Doctor Doctor

Feature Interview (11:29) – Dr. Ashley Fernandes, associate director of the Center for Bioethics at the Ohio State University College of Medicine, covers the most important things to understand the debate about health care rights, including patient autonomy, physician conscience, and the right to medical care.

Medical Trivia (Answer at 49:02) – The Universal Declaration of Human Rights was proclaimed by the United Nations General Assembly in Paris on December 10, 1948. Article 25 reads: “Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing, and medical care…” Has the United States signed this declaration?

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Feature Interview (12:55) – Dr. Dominic Vachon, Director of the Ruth M. Hillebrand Center for Compassionate Care in Medicine at the University of Notre Dame, is back for a second episode to discuss the science of compassion, including how compassion or lack of it impacts both doctors and patients and what we can all do to be better at it.

Hillebrand Center for Compassionate Care in Medicine https://compassionatecare.nd.edu/

"How Doctors Care: The Science of Compassion and Balanced Caring in Medicine," by Dr. Dominic Vachon https://titles.cognella.com/how-doctors-care-9781516540082

Also in this episode:

Background (01:00) – What Doctors (Secretly) Need from Patients, and What Patients (Secretly) Need from Doctors by Dr. Pamela Wible https://www.idealmedicalcare.org/doctors-secretly-need-patients/

Medical Trivia (Answer at 48:37) – There was a 2011 study published in Academic Medicine that included a blood test that analyzed how well a patients blood sugar had been controlled over several months. The patients were grouped into categories: good, moderate, or poor control of blood sugar. Then the patients’ physicians were given a test to determine their own levels of empathy. The doctors were grouped into categories: high, moderate, or low levels of empathy. The study compared the results to see if there was a correlation between the empathy of the doctor and the blood sugar control of his or her patient. Doctors who scored low in empathy had patients with a good blood sugar level 44% of the time. Did doctors with high levels of empathy have the same, higher, or lower percent of patients with good blood sugar level?

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Feature Interview (12:40) – Dr. Dominic Vachon, Director of the Ruth M. Hillebrand Center for Compassionate Care in Medicine at the University of Notre Dame, discusses the importance of compassionate care, why some doctors find it difficult, how doctors can increase their compassion, and how studies show learning about and focusing on compassionate care is beneficial for both doctors and patients.

Hillebrand Center for Compassionate Care in Medicine https://compassionatecare.nd.edu/

"How Doctors Care: The Science of Compassion and Balanced Caring in Medicine," by Dr. Dominic Vachon https://titles.cognella.com/how-doctors-care-9781516540082

Medical Trivia (Answer at 39:29) – Dr. Francis Peabody, when dying of cancer, gave a talk to the Harvard Medical School Students about the problems of modern medicine. In his talk, he said the following:

“The most common criticism made at present by older practitioners is that young graduates have been taught a great deal about the mechanism of disease, but very little about the practice of medicine—or, to put it more bluntly, they are too "scientific" and do not know how to take care of patients….One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is in [BLANK BLANK] the patient.”

Two questions

1. Fill in the blanks - two words

2. What year did he give this talk on students being “too scientific”? - 1927

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In this episode – All three of our co-hosts come together to talk about the most common winter health problems and how to avoid them and treat them. Hear about a wide range of issues like season affective disorder, common colds, influenza, frost bite, and more with dermatologist Dr. Tom McGovern, family physician Dr. Andrew Mullally, and OBGYN Dr. Christ Stroud.

Medical Trivia (Answer at 39:29) – Does the rate of suicide increase around the holiday period (between Thanksgiving and Christmas)?

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Feature Interview (11:16) – Breast cancer surgeon Dr. Angela Lanfranchi shares the truth about the latest breast cancer research, including the link between artificial contraception and abortion and increased risk of breast cancer.

Breast Cancer Prevention Institute https://www.bcpinstitute.org/

Background Info (00:45) – OBGYN Dr. Stroud shares medical background info about breasts and breast cancer

Medical Trivia (Answer at 47:38) – In the 17th century, Breast Cancer was known as the disease of A) Grand-mothers, B) Wet-nurses, C) Nuns, D) School-teachers, or E) Widows?

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Feature Interview (13:06) – Economist Michaele Hicks, PhD from Ball State University talks about the difference between for-profit and non-profit hospitals, how those differences affect patients, and why communities should care about what kind of hospitals they have.

Indiana Has a Monopoly Problem in Healthcare https://projects.cberdata.org/165/indiana-healthcare-monopoly

Background Info (00:45) – Dr. Stroud explains what non-profit hospitals are and the rules that govern them including tax-status, community investment requirements, and which patients they have to care for

https://healthcaremba.gwu.edu/blog/profit-vs-nonprofit-hospital-administration/

Medical Trivia (Answer at 47:08) – How many hospitals are there in the United States? What percent are A) state-owned B) non-profit and C) for profit?

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Feature Interview (5:07) – A panel of four Catholic women physicians share their stories, reflections, and advice about being a woman physician including challenges they’ve faced, how things have changed for women in medicine, and the special contributions women make in the medical field.

Panel: Dr. Maricella Moffitt, Dr. Jenn Johnson, Dr. Michelle Stanford, Dr. Amber Day

Background Info (00:45) – Comparison of Hospital Mortality and Readmission Rates for Medicare Patients Treated by Male vs. Female Physicians https://doi.org/10.1001/jamainternmed.2016.7875

Medical Trivia (Answer at 48:37) – In 1968, only 6% of physicians were women in the United States. At least half of medical students are now women. In what years did women constitute 20, 30, and 40% of employed doctors?

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Feature Interview (9:55) – Dr. Tom Catena is a missionary family physician and general surgeon serving over 1 million people in the war-torn regions of Sudan. He talks about how he decided to dedicate his life to medical mission work, what it’s like working in a remote part of a country ravaged by war, how he finds fulfillment in his work despite the difficulties.

African Mission Healthcare https://africanmissionhealthcare.org/

Catholic Medical Mission Board https://cmmb.org/

The Sudan Relief Fund https://sdnrlf.com/

Medical Trivia (Answer at 48:09) – Mother of Mercy Hospital where Dr. Tom Catena lives and works lies in an area between Sudan and South Sudan. The average proportion of children who die worldwide before age 5 is 1 in 26 as of 2017. Question: What proportion of children die before age 5 in Sudan (and in South Sudan)?

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Feature Interview (9:55) – Senator Todd Young (R-IN) serves on the Senate Finance Committee and its Health Subcommittee that oversees Medicare and is also active in Veterans’ healthcare oversight. He talks about the latest healthcare efforts in Congress including VA medical care, organ procurement, tobacco purchase age, and Medicare for All.

Background Info (00:30) – History of Medicare

Medical Trivia (Answer at 48:09) – If you are at least 65-years-old and receiving Social Security Benefits, you must enroll in Medicare Part A (hospital coverage) – and if you don’t, you must repay all Social Security Benefits received to date: TRUE or FALSE?

Once you enroll in Medicare, the annual monthly premium you pay is the same, regardless of current income: TRUE or FALSE?

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Feature Interview (9:55) – Deacon Dr. John Travaline and Sister Dr. Mary Diana Dreger from the Catholic Medical Association talk about the difficult topic of brain death. They cover the history of brain death science, what is currently considered brain death in the United States, why it is controversial, and the implications for how the Catholic Church issues ethical teachings on death.

Linacre Quarterly https://journals.sagepub.com/home/lqr

Background Info (00:30) – History of Brain Death as a Medical Diagnosis

“Brain death revisited” (https://doi.org/ 10.4103/0028-3886.227287)

“Brain death: the European perspective” (https://www.ncbi.nlm.nih.gov/pubmed/25839722)

Medical Trivia (Answer at 48:09) – How many organ transplants were performed in the US in 2018? What percentage of American adults are signed up to be organ donors?

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