Rank #1: Preventing a Prescription for Abuse: Alternatives to Opioid Narcotics for Pain After Surgery
Each year more than 70 million post-surgical patients are prescribed opioids. Research shows 1 in 15 will go on to use the medications long term, potentially putting them at risk for addiction and overdose.
Host Dr. Brian McDonough sits down with Dr. Susan Downey, a board-certified plastic surgeon, to talk about opioid abuse and what alternative prescription options are available instead of narcotics.
Jun 27 2016
Rank #2: Healthy Eating Guidance for Weight (and Age?) Loss: Marla Heller, Author of The DASH Diet
Marla Heller, MS, RD is the author of the best-selling books, The DASH Diet Action Plan, The DASH Diet Weight Loss Solution, The Everyday DASH Diet Cookbook, and more recently The DASH Diet: Younger You. In her discussion with host Dr. Brian McDonough, she proposes a nutritional guidance plan intended to halt and even reverse many of the effects of aging by improving blood pressure, cholesterol, blood sugar, and helping readers reach a healthy weight.
Mar 02 2015
Rank #3: How to Best Answer "What is This Rash?"
Dr. Brian McDonough welcomes Dr. John Ely, Professor of Family Medicine at the University of Iowa Carver College of Medicine. Dr. Ely has written numerous articles addressing the top questions surfacing in general practice. He joins Primary Care Today to focus on perhaps the most common question asked between colleagues in family medicine: "What is this rash?"
Sep 28 2015
Rank #4: Treating Depression in Primary Care Settings
Depression is one of the most frequently encountered problems in primary care, accounting for approximately 10% of all patient visits. How should generalists approach diagnosis and treatment options for patients with depression? Joining host Dr. Brian McDonough to speak on this important topic is Dr. Paul Doghramji, Attending Physician in Family Practice and Physician Advisor at Pottstown Memorial Medical Center, as well as Medical Director for health services at Ursinus College in Collegeville, PA.
Jun 03 2013
Rank #5: American College of Physicians' Guidelines on Pelvic Exam Screening
The American College of Physicians (ACP) has issued new clinical guidelines recommending against screening pelvic examination in asymptomatic, nonpregnant adult women. The college describes the recommendation as strong, with moderate-quality evidence. What are the new guidelines? What does this mean for the general practitioner? Joining host Dr. Brian McDonough is Molly Cooke, MD. FACP, Professor of Medicine and inaugural Director of Education for Global Health Sciences at UCSF. Dr. Cooke serves on the ACP Clinical Guidelines Committee. She reviews the guidelines from the perspective as a general practitioner and the choices she must make during the time she has with patients. The guidelines were published online July 1 in the Annals of Internal Medicine.
Aug 07 2014
Rank #6: The Right Meds at the Right Time: Medication Decision Support in Clinical Information Systems
An old adage states "There's many a slip between the cup and the lip." Applied to drug delivery, dosing, and compliance by patients, this phrase couldn't be more accurate. Drug information and clinical decision support systems are evolving to address problems in getting the right medications to the right patients, but more work needs to be done.
Joining Dr. Brian McDonough to discuss barriers and solutions to medication-related decision support is Dr. Shobha Phansalkar, Director of Informatics and Clinical Quality Control at the Clinical Drug Information Division of Wolters Kluwer. Additionally, she is an Assistant Professor in Medicine at the Division of General Medicine and Primary Care, Brigham and Women’s Hospital and Harvard Medical School.
Aug 22 2016
Rank #7: Hope vs Hype for Medical Marijuana From the Center for Medical Cannabis Education & Research
Dr. Brian McDonough welcomes Dr. Charles Pollack, Professor of Emergency Medicine and Director of the Jefferson Institute of Emerging Health Professions at Thomas Jefferson University School of Medicine. Dr. Pollack's team recently formed the Center for Medical Cannabis Education & Research, tasked with providing expert-developed, unbiased information to clinicians and patients about the medical uses of marijuana and cannabinoid-focused therapies.
The two discuss current clinical recommendations for cannabis based on the available research, and where the benefits and risks collide amidst mass public interest.
Aug 08 2016
Rank #8: Addressing Allergies in Primary Care
Allergic complaints in primary care settings are sometimes more than they appear, raising the importance of good diagnostic criteria for other underlying problems. Joining Dr. Brian McDonough for an in-depth discussion of allergy in the general and specialized practice levels is Dr. Will Sheppard, a board certified Otolaryngologist/ Head and Neck Surgeon and a Fellow of the American Academy of Otolaryngic Allergy. His practice includes medical and surgical management of ear, nose, and throat disorders of pediatric and adult patients.
May 07 2013
Rank #9: The Wild Turmeric Cure: 4,000 Years of Healing Applications
Dr. Brian McDonough chats with physician and nutrition expert Dr. Cass Ingram, author of The Wild Turmeric Cure, about the various reported health benefits of wild turmeric as a disease-preventing spice.
Mar 31 2017
Rank #10: Detecting Depression: How to Assess Patients and Benefits of TMS Treatment
With a wide spectrum of symptoms, treating depression often becomes frustrating—not only for the patient, but for the primary care physician as well. Joining Dr. Brian McDonough is Dr. Paul Gross, founder of the TMS Center of Lehigh Valley, to address the difficulties of properly identifying depression. Throughout the discussion, Dr. Green also exposes the impactful therapy Transcranial Magnetic Stimulation (TMS), which has been linked to improving other diseases beyond depression.
Apr 30 2018
Rank #11: PCOS: Naturopathic Diagnostic and Management Strategies
50% or women who suffer from Polycystic Ovary Syndrome (PCOS) are unaware that they have it.
Dr. Brian McDonough talks with naturopathic doctor Fiona McCulloch about that the signs of PCOS and various approaches women can utilize in dealing with it.
Oct 24 2016
Rank #12: Cancer Screening and Prevention: Bringing Primary Care Up to Speed
Dr. Randa Sifri is an Associate Professor of the Department of Family and Community Medicine in the Sydney Kimmel Medical College at Thomas Jefferson University, Director of Reasearch in the Department, and Research Fellowship Director. Listen as Dr. Brian McDonough interviews Dr. Sifri on early diagnosis, prevention, and recommended screenings for cancer in primary care patients.
Jul 11 2014
Rank #13: The Patient-Centered Medical Home
How has the Patient-Centered Medical Home (PCMH) model for primary care evolved since its inception? Speaking on this subject is Dr. William Warning, Program Director of the Crozer-Keystone Family Medicine Residency Program in Philadelphia, PA. Dr. Warning is also the Faculty Chair of the Pennsylvania Academy of Family Physicians Residency Program PCMH Collaborative, the largest Family Medicine Residency collaborative in the country. He is a speaker both regionally and nationally on PCMH implementation and interprofessional team-based care.
Mar 12 2014
Rank #14: Herbal Supplements for Women: What's Safe? What's Effective?
Herbal supplements have become increasingly popular in women's health circles, but there is a lot of misinformation about the relative benefits versus risks. How do clinicians wein their patients off harmful medications they are taking, and what health issues do women taking these medications encounter? Join Dr. McDonough and Pharmacist David Foreman to discuss the state of supplementation in and outside of health practices today.
Oct 03 2014
Rank #15: Knee Replacement Procedures: When to Hold vs Refer Your Patients
Dr. David Fisher, orthopedic surgeon and Director of the Total Joint Center at Indiana Orthopedic Hospital, joins Dr. Brian McDonough to discuss historical to current methods and technologies in knee replacement procedures, and how primary care clinicians can assess patients for surgical vs non-surgical interventions in patients with chronic knee pain.
Dec 01 2014
Rank #16: Deciphering Chronic Pain and Pain Medicine
Primary care medicine is at the forefront for listening and responding to patients who suffer from chronic pain. Yet due to the myriad of potential causes and difficulty to treat, a regular office visit can become much more complex once a patient states he or she has pain. How do clinicians determine when the pain is physiologic vs psychologic in origin, and how can the potential for abuse of pain medicine be minimized? Host Dr. Brian McDonough speaks with Dr. Adrian Popescu to determine what clinicians can do to uncover these issues and properly address and manage pain symptoms. Dr. Popescu is an Assistant Professor of Clinical Physical Medicine and Rehabilitation in the Department of Physical Medicine and Rehabilitation at the University of Pennsylvania School of Medicine. Dr. Popescu is also Pain Medicine Program Director at the Philadelphia VA Medical Center.
Jun 27 2014
Rank #17: Keeping the "Fit" in Fitness: How to Avoid Exercise Pitfalls
Exercise can improve your health and reduce the risk of developing several diseases such as type 2 diabetes, cancer, and cardiovascular disease.
Host Dr. Brian McDonough chats with veteran personal trainer and exercise therapy specialist Bobby Whisnand about ways to to keep your workout "working out" and how to avoid exercise pitfalls.
Jan 15 2018
Rank #18: Life Lessons on Coping with the Stress & Pressure of Being a Healthcare Provider
Physicians have one of the most stressful careers out there, forcing them to learn how to cope with high pressure on a day-to-day basis. And with the rates of physician burnout on the rise, adding a little laughter to your life and practice could be just what the doctor ordered.
Sharing their experiences on learning to cope with these pressures and incorporating humor into their practice are Dr. Brian McDonough and Dr. John Kelly, Clinical Professor of Orthopedics at the Hospital of the University of Pennsylvania.
Sep 04 2018
Rank #19: Increasing Workplace Wellness for Positive Productivity
Guest: Joy Stephenson-Laws
According to the US Occupational Safety and Health Administration, approximately two million workers fall subject to workplace violence every year. With that number continuing to increase, creating a healthy work environment is becoming the central focus of many employers. But how exactly can you go about doing that?
Join Dr. Brian McDonough as he speaks with Joy Stephenson-Laws, founder of Proactive Health Labs and author of Minerals-The Forgotten Nutrient: Your Secret Weapon for Getting Healthy and Staying Healthy, who reveals simplistic approaches to obtain happier employees, less stress, and positive productivity.
Jun 21 2018
Rank #20: Examining Penile Implants for Surgical Treatment of Erectile Dysfunction
Guest: Charles N. Walker, MD
Dr. Charles Walker, Assistant Professor of Surgery in the Department of Urology at Yale University School of Medicine, shares clinical insights about penile prostheses, such as inflatable versus malleable devices, used as surgical gold standards to treat erectile dysfunction.
Jul 07 2016