Rank #1: 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 #2: 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 #3: 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 #4: 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 #5: 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 #6: 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 #7: Dietary Changes to Manage PCOS
Polycystic Ovary Syndrom (PCOS) afflicts 10 to 15% of women worldwide, yet physicians often don't recognize the symptoms associated with this disease.
Host Dr. Brian McDonough chats with Dr. Fiona McCulloch, a Toronto-based naturopath and author of the book 8 Steps to Reverse Your PCOS, about different approaches to managing PCOS and how dietary changes can make huge impacts for women dealing with PCOS.
Mar 24 2017
Rank #8: The Complete Diabetes Organizer's Tips for Clinicians
Host Dr. Brian McDonough is joined by Susan Weiner, a dietician based in Long Island, NY and author of The Complete Diabetes Organizer: Your Guide to a Less Stressful and More Manageable Diabetes Life. Their discussion offers tips for clinicians to better help their patients with this chronic condition.
Oct 29 2013
Rank #9: 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 #10: Irritable Bowel Syndrome and Type IV Allergies: Making the Connection in Practice
Irritable Bowel Syndrome affects an estimated one out of ten people in the US, yet the causes for this disease are multivariate and often unknown from case to case, creating a reputation in practice as a "waste basket diagnosis." Dr. Michael Stierstorfer, Clinical Associate Professor of Dermatology at the University of Pennsylvania School of Medicine and founder of East Penn Dermatology, has been a pioneer in helping clinicians better understand one potential cause of IBS. His own experience as IBS patient led to the remarkable discovery of an allergic contact enteritits underscoring his disease, which has led to new diagnostic and treatment algorithms for IBS patients nationwide. Dr. Stierstorfer joins Dr. Brian McDonough to discuss this unexpected path toward discovery and subsequent career specialization.
Apr 05 2015
Rank #11: Updates on Lyme Disease
Roughly 300,000 Americans are diagnosed with Lyme disease each year. However, despite this surprisingly high incidence, Lyme disease doesn't always present in the same way and co-infections with other tick-borne illnesses frequently occur, complicating the diagnosis. Dr. Kathleen Spreen, author of the recently published Compendium of Tick-Borne Disease-A Thousand Pearls, shares insights on common clinical misconceptions about Lyme Disease as well as her experiences in life and practice which propelled the creation of this important resource.
Sep 09 2013
Rank #12: Best Approaches to Shoulder Injuries: From Orthopedics to Primary Care
Shoulder pain is one of the most common presentations in primary care, but the most proper workups to determine causes and develop effective treatment plans are not universally known. Joining Dr. Brian McDonough to update clinicians on common shoulder injuries, the patient histories that often correspond with them, and best treatment practices for each problem, is Dr. Kelton Burbank, orthopedic surgeon and the Worcester Medical Center in Worcester, MA. Dr. Burbank is the orthopedic consultant for the UMass-Amherst men’s hockey team and the Massachusetts representative to the American Orthopaedic Society for Sports Medicine. He is also president of the New England Orthopedic Society.
Oct 26 2015
Rank #13: The Big Chill: Cryotherapy and the Science of Medical Freezing
Cryotherapy, the science of freezong for medical purposes, uses extreme cold temperatures to cool down the body and has both current and emerging medical applications ranging from brain resuscitation in emergency settings to inflammation reduction in medical spas.
Host Dr. Brian McDonough sits down with science and health journalist Renee Ebersole to talk about the rise of cryotherapy, the mechanisms governing its medical utilities, and the benefits vs risks of its applications in various health settings today.
May 16 2016
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: Finding Calm in Your Daily Life: Lasting Meditation Techniques
Guest: Michel Pascal
Most of us struggle to be productive during the workday due to daily stress. The task of decluttering our minds proves challenging. On this segment, Michel Pascal, author of the book Meditation for Daily Stress: 10 Practices for Immediate Well-being, speaks with host Dr. Brian McDonough about ways to achieve calmness and improve productivity in our daily lives. He provides meditation techniques that reduce stress, de-clutter minds, and help one to discover inner peace.
Jun 07 2017
Rank #16: Physician Attitudes on Natural Family Planning
Natural family planning (NFP), also called fertility awareness, is a method of birth control that does not use any drugs or devices. Despite gaining traction of late, there are varying attitudes and sentiments from the medical community toward this practice. Dr. Robert Motley, President of Medical Staff at Lehigh Valley Health Network, joins host Dr. Brian McDonough to describe this alternative approach and its respective advantages and disadvantages for patients.
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May 28 2014
Rank #17: The Rising Obesity Epidemic in Senior Populations
According to a recent study, the percentage of elderly people in American nursing homes who are moderately to severely overweight has climbed to 25%, a dramatic increase from 14% back in 2000. How does this alarming trend affect both health outcomes and care delivery in caregiving settings?
Joining Dr. Brian McDonough to discuss this underrecognized issue of obesity in senior populations is Dr. Caroline Cederquist, bariatrics expert and founder of Cederquist Medical Wellness Center in Naples FL. Dr. Cederquist is also co-founder of bistroMD, a company premised on delivering physician-designed gourmet meals to patients for purposes of weight loss and health maintenance.
Apr 11 2016
Rank #18: Everything You Thought You Knew About Physician Shortages: AAMC's Dr. Atul Grover
Dr. Brian McDonough welcomes Dr. Atul Grover, MD, PhD, Chief Public Policy Officer for the Association of American Medical Colleges (AAMC) to discuss the looming physician shortage in the US and what needs to be done now to positively impact that shortage ten years down the road.
May 11 2015
Rank #19: Win, Lose, or Draw: Treating Sports Injuries in Primary Care
Discussing ways in which general practitioners can "tackle" common sports injuries in practice is Dr. James Andrews, an orthopedic surgeon who practices in Birmingham, Alabama at the Andrews Sports Medicine & Orthopaedic Center. He also serves as the team doctor for Alabama, Auburn, and the NFL's Washington Redskins. Dr. Andrews is arguably the most renowned orthopedic surgeon in his profession for knee, elbow, and shoulder injuries; his roster of professional athlete patients has included Michael Jordan, Jack Nicklaus, Emmitt Smith, Charles Barkley, Robert Griffin III, Roger Clemens, and Brett Favre.
Sep 10 2013
Rank #20: Eye Care for Generalists: How to Catch the Worst Problems Early
A clinical pearl in the arena of eye care is that serious eye problems tend to manifest serious symptoms and signs, which makes vision loss one of the key findings in a diagnostic workup. Yet vision testing is commonly neglected in primary care practice even when patients present with eye-related complaints. What are the most important steps a clinician can take when assessing eye problems, and where does the primary care practitioner fit into the ophthalmologic care continuum? Dr. Brian McDonough welcomes Dr. Sumitra Khandelwal, Assistant Professor of Ophthalmology at Baylor College of Medicine, to examine the top issues in eye care for generalists and ophthalmic specialists.
Jul 20 2015