Medicine, We're Still Practicing

Dr. Christopher Earley, professor of Neurology at Johns Hopkins University, shares his Sleep Science research with hosts Bill Curtis and Dr. Steven Taback, discussing popular sleep issues (or lack thereof) including Restless Legs Syndrome, Sleep Apnea, Sleep Hygiene, and overall factors that affect the quality of your sleep.

In this dedicated series, we're showcasing the medical breakthroughs and innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine.

Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care.

Episode Timestamps:

1:50 What are the phases of sleep?

2:43 Does sleep quality decrease the older we get?

3:07 How can we hurt or help the quality of sleep we get?

5:43 How can we adjust our natural sleep timing?

6:45 What does melatonin do?

7:51 Should most people be using sleep-aids?

8:27 What is sleep hygiene?

10:03 What are the longterm health ramifications to fragmented sleep?

11:06 Can you get better quality sleep with sleeping pills?

12:30 Can the quality of sleep be psychologically effected?

13:10 What is the difference between snoring and sleep apnea?

15:05 What are the ramifications of snoring?

16:05 How destructive is sleep apnea?

17:17 Does the position you are sleeping in have an affect on your sleep quality?

19:20 What is narcolepsy?

21:05 What is Restless Leg Syndrome?

22:10 Who gets RLS and what can they do about it?

24:25 How does alcohol affect our sleep and RLS?

26:11 What are RLS treatments?

29:50 What are foot/leg cramps and how can we avoid them?

 

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Hosted by: Dr. Steven Taback & Bill Curtis

Produced and Edited by: AJ Moseley

Sound Engineering by: Steve Reickeberg

Theme Music by: Celleste and Eric Dick

A CurtCo Media Production

 

 

See omnystudio.com/listener for privacy information.

In the third installment of our Johns Hopkins series, hosts Dr. Steven Taback and Bill Curtis are joined by Dr. Martin Brodsky, Speech Pathologist, Associate Professor of Physical Medicine and Rehabilitation, and a Fellow of the American Speech-Language-Hearing Association. Dr. Brodsky shares his insight on Speech Pathology in the ICU, dealing with dysphagia (swallowing problems), and physical therapy for vocal cord damage.

In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine. Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care.

Timestamps:

2:23 What is dysphagia?

3:00 Why did Dr. Brodsky first start his career in speech pathology?

4:00 What is different if speech pathology from the past and present?

5:16 What do speech pathologist do inside the ICU?

6:30 Communicating to patients during intubation

8:55 Why not use a tracheotomy when intubation poses risks and rehabilitation?

12:40 Is there a risk of vocal cords never returning to full function?

13:47 What can an Intensivist do to minimize the damages caused by intubation?

18:21 What happens when a patient feels they’re having swallowing problems?

21:35 What is actually creating the problem of swallowing in the ICU?

23:58 What sort of circumstances lead to swallowing issues outside the hospital?

26:00 Physical therapy for swallowing

27:40 What should you be watching out for that can indicate a family member may need to seek help with swallowing?

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Learn More: Medicine, We’re Still Practicing

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Hosted by: Dr. Steven Taback & Bill Curtis

Produced and Edited by: AJ Moseley

Sound Engineering by: Steve Reickeberg

Theme Music by: Celleste and Eric Dick

A CurtCo Media Production

See omnystudio.com/listener for privacy information.

In the second installment of our Johns Hopkins series, hosts Dr. Steven Taback and Bill Curtis are joined by Dr. Ken Pienta, Professor of Urology, Oncology, Pharmacology, Molecular Sciences, and Director or Research for The James Buchanan Brady Urological Institute as he sheds light on the state of the art for treatment and outcomes of prostate cancer.

In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine.

Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research, and clinical care.

Timestamps:

1:46 What is it about Johns Hopkins that continues to produce top rankings and the gold standard for practice and research?

3:20 Does Johns Hopkins build their own robotics systems?

4:05 Why do so many of men still die from prostate cancer?

5:30 With prostate cancer numbers continually so high, why not prophylactically remove the prostate?

7:35 What are the signs men should look for the indicate prostate cancer?

8:37 What is the efficacy of the Prostate Specific Antigen (PSA) test, and what drawbacks does it have?

13:43 Is there a time to proceed with a biopsy without visible lesions from an MRI?

16:04 Proton Therapy and prostate cancer?

17:54 The use of radiation and hormone type therapy on younger men with prostate cancer

18:55 Incontinence and impotence post prostate treatment

20:30 Are there lifestyle changes one can make to prevent prostate cancer?

21:36 Immunotherapy and prostate cancer

22:54 What is the state of the art relative to testosterone and prostate cancer?

26:35 How depressed are the numbers for screening prostate cancer during the COVID pandemic, and what is the fallout to lack of testing?

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Learn More: Medicine, We’re Still Practicing

Follow Us: Twitter | Facebook | Instagram

Hosted by: Dr. Steven Taback & Bill Curtis

Produced and Edited by: AJ Moseley

Sound Engineering by: Steve Reickeberg

Theme Music by: Celleste and Eric Dick

A CurtCo Media Production

See omnystudio.com/listener for privacy information.

In the first installment of our Johns Hopkins series, hosts Dr. Steven Taback and Bill Curtis are joined by Dr. Dale Needham, Medical Director, Critical Care Physical Medicine & Rehabilitation Program, and Professor of Medicine at Johns Hopkins Medicine. Dr. Needham’s breakthrough work & research in wakefulness in the ICU is paving the way for how the industry treats delirium and post intensive care syndrome to improve ICU stays and reduce recovery times.

In this dedicated series, we're showcasing the medical breakthroughs & innovations from one of the world's most preeminent hospitals: Johns Hopkins Medicine.

Johns Hopkins Medicine is dedicated to improving the health of the community and the world by setting the standard of excellence in medical education, research and clinical care.

Timestamps:

1:55 Motion and cognitive activity in an ICU

5:21 Transitioning from the culture of sedation to wakefulness in the ICU

7:40 A case of long lasting cognitive impairment post ICU treatment

10:08 How much of ICU caused impairment can be reversed?

11:33 How does care differ now in the ICU?

15:05 Staffing for wakefulness in the ICU

16:40 How do nurses interact with patients to keep them alert?

20:56 Johns Hopkins Critical Care Rehabilitation Conference

22:30 Advice to critical care experts to priming their staff for a wakeful ICU on limited resources

26:46 Unique ICU care for COVID at Johns Hopkins 3

2:32 Improving sleep in the ICU

36:50 Home health agencies

38:45 Dr. Needham shares advice on what to do if you find yourself as a patient in an ICU

41:12 Virtual reality in the ICU

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Learn More: Medicine, We’re Still Practicing

Follow Us: Twitter | Facebook | Instagram

Hosted by: Dr. Steven Taback & Bill Curtis

Produced and Edited by: AJ Moseley

Sound Engineering by: Steve Reickeberg

Theme Music by: Celleste and Eric Dick

See omnystudio.com/listener for privacy information.

Board Certified Gastroenterologist Dr. Howard Fullman joins the show again to update and enlighten us on everything COVID-19 related. Topics range from vaccine distribution, ICU’s during a surge, and the UK virus mutation.

Timestamps:

1:30 Dr. Steve gives an update on how his ICU is handling the surge 3:17 What medications are working the best to decrease COVID mortality?

5:00 How do you get the message across to those that remain indignant to the quarantine guidelines?

7:15 What are the symptom manifestations of “long-haulers” in regards to COVID-19?

8:40 What is going on when we say the virus is “surging”?

11:08 The UK mutation of the virus and contagiousness

13:40 The distribution of the vaccine

16:58 How does a vaccine work?

20:42 What is the success rate of the flu vaccine?

21:15 What should the Biden Administration focus on right after the inauguration?

25:45 What can the world do to make sure this pandemic never happens again?

28:37 How will medical schools change their syllabus after this pandemic?

32:08 The future of telemedicine

33:56 Are the drug companies just racing to the top of the stock market?

35:30 How does a first responder protect themselves from the virus when confined in an ambulance?

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Learn More: Medicine, We’re Still Practicing

Follow Us: Twitter | Facebook | Instagram

Hosted by: Dr. Steven Taback & Bill Curtis

Produced and Edited by: AJ Moseley

Sound Engineering by: Steve Reickeberg

Theme Music by: Celleste and Eric Dick

A CurtCo Media Production

See omnystudio.com/listener for privacy information.

Children seem to have much stronger immunity than adults to COVID-19, but there may be more to it than what meets the eye. Pediatric Infectious Disease Expert and Harvard Professor Dr. Kirstin Moffitt explores the effects of COVID specifically in relation to children, and the new developments around vaccines, trials, infections, and so much more.

TIMESTAMPS:

(1:46) How has the focus at Boston's Children’s Hospital changed during the COVID pandemic?

(3:28) Why is there a disparity in fatalities among minority born children who contract COVID

(6:54) With many vaccines entering their final phases, what is the process of enlisting large groups of people for trials?

(8:29) How strong is the sentiment of anti-COVID-vaccine at the moment, and does it have much of a relation to the general anti-vaccine movement? 

(9:17) Is the crowding of housing in NYC contributing to a larger viral load in patients? 

(10:10) Now that restaurants are opening up for dine-in more and more, will Dr. Moffitt be dining in? 

(11:55) Is it still necessary to be wiping down your groceries and mail? Is surface transmission much of a concern anymore?

(13:40) Tips and tricks for explaining and encouraging kids of all ages to take the virus seriously 

(16:10) What is the current status of the risks of vaping in relation to contracting COVID?

(18:34) Does the weather have much of an impact on the virus? 

(19:30) Does having a more mild or more extreme version of the virus produce different antibodies post-recovery?

(21:25) Why do some people suffer from a much longer version of the virus than others?

(23:58) Why is it bad to give children aspirin if they might be suffering from COVID?

(25:30) Are we seeing more cases of reinfection now than when the virus first broke out?

(28:12) At what point should one decide to check themselves into the hospital when they feel they might be suffering from COVID-like symptoms?

(29:27) Why does COVID affect your sense of taste?

(31:50) Will countries be exporting their vaccines once they’ve been developed and proven?

(32:38) How will Dr. Moffitt change the way she teaches her infectious disease students at Harvard after living through the destruction of COVID-19?

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Learn More: Medicine, We’re Still Practicing

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Hosted by: Dr. Steven Taback & Bill Curtis

Produced and Edited by: AJ Moseley

Sound Engineering by: Michael Kennedy

Theme Music by: Celleste and Eric Dick

A CurtCo Media Production

 

See omnystudio.com/listener for privacy information.

There is so much information passing around the internet about the virus these days, that it’s such a breath of fresh air to have the renown Professor of Epidemiology and Head of the Division of Infectious Diseases at UCSF, Doctor George Rutherford, on to help illuminate some of the common questions, myths, and fears regarding the upcoming state of the vaccine as well as the roadmap for the US as it continues to battle COVID-19.

TIMESTAMPS:

(3:00) Why does the US have such a larger case-per-million load than the world as a whole?

(4:48) Why did New York get hit so much harder than other densely populated US cities?

(7:08) Did COVID-19 expose the US as far too susceptible to bio-terrorism?

(8:23) To what degree do you lower your risk of contraction by wearing a mask?

(9:31) How should schools go about opening safely before there is a vaccine?

(10:13) Why exactly are younger children less susceptible to the virus than others?

(11:38) With kids going back to school, is it still safe to have grandkids over?

(13:50) Surface transmission demystified.

(14:34) Should we be wearing goggles or a face shield when out in public?

(15:48) The state of the Russian Vaccine.

(17:20) When will we be able to go back to live events?

(18:20) What is the roadmap like for vaccinating the country?

(21:28) Will a large portion of the country opting to not get the vaccine be too detrimental to its effectiveness?

(23:52) Safety and the vaccine.

(26:45) Will Dr. Taback and Dr. Rutherford take the vaccine right when it comes out?  

(27:34) New York opening restaurants for dine-in at the end of the month.

(30:00) Have the odds of survival increased for the most vulnerable over the last few months?

(32:30) Why is Aspirin so bad to take when battling COVID-19.

(33:20) What’s the current thinking on reinfection.

(38:40) What would you do to fix the virus if you we’re the President of the United States?

(40:25) Climate change. 

Learn More: Medicine, We're Still Practicing

Follow Us on Twitter: @MedsPodcast

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Hosted by: Bill Curtis & Dr. Steven Taback

Produced and Edited by: Aj Moseley

Sound Engineering by: Michael Kennedy

Theme Music by: Celleste and Eric Dick

A CurtCo Media Production

See omnystudio.com/listener for privacy information.

Dr. Phillipe Friedlich, Professor of Clinical Pediatrics and Surgery at the Keck School of Medicine of USC, Co-Director of the Fetal and Neonatal Institute and Chief of the Division of Neonatology at Children’s Hospital Los Angeles shares his experiences of neonatal surgery, new developments in pediatric medicine, and more!

A complete science of its own, Bill, Dr. Taback, and Dr. Philippe Friedlich dive into the world of fetal care and neonatal medicine in this exciting episode. (2:19) Dr. Friedlich explains how the Children’s Hospital of Los Angeles is handling COVID-19, and what sorts of procedures they have in place for quelling the spread of the virus as well as the fear that surrounds it. (4:41) Percentages and details surrounding premature births are discussed, as well as some of the complications that can result. (7:06) Dr. Friedlich dives into the fascinating technique of cooling a child’s brain in an MRI and why he would do such a thing. The doctors also discuss ECMO machines and how their usage varies from neonatal to adult care. (10:34) The microscopic non-invasive procedure of keyhole repairs is discussed and the miracle of repairing extremely fragile fetal organs with this new technology. (12:46) Dr. Friedlich discuses some of the significant advances that his team at CHLA has made for the whole medical world. (16:42) Communicating with parents about hard to swallow issues relating to their child, and the importance of touch and the presence of family around ailing children is discussed. (20:22) Following the break, Bill poses the question: “What sort of cases/cures can medicine not entirely explain?” (22:51) Dr. Taback and Dr. Friedlich discuss brain development in relation to the early nurturing stage for a child. (26:03) In this section, Dr. Friedlich goes into more detail about the logistical process that CHLA run’s in order to transport and operate on neonates getting transferred into the center. (27:54) Dr. Taback asks Dr. Friedlich if working in neonatology has influenced his view on a women’s right to choose vs pro-life. (31:02) Is autism a neonatal issue? What sort of things can contribute to developing child falling on the spectrum? (32:32) Dr. Friedlich finishes the podcast by discussing the achievements he is most proud of accomplishing at CHLA. 

Learn More: Medicine, We're Still Practicing

Follow Us on Twitter: @MedsPodcast

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Hosted by: Dr. Steven Taback & Bill Curtis

Guest: Dr. Philippe Friedlich

Produced and Edited by: Aj Moseley

Sound Engineering by: Michael Kennedy

Theme Music by: Cellest and Eric Dick

A CurtCo Media Production

See omnystudio.com/listener for privacy information.

Bacteria, probiotics and COVID. Should we be exposing our children to more bacteria? Should everyone be taking a probiotic? Gastroenterologist Dr. Howard Fullman shares some thoughts on COVID-19 and its relating politics, the efficacy of probiotics, and building a pandemic-proof immune system.

Board Certified Doctor of Internal Medicine and Gastroentrology Dr. Howard Fullman joins Dr. Steven Taback and Bill Curtis to chat about COVID-19 and its politics, as well as shine light on some intriguing questions related to the gut. 

TIMESTAMPS:

(1:44) The extremely low virus rate of Japan is compared to the world leading rate of the US, and Dr. Howard as well as Dr. Steven Taback share some possible reasons why.

(11:13) Should less vulnerable people be allowed to go back to work?

(12:55) If the US was suddenly to get a new administration, would the disease have been as damaging as it ultimately was?

(15:26) The doctors explain some thoughts on why the death rate has dramatically been reduced from 4 months ago.

(19:51) Has Dr. Fullman’s specialty of Gastroenterology been specifically affected by COVID19.

(21:15) Should parents be worried about overly sterilizing their children’s environment?

(23:42) What can the average person be doing to help build their immune system?

(24:34) The doctors discuss their feelings on the “probiotic craze” that we are seeing in the US market.

(29:01) Dr. Fullman shares some interesting insight on the brain-gut connection, especially in relation to mental illness.

(31:55) To wrap up the show, both Dr. Taback and Dr. Fullman share how their profession has been affected by the virus, and some of the ways the virus will change the field of medicine permanently. 

Learn More: Medicine, We're Still Practicing

Follow Us on Twitter: @medspodcast

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Hosted by: Bill Curtis and Dr. Steven Taback

Guest: Dr. Howard Fullman

Produced By: Aj Moseley

Sound Engineering by: Michael Kennedy

Theme Music by: Celleste and Eric Dick

A CurtCo Media production

See omnystudio.com/listener for privacy information.

Host and quadruple board-certified Dr. Steven Taback runs down all the new news related to COVID-19 since our last pandemic episode. Dr. Taback also shares some personal experience on dealing with difficult end-of-life situations.(2:35) How does exercise help prevent COVID-19? (3:25) How bad is alcohol for preventing the virus? (3:54) Why does the US have so many more cases than every other country? (9:24) Why are there more cases of African Americans contracting the virus over Caucasians? (10:40) Should young people worry about permanent lung damage after coming int contact with COVID-19? (13:28) How close are we to getting a vaccine, and will it be safe? (17:53) Can you contract the virus twice? (20:34) Is it safe to send kids back to school? (25:09) The virus and various surfaces. (29:34) Can pets spread the disease? (32:15) COVID-19 and blood types. (33:44) Hospitals handling typical patients alongside COVID-19 patients. (37:26) Dealing with death as a doctor.

Learn more: Medicine, We're Still Practicing

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Produced by: Mike Thomas and Aj Moseley

Edited by: Aj Moseley

Hosted by: Bill Curtis and Dr. Steven Taback

Sound Engineering by: Michael Kennedy

Theme Music by: Celleste & Eric Dick

A CurtCo Media Production

See omnystudio.com/listener for privacy information.