On Call, Off Script

Formula 1 is all about speed, precision, and split-second decisions. So is trauma care. 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.  

Episode 16: The importance and value of organ donation takes center stage every April for Donate Life Month. It’s a time to spotlight the impact that being an organ donor can have on countless lives. 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.

Episode 15: Jackson Health System is advancing the future of emergency care. A new, state-of-the-art emergency room (ER) is opening at Jackson Memorial Hospital in April. In this episode of On Call, Off Script, the minds behind one of the largest emergency rooms in the nation share how collaboration between clinical and construction brought this project to life. 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.

Episode 14: From dramatic defibrillator scenes to instant diagnoses, pop culture shapes how many people think hospitals operate. But how much of what we see on TV actually reflects real life? 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.

Episode 13: In this episode of On Call Off Script, we go behind the scenes with Miami’s first responders and trauma care teams to explore what it truly takes to serve the 305. From coping with tragedy and finding humor in the toughest situations, to building trust with patients and their families, our guests share the human side of some of the city’s most demanding roles. Listen as Michael Vega, a public information officer for the City of Miami Police Department, Pete Sanchez, a Lieutenant and Public Information Officer for the City of Miami Department of Fire-Rescue, and Yina Patino, nurse manager of the Trauma Resuscitation Unit at Ryder Trauma Center at Jackson Memorial Hospital, discuss the emotional highs and lows of policing, firefighting, and emergency nursing, and how teamwork, communication, and community make all the difference. 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.

Episode 12: It’s hard to imagine vomiting worse than it already is. The symptom of ‘scromiting’, or screaming and vomiting, is sending people to the emergency room in South Florida. 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.

Episode 11:  You’d never guess that some of your favorite everyday activities are on our experts’ personal no-fly list. In this eye-opening conversation, Vincente Nelson, MD, a trauma surgeon at Ryder Trauma Center at Jackson Memorial and Timothy Tan, MD, chief of emergency medicine at Jackson Memorial Medical Center shares the habits, hobbies, and Miami-style behaviors that most often land people in the emergency room or Ryder Trauma. 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.

Episode 10: The beginning of a new year often brings fresh starts, new goals, and for many families, the start of a journey into parenthood. In this episode of On Call Off Script, we’re joined by Joanne Ruggiero, senior vice president and chief executive officer of Jackson Memorial Medical Center, to talk about what expectant parents can really expect when preparing to give birth at The Women’s Hospital at Jackson Memorial. Drawing from her extensive experience as a labor and delivery nurse and nurse leader in women’s health services, Joanne offers insight into birth planning, high-risk pregnancies, and the deeply personal moments that define childbirth. Guest Info: 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.

Episode 9: The holiday season tends to be a time of excess – of celebration, of eating, and for adults it tends to include drinking alcohol too. On the heels of the new year, this episode of On Call Off Script explores the real health benefits behind breaking a holiday habit of heavy drinking. Our experts Dr. Brett Fortune and Dr. Chinmay Jani discuss how Dry January can be more than just a 31-day fast and why your liver will thank you for embracing a healthier lifestyle. 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. 

Episode 8: Eight-year-old Dylan Smith is all energy, jokes, and big dreams today—but his miracle story begins with every parent’s worst nightmare: a near-drowning in the family’s backyard pool. 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.

Episode 7: December is our Month of Miracles, highlighting our strong patients and families, the excellent care at Holtz Children’s Hospital, and the power of community. In this episode, we meet 14-year-old Jake Alexander Kleppen, known to his Instagram community as “Jake the Victorious Warrior.” Jake has not only battled cancer once, but twice, showing a resilience that lifts up everyone around him. 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.

Episode 6: In this lively holiday episode of On Call, Off Script, host Ruelle Champion brings together a joyful trio: Miami-Dade County Mayor Daniella Levine Cava, Anitrice McKinnis-Jackson, also known as Mama Joy, founder of the nonprofit Nana’s Restart, and Rocio Garcia, a registered dietitian with Jackson Health System. Together, they celebrate beloved grandmother-approved holiday dishes, and get expert tips on how to enjoy these seasonal favorites mindfully. 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.  

Episode 5: Are men really “allergic” to the doctor’s office until something’s falling off? And do women actually self-diagnose after a deep dive on “Google University”? In this eye-opening episode of On Call Off Script, a Jackson Health System podcast, our host Ruelle Champion sits down with Dayron Rodriguez, MD, a community urologist, and Mrudula Munagala, MD, a transplant cardiologist from Miami Transplant Institute, to unpack the stereotypes behind how men and women manage their health. From prostate and urinary health to heart disease and the power of early detection, our guests reveal how gender differences affect how quickly people seek care. Whether your team “ignore it” or team “call the doctor,” you’ll walk away inspired to make your health a priority. 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

Episode 4: Step inside Miami’s medical history with Dr. Paul George, Miami’s preeminent historian, as we explore the Alamo — the oldest building at Jackson Memorial Medical Center. From the 1918 Spanish influenza epidemic to the legacy of Dr. James Jackson and activist Roxy Bolton, this episode of On Call, Off Script uncovers the stories that shaped not only shaped Jackson Memorial, but also Miami’s healthcare history. Recorded inside the preserved Alamo building, Dr. George takes us back more than 100 years to highlight the resilience, progress, and preservation efforts that continue to define Jackson today.

Episode 3: Breast cancer awareness and women’s health go hand in hand. But did you know that there are symptoms and risk factors that men need to know about? In this episode of On Call, Off Script, host Ruelle Champion speaks with Danielle Fitzgerald, director of radiology services at Jackson North Medical Center, about breast health for everyone. Men shouldn’t overlook the red flags that may signal issues with their breast. This conversation highlights the importance of a healthy lifestyle, recognizing the signs, and what to expect if screening is necessary. 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.

Episode 2: In the second episode of On Call, Off Script, host Ruelle Champion sits down with George Rosello, Jackson’s associate vice president for digital transformation, to explore how artificial intelligence (AI) is transforming health care. From faster documentation to smarter workflows, discover how Jackson is using AI to save time, improve care, and keep patient data safe – all while preserving the human touch. 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.

Episode 1: Are viral health hacks actually healthy or just social media hype? In the premiere episode of On Call, Off Script, our host Ruelle Champion and Dr. Rick Arias, a family medicine doctor for UHealth Jackson Urgent Care, explore today’s most talked-about viral health trends. From mouth taping for better sleep to cold plunges, Dr. Arias shares whether these wellness hacks truly benefit your health or pose hidden risks. 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.

Every month, we drop two new episodes packed with lively conversations featuring Jackson’s top experts. From the latest health trends and groundbreaking innovations to fascinating medical curiosities and inspiring patient stories, no topic is off limits. 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.