ProgrammingInsider – Dr. Alddo Molinar Uses Experience and Training to Improve Patient Care

It’s often said that the best relationships between doctors and patients are built on trust. The question then becomes, how to create that trust? To answer this, we’ve taken some time to look to a practitioner who’s become well known for his positive working relationships with patients — Dr. Alddo Molinar. The use of important practices such as keeping a high level of communication, planning his schedule effectively, and making himself available to patients has helped the doctor to earn a wide reputation for his quality of care. Read on for a look at his work in detail, including the experience and training that has helped him achieve his notoriety. Education and training

Education and training

Alddo Molinar knew from an early age that he wanted to work in the medical field. This knowledge came from an early aptitude which showed him capable of achieving a great many things and also a number of unfortunate illnesses in his family. Seeing the devastating effect these medical issues had on those he cared about, the future doctor made it a goal to help alleviate suffering in others. That pledge would lead him down a path that has ultimately allowed him to make a major and sustained impact on the lives of innumerable patients.

That path began, formally, through his undergraduate education at Trinity University in San Antonio. After earning his B.S. in Biology from the school, he went on to attend medical school at The University of Texas Southwestern at Dallas. He would then go on to complete his residency at the world-renowned Cleveland Clinic. While completing his residency, the doctor not only engaged in training in his main specialty, anesthesiology, he also studied a variety of other subspecialties including critical care medicine, trauma anesthesia, and regional anesthesia. He also undertook additional training in neurological intensive care and cardiovascular intensive care while completing a Critical Care Medicine fellowship. This additional training allowed Dr. Molinar to lead the operating room as well as the intensive care unit.

Organization and leadership

One of the key skills he picked up through his education and training was the ability to stay organized. This is especially important for an anesthesiologist, which is an area of practice that the doctor likens to being a pilot, if the operating room were an airport that is. He draws this analogy based on the manner in which an operating room consists of a number of professionals all busily working together to achieve the same goal in tandem, noting that a surgery must start and end with the anesthesiologist working with the patient. Taking off and landing the plane, so to speak.

On a typical day, the doctor will often be involved with multiple surgeries simultaneously. This necessitates a high degree of organization and also leadership to be able to direct efforts on multiple fronts. The attention to detail required to perform well under this type of pressure is something that was apparent from the doctor’s early aptitude but was also carefully cultivated through his work in the field. Without it, he would be unavailable to the medical professionals with which he collaborates and, by extension, the patients who’ve entrusted themselves to his care.

Open communication

Of course, communication plays a huge role in the doctor’s ability to successfully accomplish his goals. Working seamlessly with other medical professionals is key, both inside and outside the operating room. A strategy for addressing the specific needs of each patient must be developed prior to surgery and must be carefully enacted on the day of the operation. From this point of view, it’s perhaps unsurprising that, as we’ve seen, the doctor compares the endeavor to a busy airport, an institution that would be unable to operate without the ever-present communication from air traffic control.

Communication, however, is not just important between medical professionals, it also forms the basis of any thriving doctor/patient relationship. This has been an area in which the doctor has made a name for himself over the years and it’s no accident that it has become a hallmark of his work. In fact, he takes special care to make himself available to patients at every stage of their journey. Discussing details with them in a kind and caring manner and also following up after an operation to see how their recovery is going. He’ll often engage in those follow-ups via telephone after hours, further highlighting his desire to emphasize patient care whenever possible.

Empathy in action

Ultimately, the dedication displayed by the doctor is an indication of the deeply-held empathy he has for the patients under his care. That empathy is not only informed by the suffering he’s witnessed firsthand in his family but also through his many years of experience. It’s a trait that allows the medical professional to place himself in his patients’ shoes and work to understand the difficulty of whatever they’re going through. It also helps to motivate him to maintain his high level of dedication and care through long hours and under tumultuous conditions.

That’s one of the reasons why the doctor also prioritizes celebrating accomplishments with his team along the way. In fact, he builds time into each day to take stock of the work he’s engaged in at that time and to look forward to the work left in the day. He records the efforts of those around him and makes sure to highlight their victories together. These practices show that the doctor’s empathy extends not just to patients but also the dedicated men and women with whom he works, knowing that they too are motivated to make a difference in the lives of those around them.

Caring for patients successfully requires a myriad of talents. It certainly benefits from a high degree of knowledge and training to help patients thrive through their medical treatments. But it also requires a level of mutual trust that is built through empathy, communication, attention to detail, and a genuine desire to alleviate suffering. The work of Dr. Alddo Molinar helps to showcase how these talents manifest in the real world. Looking to his efforts and analyzing how he interacts with patients can be an informative practice for any medical professional seeking to attain the highest possible level of patient care.

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Medium- Why Masks are Important — a Note from MD Alddo Molinar

The Covid-19 pandemic has created a global health emergency that has fundamentally shifted so much about the way we engage in society. Stay at home recommendations and social distancing guidelines have been important components of the global approach to limiting disease transmission. However, inconsistent information has, in part, contributed to confusion around a topic of great importance in this fight — the benefits of wearing masks to control the spread of the virus. I’ve taken some time to summarize some of the most relevant information on this topic to clearly show that — yes — wearing a mask is a key part of fighting this pandemic.

Official recommendations

First, let me address some of the early confusion surrounding mask use and how official recommendations have been updated as more information has become available. In the early days of the pandemic, some official health organizations were not recommending the use of masks. This recommendation, ultimately, stemmed from a lack of information as to how effective masks would be for the general population to combat virus transmission. It was also born out of a desire to ensure frontline medical personnel had access to masks in order to allow them to continue treating patients while minimizing their risk of falling ill.

We now know much more about how this virus spreads, and new recommendations have emerged from health organizations emphasizing the importance of masks in slowing this pandemic. Masks are now required in many public areas and are considered an important part of a cohesive public health strategy alongside other measures such as handwashing and social distancing. Do not be confused by the shift in guidelines as information emerged, health organizations around the world are now in agreement that wearing masks can help slow the spread of Covid-19 and can, therefore, help to save lives.

Mask types

At this point, many people have heard of N95 masks. These masks are recommended for medical workers directly interacting with infected patients. This is because N95 masks are designed to filter out both large and small particles, making them adept at handling filtration in situations where there may be a high concentration of viral particles in the environment. As the name might imply, such masks are designed to filter out 95% of particulates. Some N95 masks are manufactured with a valve that allows unfiltered air to escape the mask upon exhalation. These masks are not considered appropriate by many organizations for slowing the spread of Covid-19 since they do not protect others from an infected individual wearing such a mask.

In most cases, the types of masks recommended for general usage are cloth coverings or face masks made from cloth or similar materials. These masks can be handmade or purchased from retailers, however, they must possess a few characteristics to be considered appropriate for usage to slow virus transmission. Masks must cover both the user’s face and mouth and must be fitted to conform closely to the user’s face. An ill-fitting mask can allow air transmission around its sides, allowing unfiltered air to pass into the environment, defeating the purpose of the device. Correct fit can be achieved through properly tightened straps and a well-tailored mask shape.

How masks work

In the case of Covid-19, one of the primary means of virus transmission is through the air. This type of transmission occurs when viral particles are exhaled by an infected individual and become airborne. Viral particles that are then inhaled by another individual can cause the second person to contract the illness. This process can occur even if the first individual is not showing symptoms. Indeed, some studies have indicated that viral load is highest in a person the day before they show symptoms.

While viral particles are smaller than the holes in a cloth mask, these masks are still effective for helping to stop the spread of the virus. Why’s that? It’s because one of the primary ways that viral particles end up in the air is through exhaled saliva droplets. These droplets, if unimpeded, travel into the air containing a high load of viral particles. When these droplets evaporate, the viral particles are then suspended in the air. A cloth mask can block these droplets as they’re exhaled, keeping them from evaporating into the air and protecting other individuals from inhaling viral particles.

Masks and social distancing

Masks can be especially effective when combined with other practices such as social distancing. As noted above, masks can help stop droplets containing the virus from entering the air and evaporating. They can also help to minimize the distance that such an exhalation might cover. When an unmasked individual exhales, especially a cough, their concentrated breath can carry quite far — upwards of 30 feet by some estimations. The breath of a masked individual, by contrast, is contained to a much smaller area — several inches to 3 feet 7 inches depending on the material the mask is made of. This was recently published in the Journal of Physics and Fluids.

From this information, it is plain to see the sense in social distancing recommendations, which advocate that people stand 6 feet apart from each other. When practiced along with proper mask usage, such guidelines can help to drastically reduce the spread of the virus. Other guidelines such as proper hand washing and stay at home recommendations can also aid in this fight. These guidelines are important whether or not you are showing symptoms since that is no guarantee that you are not a carrier.

The impact of Covid-19 has been felt extensively across the world. In order to slow the spread of this disease, and in the process save lives, we must all take certain precautions recommended by health organizations at many different levels. One important component of this ongoing battle is the need to wear masks when in public. As we’ve seen above, proper mask usage can help to slow the transmission of viral particles into the air and, thus, help to reduce the chances of individuals becoming infected. Wear masks in public, practice social distancing, wash your hands frequently, and limit exposure to others. With these guidelines, we can all do our part to weather this storm together.

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