The Dr Synonymous Show

Dr Jonas, your host, holds a late night session about morbid measurement, murderous metrics which are killing healthcare.  The NYT article "How Measurement Fails Doctors and Teachers" by Robert Wachter in the Sunday Review is a timely message of importance to the nation.  We will discuss it. How does this relate to Family Medicine?  Many ways.  We have abandoned our essence as unmeasurable fluff.  We have agreed to be measured by wigeteers and come up short for our patients.  Patient autonomy be damned and meaningful use be honored seemed to be our motto.  We failed to exert the leadership that would protect our patients from massive amounts of bonus based healthcare.  The EMR outranked medical ethics.  Is there hope?  

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Dr Jonas, your host, will do the usual blog, tweet and literature review with an eye toward the new year.  Healthcare is stuck.  What's going to deliver the course correction.  Will Family Medicine start a breakaway from business as usual? Will we move away from statin sluts and other business and bonus based dogmatists to connect with our patients and our duty to serve? Can Direct Primary Care deliver on a promise of physician career satisfaction combined with patient satisfaction?  

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Let's think about Christmas.  And Dr Synonymous.  And Families.  And Family Medicine.  Join us on a Christmas adventure, from Dr Jonas childhood town to the present.  Christmas is still magic

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Dr. Jonas, the host of the Dr Synonymous Show, talks about how and why his mother now lives with his family.  Also what issues he and his wife and adult son face with the changes.  We'll look at some web sites related to this.  This reminds me of the issues discussed by Dr Chip Teel, who we'll mention in this show.

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I'm forever grateful to David Aspy, EdD, now a mentor from heaven, who taught me empathy and more.  He had directed the National Consortium for Humanizing Education in the 1970's and wrote Kids Don't Learn from People They Don't Like with Flora N. Roebuck, EdD in 1977, among other works.  I was looking for teaching strategies to help resident physicians improve their teaching skills as head of a workgroup for the AMA Resident Physician Section.   Al Vastyan, PhD in the Humanities faculty at Penn State-Hershey gave me an article about by Dr. Aspy.  I liked it and called him at Eastern Kentucky.  We talked a good while.  He sent me a packet of books including the one above.  I was hooked.  And excited about others of his writings such as Toward a Technology for Humanizing Education. He invited me to Richmond, KY to learn more.  Dave spent two days teaching me about empathy, congruence and genuineness as applied to audio and video-tape analysis of teacher-learner situations.  He showed me the work of Robert Carkhuff, PhD about teaching and helping.  The Art of Helping, The Skills of Teaching:  Interpersonal Skills and the Carkhuff Interpersonal Skills Scale were included. Two key pieces of the training were included in the Cognitive Functioning Categories Training Module by Dr.'s Aspy and Roebuck.  Listen in for more.  What about using these strategies for humanizing healthcare?  

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What is a big  secret to good health and weight management?  Join Dr Jonas, your host on the Dr Synonymous Show as he goes deeper into the facts and myths about the microbes on us and in us.  How do we get the right microbiota?  How do we manage it? How does the Human Microbiome Project relate to health and disease? Dr. J will also reflect on Veteran's Day, his tour in Vietnam and get nostalgic. Join the chat room as we share about microbes and war.

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Introduction                Microbes , dogs, humans, shoes and cell phones                Review of traditional microbial thinking: CDC                               Infections in Family Medicine:  Top to bottom                Overview of the Microbiome Presentation                Definitions                Evolution of the individual microbiome                Health implications                Disease implications of the Microbiome                System issues in healthcare                Holistic aspects of the Human Microbiome

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Dr Jonas, your host for the show, reviews some aspects of Ehlers Danlos Syndrome and hypermobility.  Then discussses how flu shots are made and what's up with the medical profession.  The usual blog, tweet and literature review happens along the way.  Join the chat room live and provide input during the show.

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Dr Jonas, your host on the Dr Synonymous Show will discuss some aspects of Hybrid Direct Primary Care that are challenging hurdles for those with an existing practice who want to continue with their current patients while adding Direct Primary Care.  It doesn't have to be either/or for everyone. Generally DPC is for private practice physicians.  That's who I'm talking to in this show. Next is a commentary about Osteoporosis in Men as presented in the Journal of Family Practice in September. A blog and tweet review follows. Other items on this show will include a review of two medicare ads for patients.

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Dr. Jonas, your host on the Dr Synonymous Show comments on practicing Family Medicine and his career decisions these days.  

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