Doctor Doctor

Feature Interview (10:15) – Dr. William Stigall, pediatric intensive care physician and bioethicist at University of Dallas, shares arguments against using contraception based on scientific evidence including differences in how hormones work in male and female bodies, what studies show about how contraception negatively affects relationships between men and women.

Also in this episode:

Background Info (01:00) – Study of how contraception increases fat and decreases muscle strength in Finnish women (https://doi.org/10.1016/j.ejogrb.2018.11.015)

Medical Trivia (Answer at 38:00) – The United Nations has collected worldwide data on how women who are married space their babies. What percent of married women of childbearing potential worldwide do not use artificial contraception? More than half or less than half?

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Feature Interview (10:15) – Pediatrician Dr. Kathleen Berchelmann, founder of MyCatholicDoctor.com, talks about Attention Deficit Hyperactivity Disorder (ADHD). She helps us distinguish between personality differences and clinical ADD/ADHD, signs to look out for in your own life or your children’s lives, treatments possibilities, tips for parents about behavior intervention, and more.

https://mycatholicdoctor.com/

https://childrensmd.org/

Also in this episode:

Background Info (01:00) – Data and Statistics About ADHD (https://www.cdc.gov/ncbddd/adhd/data.html)

Coaggregation of Major Psychiatric Disorders in First-Degree Relatives of Individuals With Attention-Deficit/Hyperactivity Disorder: A Nationwide Population-Based Study (https://doi.org/10.4088/JCP.18m12371)

Medical Trivia (Answer at 38:00) – The following are excerpts from a boy’s high school transcript: “He has a reputation for being a brilliant but mediocre student,” “he lacks stability and the power of concentration to do a really effective job,” “he’s casual and disorderly in almost all of his organization projects, studies at the last minute, keeps appointments late, has little sense of material things, and can seldom locate his possessions,” and “he has a tendency to carelessness, he’s tardy, and refuses to conform, his papers are chaotic, and he invariably forgets book, pencil, or paper.” These statements are describing which US president?

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Feature Interview (10:15) – President-elect of the Catholic Medical Association and physician burnout expert, OBGYN Dr. Mike Parker, joins the doctors to talk about the crisis of physician burnout and what healthy, effective medical practice should look like.

“It’s Not Burnout, It’s Moral Injury” by ZDoggMD (https://youtu.be/L_1PNZdHq6Q)

Also in this episode:

Background Info (01:00) – Physician Burnout: Causes, Consequences, and (?) Cures (https://doi.org/10.14503/THIJ-18-6842)

Medscape National Physician Burnout, Depression & Suicide Report 2019 (https://www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056?faf=1#1)

Medical Trivia (Answer at 38:00) – Among all professions, physicians have the highest rate of suicide: 87% higher than the average suicide rate with age and sex matched controls. In fact, the top three jobs on the highest suicide rate list are all medically related. What are #4 and #5? In other words, what are the top non-medical jobs for suicide rates?

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Feature Interview (10:15) – Dr. Elliot Bedford, Director of Ethics Integration at St. Vincent Health in Indianapolis, talks about some real-life examples of ethical dilemmas that have come up in Dr. Stroud’s OB/GYN practice.

Also in this episode:

Background Info (01:00) – Do Women Regret Giving Birth When the Baby is Doomed to Die? (https://www.thepublicdiscourse.com/2019/01/47802/)

Perinatal Hospice (https://www.perinatalhospice.org/)

Carrying to Term (http://carryingtoterm.org/)

A Gift of Time: Continuing Your Pregnancy When Your Baby's Life Is Expected to Be Brief (https://www.amazon.com/Gift-Time-Continuing-Pregnancy-Expected/dp/0801897629)

Medical Trivia (Answer at 38:00) – One of the first hospital medical ethics committees formed in 1962 in Seattle. It was dubbed by many in the media the “God Committee” and it was pilloried in the New York Times. For what new life-saving but very limited medical treatment did the members of the “God Committee” choose patients who could receive it?

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Feature Interview (13:30) – Our very own Dr. Tom McGovern shares his expertise as a MOHS surgery and skin cancer specialist, covering what we need to know about risk, prevention, and treatment during Skin Cancer Awareness Month.

Also in this episode:

Background Info (01:00) – PD-1 Blockade with Cemiplimab in Advanced Cutaneous Squamous-Cell Carcinoma (https://doi.org/10.1056/NEJMoa1805131)

Randomized Trial of Four Treatment Approaches for Actinic Keratosis (https://doi.org/10.1056/NEJMoa1811850)

Medical Trivia (Answer at 38:45) – The earliest cases of skin cancer diagnosed by a physician occurred in 1775 London by Sir Percival Pott. The anatomic location of squamous cell carcinomas in this group of men helped him discover the first environmental cause of cancer - and in this case - it was not from sunshine. What occupational group was susceptible? As a hint, we see this group in a famous 1964 movie starring Dick van Dyke and Julie Andrews.

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Feature Interview (13:35) – Margaret Rogers, a clinical mental health counselor from Panama City, FL, joins the doctors to bring some light to the darkness of the topic of sexual abuse of children, sharing her own experiences with treating victims and how they can find healing.

Also in this episode:

Background Info (00:35) – Darkness to Light: End Child Sex Abuse (https://www.d2l.org/)

Full Text of Benedict XVI essay: 'The Church and the scandal of sexual abuse' (https://www.catholicnewsagency.com/news/full-text-of-benedict-xvi-the-church-and-the-scandal-of-sexual-abuse-59639)

Fr. Roger Landry “After the Vatican Summit on the Protection of Minors in the Church” (http://www.ncregister.com/blog/fatherlandry/after-the-vatican-summit-on-the-protection-of-minors-in-the-church)

Medical Trivia (Answer at 38:45) – The most notorious priest associated with the child sexual abuse crisis in the Catholic Church, that came to attention in 2001-2002, was named Msgr. John Geoghan (Gay’-gen), who was accused by over 130 boys. An auxiliary bishop of Boston warned Archbishop Bernard Law in a December 7, 1984 letter, that Msgr Geoghan should not be sent to another parish because of “his history of homosexual involvement with young boys”. His warning was ignored. Who was this bishop who was sent away - only two months later - from Boston to a Midwest diocese?

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Feature Interview (15:25) – Freshman U.S. Senator Mike Braun (R-IN) joins the doctors to talk about some of the problems in our current healthcare system, how he tried to fix healthcare for his own employees as a business owner, how he’s trying to use that experience to guide healthcare legislation now as a senator.

Also in this episode:

Background Info (00:45) – Ten Health Care Principles for Catholics (from the Health Care Policy Committee of the CMA)

1. Protection for the most vulnerable

2. The Dignity of Choices

3. Solidarity

4. Respect for Life

5. Adherence to Subsidiarity

6. The Centrality of the Doctor-Patient Relationship

7. Proper Incentives

8. The Essential Role for Charity

9. Protecting Future Generations

10. Transparency

Medical Trivia (Answer at 46:30) – The first ever health care bill passed in congress in the year 1798. What group of people did it serve?

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Feature Interview (12:10) – Louis Brown, J.D., Executive Director of Christ Medicus Foundation and former HHS Office of Civil Rights official, joins the doctors to talk about why our current healthcare system falls short, the problems with many of the proposed solutions, and what a healthcare system based on Catholic principles would look like.

Also in this episode:

Background Info (00:45) – Doctors’ perspective on “Medicare/Medicaid for All”

How Medicaid Fails the Poor by Avik Roy (https://www.amazon.com/Medicaid-Fails-Poor-Encounter-Broadsides/dp/1594037523)

Mystery Trivia (Answer at 39:20) – Between 1970 and 2017, the proportion of health care spending that individuals paid out of pocket decreased drastically from 33% to 10%. In 1970, government insurance (including Medicare, Medicaid, VA, military) accounted for 22% of health care dollars. What percent of health care dollars were provided by such government programs in 2017?

------

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Feature Interview (10:25) – Dr. Barbara Golder, pathologist, lawyer, and mystery writer talks about the use of medicine in detective stories, how evidence-based medicine works in real life, and whether some of the most famous sayings from Sherlock Holmes are really accurate.

http://www.ladydoclawyer.com/

Also in this episode:

Background Info (00:25) – What is “evidence-based” medicine?

Evidence-Based Medicine in Sherlock Holmes by Jorgen Nordenstrom, MD

Mystery Trivia (Answer at 41:00) – While bookshelves are crammed with mystery novels today, they didn’t exist until someone invented the genre in 1841. Who was the creative author who did this with the release of the story, Murders in the Rue Morgue, set in Paris and printed in Philadelphia in Graham’s Magazine, which went out of business in 1858 after a 17 year run?

------

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Feature Interview (10:25) – Endocrinologist Dr. Craig Stump is back to talk about some of the health benefits of fasting including how our bodies respond to the absence of food, how fasting is different from starvation, who is and isn’t a good candidate to try long-term fasting patterns, and some best practices for people who want to make fasting a regular part of their lives.

Intermittent Fasting 101 (https://www.healthline.com/nutrition/intermittent-fasting-guide)

Also in this episode:

News (00:25) – BBC Documentary Eat, Fast, Live Longer (https://www.bbc.com/news/health-19112549)

Is breakfast necessary? Historically most have said yes, but now some say “no” (https://www.nytimes.com/2016/05/24/upshot/sorry-theres-nothing-magical-about-breakfast.html)

Study: Impact of intermittent fasting on health and disease processes (https://doi.org/10.1016/j.arr.2016.10.005)

Medical Trivia (Answer at 41:00) – What is the longest period of time that someone has ever fasted? A) 30 days B) 50 days C) 80 days D) Over 100 days

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