Featherstone explains what the common newborn rashes are and whether you should be concerned or not. Pictures of rashes are also shown here.
Transcript:
Hello! This vlog is about… newborn rashes! Time to panic?! We’ll review common newborn rashes and interestingly enough, many of them have nicknames that’ll make you chuckle. So, firstly, one of the most common newborn rash is a patch on the forehead or on the back of the neck. The medical term for this is Nevus Simplex. The nickname for the nevus simplex on the forehead is ‘Angel’s Kiss.’ The concept is that as the baby is born, an angel kisses the forehead, leaving a big mark on the forehead! The nickname for the simplex nevus on the back of the neck is ‘Stork’s Bite.’ It’s from the old school joke of babies being delivered by storks and as storks drop the babies off, they nip the back of the neck of the baby to say goodbye, leaving that mark as aforementioned. Sometimes, the forehead patch is nicknamed as ‘Salmon’s Patch.’ These patches typically resolve between 1-2 or sometimes 5 years. They are not typically associated with any ominous diseases. Nextly, another famous newborn rash that appears as red marks with white papules on top the red marks is Erythema Toxicum. It may sound scary since it has the word, ‘toxic’ in it, but it’s actually very benign and usually resolves within a few weeks. Again, they aren’t typically associated with any diseases. Now, we’ll show you pictures of the Nevus Simplex on the forehead and neck, and Erythema Toxicum! Now you know what they look like! Next, we also have Neonatal Acne. Yes, babies can have acne, typically on their face or upper chest area. They appear classically as acne, with white papules. They usually aren’t predictive of acne later in life. They happen in some babies and usually resolve in several weeks. Here’s a picture! Next, we have Milia, which is isolated few to several white papules on the face. Again, they just happen in some babies and usually resolve within a few weeks. Here’s a picture! We also have some babies with rash on their head, what we typically call Cradle Cap, which is flaky dry skin on the scalp. Again, they will usually resolve. Just make sure you wash the head with non-scented shampoo or soap and use a soft-bristled brush to clean it off. Next, a concerning presentation is a large red spot, usually on one side of face around the eye. They are typically called ‘Port Wine Stain.’ This is named since it’s has the appearance of spilled port wine on the face. This is concerning because it is usually associated with ‘Sturge Weber’s Syndrome.’ This syndrome has a high likelihood of having an abnormal vascular system, such as an arteriovenous malformation (arteries and veins being jumbled together), amongst other underlying issues. This warrants an investigative work up. There you have it. That’s Newborn Rashes. See y’all.
In case you missed it, here is the recording of our discussion about COVID-19 on Convo’s The Hangout!
UPDATE: The recording of this live session can be found on our page above this post.
Ian will be a part of Convo’s The Hangout to discuss COVID-19 updates along with two deaf doctors, Dr. Chris Moreland and Dr. Victoria MacPherson. Watch on Facebook Live via Convo at 6pm EST tonight!
What do you want to know about ? Submit your questions here for THE HANGOUT tomorrow night at 5pm, and join us to get your responses on Facebook Live!
Dr. Zach discusses COVID-19 in schools on The Daily Moth.
[Clarification: If you are an adult and got the J&J shot, you only need one dose, not two. Pfizer is the only vaccine authorized for use in children age 12 and up, and it is important that kids age 12 and up get BOTH doses. Adults who got Pfizer or Moderna should also get both doses to get full protection.]
Transcript: www.dailymoth.com/blog/interview-with-deaf-pediatrician-on-covid-19-in-schools
In the second part of a two-part series, Ian answers common questions about the COVID-19 variant called B.1.617.2, or Delta. Please watch part 1 before watching this video. Part 1: https://fb.watch/75J5JWPPhp/
NOTE: Captions are temporarily unavailable. Due to the urgency of the situation and the lack of ASL resources discussing this topic, we decided to post this video immediately as we work on adding English captions over the next day or two. We apologize for this delay and thank you for your patience!
If you are short on time, here is a guide:
Part 1
0:33 – What is the Delta variant and how did it get here?
6:40 – Do the vaccines work against Delta?
10:21 – What are “breakthrough cases”?
Part 2
0:02 – Why did the CDC change their recommendation that fully vaccinated people wear masks in high-risk areas of the US?
0:43 – “I’ve had COVID before but have not been vaccinated, can I still get sick? Do I need to get vaccinated?”
1:52 – “I’m fully vaccinated. I’m protected so why should I care if unvaccinated people don’t get vaccinated?”
3:27 – The CDC announced that the Delta variant is now much more contagious—about as contagious as chickenpox. What does that mean?
In the first part of a two-part series, Ian gives a detailed explanation of the new COVID-19 variant called B.1.617.2, or Delta. Part 2: https://fb.watch/75JaSo8J--/
NOTE: Captions are temporarily unavailable. Due to the urgency of the situation and the lack of ASL resources discussing this topic, we decided to post this video immediately as we work on adding English captions over the next day or two. We apologize for this delay and thank you for your patience!
If you are short on time, here is a guide:
Part 1
0:33 – What is the Delta variant and how did it get here?
6:40 – Do the vaccines work against Delta?
10:21 – What are “breakthrough cases”?
Part 2
0:02 – Why did the CDC change their recommendation that fully vaccinated people wear masks in high-risk areas of the US?
0:43 – “I’ve had COVID before but have not been vaccinated, can I still get sick? Do I need to get vaccinated?”
1:52 – “I’m fully vaccinated. I’m protected so why should I care if unvaccinated people don’t get vaccinated?”
3:27 – The CDC announced that the Delta variant is now much more contagious—about as contagious as chickenpox. What does that mean?
Did you know that there are several different vaccine types used today such as live-attenuated, inactivated, and subunit or conjugate vaccines? Dr. Zach explains the main types of vaccines used today and how they work.
“I’m admitting young healthy people to the hospital with very serious COVID infections,” wrote Cobia, a hospitalist at Grandview Medical Center in Birmingham, in an emotional Facebook post Sunday. “One of the last things they do before they’re intubated is beg me for the vaccine. I hold their hand and tell them that I’m sorry, but it’s too late.”
Almost all of the COVID patients in ICUs across the US are unvaccinated. If you are not yet vaccinated, please get vaccinated as soon as possible to protect yourself and your loved ones.
“And now all you really see is their fear and their regret. And even though I may walk into the room thinking, ‘Okay, this is your fault, you did this to yourself,’ when I leave the room, I just see a person that's really suffering, and that is so regretful for the choice that they made.”
In response to questions raised by several viewers, Ian explains in ASL the findings of a study titled "Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons," recently published in the New England Journal of Medicine. Please share this vlog with any friends or family who may be concerned about this issue!
The NEJM article can be accessed here:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8117969/pdf/NEJMoa2104983.pdf
Dr. Zach shares some updates about vaccinating pregnant women and children.
It's National Nurses Week! Thank you to all of the nurses out there! We worked with to bring you this video introducing you to some of the many deaf and hard-of-hearing nurses around the world!
There is also a support group on Facebook for deaf and hard-of-hearing nurses and nursing students here: https://www.facebook.com/groups/1054081404607317/
Update on the J&J vaccine 👇🏼👇🏼
From Deaf author Sara Nović on CNN: “This reality has led some Deaf-led nonprofits to create their own resources -- the Communication Service for the Deaf, Inc. established an American Sign Language (ASL) hotline and resource center for Covid-related questions, while Health Signs Center and Deaf in Scrubs are working to combat misinformation and vaccine hesitancy in the community.”
In the push to vaccinate, too many Deaf and disabled Americans are being left behind, says Sara Novic, who argues that vaccine hesitancy and lack of access to vaccines reflects longstanding health care iniquities and bigotry suffered by the Deaf community.
As a follow-up to the previous video about the Johnson & Johnson (Janssen) vaccine, Ian shares more information about why the FDA and CDC made the recommendation this morning to pause the Johnson & Johnson vaccine rollout and why you shouldn't worry.
Ian explains how the Johnson & Johnson (Janssen) viral vector vaccine works and how it is different from the mRNA vaccines. Ian also discusses the reports of very rare blood clots in a few people who received the AstraZeneca-Oxford (AZ) and J&J vaccines, which are currently under investigation in Europe.
To celebrate National Doctors' Day, we would like to introduce you to some amazing Deaf and Hard-of-Hearing doctors who are currently practicing medicine around the world!
If you know anyone who is seriously interested in medicine (especially those who identify as Black, Indigenous, People of Color [BIPOC]), please tell them to contact the AMPHL mentorship program at [email protected] or contact us at [email protected].
For more information about AMPHL - Association of Medical Professionals with Hearing Losses, check out www.amphl.org!
Dr. Zach and Ian describe the mRNA technology used by the COVID-19 vaccines produced by BioNTech-Pfizer and Moderna.
In this video, Ian details how the idea of vaccination came about.
For the ASL-naïve: captions are available and may need to be enabled in the video menu. A transcript is also available in the comments.
[ID: White male in his early 30s with short dark hair and trimmed beard wearing blue scrubs standing in front of a gray backdrop.]
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The answer on how to resuscitate a baby in respiratory distress! Or is it?
The answer on how to resuscitate a baby in respiratory distress! Or is it?
Transcript: Hello! In our last post, it showed a clip of an infant with breathing difficulties. That clip is one of my videos and is a case I saw approximately 1 or 2 years ago. Before we discuss what happened with that case and what the steps are of managing that case, it's important to clarify on some things about delivering babies. This device here you see is called a warmer. It radiates heat from the top to the baby. It has several accessories to it as well, such as oxygen delivery (This is how I sign oxygen, 'O-2'). It also has suctioning. It has an oximetry that can indicate the heart rate and the oxygen saturation (oxygen level) of a baby. When a baby is born, there is a program (algorithm) we go by that helps us determine whether the infant needs help or not. This is called Neonatal Resuscitation Program (NRP) and it is the algorithm we follow. You can see it on the poster behind me. The first things we always ask ourselves when a baby is born is the following: 1. Is the baby full-term? Meaning is the gestational age of the baby greater than 37 weeks? 2. Is the baby screaming/breathing? It something we want to see. 3. Does the infant have good tone? Meaning is the baby active, wriggling around? That's something we want to see. If the infant is limp, that's a different conversation. When an infant is delivered, we check off the list from the aforementioned criteria. If they check-off all three of them, we give the infant to the mother and allow the infant and the mom to enjoy that golden hour together! I love seeing those moments!
Hello! I'm Dr. Zach. I'm a pediatrician. So, we're here in the hospital. Suppose we have a mother who is pregnant and goes into labor. She delivers a baby and the baby is brought here. This is what you see. (Video of baby breathing) I'm curious, what will you do next? Feel free to comment!
TRANSCRIPT: Hello! We’re back! We stopped making videos because we got busy! Here’s what we did the past year! I finished my pediatric residency and am now working at Northeastern Nevada Regional Hospital as a Pediatric Hospitalist and General Pediatrician. Ian defended his dissertation and got his Ph.D. His dissertation was on "Anticipatory Biasing of Visuospatial Attention in Deaf Native Signers." It's a very interesting complex topic and I highly recommend you to google it and look it up! We presented at many workshops and conferences! We also helped host the AMPHL (Association of Medical Professionals with Hearing Loss) conference in Las Vegas. If you're interested in becoming a doctor, nurse, PA, or anything in the medical field, I highly recommend you to go to their website! We also partnered with several research projects, including we helped with their translation with the purpose of helping expand/improve the medical interpreting qualifications/workforce. We’re still very busy! Ian is now working on finishing his medical school, as he got 1.5 years to go! I’m still active in several other projects. But we look forward to sharing more cool medical tidbits with all of you! AMPHL: www.amphl.org Ian's Dissertation: https://twitter.com/UR_CTSI/status/1600535798448885760/photo/1 Medical Interpreting Projects: https://www.isu.edu/pehi/ https://healthcareinterpreting.org/level-up-cohort/
Dr. Featherstone explains the answer to case 2 and what findings supported the answer. (Many pictures in video!)
DR. FEATHERSTONE GIVES ANOTHER CASE AND YOU HAVE TO GUESS WHAT THIS PERSON HAS! PUT YOUR ANSWERS IN THE COMMENTS SECTION! ANSWERS COMING IN 2-3 DAYS.
Dr. Featherstone gives the answer for Case I which he posted a few days ago, and the rationale behind it.
Dr. Featherstone tells of a patient with a condition and you have to figure out what this patient has!
Dr. Featherstone explains what the common newborn rashes are and whether you should be concerned or not. Pictures of rashes are also shown here. Transcript: Hello! This vlog is about… newborn rashes! Time to panic?! We’ll review common newborn rashes and interestingly enough, many of them have nicknames that’ll make you chuckle. So, firstly, one of the most common newborn rash is a patch on the forehead or on the back of the neck. The medical term for this is Nevus Simplex. The nickname for the nevus simplex on the forehead is ‘Angel’s Kiss.’ The concept is that as the baby is born, an angel kisses the forehead, leaving a big mark on the forehead! The nickname for the simplex nevus on the back of the neck is ‘Stork’s Bite.’ It’s from the old school joke of babies being delivered by storks and as storks drop the babies off, they nip the back of the neck of the baby to say goodbye, leaving that mark as aforementioned. Sometimes, the forehead patch is nicknamed as ‘Salmon’s Patch.’ These patches typically resolve between 1-2 or sometimes 5 years. They are not typically associated with any ominous diseases. Nextly, another famous newborn rash that appears as red marks with white papules on top the red marks is Erythema Toxicum. It may sound scary since it has the word, ‘toxic’ in it, but it’s actually very benign and usually resolves within a few weeks. Again, they aren’t typically associated with any diseases. Now, we’ll show you pictures of the Nevus Simplex on the forehead and neck, and Erythema Toxicum! Now you know what they look like! Next, we also have Neonatal Acne. Yes, babies can have acne, typically on their face or upper chest area. They appear classically as acne, with white papules. They usually aren’t predictive of acne later in life. They happen in some babies and usually resolve in several weeks. Here’s a picture! Next, we have Milia, which is isolated few to several white papules on the face. Again, they just
Dr. Zach discusses COVID-19 in schools on The Daily Moth. [Clarification: If you are an adult and got the J&J shot, you only need one dose, not two. Pfizer is the only vaccine authorized for use in children age 12 and up, and it is important that kids age 12 and up get BOTH doses. Adults who got Pfizer or Moderna should also get both doses to get full protection.] Transcript: www.dailymoth.com/blog/interview-with-deaf-pediatrician-on-covid-19-in-schools
In the second part of a two-part series, Ian answers common questions about the COVID-19 variant called B.1.617.2, or Delta. Please watch part 1 before watching this video. Part 1: https://fb.watch/75J5JWPPhp/ NOTE: Captions are temporarily unavailable. Due to the urgency of the situation and the lack of ASL resources discussing this topic, we decided to post this video immediately as we work on adding English captions over the next day or two. We apologize for this delay and thank you for your patience! If you are short on time, here is a guide: Part 1 0:33 – What is the Delta variant and how did it get here? 6:40 – Do the vaccines work against Delta? 10:21 – What are “breakthrough cases”? Part 2 0:02 – Why did the CDC change their recommendation that fully vaccinated people wear masks in high-risk areas of the US? 0:43 – “I’ve had COVID before but have not been vaccinated, can I still get sick? Do I need to get vaccinated?” 1:52 – “I’m fully vaccinated. I’m protected so why should I care if unvaccinated people don’t get vaccinated?” 3:27 – The CDC announced that the Delta variant is now much more contagious—about as contagious as chickenpox. What does that mean?
In the first part of a two-part series, Ian gives a detailed explanation of the new COVID-19 variant called B.1.617.2, or Delta. Part 2: https://fb.watch/75JaSo8J--/ NOTE: Captions are temporarily unavailable. Due to the urgency of the situation and the lack of ASL resources discussing this topic, we decided to post this video immediately as we work on adding English captions over the next day or two. We apologize for this delay and thank you for your patience! If you are short on time, here is a guide: Part 1 0:33 – What is the Delta variant and how did it get here? 6:40 – Do the vaccines work against Delta? 10:21 – What are “breakthrough cases”? Part 2 0:02 – Why did the CDC change their recommendation that fully vaccinated people wear masks in high-risk areas of the US? 0:43 – “I’ve had COVID before but have not been vaccinated, can I still get sick? Do I need to get vaccinated?” 1:52 – “I’m fully vaccinated. I’m protected so why should I care if unvaccinated people don’t get vaccinated?” 3:27 – The CDC announced that the Delta variant is now much more contagious—about as contagious as chickenpox. What does that mean?
Did you know that there are several different vaccine types used today such as live-attenuated, inactivated, and subunit or conjugate vaccines? Dr. Zach explains the main types of vaccines used today and how they work.
In response to questions raised by several viewers, Ian explains in ASL the findings of a study titled "Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons," recently published in the New England Journal of Medicine. Please share this vlog with any friends or family who may be concerned about this issue! The NEJM article can be accessed here:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8117969/pdf/NEJMoa2104983.pdf
Dr. Zach shares some updates about vaccinating pregnant women and children.
It's National Nurses Week! Thank you to all of the nurses out there! We worked with @DeafMed to bring you this video introducing you to some of the many deaf and hard-of-hearing nurses around the world! #HappyNursesWeek There is also a support group on Facebook for deaf and hard-of-hearing nurses and nursing students here: https://www.facebook.com/groups/1054081404607317/
As a follow-up to the previous video about the Johnson & Johnson (Janssen) vaccine, Ian shares more information about why the FDA and CDC made the recommendation this morning to pause the Johnson & Johnson vaccine rollout and why you shouldn't worry.
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