Dr. Rob Gillio

There's a great distinction between reducing healthcare and reducing waste.

Appropriate healthcare use is not something we should automatically try to eliminate.

Value-based healthcare shouldn't mean less healthcare. It should mean the right healthcare for the right person at the right time.

In medicine, more treatment isn't always the better treatment.

If someone says to you, "This is the best way," ask, "How large was the study that suggested it, and was it randomized? Was it controlled?"

More isn't necessarily better, but if someone is pushing a simple solution that solves everything, make sure their claim is validated with a randomized controlled trial.

When is a disaster over? It's not when the wind stops, and it's not when the water recedes.

Do not be that unsupported, untrained volunteer that shows up to help.

When the emergency's not on the news, that's when you really need to look back at it, reach back out to that community a week later, a month later

Watching the trends becomes important. That's why it's called a screening tool, not a diagnostic tool.

Discuss what it means and use it as a planning tool, not as a panic tool.

It takes away the panic and puts it into the plan.

Can a football stadium become a health infrastructure? You bet it can.

Community health resources aren't only the things that hospitals have their signs on.

Sometimes a community health resource from a hospital is the people at a hospital wanting to step out into the neighborhood to show up and work together to help others.

A child suddenly gets weak. Rare doesn't mean wait.

Wait and see doesn't work for me. Please refer me to a neurologist or a specialist. Could this be AFM?

You don't need to be able to diagnose every disease. You need to know when to ask for prompt attention and to get more help than you're currently getting.

You take 20,000 breaths a day, about, plus or minus a couple thousand. Who's protecting that air?

We can choose our food, we can choose whether we smoke, but it's hard to choose what air we breathe.

If you can see it or smell it in the air, try to avoid it.

And so when you go to a doctor and they ask, "Where did you work?" They're not just making small talk.

Prevention frequently means protecting a person today from a disease that your future self can't see.

The best treatment for some diseases is an intervention 40 years before the diagnosis.

You are public health, and public health happens before anyone becomes a patient.

And most of these projects are nearly invisible. Your actions, no one's going to notice because nothing dramatic really happens.

These community parks, clean water, our clean air, our forests, our ecosystems, are a gift just like our health.

World Rabies Day, September 28th, 100% fatal, almost. Very few survivors who truly have the disease, but also almost 100% preventable.

When you have an animal bite, it's not good enough to just go diagnose it on Google.

Don't get bit, don't provoke, and don't self-diagnose.

Sometimes I walk into a room and wonder what I came in there to get. Does it mean I have Alzheimer's? No.

Is there a meaningful change in someone's ability to function?

So healthy aging isn't about never forgetting something. It's about meaningful change in ability to function due to forgetting something.

What if we celebrated recovery as loudly as we talk about addiction?

That one of the most valuable things that's happened to me this year is watching a family member survive and thrive, not just stay alive, after the effects of alcohol and addiction to a deadly drug.

In our community, we have survivors. They are community assets to celebrate and support, and we have mentors for those survivors. Support them, hug them, thank them.

But the concept here is that food is needed to make treatment work.

There's also something called food insecurity, and it's not just hunger

Sometimes the most effective healthcare intervention doesn't arrive in the medical bottles. It arrives in the grocery bag and with someone who knows what to do with it.

I was living in this old farmhouse, 150 years old, and I was renovating it with great pride with my basic renovation skills, sanding away paint that was peeling from the windows.

But the dust from that paint, I was giving lead poisoning to my own child.

The point is, with good prevention, nothing happens. That's the best outcome.

One-fourth of my patients were no-shows. And I thought, "What is wrong with these people?"

Doctor, I wish I could come to the appointment, but my car isn't working. I don't have money for gas.

The point I'm getting at is the person doesn't come to the clinic, the clinic has to come to the person, or we have to make it easier for them to do it.

A snow shovel is a prescription.

Many people die when they fall, when they're in isolation and lonely, when they miss medical appointments, when they have a heart attack doing too much work, or when an ambulance can't reach their door effectively.

Does a snow shovel belong in healthcare? Maybe the question is how many hospital visits never happened because someone picked one up?