The Preventive Medicine Podcast

We have had some distinguished guest on the podcast and Dr. Edward Laskowski is no stranger to awards and accomplishments. Dr. Laskowski is a sports medicine physician at the Mayo Clinic and has been a team physician for the USA Olympics team and been on the USA President’s Council for Fitness among his numerous achievements. Of his many interests, Dr. Laskowki is a very vocal advocate for exercise as medicine and has given a multitude of lectures across the globe about the topic.

In our episode, we discuss the challenges facing our healthcare system today, what larger institutions can do to help alleviate the burden of obesity driven chronic disease, and of course, exercise as medicine. We also talk about Dr. Laskowski’s experiences throughout his career with sports injuries as they relate to preventive medicine and how everyone can benefit from even the most minuscule amount of exercise. This episode is full of quality information from a very distinguished individual so make sure not to miss this one!

(1:00 – 4:15) – Introductions

Question 1 : Tell us a little bit about yourself and about your interest in sports medicine!

(4:15 – 7:20) – Preventive Medicine and Our Body

Question 2: What does preventive medicine mean to you?

Question 3: Do you think that the healthy at every size movement is detrimental to work in lowering preventable disease?

(7:20 – 21:00) – Exercise as Medicine

Question 4: How do you explain to patients that doing basic exercises such as walking could have a large impact on their health?

Question 5: How do you go about the difference between academia and reality when it comes to buying into data?

Question 6: How do we bridge the gap between pushing research to orthobiologic interventions versus additional funding to researching effective communication techniques to patients?

(21:00 – 32:10) – Sports Medicine and Preventive Medicine

Question 7: What can you do as a sports medicine physician with your patients that promotes prevention?

Question 8: How do you address the psychosocial factors surrounding exercise and sports as it relates to pain and injury?

(32:10 – 35:00) – Approaching Obesity

Question 9: If you are treating someone’s child who might be obese, how do you discuss obesity with the family within the context of genetics and environment?

(35:00 – 42:30) – Institutional and Individual Changes

Question 10: What do you think the role is of larger academic institutions when it comes to preventive medicine?

Question 11: In your mind what are the biggest barriers that prevent people from making changes?

(42:30 – 44:40 ) – COVID-19 and Lifestyle

Question 12: Do you think that, given the state of many people having poor diets and less exercise in COVID-19, we are in for an uptick in chronic disease?

(44:40 – 49:00) – Closing Remarks

Question 13: What do you tell someone in 2 minutes if they ask you “How do I get healthy?”

Dr. Spencer Nadolsky is a family medicine physician specializing in obesity and lipidology whose mission is to help his patients lose weight and keep it off. Through his work he has helped thousands of patients achieve this goal whether through direct patient contact, through his work with Renaissance Periodization, and his presence on social media. Starting during his residency, Dr. Nadoslky has continued to find way to communicate effective lifestyle modification techniques and now describes himself as a “memeologist” for his ability to communicate and educate through memes!

In our episode we discuss a multitude of topics including the burden of obesity in the United States, effective weight loss techniques, a brief introduction to lipidology and, of course, his tremendous memes. Dr. Nadolsky is easy  to listen to and explains difficult  issues in relatively simple terms. We think you will get a lot from this episode so make sure to tune in!

(1:00 – 4:00) – Introductions

Question 1: Tell us a little bit about yourself and why you decided to go into medicine

(4:00 – 14:40) – Social Media and Medicine

Question 2: How did you get started in the social media space?

Question 3: How do you navigate the negative spaces and aspects of social media?

(14:40 – 27:00) – The Role of a Lipidologist in Medicine

Question 4: What does preventive medicine mean to you?

Question 5: What is lipidology and what do you do?

(27:00 – 39:00) – The Risk Factors for Obesity

Question 6: What in your mind are the biggest determinants of obesity or avoiding obesity?

Question 7: What is the deal with cholesterol, what does the evidence say regarding cholesterol and what should people do?

Question 8: How do you approach a patient or someone who is obese in the right way?

(39:00 – 48:00) – Differentiating Good and Bad Advice

Question 9: How do you know if someone knows what they are talking about?

Question 10: How do we sift out good information vs bad information when it comes to preventive medicine?

(48:00 – 52:30 ) – Pharmacotherapy in Preventive Medicine

Question 11: Is there a role for pharmaceuticals in preventive medicine?

(52:30 – 54:30) Communication in Healthcare

Question 12: Why are memes so effective in communicating complex topics?

Question 13: What is the one nutritional piece of advice you would have for someone trying to get healthier?

(54:30 – 59:00) – Closing Remarks

Question 14: Anything you want to plug?

https://renaissanceperiodization.com/

Dr. Ali Haider is an interventional cardiologist and medical director practicing in the Northeastern United States as well as an assistant professor of medicine at the University of Massechesetts Medical School. He also has a substantial following on social media as @yourheartdoc where he educates on topics such as medicine, healthcare, and fighting misinformation.

Cardiology is one of the most relevant practices when it comes to preventive medicine as heart disease has been the biggest killer of Americans for many years. In our episode with Dr. Haider, we discuss balancing the principles of preventive medicine in his role as an interventional cardiologist, how the institution of medicine can come to promote prevention, and his efforts on social media in educating and dispelling misinformation. We also touch on topics such as nutrition as it relates to cardiology and the effect of COVID-19 on the heart and reports of post-COVID myocarditis which has been circulating on the internet.

Dr. Haider is incredibly energetic and passionate about what he does which can be heard as this energy translates into his voice on the podcast. This is an episode you don’t want to miss!

(1:00 – 7:00) – Introductions

Question 1 : Tell us a little bit about yourself and why you decided to go into medicine

(7:00 – 13:00) – Preventive Medicine

Question 2: What does preventive medicine mean to you as an interventional cardiologist?

Question 3: How did we get to the point where cardiovascular disease is the number one killer of Americans and come to develop so many risk factors of cardiovascular disease?

(13:00 – 20:00) – The Healthcare System and Prevention

Question 4: How can we as future physicians and as a group make the system better, does the system allow us to be better?

Question 5: What do you think the role of interventionalists such as yourself come into play if preventive medicine takes off?

Question 6: What can we do right now to promote preventive medicine without waiting for the healthcare system to change?

(20:00 – 32:00) – Diet and Cardiology

Question 7: Do you make any specific recommendations in terms of diet for your patients?

(32:00 – 42:30) – Social Media and Medicine

Question 8: How did you get into the social media space and how has that impacted your reach?

Question 9: Do you think that interactive devices or platforms such as Peleton can get more people exercising?

Question 10: Do you agree that social media is one of the best tools we have to spread preventive medicine?

(42:30 – 51:00) – Misinformation in the Media Age

Question 11: How do you separate the science from the politics or push them both at the same time when necessary?

Question 12: Have you dealt with someone or a patient in person who has had anti-science views?

(51:00 – 54:00 ) – Heart Problems in COVID-19

Question 13: What are you seeing in terms of heart complications in COVID-19 patients?

(54:00 – 58:34) Closing Remarks

Question 18: If you were waiting for your coffee and someone comes up to ask you “How do I get healthy,” what do you tell them in 2 minutes?

We have sorely been needing a discussion on nutrition on the podcast and we fulfilled this need with an incredible guest – Dr. Jessie Hoffman! Dr. Hoffman’s original interest in nutrition began with her own history of disordered eating which sparked her to pursue a career as a registered dietitian and eventually obtain her PhD in the Nutritional Sciences. Currently, Dr. Hoffman is an assistant professor of nutrition and teaches a course in macro and micronutrient breakdown among her many other responsibilities as a professor. Aside from teaching students she also educates on her Instagram platform using digestible posts to break down topics in nutrition and overall health for her audience. She also owns and runs Jessie Hoffman Nutrition LLC where she provides services geared towards individuals building healthier diets.

In this episode, we discuss a multitude of topics on nutrition making sue to balance the discussion between research and practical takeaways. We discuss what registered dietitians do, why she decided to pursue her doctorate, what individuals need to focus on for their nutrition, how to balance the research and practical worlds of nutrition, some well-needed myth busting, and finally how to address nutrition in the setting of disparities. This is an incredible episode and definitely fulfills our need of nutrition on the podcast so we hope you enjoy it!

(1:00 – 6:30) – Introductions

Question 1: Can you tell us what a registered dietitian is and what their role is within the healthcare system?

(6:30 -12:10) – Why Nutrition, Nutrition and Preventive Medicine

Question 2: What got you interested in nutrition and to pursue a doctorate in nutritional sciences?

Question 3: Why is nutrition important when it comes to preventive medicine?

(12:10 – 24:40 ) – Research Telephone and Translating Research

Question 4: How do we get away from the sensationalist headlines and help people navigate research?

Question 5: How do we bridge the gap between headlines and what the research says?

(24:40 – 45:15) – Nutrition and Health

Question 7: How does nutrition impact health?

Question 8: How do you prescribe nutrition when it comes to health?

(30:10 – 48:00) – Myth Busting!

Question 9: High protein is bad for you, myth or truth?

Question 10: Saturated fat is good for you, myth or truth?

Question 11: Carbohydrates make you fat, myth or truth?

Question 12: Artificial sweeteners make you gain weight, myth or truth?

Question 13: Organic foods are better for you than conventional foods, myth or truth?

Question 14: Packaged food is worse for you than fresh foods, myth or truth?

(45:15 – 55:20) – Healthy Food and Health Disparities?

Question 15: What is considered healthy food?

Question 16: How can we address food deserts?

Question 17: Can you eat healthy while on a convenience store diet?

(55:20 – 1:04:10) – Getting educated?

Question 18: What are the best resources and sources of information for nutrition?

Question 19: For those looking through research on nutrition, how do you do this appropriately?

(1:04:10 – End) – Closing Remarks

Question 20: You’re in a coffee shop with 2 minutes to spare and someone asks you how to get healthy. What do you say?

https://www.Instagram.com/jessiehoffman_phd/

https://www.JessiePhD.com

A quick Google search reveals that Eddy Coan set over 71 world records during his career as a powerlifter and is considered the Greatest of All Time in the strength sport. During his career spanning from 1981 all the way to 2007, Eddy progressed from a light 165 pound lifter all the way to a 275 pound lifter and was the lightest ever to break into the 2400 pound total barrier. Since he has retired from powerlifting Eddy has been flying around the world teaching, mentoring, and expanding the world of strength sports.

Although Eddy is a world renowned coach and strength athlete, he is lesser known for being an incredible human being and helping others at their level. Eddy is an excellent communicator and is able to give recommendations for exercise depending on the circumstances of the recipient. Listen to this podcast to learn about powerlifting, the differences between cardio and resistance training, and how to improve your health no matter what level you start at. This podcast has mature language in it, listener discretion is advised.

(1:00 – 3:30) – Introductions

Question 1: Can you tell us a little bit about what powerlifting is and how you got into it?

(3:00 -10:00)

Question 2: Why did you decide to powerlift and how did you end up becoming the greatest powerlifter of all time?

Question 3: What are some of the life lessons you have learned from powerlifting?

(10:00 – 32:30 ) – Getting the ball rolling

Question 4: What does preventive medicine mean to you?

Question 5: If you’re giving advice to someone trying to get healthy for the first time, how do you go about encouraging them and getting the ball rolling in the right direction?

Question 6: How do you overcome the idea that taking care of yourself is selfish?

(32:30 – 40:30) – Resistance Training and Health

Question 7: What is the difference between aerobic and strength training, can you balance both?

Question 8: What are the benefits of strength training?

(40:30 – 48:00) – The Barriers to Resistance Training

Question 9: Why do you think so many people are scared to start resistance training or to use weights?

Question 10: Is resistance training for everyone? How old is too old? How young is too young?

Question 11: Do you think we need to gently encourage people or be more aggressive in our approach to getting people to start?

(48:00 – 55:00) – Injuries and Resistance Training

Question 12: Is there an injury risk associated with resistance training? Are you going to blow out your knees or mess up your back?

(55:00 – 1:07:00) – Closing Remarks

Question 13: What is one thing you think physicians should know or do that is more anecdotal and not seen in the literature?

Question 14: You’re in a coffee shop with 2 minutes to spare and someone asks you how to get healthy. What do you say?