The episode explores what burnout really looks like — from emotional exhaustion and irritability, to disengagement and fatigue — and why it affects everyone, from healthcare workers and first responders to office employees and leaders. They discuss the importance of psychological safety in the workplace, breaking the stigma around mental health, and creating supportive environments where people feel safe asking for help.

The guests also shared personal stories about anxiety, grief, leadership vulnerability, and the importance of community, boundaries, therapy, physical activity, and self-care. Plus, we share tangible advice for recognizing burnout early and taking meaningful steps toward healing and balance.

If you’ve ever felt overwhelmed, emotionally drained, or mentally exhausted, this conversation is for you.

Guest Bios:

Michelle Kligman, Psy.D, MBA, MS: Michelle Kligman is the executive vice president and chief human resources officer for Jackson Health System. In her current role, she has strategic oversight for human resources functions across the entire organization. Throughout her tenure at Jackson, Kligman has driven multiple strategic initiatives, including improving employee engagement and patient experience, redesigning compensation and benefits for all employees, and launching enterprise-wide labor management and leadership development. Kligman brings more than 15 years of human resources experience to her current role at Jackson. She holds a degree from Florida International University, a Master’s of Science degree in Organizational Development, and a doctoral degree in Clinical Psychology from Nova Southeastern University. She also holds a post-doctorate degree from Columbia University and an executive master’s in business administration specialization in healthcare policy and administration from the University of Miami.

Vanessa Padilla: Dr. Vanessa L. Padilla, M.D., F.A.P.A., is a board-certified psychiatrist specializing in Psychiatry and Consultation-Liaison Psychiatry, recognized for her clinical leadership, academic contributions, and dedication to medical education and patient care. Dr. Padilla completed her medical training at the University of Puerto Rico School of Medicine, where she earned her M.D. degree in 2008. She went on to complete her psychiatry residency at the same institution in 2012, and pursued advanced subspecialty training in Consultation-Liaison Psychiatry Fellowship at the University of Miami / Jackson Health System in 2013. Dr. Padilla currently serves as the Psychiatry Residency Program Director at the University of Miami Miller School of Medicine’s Department of Psychiatry and Behavioral Sciences, where she leads one of the region’s major ACGME-accredited psychiatry training programs based at Jackson Memorial Hospital. In addition to her program leadership, Dr. Padilla is the medical director of the Consultation-Liaison Psychiatry Service at Jackson Memorial Hospital, where she provides psychiatric assessment and care within complex medical settings and collaborates closely with multidisciplinary teams across the medical hospital. She is double board-certified in Psychiatry and Consultation-Liaison Psychiatry by the American Board of Psychiatry and Neurology. Her work encompasses clinical education, mentorship, research, and direct patient care with diverse adult populations.

Commissioner René Garcia: Commissioner René Garcia is a product of Northwest Dade. He was born and raised in the City of Hialeah. Commissioner Garcia’s passion for serving his community began more than 20 years ago as a Councilman in the City of Hialeah. As a State Representative, and then as a State Senator, René focused on helping those most in need. Giving a voice to the voiceless has always been René’s number one priority. He advocated for comprehensive reforms to our mental health laws, sponsored legislation to end surprise medical bills after any hospitalization, promoted the importance of expanding health care services for children through the Florida KidCare program, and has been a staunch advocate for the seniors in our community. First elected in 2020 as County Commissioner for District 13 and then re-elected in 2024, Commissioner Garcia truly believes in the importance of balancing the economic progress and growth of a community with the social needs of its people while working together to address the pressing issues of the community such as workforce housing, the environment, our crumbling infrastructure and safety in our communities, using a pragmatic approach to leave this community a better place for our children. Commissioner Garcia was appointed Chairman of the Recreation and Tourism Committee and Vice Chairman of the Safety and Health Committee. He also serves on the Transportation Committee.

In this episode of On Call, Off Script, lung experts from the Lung Center at Jackson Health System/ Miami Transplant Institute, an affiliation between Jackson Health System and UHealth – University of Miami Health System explore, explain, and debunk fascinating lung facts while also exposing the hidden dangers that can affect respiratory health.

You’ll learn how everyday habits and environmental exposures can influence long-term lung health, why all smokers should throw the vape and cigarettes away now, and what conditions are sending younger patients to pulmonologists.

Whether you’re curious about the science behind breathing or want practical tips to better protect your lungs, this episode delivers facts and expert insight you can apply in your daily life.

Guest Bios:

• Juan Fernandez Castillo, MD: Juan Fernandez Castillo is the medical director of transplant pulmonology at Miami Transplant Institute. He specializes in advanced lung disease, respiratory health, and lung transplantation. With experience treating complex lung conditions, Dr. Fernandez Castillo is passionate about educating patients and the medical community on preventative lung health, the benefits of transplant, and respiratory issues affecting younger populations.

• Raquel Avellar: Raquel Avellar is the nursing director of patient care for the Lung Center at Jackson Memorial Hospital, the ECMO program, and the donor desk, overseeing patient-centered respiratory and pulmonary care. With years of clinical leadership, Raquel brings practical insight on lifestyles choices, environmental exposures, and preventative care that can impact lung health across all ages.

In this high-intensity episode of On Call, Off Script, we take you behind the scenes of one of the most complex medical operations in sports. As Formula 1 returns to Miami, the team at Jackson Health System’s Ryder Trauma Center isn’t just on standby. They’re building a fully operational trauma unit right at the track.

Host Ruelle Champion sits down with trauma surgeon Dr. Antonio Marttos and Ann Higgins, associate nurse manager at Ryder Trauma Center at Jackson Memorial, to break down what it really takes to prepare for an event where every second matters.

From replicating a Level 1 trauma center trackside to making life-or-death decisions in under five minutes, this episode explores how elite medicine mirrors elite racing. 

You’ll hear how:

* A full trauma system is transported and rebuilt at the F1 track

* Medical teams train for high-speed, high-impact emergencies

* Real-time data like G-force impacts shapes clinical decisions

* A five-minute window can determine whether a driver returns to the race or is airlifted to the hospital

* Jackson helped raise the global standard for motorsports medical care

And beyond the adrenaline, you’ll get a rare look at the teamwork, trust, and preparation that power both the track and the trauma bay.

This isn’t just coverage. It’s a masterclass in readiness.

Guest Bios:

• Dr. Antonio Marttos, trauma surgeon, Ryder Trauma Center at Jackson Memorial Hospital and Jackson South Medical Center. A global leader in trauma care and motorsports medicine, Dr. Marttos shares how his passion for racing and medicine collided to help elevate safety standards in Formula 1 worldwide.
• Ann Higgins, associate nurse manager, Ryder Trauma Center at Jackson Memorial Hospital. Ann brings an inside look at the logistics, coordination, and execution required to transform a racetrack into a fully functioning trauma-ready environment.

With thousands of patients on the transplant waitlist and the growing gap between supply and demand, understanding the truth behind organ donation is crucial. In this episode of On Call, Off Script, a Jackson Health System podcast, we hear from the experts at Miami Transplant Institute—a partnership between Jackson and UHealth—University of Miami Health System.

You’ll hear how organs are preserved and transported, the innovative technology that’s advancing transplant, and the waves of impact that just one donor can leave behind.

If you’re curious about what it takes to be an organ donor, our experts at Miami Transplant Institute share the profound meaning behind giving the gift of life.

Guest Bios:

• Rodrigo Vianna, MD, PhD: Rodrigo Vianna is the Director of Miami Transplant Institute and leads the liver, intestinal, and multi-visceral transplant program. He’s also a professor of clinical surgery at the University of Miami Miller School of Medicine. Dr. Vianna is an accomplished liver surgeon and a leader in transplant innovation like robotic kidney and kidney/pancreas surgery. His work pushes the boundaries of what’s possible in life-saving transplantation.
• Sean Chavis: Sean Chavis is an Organ Procurement and Placement Coordinator at Miami Transplant Institute’s donor desk. For nearly a decade, he’s played a critical role in coordinating organ offers, working closely with surgical teams, and transporting viable organs for transplantation. Chavis’ hands-on work ensures that the life-saving impact of organ donation is a seamless and impactful transfer to surgeons.

The new ER is more than just a brand-new building. Our experts explain how patient experience is placed at the forefront of the design, construction, and clinical workflow of Jackson Memorial Hospital’s innovative ER.

Guest Information:

Daniel Aguiar: Daniel Aguiar is the nursing director of emergency services at Jackson Memorial Hospital; leading the nurses at the new emergency room. Aguiar brings more than 15 years of experience in trauma and emergency care. His leadership is key in preparing the clinical teams to transition their workflow into the new ER.

Jorge Garciga: Jorge Garciga is the director of design and construction for Jackson Health System—overseeing large infrastructure projects like the construction of Jackson West Medical Center and now, the new ER. Garciga specializes in integrating what the clinical team needs with a functional and modern healthcare setting. He ensures that innovative design supports patient needs and efficient clinical operations.

On this episode of On Call, Off Script, two experienced nurse leaders from Jackson Health System separate fact from fiction. They break down the truth about “Code Blue” situations, explain why medical teams rely on calm coordination rather than chaos, and share how critical collaboration really is between nurses, doctors, and support staff.

Our guests also share which medical TV shows comes closest to reality, the surprising differences between pediatric and adult emergency care, and the ways social media influences patients. Whether you're a fan of hospital dramas or simply curious about what really happens in the hospital, this episode reveals the realities of healthcare today.

Guest information:

Jose Rodriguez, RN, is the nurse manager of the emergency room at Holtz Children’s Hospital. In his role, he leads a team that provides emergency care for pediatric patients, and ensures that children and families receive high-quality medical treatment and compassionate support during some of their most critical moments.

Vicky Rodriguez, RN, is an associate nurse manager at Jackson South Medical Center, where she oversees the clinic and supports nursing staff in delivering care to patients. She brings extensive frontline experience in hospital care coordination, patient education, and collaboration. Rodriguez is passionate about empowering patients through accurate medical information and ensuring safe, effective transitions from hospital care to home.

Guest Bios:

Michael Vega

Michael Vega has served the Miami community as a police officer since 1997, bringing nearly three decades of experience to the City of Miami Police Department. He has worked across multiple divisions, including Patrol, Internal Affairs, the Problem-Solving Team (PST), the Motor Unit, and Red-Light Camera enforcement.

Since November 2017, Vega has served as a Public Information Officer, acting as the liaison between the police department and the public. In this role, he leads media relations efforts, communicates critical public safety information, and supports transparency during high-profile and day-to-day incidents.

Throughout his career, Vega has remained committed to strengthening the community’s trust and ensuring the safety of Miami’s residents.

Pete Sánchez

Pete Sánchez is a Lieutenant with the City of Miami Department of Fire-Rescue, where he has served for 15 years. He has spent six years as the department’s Public Information Officer (PIO) and is a FEMA Master PIO.

Lieutenant Sánchez has led communications during high-profile incidents like the historic Temple Courts Three-Alarm fire, also serving as Joint Information Center (JIC) Manager for the Champlain Towers collapse in Surfside for three weeks and deploying with Florida Task Force 2 as PIO during Hurricane Irma in Fort Myers. Most recently, he led crisis communications for a major multi-agency incident that drew international media attention lasting over two weeks.

Yina Patino:

Yina Esmeralda Patino, MSN, APRN, PMHNP-BC is the Nurse Manager of the Trauma Resuscitation Unit at Ryder Trauma Center nat Jackson Memorial Hospital. With over 24 years of nursing experience, primarily in emergency services, she has dedicated her career to delivering high-quality, lifesaving care to critically injured patients.

As Nurse Manager, Yina leads a highly skilled multidisciplinary team in one of the busiest trauma centers in Miami-Dade County. She is committed to elevating trauma care standards, strengthening team performance, and ensuring exceptional patient outcomes for both residents and visitors who depend on Ryder Trauma Center during their most critical moments. Through her leadership within at Jackson, she continues to promote a culture of excellence, compassion, and clinical expertise.

Jeffrey Bernstein, MD, director of Florida Poison Control Center Miami, talks about the real medical condition behind scromiting, called cannabinoid hyperemesis syndrome (CHS). Caused by excessive marijuana use, Dr. Bernstein explains why CHS cases are increasing, and how cannabis can cause painful side effects.

As the only toxicologist covering six counties across South Florida, Dr. Bernstein is well-experienced in the poisonings that are unique to this community and talks through what he sees on a daily basis – from mercury poisoning to coral rock poisoning, and more. The conversation covers the importance of education, marked by eye-opening situations that are only seen at Florida Poison Control Center Miami.

Guest Information & Bio

Jeffrey Bernstein, MD, is the medical director of Florida Poison Control Center Miami, housed at Jackson Memorial Medical Center. Dr. Bernstein is the only toxicologist for six counties with decades of experience in emergency medicine and poisonings. He’s closely involved in poison control education, and oversees thousands of poison-related calls each year across South Florida.

From e-scooters and motorcycles, to water sports, cosmetic surgery gone wrong, viral trends, and vaping, these doctors share firsthand stories from the front lines of medicine—and why they personally say “never will I ever.”

This isn’t about living in fear. It’s about knowing the risks, making smarter choices, and understanding what doctors really see after the sirens stop.

Guest Info & Bio:

Vincente Nelson

Vincente Nelson is the director of the Army Forward Surgical Team Training Center, and a trauma surgeon with Ryder Trauma Center at Jackson Memorial Hospital. He also serves as a Lieutenant Colonel for the United States Army. His experience on the front-lines of medicine shape his perspective to conversations about risk, responsibility and living life without fear.

Timothy Tan

Timothy Tan is the chief of emergency medicine for Jackson Memorial Medical Center. He oversees one of the busiest emergency rooms in the country from a calm, clear, and experienced approach. Dr. Tan is passionate about medical education, especially when it can potentially help keep patients out of an emergency situation.

Joanne Ruggiero is the senior vice president and chief executive officer at Jackson Memorial Medical Center. With a career that began at the bedside as a labor and delivery nurse, Joanne has spent years caring for families in their most emotional moments and now brings that same perspective to her leadership role. She’s passionate about supporting parents, patients, and care teams while helping deliver safe, compassionate, and memorable birth experiences. In this episode, Joanne reflects on her journey from the delivery room to the executive office, and what that experience means for families preparing to welcome a new baby.

Guest Info:

Brett Fortune, MD

Dr. Brett Fortune is a the chief medical officer and transplant hepatologist at Miami Transplant Institute. In this episode he explains the benefits of a healthy liver and lifestyle. 

Chinmay Jani, MD:

Dr. Chinmay Jani is the chief fellow of hematology and oncology at Jackson Memorial Hospital and Sylvester Comprehensive Cancer Center. Hear what he has to say about the risks behind heavy drinking. 

In this special Month of Miracles episode of On Call, Off Script, host Ruelle Champion sits down with Dylan’s mom, Tiffany Smith, pediatric critical care doctor Dr. Asumthia Jeyapalan, and pediatric physical therapist Kyle Zreibe to share how a summer afternoon turned into a life-or-death emergency.

Tiffany walks us through the terrifying moments of finding Dylan unresponsive in the water, calling 911, and watching her husband and a neighbor, Lissette Medina, who happens to work as a physician assistant at Holtz Children’s Hospital, perform CPR until fire rescue arrived. Dr. Jeyapalan helps listeners understand what those first moments mean for a child after a near-drowning, why quick action matters so much, and how the team at Holtz Children’s came together to give Dylan the best possible chance when everything was still unknown.

Then, Kyle narrates how rehab turned basic movements like sitting, standing, and taking those first steps into major milestones for Dylan and his family. Finally, Dylan joins the conversation himself to talk about snakes, Disney rides, and what it feels like to be a “miracle story” at Jackson.

It’s an honest, emotional, and ultimately uplifting reminder that it truly takes a village to save a child, support a family, and help a little boy get back to just being a kid again.

Guest Bios:

Asumthia Jeyapalan, DO

Dr. Asumthia Jeyapalan is an attending doctor in the Holtz Children’s Hospital pediatric intensive care unit (PICU), and an associate professor of pediatric critical care medicine at the University of Miami Miller School of Medicine. In this episode, she explains what happens to a child’s body during a near-drowning, why immediate, high-quality CPR is critical, and how the PICU team supported Dylan Smith’s lungs, brain, and vital organs during the most uncertain hours of his recovery.

Kyle Zreibe

Kyle Zreibe is a physical therapist at Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis at UHealth/Jackson Memorial. He specializes in pediatric rehabilitation, and was consulted to begin physical therapy with Dylan when he was admitted to the PICU. Zreibe was Dylan’s primary physical therapist when he was admitted to Lynn Rehabilitation Center, and now follows him in the center’s outpatient clinic.

Tiffany Smith

Tiffany Smith is Dylan’s mom and a devoted parent who, alongside her husband Brandon, faced every family’s worst nightmare when their young son experienced a near-drowning accident. In this episode, Tiffany shares her family’s story with honesty and vulnerability, reflecting on the fear, resilience, and community support that carried them through Dylan’s recovery. She and Brandon are also parents to their 13-year-old daughter, Olivia.

Dylan Smith

Dylan Smith is an energetic, curious kid with a big personality and even bigger dreams. After surviving a near-drowning at a young age, Dylan became one of Jackson Health System’s miracle stories. In this episode, he joins the conversation himself—sharing his love for adventure, laughter, and life, and reminding listeners what recovery, resilience, and hope truly look like through a child’s eyes.

Joined by his mother, Marisel Jarrin Kleppen, and Dr. David Crawford, director of pediatric stem cell transplantation at Holtz Children’s, and specialist at UHealth – University of Miami Health System, Jake shares the journey from his first diagnosis of Ewing sarcoma, a rare bone and soft tissue cancer, at 8 years old , to a shocking second diagnosis of leukemia nearly five years later.

Throughout the episode, listeners hear:

• How a routine check-up unexpectedly revealed a mass behind Jake’s eye.
• The emotional toll of treatment on both Jake and his family, including long hospital stays, isolation, and the fear of cancer coming back.
• Jake’s second cancer diagnosis, and the intense treatment plan that followed with help from the medical team in the bone marrow transplant unit at Holtz Children’s, including a successful bone marrow transplant from his brother.
• How Jake’s humor, optimism, and larger-than-life personality carried him and his care team through their most difficult moments.

This episode is a reminder that miracles are made daily at Jackson through expert care, advanced medicine, and the extraordinary spirit of patients like Jake.

Guest Bios:

Jake Alexander Kleppen

A vibrant 14-year-old and two-time cancer survivor, Jake is known for his upbeat personality, sharp wit, passion for aviation, and his determination to make the best out of every circumstance. Whether flying drones, wearing costumes to clinic visits, or making his care team laugh during rounds, Jake embodies resilience and courage.

Marisel Jarrin Kleppen

Marisol is Jake’s mother and unwavering advocate. She shares her experiences navigating the fear, uncertainty, and emotional toll of watching a child battle cancer twice. Her honesty and strength highlight the importance of family support, mental health resources, and community during long-term pediatric illness.

David Crawford, MD

Dr. David Crawford is the director of pediatric stem cell transplantation at Holtz Children’s Hospital, and a specialist with UHealth – University of Miami Health System. Dr. Crawford specializes in complex pediatric cancers, stem cell transplantation, and the treatment of secondary leukemia. He brings expert insight into Jake’s diagnosis, treatment, and bone marrow transplant.

Guest(s):

Mayor Daniella Levine Cava:

Miami-Dade County Mayor Daniella Levine Cava joins the conversation to reflect on her multicultural family’s holiday traditions and their love of spices and fresh flavors. She speaks warmly about gratitude, spending time together, and the way food helps keep Miami-Dade’s many cultures connected while still letting each one shine.

Mama Joy:

Mama Joy, founder of the Overtown-based nonprofit Nana’s Restart, joins the episode to share heartfelt stories of cooking for her family and community, and the importance of love in food preparation. She shares the cultural meaning behind recipes passed down through generations, and even lets us in on how to do macaroni and cheese the right way, the dish everyone asks for.

Rocio Garcia:

Rocio Garcia, a registered dietitian with Jackson Health System, offers practical guidance on balanced holiday eating without sacrificing flavor. In her family, she’s the one who brings the vegetables, but she assures us we can still dig into our holiday favorites. She also shares tips on portion awareness, mindful enjoyment of cultural dishes, and how holiday meals can be both comforting and nutritious.

Guest information:

Dr. Dayron Rodriguez is a community urologist with Jackson Health System

Dr. Mrudula Munagala is a heart failure, mechanical circulatory support, and transplant cardiologist at Miami Transplant Institute

Key Topics:

· Men’s health

· Women’s health

· Gender and health

· Health stigmas

· Early detection

· Healthcare stereotypes

· Medical myths

· Health awareness

· Jackson Health System

· Urology

· Cardiology

· Preventive Care

To learn more about breast health services at Jackson Health System, visit this link: Breast Health Services in Miami, Mammogram, Breast Cancer Treatment.

Host: Ruelle Champion Guest Info: Danielle Fitzgerald, Director of Radiology Services at Jackson North Medical Center Danielle Fitzgerald is the director of radiology services at Jackson North Medical Center, where she leads imaging operations, quality, and patient experience. A seasoned radiology leader within Jackson Health System, Fitzgerald oversees compliance and service integration across imaging and cardiovascular services, and champions community education initiatives like mammogram awareness.

Guest Info: George Rosello, associate vice president for digital transformation, Jackson Health System George Rosello serves as associate vice president for digital transformation at Jackson Health System. At Jackson, he spearheaded the creation of Overwatch, a platform designed to improve population health outcomes and streamline patient appointment management. Additionally, his team recently launched the Jackson digital workforce, an intelligence platform using AI to automate repetitive tasks and improve productivity across departments. Under Rosello’sleadership, Jackson’s data science team also established one of the first local machine learning models during the COVID-19 pandemic, which was used by Jackson and Miami-Dade County to predict COVID surges. Rosello was recognized as one of CIO.com’s “Future Edge 50” awardees for his transformative work in health system information technology, and since then, his team has also been awarded the CIO 100 four times, all for healthcare innovation and digital transformation accomplishments.

With deep expertise and years of experience in enterprise applications, data integration, and clinical IT alignment, Rosello is a driving force behind Jackson’s efforts to harness data, predictive analytics, and system automation to enhance care delivery.

Learn more about our UHealth Jackson Urgent Care centers, or make an appointment with Dr. Arias, by visiting https://jacksonurgentcare.com.

Guest Info: Dr. Rick Arias, family medicine doctor for UHealth Jackson Urgent Care Dr. Rick Arias is a board-certified family medicine doctor for UHealth Jackson Urgent Care. Dr. Arias completed his medical degree at Ross University School of Medicine, and his residency at AdventHealth Winter Park. He’s passionate about delivering comprehensive, patient-centered care across all stages of life, and has extensive experience in both outpatient and urgent care settings.

But we don’t stop there. Special guests from our community pop in and share their unique perspectives, making every episode engaging and relatable. Our mission? To showcase Jackson as Miami-Dade’s healthcare destination of choice, and a trusted name in medicine worldwide.

On Call, Off Script: a Jackson Health System podcast.