Doctor Doctor

Feature Interview (13:00) – Dr. Greg Burke, Chief Patient Experience Officer at Geisinger Medical Center and Co-Chairman of the Catholic Medical Association’s Ethics Committee, talks about why his hospital became the first in the country to offer refunds for unsatisfactory patient care.

Also in this episode:

Preventive Medicine Tip (00:55) – Why healthy people should get the flu vaccine for the sake of others

Women’s Health Tip (7:00) – VBAC (Vaginal Birth After Cesarian)

Medical Trivia (Answer at 42:00) – In 1848 there was a Hungarian obstetrician named Ignaz Semmelweis who worked in Vienna, Austria where women were afraid of dying after birth from an infection called “Child Bed Fever.” In one of the wards, the death rate was about 20% and in the other, it was only 6%. The higher rate included medical students, the lower had only midwives, so Dr. Semmelweis had everyone start washing their hands with lye. In response to his discovery, what did his colleagues do?

A) Nominate him for the first Nobel Prize in Medicine

B) Made him chief of Obstetrics in Vienna at only 29

C) Ridicule him for suggesting upper-class physicians had dirty hands

D) Institute handwashing between patients, ushering in the era of antiseptic care in medicine

Listener Questions (43:30) – In a previous show, your guest talked about weight loss myths and promoted a low-carb, high-fat diet. Is that really the only healthy way of eating? Is it healthy for everyone?

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Feature Interview (15:00) – Solidarity Healthshare co-founder Chris Faddis talks with the doctors about how health-sharing ministries take a different approach to health care coverage, why he founded Solidarity Healthshare, and some of the benefits of this approach for doctors and patients.

Also in this episode:

News (00:55) – Medication non-compliance trends, why patients don’t take their medicine, and how insurance companies might try to track it with new technologies (https://doi.org/10.1016/j.mayocp.2018.05.029)

Preventive Medicine Tip (10:45) – 2018-2019 flu season and how to protect your family

Medical Trivia (Answer at 41:15) – In Star Trek: Voyager Season 2, in an episode called Parturition, the doctor says that he is preparing a “dermal osmotic sealant” to help with itching that would be caused by irritating atmospheric vapors on what the crew deems “Planet Hell.” By what name would be know “dermal osmotic sealant” in a store near us? For bonus points, what does the title Parturition mean? (Hint: It’s also a medical term.)

Listener Questions (43:20) – I am a resent convert. I got my tubes tied before I met my husband. We would love to have children of our own someday. How do I find a doctor who can do a tubal ligation reversal?

Do you believe that it is "safe" for a woman to take a birth control pill for hormone imbalances? I keep hearing it's too high of a cancer risk and the other thing I hear is that it's fine to do this?

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Feature Interview (13:20) – Health coverage expert Kevin Burns, from The DeHayes Group, an Independent Insurance Agency in Fort Wayne, IN, explains the history of health insurance, the various kinds of health insurance coverage, trends in the industry, and what patients and doctors need to know to get the best coverage for the best care.

Also in this episode:

News (00:40) – 1) World Medical Association rejects supporting euthanasia, 2) a new JAMA article that asks if US medical care is inefficient, 3) Louisiana abortion restrictions upheld by 5th Circuit Court of Appeals, 4) how losing weight after menopause can reduce the risk for breast cancer

Medical Trivia (Answer at 40:15) – If you know a little Greek, you’ll know that the name of the drug epinephrine tells us where in the body it is naturally made, and if you know the other common name for epinephrine which comes from a Latin root, you will know exactly where the chemical comes from in the human body. So what is the other name for epinephrine and where in the body is it made?

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Feature Interview (13:00) – What does “Board Certified” really mean? Dr. Les Ruppersberger, past-president of the Catholic Medical Association and a recently retired OB/GYN from Philadelphia talks about what patients need to know about their doctors’ board certification and the best ways to really know if a doctor is good or not.

Also in this episode:

News (1:00) – Health benefits of saunas (https://doi.org/10.1016/j.mayocp.2018.04.008), High rates of birth complications in the United States (https://www.ahrq.gov/news/newsroom/press-releases/complications-hospital-births.html), Coffee linked with longer life (https://doi.org/ 10.1001/jamainternmed.2018.2425),

Medical Trivia (Answer at 39:00) – In terms of the two-liter bottle that contains your favorite pop (or soda, depending on where you come from), how much blood does the average 180 pound (82 kg) person have in his or her body?

Linacre for Laypeople (41:00) – As part of the special Humanae Vitae anniversary issue of the Linacre Quarterly, Radiologist Dr. David Hilger explains his new article about the dangers of hormonal birth control and why the medical field needs to do a better job informing patients about the risks (Look for his article in the upcoming November 2018 edition of the Linacre Quarterly Vol. 84, Issue 4, November 2017)

http://journals.sagepub.com/home/lqr

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Feature Interview (13:00) – Former Pennsylvania Senator Rick Santorum discusses his passion for healthcare reform and his new plan to help Americans get the healthcare they need with the freedom to choose what they determine is best for them.

Also in this episode:

News (1:05) – New guidelines for diagnosing and managing concussions in children (https://jamanetwork.com/journals/jamapediatrics/article-abstract/2698456)

Preventive Medicine Tip (9:00) – Eating protein and fiber can help you lose weight!

Medical Trivia (Answer at 38:00) – What percentage of physicians spend, on average, less than 90 minutes per day awake with their spouse?

A) 20%

B) 35%

C) 50%

D) 65%

E) 80%

Medicine You Need to Know (41:15) – Dr. Mullally explains the basics of navigating the health care system in the first of a new series to help you understand the complex world of healthcare and healthcare coverage.

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Feature Interview (07:15) – Dr. David Usher, a family physician and diplomat of the American Board of Obesity Medicine talks about the latest in weight loss research and science and dispels some myths about the best and worst approaches to losing weight.

(51:00) – Fr. Jacob Meyer, pastor of St. Monica parish in Mishawaka, IN, shares his story of weight-loss triumph and how he lost over 200 lbs. with bariatric surgery and changes in his lifestyle.

Also in this episode:

News (00:45) – Dr. Stroud explains how contraception can act as an abortifacient in response to an article from the New York Times

Medical Trivia (Answer at 35:00) – True or False. If all of your blood vessels were lined up end-to-end, they could circle the earth?

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Feature Interview (12:00) – Dr. Robin Smith, founder of Stem for Life and Vice President of the STOQ Foundation’s Scientific Committee in the Vatican’s Council for Culture, discusses the Vatican’s efforts to help promote live-saving medicine and how ethical approaches to stem-cell research and regenerative medicine have proven more successful than others.

Also in this episode:

News (00:45) – CDC Report on Increased Suicide Rates (https://www.cdc.gov/media/releases/2018/p0607-suicide-prevention.html)

Women’s Health Tip (4:40) – Causes of Post-Menopausal Bleeding

Medical Trivia (Answer at 48:45) – While you might find a frenulum in your brain, digestive tract, or external genitalia, where in the human body will you find the most frenulae (plural for frenulum)? What do they do?

Linacre for Laypeople (40:30) – Fr. James McTavish describes his work with trafficking victims in the Philippines and the terrible consequences of trafficking on women’s health throughout the world (“The Devastating Consequences of Sex Trafficking on Women’s Health,” Linacre Quarterly, Vol. 84, Issue 4, November 2017)

http://journals.sagepub.com/home/lqr

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Feature Interview (12:00) – Heart Disease expert Dr. Michael Farkouh discusses the latest research into the causes, treatments, and prevention of heart disease including how alcohol affects the risk of heart problems, the dangers of people living in big cities, how screen time can increase your risks for heart disease, and even how misguided government can be hurting you. Then he gives some important tips on the best steps you and your family can take to lower your risk for heart disease.

Dr. Michael Farkouh, MD is Professor and Vice-Chair, Research, Department of Medicine, at the University of Toronto and the Peter Munk Chair in Multinational Clinical Trials at the Peter Munk Cardiac Centre. Director of the Heart and Stroke Centre of Excellence in Cardiovascular Research Cardiology Training at Mayo Clinic, Rochester, MN.

Also in this episode:

News (00:45) – New info that could lead to a blood test for melanoma (https://doi.org/10.18632/oncotarget.25669)

Women’s Health Tip (4:40) – Zika Update: What You Need to Know for Fall 2018

Medical Trivia (Answer at 48:45) – In the five-year period from mid-2012 to mid-2017, internet searches of “basal cell carcinoma” saw five peak periods for the weeks following November 21, 2013; May 9, 2014; October 27, 2014; May 6, 2015; February 8, 2016; and February 13, 2017. These peaks were 50-150% higher than the average internet search rate for “basal cell carcinoma”. What happened on each of these six dates that led to this greatly increased interest in basal cell carcinoma?

Linacre for Laypeople (40:30) – Dr. Frederick White discusses his recent article about the push for physician-assisted suicide, how professional medical associations are being lobbied for their support, and the important efforts from some doctors to resist the trend (“The American Medical Association and Physician-Assisted Suicide,” Linacre Quarterly, Vol. 85, May 2018)

http://journals.sagepub.com/home/lqr

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Feature Interview (12:00) – Bioengineer and Dominican Fr. Nicanor Astriaco, OP, PhD, STD discusses advances in gene editing technology and how it’s allowing scientists and doctors to cure deadly diseases and birth defects. He also touches on some of the ethical concerns that arise from the new technology and the ethical difference between therapeutic and elective edits.

Also in this episode:

News (00:45) – Does obesity really increase mortality risk? (https://www.ncbi.nlm.nih.gov/pubmed/29998631)

Preventive Medicine Tip (4:40) – Doctors screening for domestic violence (https://www.uspreventiveservicestaskforce.org/)

Medical Trivia (Answer at 48:45) – Are anti-bacteria soaps more effective than regular soap and water at preventing infections and removing bacteria?

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Feature Interview (11:55) – Gastroenterologist Dr. Saad Jazrawi explains the science behind gluten sensitivity, the difference between sensitivities, allergies, and other digestive diseases, and how changes in diet can affect health.

Also in this episode:

News (00:50) – How music education can help children learn in other subjects (https://doi.org/10.3389/fnins.2018.00103) and new research in the best ways to check for prostate cancer.

Preventive Medicine Tip (7:25) – Folic Acid Supplements in Pregnancy (https://www.uspreventiveservicestaskforce.org/)

Medical Trivia (Answer at 38:30) – Physician jobs are expected to grow 15% from 2016-2026, but some specialties are expected to grow faster than others. Which of these is expected to grow the most – 164% – over that period of time?

a) Family Practice

b) OB/GYN

c) Geriatrics

d) Hematology/Oncology

e) Urology

Linacre for Laypeople (40:30) – Nurse and legal consultant Nancy Valko discusses the eugenics programs of Nazi Germany and how understanding this history can help us avoid repeating past inhumanities (“Book Review: Nurses and Midwives in Nazi Germany: The Euthanasia Programs,” Linacre Quarterly, Vol. 85, May 2018)

http://journals.sagepub.com/home/lqr

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