Primary Care Today

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Hope vs Hype for Medical Marijuana From the Center for Medical Cannabis Education & Research Aug 08, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP

Dr. Brian McDonough welcomes Dr. Charles Pollack, Professor of Emergency Medicine and Director of the Jefferson Institute of Emerging Health Professions at Thomas Jefferson University School of Medicine. Dr. Pollack's team recently formed the Center for Medical Cannabis Education & Research, tasked with providing expert-developed, unbiased information to clinicians and patients about the medical uses of marijuana and cannabinoid-focused therapies.

The two discuss current clinical recommendations for cannabis based on the available research, and where the benefits and risks collide amidst mass public interest.

When Help is NOT on the Way: Survival Medicine Tactics in Disasters Aug 01, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP

In the aftermath of mass violence, from September 11th to the Paris attack to the Orlando shooting, fear and confusion often dominate the public consciousness. Unfortunately, most clinicians are not trained in tactical medicine to respond in times of crisis such as these. But a small subset of survuval medicine experts are working to change this pattern.

Dr. Brian McDonough speaks with Dr. Joseph Alton, Fellow of the American College of Surgeons and the American College of OB/GYN, and author of The Survival Medicine Handbook: A Guide for When Help is Not on the Way. The two discuss key survival and disaster response considerations for clinicians caught in violently dangerous situations.

Cryoablation for Phantom Limb Pain: Relief for Amputee Patients in Sight? Jul 25, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP

Over one million amputees suffer from phantom limb pain, a debilitating condition made all the more complex to treat due to the root question "How do I treat pain arising from a limb that no longer exists?" But new understandings of the pathophysiology behind this disease have led to more meaningful interventions, enabling better counseling strategies for primary care physicians.

Dr. Brian McDonough speaks with Dr. J. David Prologo, Assistant Professor of Radiology at Emory Healthcare and Director of Interventional Radiology Services at Emory Johns Creek Hospital. Dr. Prologo has helped pioneer research ushering in new treatment methods, such as cryoablation, for the treatment of phantom limb pain in amputees.

Examining Penile Implants for Surgical Treatment of Erectile Dysfunction Jul 07, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP
Guest: Charles N. Walker, MD

Dr. Charles Walker, Assistant Professor of Surgery in the Department of Urology at Yale University School of Medicine, shares clinical insights about penile prostheses, such as inflatable versus malleable devices, used as surgical gold standards to treat erectile dysfunction.

The Chemicals We Bring into Our Homes: Are Common Household Items Making Us Sick? Jul 04, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP

For most people, the home is a refuge and an oasis, a place to feel safe. But few ever wonder whether their homes and the everyday household items they use to clean and maintain them could be detrimental to their health.

Joining Dr. Brian McDonough to discuss the unsettling health risks behind common household items, and what consumers should keep an eye on, is Andre LaCroix, Vice President of Easy Breathe, Inc.

Allergic Contact Enteritis: Where Dermatology Meets Gastroenterology Jul 04, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP

Dr. Michael Stierstorfer, Clinical Associate Professor of Dermatology at the University of Pennsylvania School of Medicine and founder of East Penn Dermatology, has led efforts to teach clinicians about Type IV allergies as potential causes for common gastrointestinal diseases such as IBS, coining the term "allergic contact enteritis." He joins Dr. Brian McDonough to discuss intersections between dermatology and gastroenterology in the study of hypersensitivity reactions.

Preventing a Prescription for Abuse: Alternatives to Opioid Narcotics for Pain After Surgery Jun 27, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP

Each year more than 70 million post-surgical patients are prescribed opioids. Research shows 1 in 15 will go on to use the medications long term, potentially putting them at risk for addiction and overdose.

Host Dr. Brian McDonough sits down with Dr. Susan Downey, a board-certified plastic surgeon, to talk about opioid abuse and what alternative prescription options are available instead of narcotics.

Raising Awareness of Child Abuse in the United States Jun 20, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP

Joe Klest, Chicago attorney and author of The Whole Truth. Mr. Klest has represented victims in over 500 sexual abuse cases. He and Dr. McDonough discuss clinical recognition methods and action plans for child abuse, legal contexts for reporting, and the need for increased awareness by clinicians in primary care settings.

Helping Children Process and Cope with Tragic World News Jun 06, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP

Dr. Brian McDonough welcomes Denise Daniels, Peabody Award-wining broadcast journalist, author, and child development expert who specializes in the social and emotional development of children. Ms. Daniels talks about the challenges in helping children cope with the consistent exposure to tragic news around the world stemming from terrorism, wars, and natural disasters.

Speaking Up About IBS: GI Counseling Strategies for Generalists May 23, 2016

Show notes

Host: Brian P. McDonough, MD, FAAFP
Guest: Andrea Shin, MD

Dr. Brian McDonough welcomes Dr. Andrea Shin, practicing gastroenterologist and Assistant Research Professor of Medicine at Indiana University School of Medicine. They discuss the unique physical, emotional, and social challenges faced by people dealing with irritable bowel syndrome (IBS). They also focus on the three types of IBS (constipation, diarrhea, and constipation/diarrhea), and how to best manage each condition.

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