First Opinion Podcast

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118: Dr. Glaucomflecken uses humor to spotlight the darkness in medicine Dec 18, 2024

Show notes

You’ve probably come across Will Flanary, aka Dr. Glaucomflecken, the internet’s most famous physician/comedian. For more than four years, the ophthalmologist has been gently roasting medicine by playing a rotating cast of characters — the emergency physician clad in cyclist gear, the “ortho bro,” the pediatrician in a unicorn headband. But he's also used his comedy to skewer the business of health care, including the confounding bureaucracies of insurance — with a special emphasis on UnitedHealthcare. First Opinion editor Torie Bosch spoke with Flanary about punching up in comedy and the reaction to the shooting of UnitedHealthcare CEO Brian Thompson.

From the archives: The power, and limits, of the placebo effect Dec 11, 2024

Show notes

Have you ever taken phenylephrine for a stuffed-up nose and then felt better? If so, you might have been perplexed when Food and Drug Administration experts said last year that that the drug — which is in some versions of DayQuil, Sudafed, and other medicines — is no more effective than a placebo. On this episode of the “First Opinion Podcast,” we talk with professor and researcher Michael Bernstein about the placebo effect and its counterpart, the “nocebo effect” — if you tell patients something will make them feel worse, it generally comes true.

117: ADHD is this scientist’s ‘superpower’ Dec 04, 2024

Show notes

Biomedical engineer Jeff Karp’s famous lab has created medical tape inspired by spider webs, waterproof adhesive bandages that take inspiration from geckos, needles reminiscent of porcupine quills. But as an elementary school student, Karp told me on the “First Opinion Podcast,” he struggled. His second-grade teacher wanted to hold him back a year. “I was getting all these labels from teachers like ‘lazy’ and ‘lost cause,’ ” he said.

But according to Karp, what made him struggle — undiagnosed ADHD — also became his “super power,” giving him an ability to hyper-focus, connect emotionally in different ways, and think creatively. Now, he emphasizes the importance of neurodiversity and interdisciplinary approaches in his own lab, and he also tries to talk to students and parents about how ADHD can be a strength.

116: How chaplains help to heal 'spiritual injury' Nov 27, 2024

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About 75% of U.S. hospitals use chaplains, who are either employed by the health care center or are spiritual leaders from the local community. Physician Robert Klitzman and chaplain Molly O’Neil Frank join today’s podcast to discuss why chaplains are a critical part of patient care. Perhaps counterintuitively, they say, chaplains' roles have become even more important as religious affiliation has declined in the country.

115: Paying a visit to ‘Mom & Dad’s Nipple Factory’ Nov 20, 2024

Show notes

When Randi Johnson was undergoing treatment for breast cancer, her husband, Brian, often felt at a loss to help. But then, when he and Randi met with a surgeon to discuss reconstructing her breast, he was struck by something he could do. The Midwestern father of five, a lifelong tinkerer, decided to make his wife the best possible prosthetic nipple.

“The nipple solution is actually very elusive,” Randi said. “Surgical nipples tend to flatten. Tattoos fade. Or they still don't have dimension. The … prosthetic nipples that were around when we started, they looked really fake, and they'd fall off. And that's really kind of a deal breaker.”

After Brian made one for Randi, the two of them decided to offer the service to others. Today, they make affordable, realistic nipples for dozens of people a year, largely reaching potential customers through word of mouth.

One of their sons, Justin, recently chronicled their work in his new documentary “Mom & Dad’s Nipple Factory,” now available for rent or purchase on streaming platforms. (Watch the trailer here.)

114: Getting creative with health care in a new Trump administration Nov 13, 2024

Show notes

Torie speaks with Carmel Shachar, an assistant clinical professor at Harvard Law and health policy expert, about how the second Trump term might differ from the first, how the health policy world is preparing, and her work on reproductive health, telehealth, and vaccines.

113: How your genetics could determine your politics Nov 06, 2024

Show notes

No matter who wins the 2024 presidential race, one thing is clear: Political anxiety and division will remain high for the foreseeable future. So just before Election Day, Torie spoke with Kevin Smith, a professor of political science at the University of Nebraska who studies the intersection of political attitudes, biology, and evolution. In 2019, he and colleagues published a study that found almost 40% of Americans reported experiencing stress over politics, 11.5% thought their physical health had been affected, and 4% reported suicidal thoughts. They talked about political anxiety, tribalism, and how much our political attitudes might be driven by biology rather than environment.

112: Abortion is just another part of medicine Oct 30, 2024

Show notes

This close to Nov. 5, we are being battered with promises that this race will determine the future of the country.

But Christine Dehlendorf wants people to remember that as important as Election Day is, it won’t be the end of discussions about reproductive health. Dehlendorf is a family physician and professor of family and community medicine at the University of California, San Francisco and directs the Person-Centered Reproductive Health Program. Recently, she co-authored a First Opinion arguing that primary care providers and family physicians should have more training in providing abortion care.

111: No one wants to talk about Medicare policy Oct 23, 2024

Show notes

Medicare policy has been conspicuously absent from the 2024 presidential race. Health policy scholar Paul Ginsburg thinks this is because both Democrats and Republicans understand that the reforms needed in the Medicare system are not going to be popular.

110: Mark Cuban has no doubt he can disrupt health care Oct 16, 2024

Show notes

Mark Cuban, co-founder of Mark Cuban Cost Plus Drugs, joins the podcast along with STAT's Matthew Herper. They talk with Torie about pharmacy benefit managers, the 2024 presidential campaign, and how the health care industry should work. "This is literally the easiest industry to interrupt, to disintermediate, that I’ve ever been involved with, Cuban said.

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