Primary Care Today

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Synopsis

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.

Episodes

  • Life Lessons on Coping with the Stress & Pressure of Being a Healthcare Provider

    04/09/2018

    Host: Brian P. McDonough, MD, FAAFP Physicians have one of the most stressful careers out there, forcing them to learn how to cope with high pressure on a day-to-day basis. And with the rates of physician burnout on the rise, adding a little laughter to your life and practice could be just what the doctor ordered. Sharing their experiences on learning to cope with these pressures and incorporating humor into their practice are Dr. Brian McDonough and Dr. John Kelly, Clinical Professor of Orthopedics at the Hospital of the University of Pennsylvania.

  • A Fresh Approach to Tackling Obstacles of Obesity

    22/08/2018

    Host: Brian P. McDonough, MD, FAAFP Guest: Louis J. Aronne, MD, FTOS Obesity rates have been rising for years, resulting in a constant influx of books claiming to have the cure for this newly classified disease. However, it's not just our patients who are dealing with issues of weight. Introducing innovative techniques and approaches is Dr. Lou Aronne, Director of the Comprehensive Weight Control Center at Cornell Medicine.

  • Fight or Flight: Understanding Our Body's Response to Adrenaline

    21/08/2018

    Host: Brian P. McDonough, MD, FAAFP In a time when humans walked among wild animals, the fight-or-flight response could've been the difference between eating dinner or being dinner. Today, however, the effect of this stress could be much more problematic for our society. In a review of his findings, Dr. Pratha Dutta joins Dr. Brian McDonough to focus on how our body and immune system react to sympathetic activation and what this might mean for some of your patients.

  • Eliminating the Stigma of Opioid Addiction

    08/08/2018

    Host: Brian P. McDonough, MD, FAAFP Guest: Lorina Marshall-Blake, MGA, FAAN Complicating the already-complex issue of the opioid epidemic is the stigma that it often comes with, which defers those who so desperately need help from seeking it. Fortunately, there are organizations like the Independence Blue Cross who are doing their part in humanizing opioid addiction and encouraging those affected to find help through its awareness campaign “Someone You Know.” To dive deeper into this campaign, Dr. Brian McDonough is joined by the Independence Blue Cross Foundation's President Lorina Marshall-Blake.

  • Increasing Workplace Wellness for Positive Productivity

    21/06/2018

    Host: Brian P. McDonough, MD, FAAFP Guest: Joy Stephenson-Laws According to the US Occupational Safety and Health Administration, approximately two million workers fall subject to workplace violence every year. With that number continuing to increase, creating a healthy work environment is becoming the central focus of many employers. But how exactly can you go about doing that? Join Dr. Brian McDonough as he speaks with Joy Stephenson-Laws, founder of Proactive Health Labs and author of Minerals-The Forgotten Nutrient: Your Secret Weapon for Getting Healthy and Staying Healthy, who reveals simplistic approaches to obtain happier employees, less stress, and positive productivity.

  • Natural Fix: Rediscovering 'Valuable' Foods Our Bodies Need

    07/06/2018

    Host: Brian P. McDonough, MD, FAAFP Have we been fed misinformation about how our food choices affect our bodies? Listen in as Dr. Brian McDonough speaks with mythbuster and co-founder of the Florida Wellness Center Dr. Julie Gatza, who proposes a new spin on the most common misconception surrounding healthy eating.

  • Is the Rise of Allergies Due to Missing Gut Microbiomes?

    24/05/2018

    Host: Brian P. McDonough, MD, FAAFP Guest: Tanya Altmann, MD To investigate the concerning rise in both asthma and allergies in children, Dr. Brian McDonough is joined by Dr. Tanya Altmann, pediatrician and Editor in Chief of the American Academy of Pediatrics parenting books, to discuss why a missing component of the gut microbiome may be the potential cause and how nutrition and probiotics play a vital role in a child's growth and development.

  • Detecting Depression: How to Assess Patients & the Benefits of TMS Treatment

    30/04/2018

    Host: Brian P. McDonough, MD, FAAFP With a wide spectrum of symptoms, treating depression often becomes frustrating—not only for the patient, but for the primary care physician as well. Joining Dr. Brian McDonough is Dr. Paul Gross, founder of the TMS Center of Lehigh Valley, to address the difficulties of properly identifying depression. Throughout the discussion, Dr. Green also exposes the impactful therapy Transcranial Magnetic Stimulation (TMS), which has been linked to improving other diseases beyond depression.

  • Living with Heart Disease: How a Patient Gave Her Diagnosis Meaning

    30/04/2018

    Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough is joined by Dr. Mark Zucker, Director of the Cardiothoracic Transplantation Program at RWJBH/Newark Beth Israel Medical Center, and his HCM patient and founder of the Hypertrophic Cardiomyopathy Association, Lisa Salberg, to discuss her inspiring story and the importance of early diagnosis.

  • Is Emotional Baggage an Underlying Cause of Your Patient's Illness?

    18/04/2018

    Host: Brian P. McDonough, MD, FAAFP Is it possible that our emotional baggage is undermining our physical health? Dr. Bradley Nelson, holistic doctor and author of The Emotion Code, joins Dr. Brian McDonough to discuss the various impacts that negative emotions can make toward health maintenance and disease prevention.

  • The Real Cost of Smoking: Medical, Financial, and Societal Considerations

    26/03/2018

    Host: Brian P. McDonough, MD, FAAFP Tobacco use accounts for nearly half a million deaths in the U.S. each year and is the leading cause of lung cancer, according to the American Lung Association. However, the economic and societal costs of smoking are also staggering. Every year, Americans spend more than $300 billion, which includes both medical care and lost productivity. Unfortunately, some people will have to pay more depending on the state in which they live. Host Dr. Brian McDonough chats with analyst Jill Gonzales from Wallethub, a financial website that calculated the true per-person cost of smoking in each of the 50 states and the District of Columbia.

  • Surviving a Stroke at 35: A Patient's Journey Through Illness & Rehabilitation

    05/03/2018

    Host: Brian P. McDonough, MD, FAAFP At the age of 35, Jessica Cross was pursuing a rewarding career and raising a family with her loving husband when she was dealt a crippling blow: suffering a stroke that left her paralyzed on the right side of her body and hospitalized for months. Two years later, still in rehabilitation, Cross began punching at a keyboard to restore function in her arm and hand. Having little interest in typing mindlessly, this daily rehab exercise soon grew into writing what would become the book, Crossed Lines: What Lies Buried Within the Heart. Host Dr. Brian McDonough sits down with Jessica Cross to talk about her journey through enduring this stroke, her recovery and rehab, and subsequent activism around education and wellness for stroke survivors. Jessica Cross is an author, speaker, and Executive Director of Strong Cross Foundation.

  • How Regular Exercise Can Help Reverse Cardiac Aging

    21/02/2018

    Host: Brian P. McDonough, MD, FAAFP Guest: Benjamin Levine, MD, FACC Poor fitness in middle age is a strong predictor of a person’s future risk of heart failure. Prolonged exercise training, including a regular routine of high-intensity and moderate-intensity workouts, can forestall the effects of sedentary aging by preventing increased left ventricular stiffness. Dr. Benjamin Levine joins host Dr. Brian McDonough to talk about how regular exercise training may provide protection against the sedentary aging of the heart by preventing an increase in cardiac stiffness. Dr. Levine is a Professor of Internal Medicine at the UT Southwestern Medical Center and the Director of Autonomic Function and Cardiopulmonary Clinics at the Institute for Exercise and Environmental Medicine at Texas Health Presbyterian Hospital.

  • Not Quite a Cancer Vaccine: Selling HPV & Cervical Cancer

    19/02/2018

    Host: Brian P. McDonough, MD, FAAFP Human papillomavirus (HPV) infection remains one of the most common sexually transmitted infections in both females and males, with about 9 in 10 people contracting HPV at some point in their lives. Host Dr. Brian McDonough is joined by Samantha Gottlieb, medical anthropologist and author of Not Quite a Cancer Vaccine: Selling HPV and Cervical Cancer. They explore the history of Gardasil, a vaccine developed for HPV but marketed primarily as a cervical cancer vaccine, which became embroiled in sociopolitical debates about adolescent sexuality and pediatric vaccinations. The two discuss these precedents alongside current controversies, such as whether vaccinating both males and females will induce herd immunity, and if the benefits outweigh the risks.

  • Rethinking Pain Management in an Opioid Epidemic: Prevention and Treatment Updates

    30/01/2018

    Host: Brian P. McDonough, MD, FAAFP According to a report from the Trust for America’s Health, an estimated 1.6 million people could die from drugs, alcohol, and suicide in the next ten years. This is a 60% increase from the past decade. Host Dr. Brian McDonough talks with John Templeton Jr, President of Footprints Beachside Recovery Center in Florida, about treating addiction and what doctors need to know about reducing opioid addiction risk in their pain medication management.

  • Beyond Opioids: Alternative Options for Pain Management

    26/01/2018

    Host: Brian P. McDonough, MD, FAAFP Over 33,000 lives were lost to opioid overdose in 2015, translating into 91 people dying each day, according to the most recent CDC data. Reducing exposure to prescription opioids, for situations where the risks of opioids outweigh their benefits, is a crucial part of reversing this trend. Host Dr. Brian McDonough explores alternative options to prescription opioids with addiction specialist Dr. Isaac Alexis, Medical Director of the Lifeline Addiction Center in Beckley, WV.

  • Keeping the "Fit" in Fitness: How to Avoid Exercise Pitfalls

    15/01/2018

    Host: Brian P. McDonough, MD, FAAFP Exercise can improve your health and reduce the risk of developing several diseases such as type 2 diabetes, cancer, and cardiovascular disease. Host Dr. Brian McDonough chats with veteran personal trainer and exercise therapy specialist Bobby Whisnand about ways to to keep your workout "working out" and how to avoid exercise pitfalls.

  • Best in Show: The Health Benefits of Therapy Dogs

    11/12/2017

    Host: Brian P. McDonough, MD, FAAFP Several studies have shown that therapy dogs help to reduce people’s pain levels and anxiety. Therapy dogs have also been found to increase patients’ physical, mental, emotional and social states and improve their quality of life. Host Dr. Brian McDonough talks with David Frei, co-creator of Angel on a Leash, a charity supporting therapy dog programs that serve health care facilities, about how therapy dogs bring comfort, affection and happiness to people in confined living situations. Frei is the former host of The Westminster Kennel Club Dog Show and expert analyst for The National Dog Show on NBC Thanksgiving Day.

  • 5 Simple Steps to Kick Your Patients' (& Your Own) Sugar Cravings

    05/12/2017

    Host: Brian P. McDonough, MD, FAAFP According to the United States Department of Agriculture, the average American consumes between 150 to 170 pounds of refined sugars every year. Excessive sugar consumption is linked to a long list of health problems, from obesity and cardiovascular disease to joint inflammation and ADHD, but most of us can’t seem to be able to stop eating sugar no matter how hard we try. Joining Dr. Brian McDonough to address the growing threat of sugar addiction is health educator and wellness expert Dr. David Magnano.

  • Altering the Collision Course: Protective Effects of Omega-3 Intake on Concussions

    05/12/2017

    Host: Brian P. McDonough, MD, FAAFP There is nearly a 20% chance that each of us will suffer a concussion this year. More concerning yet, over 30% of those concussions will lead to a long-term, potentially permanent disability. Many studies have explored how the use of Omega-3 fatty acids may add some measure of resilience within the brain to withstand injury in those at significant risk. Host Dr. Brian McDonough chats with Dr. Michael Lewis, founder of the nonprofit Brain Health Education and Research Institute about how the utilization of Omega-3 fatty acids may facilitate the concussion healing process and relieve symptoms.

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