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It is the bodies normal defense mechanism to keep us from doing things that will cause us harm. The conversation of death, grief & loss is one of those things that we avoid until we absolutely have to face it. For many health care providers these conversations can become daunting because the reaction is never the same for two families alike. I wanted to approach the subject because I have seen far too often families be more devastated by the lack of preparation for the inevitable than that actual event itself. This week I enlisted the assistance of Maria Davis-Pierre LMHC, who specializes in grief in loss to discuss not only what we as health care workers can do to help further the discussion but how families can start the process as well.
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It seemed like August in the hospital was bring all your liver problems to me month because I had way too many people being admitted to the facility with liver issues. It got me thinking that if I was going to work on preventing these things from happening than I needed to scream from the rooftops why your organ, the liver was so important. Some important fun facts regarding the liver includes it being the largest organ in the body, it's role in making you stop bleeding and exactly what happens when you get too much alcohol in you.
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This is a time where taking care of your health is so important with all the different changes in healthcare on the horizon. An important question to answer is do you still trust your doctor to be in charge of your health. On the episode today I discuss the importance of trusting your physician, we go into detail about different doctor/patient relationships and give some tips to improve patient satisfaction. I also give a chance to get a free audio based chapter of a book I am working on.
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Sexually transmitted diseases have become a mainstay in the primary care setting but with recent reports that the numbers are on the rise a Public Health crisis may not be too far behind. Today were are going to be focusing on just three STDs, syphilis, gonorrhea & herpes simplex. Because of the recent legal troubles Usher has been having regarding herpes transmission I thought I would shed some light on just how prevalent it was and should you get tested today.
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Prostate cancer is the most common non-skin cancer in men. In 2017 almost 160,000 people with diagnosed with prostate cancer with many more going undiagnosed. There are major symptoms associated with prostate cancer but the most common one will surprise you. Learn today why your doctor's are missing the boat on treating you for prostate cancer and if you are an African American male you don't want to miss out on this topic.
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It is a disease that affects women almost 90% percent of the time. Toni Braxton, Selena Gomez, Seal, Nick Cannon all suffer from the disorder lupus. This autoimmune disease is chronic in its presentation, has no triggers on what causes it but still manages to effect 1.5 million yearly and is responsible for 140,000 hospital visits per year. It's a disease that I will also keep an eye on because my very first patient suffered from the disease. On the episode today we talk about Lupus, go into detail about the specifics behind the disease and who & what gets affected.
As promised on the episode here are a list of just some of the symptoms associated with the disorder
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Somehow I went this far without talking about a disease that a day doesn't go by that I don't see it one way shape or form. Diabetes is a chronic disease that affects almost 30 million people here in the United States. It cost the health care system approximately $250 billion each year to take care of and the co-morbidities associated with diabetes are as long as a grocery lists. I have told my students in the past that diabetes isn't something I wished on my worst enemy for very good reasons which we will talk about today.
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In my office more often than not "the rock" in the family is concerned about being over burdened. Its a very common theme to see with those who serve as the mental "rock" in their family because everyone tends to come to them because they are seen as the problem solvers. My biggest gripe is that for many of the "family counselors" they tend to have no one that they can lean on for emotional support so they are burdened with not only their personal issues, but the issues of everyone else.
On this episode I try to implore the family counselors of the world to stop this practice immediately because it is slowly killing them mentally and emotionally. There is a reason counselors, therapist & doctors like myself go through the training we do because you have to learn how to deal with the problems of others but not let it affect your own.
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To get a medical license or even renew your medical license we are required to take a 1-2 course on domestic violence. I remember seeing it listed and being pretty excited because I had learned about its serious effects from a public health perspective.
Some of the numbers are startling with one in four women and one in seven men over the age of 18 being a reported victim of abuse. Quite often its the physicians whether it be in the emergency room or in the routine often visit who could serve as the first line protectors IF they recognize the signs and are able to help.
On this episode I talk about certain cues that I look for in patients that prime me to dig in a bit deeper when I feel the situation arises because a majority of your patients will not just come out & say I am being abused. The great physician is one who recognizes when is the right time to take some action. Also, in this episode we talk a little bit about teen dating violence because as the numbers will suggest domestic & intimate partner violence is rampant.
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If there is only one thing that I absolutely want you to take from all of my lunch and learn episodes is that I never want to see you pick up a cigarette for the first time or smoke it ever again. There is absolutely nothing that could be said that would make me that that smoking a cigarette in 2017 isn't the equivalent of slowly killing yourself. As a medical student you learn that if quitting or smoking cigarettes is an answer choice you choose that.
There isn't a cancer that isn't negatively affected by cigarette smoking or have cigarette as a huge cause. When you have the fact that heart disease in the number one killer in the world and then you throw on the gasoline that is cigarette smoking than you have your secret recipe for disaster.
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