In this second episode of the two-part series on obesity medicine, Chris Chiu discusses medication management with Dr. Allison Rhodes and Dr. Sara Li. The experts explore various medication options for obesity treatment, including traditional medications like metformin and phentermine, combination therapies, and newer GLP-1 agonists. They discuss medication selection criteria, insurance considerations, side effects, contraindications, and practical implementation in primary care settings.

[00:02:01] - Discussion of first-line medication options

[00:02:57] - Metformin usage and dosing strategies

[00:04:13] - Review of weight-positive medications to avoid

[00:05:55] - Four-step process for prescribing anti-obesity medications

[00:08:25] - Overview of medication categories and options

[00:10:12] - Discussion of combination therapies vs. monotherapy

[00:13:12] - Detailed discussion of phentermine safety and efficacy

[00:19:14] - Coverage of GLP-1 agonists and newer medications

[00:24:35] - Side effects and contraindications of GLP-1 agonists

[00:29:08] - Practical implementation of GLP-1 therapy in primary care

[00:32:22] - Future outlook for obesity medications

In this episode of Everyday Medicine, Chris Chiu discusses obesity medicine with Dr. Allison Rhodes and Dr. Sara Li, focusing on evaluation and counseling approaches. The experts share insights on how to effectively discuss weight management with patients, set realistic goals, and implement comprehensive lifestyle interventions. They emphasize the importance of using non-stigmatizing language and individualizing treatment approaches while addressing various barriers to weight management.

[00:00:00] - Introduction and episode overview 

[00:00:43] - Introduction of guests Dr. Allison Rhodes and Dr. Sara Li 

[00:02:04] - Discussion on importance of treating obesity and using non-stigmatizing language 

[00:04:20] - Approaches to discussing weight in primary care settings 

[00:06:41] - Time management for obesity-related appointments 

[00:09:09] - Motivational interviewing techniques 

[00:12:36] - Comprehensive patient evaluation approach 

[00:17:44] - Discussion of barriers to weight management 

[00:20:46] - Addressing food insecurity and resources 

[00:26:59] - Components of a weight loss program 

[00:28:00] - Nutrition counseling approaches 

[00:34:18] - Physical activity goals and recommendations 

[00:41:38] - Setting realistic weight loss goals 

[00:44:02] - Final thoughts on stress management, sleep, and nutrition

Chris Chiu and Kevin Consevage delve into the intricacies of pre-operative assessment, emphasizing its role as a risk mitigation strategy rather than surgical clearance. This episode offers a comprehensive breakdown of assessing surgery types, patient functionality, and the necessary pre-op evaluations and medications.

[00:00:00] Introduction to Everyday Medicine and episode objectives.

[00:00:32] Kevin's introduction and background.

[00:01:06] Discussion on the philosophy behind pre-op assessment.

[00:01:34] Breaking down the steps of pre-op assessment: surgery type, patient's functional ability, and a systems-based approach.

[00:02:05] Detailed analysis on types of surgeries and the importance of assessing surgery urgency.

[00:04:26] Functional assessment in pre-op evaluation, including ASA classification and METs.

[00:07:29] Utilizing the ACC/AHA algorithm in pre-op assessment.

[00:09:37] The role of the Revised Cardiac Risk Index (RCRI) and NSQIP in evaluating surgery risks.

[00:11:38] Considerations for additional cardiac testing and when to involve cardiology.

[00:12:35] Quick hits on necessary pre-op tests: CBC, coags, liver function tests, and PFTs.

[00:14:43] Review of perioperative medication management.

[00:15:49] Closing remarks and key takeaways.

In this episode of Everyday Medicine, Dr. Chris Chiu from The Ohio State University interviews Dr. Michael Neiger about the care of adults with Down Syndrome. Dr. Neiger discusses the importance of this topic, highlighting the increased life expectancy of this population and the associated medical challenges. They delve into recent guidelines published in JAMA, specific health concerns such as atlantoaxial instability, celiac disease, obesity, thyroid disease, osteoporosis, and mental health issues. Dr. Neiger also emphasizes the importance of specialized guidelines and resources provided by the Global Down Syndrome Foundation.

00:00 Introduction to Everyday Medicine Podcast

00:30 Meet Dr. Michael Neiger

01:02 Care of Adults with Down Syndrome

02:20 New Guidelines for Down Syndrome Care

02:57 Atlantoaxial Instability in Down Syndrome

05:02 Celiac Disease in Down Syndrome

06:02 Obesity and Endocrinological Concerns

09:30 Behavioral and Mental Health

14:25 Cardiovascular Screening and Stroke Prevention

16:26 Conclusion and Resources

In this episode of Everyday Medicine, hosted by Christopher Chiu from The Ohio State University's Division of General Internal Medicine, lead pharmacist Kelli Barnes discusses the role of population health in primary care. Kelli shares insights from her recent talk at the American Pharmacists Association annual meeting, explaining the definition of population health, its importance, and the barriers faced in its implementation. She highlights the interdisciplinary approach needed, particularly the integration of pharmacists in care teams, to improve chronic disease management and patient outcomes. Kelli also outlines a six-step process for population health management and provides a detailed example of how OSU successfully manages uncontrolled diabetes among its patients. The episode concludes with a discussion on the financial sustainability of population health initiatives and the future of integrating pharmacists within primary care settings.

00:00 Introduction to Everyday Medicine Podcast

00:23 Meet Kelli Barnes: Lead Pharmacist

00:43 Kelli's Talk at the American Pharmacists Association

01:26 Understanding Population Health

04:09 Barriers and Team Dynamics in Population Health

04:51 Pharmacy's Role in Population Health

06:10 Six-Step Process for Population Health Management

09:28 Case Study: Managing Uncontrolled Diabetes

12:00 Financial Sustainability in Population Health

14:34 Final Thoughts on Population Health

16:14 Closing Remarks and Subscription Information

In the inaugural episode of Everyday Medicine, a podcast by the Division of General Internal Medicine at The Ohio State University, host Chris Chiu and guest Dr. Francisco Magaña discuss updates and best practices in STI screening and treatment. The episode focuses on the latest guidelines for HIV, gonorrhea, and chlamydia, utilizing a structured approach to discussing sexual health with patients. Dr. Magaña explains the rationale behind the current screening recommendations and shares practical tips for testing and treating these infections, including the use of expedited partner therapy (EPT) to address re-infections. The conversation emphasizes destigmatizing sexual health discussions to ensure comprehensive patient care.

00:00 Introduction to Everyday Medicine Podcast

00:29 Meet Dr. Francisco Magaña

01:19 STI Screening Guidelines

03:00 The 5 P's Framework for Sexual Health Conversations

08:02 Gonorrhea: Symptoms, Testing, and Treatment

16:53 Chlamydia: Symptoms, Testing, and Treatment

21:33 Expedited Partner Therapy (EPT)

24:21 Conclusion and Future Episodes

Welcome to Everyday Medicine, a podcast from the Division of General Internal Medicine at The Ohio State University. This podcast is focused on primary care and aims to provide current information to medical professionals from our experts in Ohio. We are graciously sponsored by collaboration with The Ohio Chapter of The American College of Physicians.