Primary Care Today

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The Big Chill: Cryotherapy and the Science of Medical Freezing May 16, 2016

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Host: Brian P. McDonough, MD, FAAFP

Cryotherapy, the science of freezong for medical purposes, uses extreme cold temperatures to cool down the body and has both current and emerging medical applications ranging from brain resuscitation in emergency settings to inflammation reduction in medical spas.

Host Dr. Brian McDonough sits down with science and health journalist Renee Ebersole to talk about the rise of cryotherapy, the mechanisms governing its medical utilities, and the benefits vs risks of its applications in various health settings today.

Gene Variations Guide Anticoagulation Strategies After Cardiac Catheterization Apr 25, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP

Dr. Brian McDonough speaks with Dr. Philip E. Empey, PharmD, PhD, Assistant Professor of Pharmacy and Therapeutics at the University of Pittsburg School of Pharmacy. Their discussion centers on advancements in genetic testing to detect variances in response to anticoagulation therapies for patients undergoing vascular procedures such as stent placements.

The Rising Obesity Epidemic in Senior Populations Apr 11, 2016

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Host: Brian P. McDonough, MD, FAAFP

According to a recent study, the percentage of elderly people in American nursing homes who are moderately to severely overweight has climbed to 25%, a dramatic increase from 14% back in 2000. How does this alarming trend affect both health outcomes and care delivery in caregiving settings?

Joining Dr. Brian McDonough to discuss this underrecognized issue of obesity in senior populations is Dr. Caroline Cederquist, bariatrics expert and founder of Cederquist Medical Wellness Center in Naples FL. Dr. Cederquist is also co-founder of bistroMD, a company premised on delivering physician-designed gourmet meals to patients for purposes of weight loss and health maintenance.

Patients on the Crossroads of Care: Clinical Perspectives on the Baby Boomer Generation Mar 28, 2016

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Host: Brian P. McDonough, MD, FAAFP

The Baby Boomer generation is fast-approaching a critical period in health care decision-making, the choices of which may dictate continued health or rapid decline. What are the care priorities that clinicians should keep in mind with this special population?

Joining Dr. Brian McDonough is Marcia Feldt, author of The Oys & Joys, a novel that crystalizes many of the challenges facing Baby Boomers through the eyes of four women. Ms. Feldt describes the personal journeys of her characters, drawn from several years of advocacy for patients in this generation, and she shares tips that clinicians can consider to help these patients address priority health needs.

Keeping Track of Changing Guidelines in Cervical Cancer Screening Mar 14, 2016

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Host: Brian P. McDonough, MD, FAAFP

Guidelines in testing intervals and recommended methods for cervical cancer screening have been changing rapidly. What's the bottom line on helping primary care clinicians best protect their patients from this disease development? Joining Dr. Brian McDonough on the floors of Omnia Education's Women's Health Annual Visit in New York to discuss updated strategies drive down cervical cancer risk is Dr. Edward Mayeaux, Professor and Chairman of the Department of Family and Preventive Medicine at the University of South Carolina School of Medicine.

Protect the Head: A Former Pro Football Player's Mission to Prevent Concussions Mar 07, 2016

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Host: 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.

New Understandings on the Rise of Kidney Stones Among Children & Adolescents Feb 22, 2016

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Host: 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 kidney stones.

A Crisis in Slow Motion: Why the Rise of Sedentary Lifestyles Matters Feb 15, 2016

Show notes

Host: 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.

When it's More than Just Heartburn: Preventing Respiratory Complications of Reflux Disease Feb 01, 2016

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Host: 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.

Care Navigation with Patient Advocates: Benefits to General Practice Jan 25, 2016

Show notes

Host: 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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