The Dr Synonymous Show

Health Care blog, tweet and medical review and discussion, featuring an interview with Philip C. Jonas, MD, a specialist in internal medicine who works as a Hospitalist at Ohio State University Hospitals.  Phil is a graduate of Northeast Ohio Universities College of Medicine, now renamed NEOMED.  Yes, Dr Jonas is the son of Dr Synonymous (A. Patrick Jonas, MD) a Family Physician in the Dayton, OH area. Phil reviews the specialty of Hospital Medicine and how his group practices in the Ohio State University Hospitals of the Wexner Medical Center.  This includes the scope of his practice, type of patients and communication style for informing referring physicians about their patients. Dr's Jonas and Jonas finish by singing happy birthday to Natalie Rose Jonas, grandaughter and neice to the doctors on the show.  Happy Birthday, Natalie. Interviews with Family Medicine Leaders, Educators and Thought Leaders will focus on current and future health care issues.  A chat room allows listeners to comment and interact.

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Health Care blog, tweet and medical review and discussion, starting with patient blogs/tweets, medical student blogs, physician blogs/tweets, health care non-physician blogs/tweets and Dr Synonymous blog.  Discussion includes comments about past, present and future health care issues and system changes.  Human centering in health care and patient-physician relationships will be a component of reviews and interviews. Interviews with Family Medicine Leaders, Educators and Thought Leaders will focus on current and future health care issues.  A chat room allows listeners to comment and interact.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-dr-synonymous-show--6530014/support.

After greeting and commenting on the new issue of Family Medicine from the Society of Teachers of Family Medicine (STFM), Dr Jonas introduces Nicholas Hirth, MSIII at Wright State University Boonshoft School of Medicine. Nick speaks of his background including undergraduate studies at Ohio State and home town of Grove City, OH.  He discusses the WSU strengths and some aspects of the curriculum.  He reflects on the satisfaction he has interacting with patients and the emphasis WSU put on the patient-physician relationship from the start of medical school. He mentions his desire to stay in Ohio for training in a Primary Care specialty and future practice (Ohio is blessed to have such a knowledgable and dedicated future physician- a tribute to the wisdom of the WSU BSM admissions committee). Nick mentioned his Family Physician father who practices in Grove City and differences in the training then and now in medical school.  He also comments about how distant a lot of the health policy and healthcare funding issues seem to be from third year medical student activities.  The medical school offers many organizations to help students connect to the breadth of the medical profession.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-dr-synonymous-show--6530014/support.

Health Care blog, tweet and medical review and discussion, starting with patient blogs/tweets, medical student blogs, physician blogs/tweets, health care non-physician blogs/tweets and Dr Synonymous blog.  Discussion includes comments about past, present and future health care issues and system changes.  Human centering in health care and patient-physician relationships will be a component of reviews and interviews. Interviews with Family Medicine Leaders, Educators and Thought Leaders will focus on current and future health care issues.  A chat room allows listeners to comment and interact.

Become a supporter of this podcast: https://www.spreaker.com/podcast/the-dr-synonymous-show--6530014/support.

A Blog, Tweet and literature review by Dr Synonymous.  Please listen in for Family Medicine stories that give voice to the role of the Family Doctor.

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Dr Synonymous interacts with the kind patrons of the BellHOP Cafe in Bellbrook, Ohio on Saturday Morning November 10,2010. General Health and prevention as well as heart and bone health will be discusses along with concerns of the patrons about health of themselves and their families. This is a new format for the show and should be fun, but may not record as well as intended. There may even be a phone call from someone.   We'll give it a try.

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Dr Synonymous discusses the 5-5-5, meaning a recommendation to eat five colors of food daily (not counting M & M's), five servings of fruits and vegetables and to control four health issues (weight, blood pressure, cholesterol and stress) and to exercise.  He elaborates on each of these issues and introduces listeners to the Center for Disease Control Nutrition site, which gives each individual formulas to plan their eating strategies.  Dr Jonas, aka Dr Synonymous gives support to using the exercise ball for tone, movement and fitness.  He gives listeners several ideas about use of the ball also to reverse or prevent insulin resistance, which he explains in detail.  Dr S reviews stress reduction strategies and their impact on weight, blood pressure, and cholesterol.   Listen in for holiday strategies for a healthy "Eating Season"

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Dr Synonymous aka, A. Patrick Jonas, MD starts with comments about tweets on Twitter, then "Treatment of Childhood and Adolescent Depression" from the American Family Physician Sept 1, 2012 issue by Clark, Jansen and Cloy from the University of Mississippi Medical Center.  The risk factors and diagnostic criteria are well reviewed along with screening tools.  Helpful comments about therapies are reviewed. Tweets followed by Dr Jonas are perused with a focus on a tweet chat by #CHSOCM, including their opening prayer.   Blog reviews include one by Meredith Gould about book authorship processes and one by Kenny Lin about support for Family Medicine as written by Richard Young, MD. Last is some expansion by Dr S about his upcoming chat session at the BellHOP Cafe in Bellbrok on Saturday morning november 10 at 9AM.

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Starting with information about the issues in the upcoming Presidential election, Dr Synonymous then reviews some information from JAMA about Peripheral Artery Disease (PAD) and correlation with risk factors for CAD. Then comments on a JAMA article reflecting on small studies showing large effects being exagerated due to sample size.  A  study about parachute jumps with and without a parachute that will never be undertaken was used to make a point.  Large studies seldom find large effects.  Docs should be collaborative and humble about uncertainties. Diagnosis and treatment of Irritable Bowel Syndrome is discussed next from The American Family Physician 9/1/2012. Introduction of Intellectual Disabilities, At Your Fingertips by Carl Tyler, MD and Steve Baker, MS.  Good looking content and very useful for Family Physicians in the office.  Thanks Carl and Steve! Blog reviews: Medical Mojave, A Chronic Dose and two books by Laurie Edwards, and Dr Synonymous- announcing his chat at the BellHOP Cafe in Bellbrook, OH November 10 at 9 AM.  

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Dr Synonymous reviews clinical decision making in the Human Centered Health Home.  An appointment includes human centered greeting comments, then use of SPIT, a model for considering Serious, Probable, Interesting and Treatable causes of the patients chief complaint. Next is Identifying Information that personalizes/humanizes the patient, including a Living, Learning, Working model with  physical, intellectual, emotional, and spiritual components of the patients life through CODIERS (another model).  Dr S  next comments on  using the Biophychosocial Model to expand the differential diagnosis further.  A further filtering, expanding and narrowing process next mentioned is the consideration of systems and processes that may relate to the patients primary problem.  The dyad engages the HCHH process by Respecting themselves and each other, unconsciously committing to Protect each other, then by Connecting in a mutual problem solving dyad.  As they explore the above information in the context of the patients life, the physicians life and the system in which they engage, they seek to Detect the causes of the patients misalignment (chief complaint) with their life/work plan.  The physician then undertakes a physical exam of the patient considering the differential diagnosis throughout the process.  The dyad, after the patient repositions, then shares their perspective and clarifies the assessment.  Next they share in developing a plan to Correct the situation causing the chief complaint.  The plan may include Diagnostic elements such as imaging or laboratory tests, or even the test of time.  It may include therapeutic elements including dietary measures, exercise, medication, physical therapy, massage, vitamins, etc.  Patient education is the last formal component of the visit followed by a human/human departing action/comment.

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