General Medicine and Primary Care

General Medicine and Primary Care

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General Medicine and Primary Care episodes

  • Helping Children Process and Cope with Tragic World News
    Host: Brian P. McDonough, MD, FAAFP

    Dr. Brian McDonough welcomes Denise Daniels, Peabody Award-wining broadcast journalist, author, and child development expert who specializes in the social and emotional development of children. Ms. Daniels talks about the challenges in helping children cope with the consistent exposure to tragic news around the world stemming from terrorism, wars, and natural disasters.

    16 min
  • Challenges With Flibanserin as Treatment for Hypoactive Sexual Desire Disorder
    Host: Michael Krychman, MD

    Flibanserin was one of the first FDA-approved medications for treatment of Hypoactive Sexual Desire Disorder in pre-menopausal women. But the drug's effectiveness has frequently been called into question, and the known side effects such as fainting, dizziness, and low blood pressure, many of which were found to be exacerbated by alcohol and hormonal contraception, created concerns for clinicians and patients alike.

    Host Dr. Michael Krychman talks with guest Dr. Lisa Larkin, women’s health internist and Director of the Women's Health Center at the University of Cincinnati College of Medicine, about the “Pink Viagra" pill, concerns around its safety and effectiveness, and the diagnosis and treatment of HDSS.

    21 min
  • Overcoming Destructive Anger: Strategies That Work
    Host: Maurice Pickard, MD

    Dr. Maurice Pickard speaks with psychologist Dr. Bernard Golden, an anger management specialist and author of Overcoming Destructive Anger: Strategies That Work.

    Dr. Golden draws on both compassion-focused therapy―a model for change that encompasses and expands on cognitive behavioral therapy, mindfulness, and practices in compassion and self-compassion―and theories of emotional intelligence to offer concrete tools for turning destructive anger into healthy anger. This in turn can have positive health effects on a range of disease states, from cardiovascular disease to diabetes to depression.

    Bernard Golden, PhD has been a practicing psychologist for almost forty years. He specializes in working with children, teens and adults on anger management issues, utilizing cognitive behavioral therapy, mindfulness techniques and practices in compassion and self-compassion. Dr. Golden is the author of Overcoming Destructive Anger: Strategies That Work (John Hopkins University Press, 2016), which teaches readers to recognize, sit with, and move beyond the triggers that cause destructive anger. Emphasizing anger’s link to the old brain (limbic cortex) and habits of mind, Dr. Golden offers multiple strategies for engaging the “rational brain” (prefrontal cortex) to overwrite established neural pathways and form new patterns of behavior.

    20 min
  • Muhammed Ali's Death Prompts Questions Linking CTE and Parkinson's Disease
    Host: Brian P. McDonough, MD, FAAFP

    Muhammed Ali died on June 3rd, 2016. The cause of death was respiratory complications from septic shock, but his 30-year battle with Parkinson's disease played a major role in his declining health. Did a storied career in boxing contribute to and/or cause the development of this disease?

    Dr. Brian McDonough previews the current clinical understandings and medical literature connecting chronic traumatic encephalopathy (CTE) with the development of Parkinson's disease.

    1 min
  • Managing Erectile Dysfunction Stemming from Diabetes and Heart Disease
    Host: Shira Johnson, MD
    Guest: Charles N. Walker, MD

    Dr. Shira Johnson speaks with Dr. Charles Walker, Assistant Professor of Surgery in the Department of Urology at Yale University School of Medicine. The two focus on erectile dysfunction as a common complication for patients dealing with diabetes and heart disease, and ways that clinicians can help patients manage this problem through lifestyle modifications. Dr. Walker also introduces emerging pathophysiological understandings of ED as a potential predictor of diabetes.

    18 min
  • Rates of Obesity and Diabetes Lower in More Walkable Neighborhoods

    [Read the Article]

    Despite targeted efforts to reduce obesity through diet and exercise, these rates continue to rise. A new study from Ontario, Canada found that obesity and diabetes rates were lower in more walkable neighborhoods compared to less walkable neighborhoods, where they saw an increase in these rates.

    Researchers from St. Michael's Hospital in Toronto studied almost 9,000 neighborhoods in Southern Ontario looking at walkability scores, along with government health data and survey results during a twelve-year period. They examined whether neighborhoods that were more walkable experienced a slower increase in obesity and diabetes compared to less walkable neighborhoods.

    [Watch more videos of The JAMA Report]

    1 min
  • Lipidologists Confronting the Obesity Epidemic: Perspectives from NLA President Joyce Ross
    Host: Alan S. Brown, MD, FACC, FAHA, FNLA
    Guest: Joyce Ross

    Host Dr. Alan Brown welcomes Joyce Ross, nurse practitioner and President of the National Lipid Association. Joyce is a consultative education specialist in Cardiovascular Risk Intervention with the University of Pennsylvania Health System. She is the first Nurse Practitioner elected as President of the NLA.

    Ms. Ross introduces her goals for the upcoming year, including novel efforts on behalf of the NLA to help combat America's obesity epidemic.

    17 min
  • Speaking Up About IBS: GI Counseling Strategies for Generalists
    Host: Brian P. McDonough, MD, FAAFP
    Guest: Andrea Shin, MD

    Dr. Brian McDonough welcomes Dr. Andrea Shin, practicing gastroenterologist and Assistant Research Professor of Medicine at Indiana University School of Medicine. They discuss the unique physical, emotional, and social challenges faced by people dealing with irritable bowel syndrome (IBS). They also focus on the three types of IBS (constipation, diarrhea, and constipation/diarrhea), and how to best manage each condition.

    15 min
  • The 7 Key Health Metrics for Cardiovascular Health
    Host: Matt Birnholz, MD
    Guest: Patricia Sulak, MD

    The American Heart Association instituted a Strategic Impact Goal to reduce the incidence of cardiovascular deaths and disabilities by 20% by 2020.

    Host Dr. Matt Birnholz chats with Dr. Patricia Sulak, Endowed Professor of the Texas A&M University College of Medicine about the 7 key health metrics to reduce cardiovascular deaths including blood pressure, physical activity, and healthy diet, among others.

    17 min
  • Managing Increased Costs of Health Care: Insurance Provider Perspectives
    Host: Brian P. McDonough, MD, FAAFP
    Guest: Daniel Tropeano

    How do we manage the rising costs of healthcare while still maintaining a high level and quality of care? With more costs falling on the consumer these days, one of the biggest challenges in healthcare is dealing with these increased expenses.

    From the Villanova Healthcare Speaker Event, Host Dr. Brian McDonough chats with Daniel Tropeano, Executive Director of United Healthcare, about the challenges insurance companies are facing with the growing costs of healthcare.

    11 min