The Dr Synonymous Show

A weekly health care blog, tweet and medical information review and discussion with Dr Synonymous, aka A. Patrick Jonas, MD.  This session started with reading from and comments on patient blogs by Penelope (fighting depression with exercise), Medical Mojave (adrenal insufficiency and exercise) and Anaphylaxing (Mast Cell Disease).   Aaron Stupple's blog: Adjacent Possible Medicine, gives a medical student perspective of technology and the future of medical practice. The Singing Pen of Doctor Jen blog reveals some of her singing and personal background in her post. Next Dr Jonas reviews Healthcare, etc by Dr Marya Zilberberg in which she discusses scientific discourse and labeling. Tweet messages of those followed by Dr Jonas are then noted, including Ryan Madanick, Life Extension Foundation, other health professionals and Twitter experts.  Dr Jonas reviews an article in The American Family Physician  about osteoarthritis adding comments from some of his experiences. Lastly, Dr Jonas reviews his last two posts on Dr Synonymous including his comments about the post reviewing the first season of "Marcus Welby, MD: Caring, Angry and Committed." He closes the Dr Synonymous Show celebrating the content of his previous post about a miracle in Dayton, Ohio-A formal record of  informed consent in an ER when proposing a CT scan for a patient.  Another first  and hopefully not the last CT informed consent revealing benefits and harms to the patient to let them give or withhold consent for the test.

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Health Care blog review and discussion, with your host A. Patrick Jonas, MD aka, Dr Synonymous, starting with a few Tweets then Cindy on Health blogs about a possible common pathway for chronic diseases.  We get cheerful greetings from Dr Fatty and WarmSocks Valentine Day messages.  AFP Community Blog by Kenny Lin, MD then reflects on the status, or lack thereof, of Family Medicine- present and future.  Dr Jonas reads from and comments on Love is Never Enough by Aaron T. Beck, MD (psychiatrist) about how couples may overcome misunderstandings.  The nine steps to "Changing your own distortions" are reviewed from Dr. Beck's book, also.  Very useful information for any couple.   Next are items from The Four Fold Way by Angeles Arrien, PhD listing the elements of the four paths:  Warrior, Healer Teacher, and Visionary.  The Healer pays "attention to what  has heart and meaning".  A good message on Valentine's Day.  A few lame-ish items from Identity and the Life Cycle by Erik H. Erikson are followed by Dr Synonymous blog drafts that are smoldering in partially written mode.  These include trends for the year 2012, Marcus Welby, MD was angry in many shows, closing down Family Medicine, and odds and ends. More on Family Medicine next week.

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Health Care  blog review and discussion, starting with patient blogs, medical student blogs, physician blogs, health care non-physician blogs and Dr Synonymous blog.  Discussionincludes 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 a brief introduction of the show and disclaimer, Dr. Jonas, your host for the Dr Synonymous Show, will review 2 patient blogs in keeping with our tradition. Special guest Dan Jonas, MD, MPH, Associate director of the Center for Evidence Based Medicine at the Shep Center of the University of North Carolina will enlighten listeners about risk communication in Family Medicine, Primary Care and General Internal Medicine. How do clinical decision makers, including patients understand risks?  Do the medical literature and  the media increase or decrease the ability to understand and share information about risks?  How do clinicians communicate about benefits and harms of tests and therapies? What ethical principles such as autonomy and beneficence impact patients and physicians when considering and clarifying benefits and harms?  What biases do physicians and patients have to be aware of when considering clinical information and situations before making decisions?  What communication strategies may help patients and their physicians overcome flawed information when making clinical decisions? We'll learn and have fun with clinical decision making concepts in this show.  (Yes, Dan is my son and I'm very proud of his career and life successes)   A chat room allows listeners to comment and interact.

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Dr Synonymous starts this special morning show with comments about coffee from "Discovering Coffee's Unique Health Benefits" by Michael Downey, an article in Life Extension Jan/Feb 2012 edition.  It includes a long list of disease reduction stats related to various amounts of coffee ingestion.  Then Dr S covers a few issues in infant feeding, followed by comments about blogs by Dr Fatty and Medical Mojave.Common Sense Family Doctor blogs about the cost of having a baby.   He introduces "Helping doctors and Patients Make Sense of Health Statistics" by Gigerenzer, et.al.,and the concept of "transparent risk communication."  This prepares the way for next weeks interview with Dan Jonas, MD Associate Director of the Center for Evidenced Based Medicine of the University of North Carolina.

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Health Care  blog review of Warm Socks and Wren about the pain scale.  Comments by Jim, the engineer father of The Singing Pen of Dr Jen on her blog site.  Dr Jonas then presents the online version of his presentation for the Day of Breath at the Dayton International Peace Museum on January 14.  The title "Doctor and Patient DYAD- Breathe New Life into an Aging Health Care System One Relationship at a Time" describes the intention of the presentation which is outlined on the Dr Synonymous blog site (www.drsynonymous.blogspot.com).   Human centering in health care and patient-physician relationships are an essential part of the model (the Human Centered Health Home-HCHH) that is reviewed. Appreciation through heart centered breathing leads to coherence for patient and doctor, then the dyad of both together if one follows the strategies introduced in this material regularly.  The aging health care system needs a heart based boost and coherent dyads are a refreshing step in the right direction. The exercises help listeners to make progress toward feeling "whole-hearted" and healthy engaged with their family (or other primary care) physician.   

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Health Care  blog review and discussion, starting with patient blogs of Dr Fatty Finds Fitness, Medical Mojave, and Warm Socks.  Physician blogs starting with Dr Mike Sevilla's Family Medicine rocks (FMRocks) who challenges us to "re-brand" for the New Year.  Dr Jonas (aka, Dr Synonymous)  is analyIng his "coherence" with EMWave Desktop during the first 20 minutes of the show, basically getting feedback on his stress.  He discusses the concept of coherence and their software (available at heartmath.com) that is endorsed by the PGA and used in a variety of settings, including medical and counseling environments.  Dr Jonas introduces the Day of Breath coming up at the Dayton Peace Museum January 14th, 9 AM- 3:30.  He is excited about the heartmath trainer, among others who will present and train the participants to use breath to improve their health.  Dr Synonymous blog about Spritiual Sensitivity Training in Family Medicine is discussed by Dr Jonas.  He also reviews and comments on his post "Corporatizing" Hospice- More Heart Needed. Hospice management may need to get more nurse leaders in charge of hospices.   Dr Jonas expounds on breathing and reviews the breathing and autonomic nervous system perspective of Leonard Laskow, MD in his book  Healing with Love.

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

Health Care  blog review and discussion, starting with patient blogs, medical student blogs, physician blogs, health care non-physician blogs and Dr Synonymous blog.  Discussionincludes 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.

Health Care  blog review and discussion, starting with patient blogs, medical student blogs, physician blogs, health care non-physician blogs and Dr Synonymous blog.  Discussionincludes 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.

Health Care  blog review and discussion, starting with patient blogs: Sea Spray and Medical Mojave, followed by medical student blog: Adjacent Possible Medicine.  Dr Synonymous reviews an article from Medica Economics by Arthur Lazarus, MD, MBA amounting to a confession of undue bias by Managed Care Medical Directors.  He denied procedured to thousands of patients.  This is not surprising, considering the almost random nature of strange quality initiatives by managed care companies.  Physician blogs include The Singing Pen of Dr Jen commenting about the broad array of skills she teaches and practices as a Family Physician.  Treating and Prevention of Kidney Stones in the American Family Physician is then reviewed by Dr S, who comments about his kidney stone in 2010 and 2011.  Interesting items are noted in the Dayton Daily News about 16 deaths locally from bath salts and increasing jobs in our Medicaid Managed care company Care Source.  Dr Jonas notes further from the AMA News that "learning to cook is helping doctors to give nutritional advice".  He then ends with a few comments about a draft post he's writing in Dr Synonymous Blog about harms of statins and how to assess medications for benefits versus harms.

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