Primary Care Today

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The Impact of Stress on Heart Attack Risk and Recovery in Women Feb 16, 2015

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Host: Brian P. McDonough, MD, FAAFP

Stress has long been associated with cardiovascular risk, but few studies have connected stress with worsened recovery rates after heart attacks. Moreover, the recently published discovery that women with mental stress may suffer worse outcomes recovering from heart attacks than men under similar conditions raises more questions than answers. What are the possible mechanisms by which this gender disparity in outcomes may occur, and how can clinicians help mitigate this risk? Dr. Brian McDonough welcomes Dr. Nieca Goldberg, cardiologist and director of the Joan H. Tisch Center for Women's Health at NYU Langone Medical Center.

The Politics of Measles: Ethical Considerations in the National Vaccination Debate Feb 09, 2015

Show notes

Host: Brian P. McDonough, MD, FAAFP

The controversy over vaccinations and whether or not to regulate their administration has reached a boiling point in the United States with the recent measles outbreak originating in Disneyland, and prominent politicians like Senator Rand Paul and Governor Chris Christie have weighed in to support the anti-vaccine community's appeal for individual choice. What are the ethical, sociological, and political ramifications of these developments in the national vaccination debate, and how should the medical community respond? Joining Dr. Brian McDonough to discuss the vaccination controversy is Dr. Arthur Caplan, Professor and founding Director of the Division of Medical Ethics in NYU Langone Medical Center’s Department of Population Health.

Digital Eye Strain: What Are the Long Term Health Implications? Jan 26, 2015

Show notes

Host: Brian P. McDonough, MD, FAAFP

On average, more than 90% of adults spend more than two hours each day using a digital device, and for 60% of the population, that daily use pattern extends beyond five hours. Regardless of the reasons why, all that time can take a toll on the eyes and lead to digital eye strain. Speaking on the health implications of digital eye strain is Dr. Dora Adamopolous, optometrist in practice in Alexandia, VA.

Televised Medical Talk Shows: Health Claims, Evidence, and Accountability Jan 26, 2015

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Host: Brian P. McDonough, MD, FAAFP

A recent study in the British Medical Journal examined health recommendations from popular TV medical talk show hosts, discovering that approximately half of those recommendation have either no evidence or are contradicted by the best available evidence. Furthermore, potential conflicts of interest are rarely addressed. What ethical, legal, and clinical impacts do such health claims and recommendations have on patients and the medical community at large? Joining Dr. Brian McDonough is Dr. Joe Perrone, Chief Science Officer for The Center for Accountability in Science, an organization dedicated to uncovering the science behind news stories.

Overcoming Ignorance and Stigmatization of Mental Illness in Primary Care Dec 29, 2014

Show notes

Host: Brian P. McDonough, MD, FAAFP

Mental illnesses are commonly encountered in primary care practice. Yet their sufferers are often relegated to mischaracterized roles of "problem patients" due to the impacts of their diseases on thoughts and behaviors. How can clinicians improve their approach to patients will mental health issues, and can this approach be duplicated at community-wide levels? Speaking on this important initiative is Dr. Marilyn B. Benoit, Chief Clinical Officer and Senior Vice President of Clinical and Professional Affairs at Devereux, one of the nation's premier nonprofit behavioral healthcare organizations. Dr. Benoit is a nationally-known and highly-respected child and adolescent psychiatrist with a wide-ranging career both as a practicing physician and a health care administrator in public, private and academic settings.

Brains and Biotech: Cognition and Memory Research from the Life Science Industry Dec 15, 2014

Show notes

Host: Brian P. McDonough, MD, FAAFP

Dr. Brian McDonough is joined by Mark Underwood, President of Quincy Bioscience, a biotechnology company focused on the discovery, development and commercialization of novel technologies to support cognitive function and other age-related health challenges such as memory.

Economics, Education, and Enterovirus: Three E-Barriers to Asthma/Allergy Care Dec 08, 2014

Show notes

Host: Brian P. McDonough, MD, FAAFP

Dr. Brian McDonough welcomes Tanya Winders, President and Chief Executive Officer for the Allergy and Asthma Network, the leading patient advocacy organization dedicated to ending needless suffering and death due to asthma, allergies, and related conditions. They discuss ways of addressing healthcare access challenges for asthma and allergy patients, from socioeconomic support structures to education models to special risk situations like enterovirus outbreaks.

Knee Replacement Procedures: When to Hold vs Refer Your Patients Dec 01, 2014

Show notes

Host: Brian P. McDonough, MD, FAAFP

Dr. David Fisher, orthopedic surgeon and Director of the Total Joint Center at Indiana Orthopedic Hospital, joins Dr. Brian McDonough to discuss historical to current methods and technologies in knee replacement procedures, and how primary care clinicians can assess patients for surgical vs non-surgical interventions in patients with chronic knee pain.

Discovering the Unseen Risks of DNA Testing Oct 06, 2014

Show notes

Host: Brian P. McDonough, MD, FAAFP

DNA testing can bring with it a level of risk that may be surprising to some; testing can bring about unexpected findings - either ucovering latent medical diseases and disorders or uncovering surprising family findings. Guest Dr. Doug Moeller speaks with Dr. Brian McDonough to discuss how the medical community can help prepare individuals for some of these findings. Dr. Moeller is the Medical Director at McKesson Health Solutions and is an expert on clinical coding with a growing focus on advanced diagnostics and episode of care management.

Herbal Supplements for Women: What's Safe? What's Effective? Oct 03, 2014

Show notes

Host: Brian P. McDonough, MD, FAAFP

Herbal supplements have become increasingly popular in women's health circles, but there is a lot of misinformation about the relative benefits versus risks. How do clinicians wein their patients off harmful medications they are taking, and what health issues do women taking these medications encounter? Join Dr. McDonough and Pharmacist David Foreman to discuss the state of supplementation in and outside of health practices today.

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