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....
May 23, 20160
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 o...
May 16, 20160
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.
Apr 25, 20160
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 M...
Apr 11, 20160
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 perso...
Mar 28, 20160
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 F...
Mar 14, 20160
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 produc...
Mar 07, 20160
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 o...
Feb 22, 20160
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 ini...
Feb 15, 20160
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 ...
Feb 01, 20160
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 McDonoug...
Jan 25, 20160
Host: Brian P. McDonough, MD, FAAFP On the subject of smoking, health risks differ from one form of smoking product to another. Yet these differences aren't always well understood by health professionals. Is there such a thing as a "safe" tobacco alternative, or is smoking cessation the only viable choice for risk reduction?Joining Dr. Brian McDonough to discuss the literature on tobacco harm reduction, as well as review the broadening spectrum of smoking formulations, from cigarettes to smokele...
Jan 11, 20160
Host: Brian P. McDonough, MD, FAAFP Guest: Tina K. Thethi, MD, MPH Dr. Brian McDonough welcomes Dr. Tina Thethi, Assistant Professor of Medicine in the section of Endocrinology and Metabolism at Tulane University Health Sciences Center. The two discuss pharmacologic and non-pharmacologic treatment options for obesity, with an eye on longer term management strategies to curtail the development of diabetes after lifestyle modifications fall short of target goals.
Jan 04, 20160
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr Ken Yeager, Associate Professor of Psychiatry at Ohio State University School of Medicine. Dr. Yeager examines how physicians can help their patients handle the stress of a "24-hour news world" with depictions and images of disasters coming into their homes every day.
Dec 21, 20150
Host: Brian P. McDonough, MD, FAAFP Joining Dr. Brian McDonough to discuss clinical approaches to endemic fears and anxieties spread by acts of mass violence and terrorism, both abroad and within the U.S, is Dr. Arthur Caplan, Professor and founding Director of the Division of Medical Ethics in NYU Langone Medical Center’s Department of Population Health.
Dec 14, 20150
Host: Brian P. McDonough, MD, FAAFP Joining Dr. Brian McDonough to discuss updated considerations and approaches to the pre-participation physical exam is Dr. Mark Mirabelli, Assistant Professor in the Departments of Orthopedics, Family Medicine, and Physiatry at the University of Rochester Medical Center in Rochester, NY. Dr. Mirabelli is a medical consultant to regional professional and college sports teams. He also serves as the supervising physician for University Sports Medicine athletic tr...
Nov 23, 20150
Host: Brian P. McDonough, MD, FAAFP Shoulder pain is one of the most common presentations in primary care, but the most proper workups to determine causes and develop effective treatment plans are not universally known. Joining Dr. Brian McDonough to update clinicians on common shoulder injuries, the patient histories that often correspond with them, and best treatment practices for each problem, is Dr. Kelton Burbank, orthopedic surgeon and the Worcester Medical Center in Worcester, MA. Dr. Bur...
Oct 26, 20150
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Eric Edmonds, co-director of 360 Sports Medicine and one of two fellowship-trained orthopedic surgeons at Rady Children’s Hospital-San Diego with subspeciality certification in sports medicine. Dr. Edmond is also an associate clinical professor at UC San Diego, where he is actively involved with the education of pediatric orthopaedic fellows, residents from UC San Diego, the Navy and the Air Force, and UC San Diego medical stud...
Oct 19, 20150
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Marcy Lake, faculty member of the Kaiser Permanente Family Medicine Residency Program in Portland Oregon and author of a recent article in American Family Physician devoted to disorders of the pituitary gland. Their discussion tours diagnostic considerations toward the workup of pituitary diseases, and emerging treatment paradigms for clinicians at general, endocrinology, and surgical levels of care....
Oct 12, 20150
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Liz Joy, President-Elect of the American College of Sports Medicine, President of the Female Athlete Triad Coalition, and Adjunct Professor of Family & Community Health at the University of Utah School of Medicine. Their discussion centers on health maintenance for female athletes and the special factors that must be considered to care for this unique patient population.
Oct 05, 20150
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. John Ely, Professor of Family Medicine at the University of Iowa Carver College of Medicine. Dr. Ely has written numerous articles addressing the top questions surfacing in general practice. He joins Primary Care Today to focus on perhaps the most common question asked between colleagues in family medicine: " What is this rash? "
Sep 28, 20150
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Gregory Weinstein, Professor and Vice Chair and the Director of the Division of Head and Neck Surgery. He is the Co-Director of The Center for Head and Neck Cancer in The Department of Otorhinolaryngology: Head and Neck Surgery at the Hospital of the University of Pennsylvania. The two discuss a dramatic rise in HPV-related cancers over the past decade, and what clinicians need to be aware of in assessing their patients for the...
Sep 21, 20150
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Amy Price, staff physician in the Department of Family Practice at Eastern Virginia Medical School. Dr. Price authored an article titled "Bipolar Disorders: A Review" in American Family Physician , journal of the AAFP. She explains the keys to recognizing, diagnosing, and treating bipolar disorder in primary care settings.
Aug 31, 20150
Host: Brian P. McDonough, MD, FAAFP How can pharmacy practice inform the primary care and family medicine communities about approaching challenging diabetes cases? Christa George, Pharm.D, Associate Professor in the departments of Clinical Pharmacy and Family Medicine at the University of Tennessee Health Science Center, joins Dr. Brian McDonough to discuss Type 2 Diabetes from the unique vantage point of the pharmacist.
Aug 24, 20150
Host: Brian P. McDonough, MD, FAAFP Patients with obsessive-compulsive disorder (OCD) bring unique challenges to the primary care practice environment and require personalized therapeutic approaches to address both psychiatric and somatic health issues. Dr. Jill Fenske, Clinical Assistant Professor of Family Medicine at the University of Michigan Medical School, joins Dr. Brian McDonough to guide clinicians toward a better understanding of this complex disorder with multiple varied manifestation...
Aug 17, 20150
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Jonathan Firnhaber, Clinical Assistant Professor of Family Medicine at East Carolina University School of Medicine, to provide top recommendations for prevention, assessment, and treatment of skin cancer at the primary care level.
Aug 10, 20150
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Gail L. Torkildsen, staff ophthalmologist at Andover Eye Associates and one of the leading Dry Eye Principal Investigators in the world. Dr. Torkildsen has served as P.I. on over 20 client-sponsored Dry Eye studies since 2002. In this discussion she takes listeners on a tour of common eye problems faced in primary care, and how clinicians can better prepare themselves to address issues such as Meibobian gland disorders, blephar...
Aug 03, 20150
Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Tina Thethi, Assistant Professor of Medicine in the section of Endocrinology and Metabolism at Tulane University Health Sciences Center. Dr. Thethi provides the inside scoop on diabetes topics of particular interest to endocrinologists in practice today, from pre-diabetes management to continuous glucose monitoring to novel drug research and development.
Jul 27, 20150
Host: Brian P. McDonough, MD, FAAFP A clinical pearl in the arena of eye care is that serious eye problems tend to manifest serious symptoms and signs, which makes vision loss one of the key findings in a diagnostic workup. Yet vision testing is commonly neglected in primary care practice even when patients present with eye-related complaints. What are the most important steps a clinician can take when assessing eye problems, and where does the primary care practitioner fit into the ophthalmolog...
Jul 20, 20150
Host: Brian P. McDonough, MD, FAAFP From patient consultation services to remote physician visits, telemedicine is rapidly gaining a foothold in clincial practice. But what are the potential gains vs pitfalls for integrating these technologies at the primary care level? Dr. Mark Seraly, practicing dermatologist and founder of DermatologistOnCall.com, joins Dr. Brian McDonough to discuss clinical, operational, and financial trends in telemedicine today.
Jun 01, 20150
