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Sinopse
Primary Care Today features conversations with clinical experts representing a wide range of medical specialties to highlight the latest trends in primary care practice, from clinical pearls to updated guidelines, health informatics, and practice management. This series is hosted by Dr. Brian McDonough, a nationally recognized clinical expert, teacher, and public speaker in primary care.
Episódios
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Protect the Head: A Former Pro Football Player's Mission to Prevent Concussions
07/03/2016Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes John Roman, CEO of Defend Your Head, a sports safety company based in Chester County, PA. Mr. Roman is a former offensive lineman in the NFL with the New York Jets (1976-1983) before launching a 30-year successful career on Wall Street. He joins Primary Care Today to discuss technological advances in helmet design and construction for football players of all ages. His company has recently developed ProTech, a football helmet product using a soft outer-shell technology designed to improve energy and force dissipation and reduction.
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New Understandings on the Rise of Kidney Stones Among Children & Adolescents
22/02/2016Host: Brian P. McDonough, MD, FAAFP Kidney stones are on the rise, particularly among adolescents, females, and African-Americans in the U.S. This marks a striking change from the historic pattern in which middle-aged white men were at highest risk for the painful condition. While the overall increase in kidney stones in children and adolescents has been known, a recent study published in the Clinical Journal of the American Society of Nephrology provided greater clarity on the specific groups of patients at greatest risk by analyzing age, race and sex characteristics among children and adults in South Carolina over a 16-year period, from 1997 to 2012. Lead author Dr. Gregory Tasian, Assistant Professor of Urology at the University of Pennsylvania Perelman School of Medicine and an attending pediatric urologist at The Children's Hospital of Philadelphia, joins Dr. Brian McDonough to discuss this startling trend, the factors that may be driving it, and appropriate preventive and treatment strategies for k
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A Crisis in Slow Motion: Why the Rise of Sedentary Lifestyles Matters
15/02/2016Host: Brian P. McDonough, MD, FAAFP Sedentary behaviors are rapidly on the rise as technological advances streamline public capabilities to work and conduct regular tasks at the click of a button. Yet while some health impacts of increased sedentary lifestyles are now generally understood and accepted, the question of whether sporadic or even regular exercise habits can compensate for sedentary time is not well known. But an advancing arm of research is addressing this knowledge gap, and the initial findings are startling. Joining Primary Care Today to share new insights is Dr. Wendy King, Associate Professor of Epidemiology at the University of Pittsburg Graduate School of Public Health. Dr. King and colleagues authored a report published in Preventive Medicine focusing on sedentary behaviors and how they affect health outcomes in the presence and absence of exercise.
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When it's More than Just Heartburn: Preventing Respiratory Complications of Reflux Disease
01/02/2016Host: Brian P. McDonough, MD, FAAFP Respiratory complications of GERD are surprisingly common, particularly in patients experiencing silent, asymptomatic reflux for long periods of time. Yet the frequently subclinical nature of this disease progression is especially difficult to detect. How can clinicians better identify this rising issue, and are current treatment paradigms in primary care enough? Joining Dr. Brian McDonough is Dr. Jamie Koufman, Professor of Otolaryngology at the Icahn School of Medicine at Mount Sinai and Director of the Voice Institute of New York. Dr. Koufman discusses the top considerations for helping prevent and treat reflux disease to help curb respiratory and other complications.
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Care Navigation with Patient Advocates: Benefits to General Practice
25/01/2016Host: Brian P. McDonough, MD, FAAFP Primary care practices are environments with deeply emotional caregiving relationships, but communicative barriers between clinicians and patients make some important conversations difficult to approach on both ends. The patient advocate is an emerging role to help bridge these communicative divides in general practice. How can these care navigators facilitate better health outcomes, and what do clinicians need to know to support this cause? Dr. Brian McDonough welcomes Pamela Wilson, leading expert in the caregiving industry and author of The Caregiving Trap: Solutions for Life’s Unexpected Changes, to discuss the benefits of patient advocacy in primary care.
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Controversies in Tobacco Harm Reduction: Is Smoking Cessation the Only Answer?
11/01/2016Host: Brian P. McDonough, MD, FAAFP On the subject of smoking, health risks differ from one form of smoking product to another. Yet these differences aren't always well understood by health professionals. Is there such a thing as a "safe" tobacco alternative, or is smoking cessation the only viable choice for risk reduction?Joining Dr. Brian McDonough to discuss the literature on tobacco harm reduction, as well as review the broadening spectrum of smoking formulations, from cigarettes to smokeless tobacco products to e-cigarette devices, is Dr. Brad Rodu, Endowed Chair in Tobacco Harm Reduction Research from the University of Louisville School of Medicine.
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Managing Obesity & Pre-Diabetes when Lifestyle Modifications Fail
04/01/2016Host: Brian P. McDonough, MD, FAAFP Guest: Tina Kaur Thethi, MD, MPH, FACE Dr. Brian McDonough welcomes Dr. Tina Thethi, Assistant Professor of Medicine in the section of Endocrinology and Metabolism at Tulane University Health Sciences Center. The two discuss pharmacologic and non-pharmacologic treatment options for obesity, with an eye on longer term management strategies to curtail the development of diabetes after lifestyle modifications fall short of target goals.
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Helping Patients Overcome Travel Anxieties in Uncertain Times
21/12/2015Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr Ken Yeager, Associate Professor of Psychiatry at Ohio State University School of Medicine. Dr. Yeager examines how physicians can help their patients handle the stress of a "24-hour news world" with depictions and images of disasters coming into their homes every day.
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Coping with Mass Violence and Terrorism: How Clinicians Can Intervene
14/12/2015Host: Brian P. McDonough, MD, FAAFP Joining Dr. Brian McDonough to discuss clinical approaches to endemic fears and anxieties spread by acts of mass violence and terrorism, both abroad and within the U.S, is Dr. Arthur Caplan, Professor and founding Director of the Division of Medical Ethics in NYU Langone Medical Center’s Department of Population Health.
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Mastering the Pre-Participation Physical Exam (PPE): A Sports Medicine Approach
23/11/2015Host: Brian P. McDonough, MD, FAAFP Joining Dr. Brian McDonough to discuss updated considerations and approaches to the pre-participation physical exam is Dr. Mark Mirabelli, Assistant Professor in the Departments of Orthopedics, Family Medicine, and Physiatry at the University of Rochester Medical Center in Rochester, NY. Dr. Mirabelli is a medical consultant to regional professional and college sports teams. He also serves as the supervising physician for University Sports Medicine athletic trainers at several area high schools. Their discussion centers on the most vital health concerns for young athletes, from cardiac screening protocols to asthma maintenance to concussion assessments.
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Best Approaches to Shoulder Injuries: From Orthopedics to Primary Care
26/10/2015Host: Brian P. McDonough, MD, FAAFP Shoulder pain is one of the most common presentations in primary care, but the most proper workups to determine causes and develop effective treatment plans are not universally known. Joining Dr. Brian McDonough to update clinicians on common shoulder injuries, the patient histories that often correspond with them, and best treatment practices for each problem, is Dr. Kelton Burbank, orthopedic surgeon and the Worcester Medical Center in Worcester, MA. Dr. Burbank is the orthopedic consultant for the UMass-Amherst men’s hockey team and the Massachusetts representative to the American Orthopaedic Society for Sports Medicine. He is also president of the New England Orthopedic Society.
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Overhead Sports Injuries in Young Athletes: Prevention and Management Strategies
19/10/2015Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Eric Edmonds, co-director of 360 Sports Medicine and one of two fellowship-trained orthopedic surgeons at Rady Children’s Hospital-San Diego with subspeciality certification in sports medicine. Dr. Edmond is also an associate clinical professor at UC San Diego, where he is actively involved with the education of pediatric orthopaedic fellows, residents from UC San Diego, the Navy and the Air Force, and UC San Diego medical students.
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Roles of the Pituitary Gland in Health and Disease: The Clinician's Workup Guide
12/10/2015Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Marcy Lake, faculty member of the Kaiser Permanente Family Medicine Residency Program in Portland Oregon and author of a recent article in American Family Physician devoted to disorders of the pituitary gland. Their discussion tours diagnostic considerations toward the workup of pituitary diseases, and emerging treatment paradigms for clinicians at general, endocrinology, and surgical levels of care.
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Special Health Considerations for Female Athletes
05/10/2015Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Liz Joy, President-Elect of the American College of Sports Medicine, President of the Female Athlete Triad Coalition, and Adjunct Professor of Family & Community Health at the University of Utah School of Medicine. Their discussion centers on health maintenance for female athletes and the special factors that must be considered to care for this unique patient population.
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How to Best Answer "What is This Rash?"
28/09/2015Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. John Ely, Professor of Family Medicine at the University of Iowa Carver College of Medicine. Dr. Ely has written numerous articles addressing the top questions surfacing in general practice. He joins Primary Care Today to focus on perhaps the most common question asked between colleagues in family medicine: "What is this rash?"
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Screening for HPV-Related Cancers: Medical and Surgical Priorities
21/09/2015Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Gregory Weinstein, Professor and Vice Chair and the Director of the Division of Head and Neck Surgery. He is the Co-Director of The Center for Head and Neck Cancer in The Department of Otorhinolaryngology: Head and Neck Surgery at the Hospital of the University of Pennsylvania. The two discuss a dramatic rise in HPV-related cancers over the past decade, and what clinicians need to be aware of in assessing their patients for these indidious diseases.
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The Family Doc's Guide to Bipolar Disorder Diagnosis and Treatment
31/08/2015Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Amy Price, staff physician in the Department of Family Practice at Eastern Virginia Medical School. Dr. Price authored an article titled "Bipolar Disorders: A Review" in American Family Physician, journal of the AAFP. She explains the keys to recognizing, diagnosing, and treating bipolar disorder in primary care settings.
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Pharmacist Perspectives on the Challenging Type 2 Diabetic Patient in Primary Care
24/08/2015Host: Brian P. McDonough, MD, FAAFP How can pharmacy practice inform the primary care and family medicine communities about approaching challenging diabetes cases? Christa George, Pharm.D, Associate Professor in the departments of Clinical Pharmacy and Family Medicine at the University of Tennessee Health Science Center, joins Dr. Brian McDonough to discuss Type 2 Diabetes from the unique vantage point of the pharmacist.
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Recognizing Complex Presentations of Obsessive-Compulsive Disorder
17/08/2015Host: Brian P. McDonough, MD, FAAFP Patients with obsessive-compulsive disorder (OCD) bring unique challenges to the primary care practice environment and require personalized therapeutic approaches to address both psychiatric and somatic health issues. Dr. Jill Fenske, Clinical Assistant Professor of Family Medicine at the University of Michigan Medical School, joins Dr. Brian McDonough to guide clinicians toward a better understanding of this complex disorder with multiple varied manifestations.
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Preventing and Treating Skin Cancer: Primary Care Priorities
10/08/2015Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Jonathan Firnhaber, Clinical Assistant Professor of Family Medicine at East Carolina University School of Medicine, to provide top recommendations for prevention, assessment, and treatment of skin cancer at the primary care level.