The Preventive Medicine Podcast: Recent Episodes
Ragav Sharma, DO, CSCS
This is a re-cast of an episode originally aired in June of 2020. This was an incredible episode that deserves to be heard by all new listeners! In this episode we discuss the role of resistance training for both patients and as a prescription by providers, the evidence behind various practices in prevention, the harms of over-screening, and much more!. Whether in the hospital inpatient floors or his clients in the gym, Dr. Baraki brings evidence-based information and suggestions to help those he works with.
Dr. Baraki is board certified in Internal Medicine, an assistant professor of medicine, and well known for his role with Barbell Medicine.
Dr. Baraki’s Social Media:
Instagram
Link
Show NotesQuestion 1: What is Barbell Medicine, why did you decide to get involved and what are it’s goals?
Question 2: Why did you decide to go into Internal Medicine given your athletic history and interest in exercise?
Question 3: What do you think other physicians that do not lift weights can learn from Barbell medicine, should they attend your seminars?
Question 4: Does the population of those attending your Barbell Medicine seminars trend more towards physicians or healthcare professionals?
Question 5: There are many silly ideas surrounding preventive medicine and other aspects regarding medicine, can you speak to the use of evidence when it comes to recommendations in preventive health?
Question 6: What does preventive medicine mean to you?
Question 7: Why is the allure of more screening with regards to preventive care problematic?
Question 8: How do you balance limiting the allure of physicians to use screenings widely as a way to “check-off” preventive care and patients that desire screening based on false notions of prevention?
Question 9: How do you communicate to patients who come in wanting to get unneeded screening such as a whole-body scan to determine all potential problems?
Question 10: Why is it important that patients are educated and develop a level of self-efficacy?
Question 11: Do you think helping patients develop a positive self-narrative is beneficial in the scope of preventive medicine?
Question 12: Do you think we do a poor job of letting our patients know that they should be striving to develop a more robust exercise program based on the current guidelines?
Question 13: How do we bridge the gap between personal trainers and physicians in bringing exercise programs and nutritional counseling to patients?
Question 14: In 2 minutes what do you tell someone who asks you “how do I get healthy?”
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It’s 2023. It’s time we separate our weight from our health. Everywhere we look, health and weight has been synonymous leading to body dysmorphia, poor relationships with food, and many other issues. Well, there’s many more benefits to eating well and physical activity!
In this podcast, I go over some of the highlights from the podcast for the last year, some of my life events from 2022, podcast goals for this year, and then dive into dividing out health from fitness and nutrition.
Ragav’s Social Media:
Instagram
Link
Show Notes1. Top Episodes Links: 1. Dealing with Burnout, and ICU Physician Tells All – Jeremy Topin, MD: https://thepreventivemedicinepodcast.com/episode-58/ 2. The Dogma of Diets and Nutritional History – Alan Flanagan, MsC: https://thepreventivemedicinepodcast.com/episode-57/ 3. Are We Really in Control of Our Diet? – Stephen Guyenet, PhD: https://thepreventivemedicinepodcast.com/episode-56/ 2. Article Suggestions: 1. The Beginner Prescription by Barbell Medicine 2. Health Priorities by Barbell Medicine
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If you listen to this podcast, you likely pay some sort of membership fee either for coaching, the gym, or another health related item. You get access to the facility, time with the coach, and whatever else is included in the fee. What if medicine was practiced the same way? Enter concierge medicine.
Dr. Ari Levy is a serial entrepreneur and physician who founded SHIFT which is a concierge medicine practice focused on integrating all aspects of health under one roof. In this episode we discuss what SHIFT is, what concierge medicine is, how Dr. Levy’s vision seems to be the gold standard when it comes to being mindful of prevention, and lastly the pitfalls of concierge medicine.
Go check out: https://shiftlife.com/ for more information on SHIFT and to see if you would like to make the SHIFT!
Episode Outline1. What does preventive medicine mean to you? 2. What is SHIFT and what inspired you to start this practice? What differentiates it from what people usually think of as their doctor? 3. Do you think physicians should get involved with advising patients on lifestyle modification or should we just focus on the medicine? 4. What results have you seen with the “life” package through SHIFT? Do people take advantage of their resources? 5. How does the model of concierge medicine work? Does this mean members don’t need insurance at all? 6. What does it take to have these kinds of services available for those of lower socioeconomic standing? 7. How do you keep it all evidence based when you hire for different positions? 8. If you were waiting for your coffee at Starbucks and someone who recognizes you asks “how do I get healthy,” what do you tell them in the 2 minutes you have?
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The holidays is a time for getting together with family, relaxation, and celebration until it’s not. There are many instances of holidays being ruined by preventive injuries and many unfortunate mortalities. In this episode, I take you through common holiday causes of morbidity and mortality for things to keep in mind during this festive time.
Ragav’s Social Media
Instagram
Link
Show Notes:Toy related injuries – https://www.cpsc.gov/s3fspublic/ToyRelatedDeathsandInjuries2021.pdf
Transportation related Injuries – https://injuryfacts.nsc.org/home-and-community/safety-topics/deaths-by-transportation-mode/
Red Cross Fire Safety – https://www.redcross.org/content/dam/redcross/atg/PDF_s/Preparedness___Disaster_Recovery/Disaster_Preparedness/Home_Fire/FireHolidayFactSheet.pdf
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We know smoking is bad for us, we’ve been hearing it for decades at this point. Unfortunately it wasn’t always this way. The use of cigarettes and smoking in general has changed dramatically within the last several decades and many still struggle with the addiction or with its chronic effects. In this episode, Dr. Baldassarri dives into smoking, cigarettes, addiction, and much more.
Dr. Baldassarri completed his residency in Internal Medicine from the Yale School of Medicine before completing a fellowship in pulmonary and critical care medicine also from Yale. He is also board certified in addiction/preventive medicine and currently serves as an assistant professor of medicine at the Yale School of Medicine. He has appeared on other podcasts and is well-published on topics relating to smoking, addiction, and sleep.
Show Outline1. How did you get interested in smoking cessation and addiction medicine with your pulmonary/crit care background? 2. What does preventive medicine mean to you? 3. How has the use of cigarettes changed in the last several years? Has the gap been filled by other devices such as vapes or by marijuana? 4. What interventions have helped bring the use of cigarettes down? How do you approach the conversation? 5. For those who have quit but have a significant smoking history, what can be done to reduce their risk of chronic lung disease? 6. Marijuana has gained a lot of popularity as an alternative medicine, what are the risks associated with marijuana use either through vape or smoking it? 7. If you’re at a coffee shop and someone asks you “how do I get healthy?” what do you tell them in the 2 minutes you’re waiting for your coffee?
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There is a lot more to health to health than what happens in an examination room. The decisions that are made at the municipal, state, and national levels make incredible impacts that often times can either make or break the health of a population at large. In fact, preventive medicine at the highest level has more to do with politics and policy than the supplement being touted on your feed as a miracle.
In this episode, I talk with Dr. Abdul El-Sayed who has had many roles throughout his career; so many that he has a wikipedia page! Dr. El-Sayed trained as a physician with a gap to complete his PhD at Oxford in Public Health after which he became an assistant professor at Columbia University within the Department of Epidemiology. He then went on to become the youngest Health Director and Executive Director of the Detroit Health Department at just 30 years old before running for governor of Michigan in 2018. Unfortunately, he did not win that race but has continued writing and speaking about the relationship between politics and health through his two published books, podcast, and newsletter. He is a political commentator on television and continued to be active in improving the landscape for public health. Dr. El-Sayed's Links: Abdul's Website
The America Dissected Podcast
The Incision Newsletter
Abdul's Books
Show Outline
You have held a lot of roles and do many things, why do you do what you do? What does preventive medicine mean to you? What responsibilities does a top official of a health department have compared to a practicing physician? How much of an impact on the day to day lives of people does this role have? Why did you decide to run for governor of Michigan and how much impact can someone in this role have in the health of their constituents? What does the landscape for healthcare reform look like on the political level? Do politicians realize the issues that regular people face? If someone asks you how to get healthy while you are waiting for your coffee at starbucks, what do you tell them in 2 minutes?
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Hospitals do a lot for their patients, but what about others in the community? The Boston Medical Center has made it it's mission to provide healthcare to everyone despite ability to pay; furthermore, the Health Equity Accelerator to transform the landscape of health equity within the Boston community.
Led by Dr. Elena Mendez-Escobar and Dr. Thea James, the Health Equity Accelerator focuses its resources on maternal and child health, infectious diseases, behavioral health, chronic conditions, oncology, and end-stage renal disease through reaching those who otherwise would not receive as equitable care. In this episode, learn more about what the program is, what hospitals can do to help their communities, and a lot more about health equity! The Health Equity Accelerator Links:
Click here
Click here
Show Notes
What are your roles within BMC? What do you do on a day to day basis? What does preventive medicine mean to you? How did the health equity accelerator come about? What does it do? Do you believe that hospitals have an obligation to their communities in reaching “hard to reach” patients? Given some of the deep origins of health inequities, how can hospitals and hospital initiatives make quantitative change within the community such that the stats actually change? Where does the money come for programs such as the health equity accelerator given the capitalistic and profit-driven nature of many hospitals? How can the health equity accelerator be replicated in other cities? What are the barriers to more widespread adoption? For those from a lower socioeconomic status - if someone were to ask you “How do I get healthy” while you were waiting for your coffee, what do you tell them in 2 minutes?
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Climate change has been happening for some time and, while we may not actively notice it, has been harming the health of millions across the globe for some time now. Dr. Kristie Ebi is a professor of Global Health and Environmental & Occupational Health Sciences at the University of Washington and a globally renowned expert in the effect of heat on our health.
In this episode we dive into how climate change impacts our health, why the heat is so dangerous, who and where the majority of the effects take effect. We also talk about how to prepare from the individual level all the way to the global level.
This episode is like none other that we have on the podcast! Episode Outline
Can you briefly describe what you do and areas you are actively researching? What does prevention mean to you? Can you explain what kind of climate change we are seeing and what we expect to see within the next 50 years? Why is excess heat so dangerous to our health? Who is going to suffer the effects of climate change the most and what kinds of health issues/outcomes will they be facing? What can we do to prepare and prevent excess morbidity and mortality related to climate change on a personal level? How do communities and countries prepare for and prevent the excess morbidity and mortality related to climate change? What does the forecast look like for health outcomes? How bad is it going to get? There are those who are very apocalyptic about our future and those who have unrivaled optimism. What’s your take? If you’re waiting for your coffee at Starbucks and someone asks you “how do I prepare for climate change?” What do you tell them in 2 minutes?
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Most of us are very privileged when it comes to healthcare. We expect not only to get better from whatever ails us, but that we have easily accessible care equipped with all the necessary medicines, diagnostic tools, and staff. Unfortunately, many parts of the world have much less in the way of healthcare!
Dr. James Sanders is a global health expert having practiced in setting such as Zambia, The Republic of Georgia, and Southeast Asia among other locations. In this episode, Dr. Sanders shares his insights on what preventive care, or just medical care in general, looks like in various parts of the world and the lessons he applied from his travels to his care as a local physician. This episode is fully of many stories so make sure to listen to the whole thing! Dr. Sander's doesn't have social media! Show Notes
Can you tell us a little bit about your career and why you were interested in global health at a time it wasn’t really popular? What does preventive medicine mean to you? What is the MPH degree, why did you get it on top of the MD, and how did you utilize it during your career? Given the vast differences in resources, what are the biggest differences in care when it comes to the wealthy and the poor? Many people say that those who are poor have worse health because of personal choices, is this the case? What does healthcare look like in a country like Zambia which did not have a family medicine training program until your arrival? Many of our listeners might not even know what that looks like! In the united states we talk about preventive medicine from a very privileged position largely with nutrition, exercise, yearly checkups, etc. What does preventive medicine look like in a country with lesser resources such as The Republic of Georgia? How do impoverished populations differ in other parts of the world than in the united states? What lessons have you learned during your career as a clinician that are guiding your decisions now on the insurance side of things? If someone asked you how to get healthy while you were waiting for your coffee at starbucks, what would you tell them in 2 minutes?
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Most of us are very privileged when it comes to healthcare. We expect not only to get better from whatever ails us, but that we have easily accessible care equipped with all the necessary medicines, diagnostic tools, and staff. Unfortunately, many parts of the world have much less in the way of healthcare!
Dr. James Sanders is a global health expert having practiced in setting such as Zambia, The Republic of Georgia, and Southeast Asia among other locations. In this episode, Dr. Sanders shares his insights on what preventive care, or just medical care in general, looks like in various parts of the world and the lessons he applied from his travels to his care as a local physician. This episode is fully of many stories so make sure to listen to the whole thing! Dr. Sander's doesn't have social media! Show Notes
Can you tell us a little bit about your career and why you were interested in global health at a time it wasn’t really popular? What does preventive medicine mean to you? What is the MPH degree, why did you get it on top of the MD, and how did you utilize it during your career? Given the vast differences in resources, what are the biggest differences in care when it comes to the wealthy and the poor? Many people say that those who are poor have worse health because of personal choices, is this the case? What does healthcare look like in a country like Zambia which did not have a family medicine training program until your arrival? Many of our listeners might not even know what that looks like! In the united states we talk about preventive medicine from a very privileged position largely with nutrition, exercise, yearly checkups, etc. What does preventive medicine look like in a country with lesser resources such as The Republic of Georgia? How do impoverished populations differ in other parts of the world than in the united states? What lessons have you learned during your career as a clinician that are guiding your decisions now on the insurance side of things? If someone asked you how to get healthy while you were waiting for your coffee at starbucks, what would you tell them in 2 minutes?
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Science has gone under attack and many silly or harmful ideas have taken hold in society under the guise of "science." The thing is, there's a lot more to science than just claiming something to be scientific. In this episode, you'll hear all about what it means to follow the scientific method, what it means to be scientific, and what to do about those who erroneously claim science.
Dr. Grimes earned his PhD in ultraviolet radiation physics followed by a post doctoral fellowship in medical physics and oncology but now largely operates as a science communicator. He is the author of the book "Good Thinking - why flawed logic puts us all at risk and how critical thinking can save the world." He is also often seen as a panelist and contributor on news stations such as BBC world news, CBS, CNN, and also in written mediums such as the New York Times, Guardian, and Washington Post among others. Dr. Grimes' Social Media:
Link
Show Outline
How did you go from being a cancer researcher to broad science communicator? Tell us a little bit about why you are so passionate about what you do? What does preventive medicine mean to you? Can you talk about the history of the scientific method and why “scientific” people would believe in things like the 4 humors of the body or leeches? How did we go from there to where we are now? What does it mean to follow the scientific method? Why do even prolific scientists like Dr. Linus Pauling who you write about in your book, fall into certain dogmas Misinformation seems to condense into a very vocal minority that has outsized effects on public discourse - can you speak to why this seemingly always ends up being the case? What do we do about misinformation? It seems exhausting to be constantly combatting it and relies on the “good” scientists to work 10x as hard. How can science literacy be increased - for those in applied science (doctors etc.), and the lay person? How do you find good information? How do you sift through the garbage? If someone asks you how to get healthy, what do you tell them in 2 minutes?
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The last episode released was on May 22nd, 2022 and a lot has happened since then! Since then I have gotten married, finished my intern year of residency, moved to a different state, and started training within my specialty of choice. In all this the podcast fell by the wayside but it is back!
In this episode, you'll be re-introduced to me, the podcast, hear about the major life events in the way of the podcast, my reflections on intern year, what my specialty - Physical Medicine and Rehabilitation - is all about, and where the podcast is headed!
I'm excited to bring the podcast back and if you want to help it grow make sure to rate and review the show! Show Outline 1. Major life events and updates since the last episode released on May 22nd, 2022
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My reflections after completing intern year
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All about Physical Medicine and Rehabilitation
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Future plans for the podcast! Join our Mailing List HERE:
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ICU Physicians go through a lot. Facing constant life-or-death scenarios along with other demands, they are often lead to burnout. Burnout can manifest in many different ways but certainly goes against the principles of preventive medicine in living your best life possible. Hear from Dr. Jeremy Topin about his story of burnout, how views of work-life balance and much more in this episode. Dr. Topin completed his residency in Internal Medicine at the University of Chicago before completing a fellowship in Pulmonary and Critical Care medicine at Feinberg School of Medicine. He writes about various topics on his website jtopinmd.com, has been featured in podcasts and traditional news outlets, and is also an avid triathlete, water polo enthusiast Dr. Topin's Links:
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Show Outline
What lead you to critical care medicine, when did you realize you were burnt out, and what do you do now? What does preventive medicine mean to you? How do you stay out of the ICU and from various critical care scenarios and conditions? What does the feeling of burnout entail, and how can it be prevented? How do we reduce burnout in stressful careers within medicine such as critical care, what about other stressful healthcare careers? Work life balance is an ideal that many aim to achieve but never really do; is it possible, and if so, how does one create this for themselves? What does it look like for you? When did you start writing? What was your experience like in Ukraine as a volunteer? What does preventive medicine look like at this level, is it even possible? If someone asks you “How do I get healthy?” while you’re waiting for your coffee at Starbucks, what do you tell them in 2 minutes?
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Have advances in food science been a net positive or negative for society? What contribution does the food industry have in influencing our day to day nutritional choices and what does thsi have to do with SES? What can we do about the significant dogma around certain diets and How does the field of law translate into becoming a better nutrition researcher and communicator? This week we are once again looking at the contextual factors behind our diets with lawyer turned PhD candidate Alan Flanagan! Alan was previously a practicing barrister (lawyer) before turning to his passion of nutrition and now holds a masters in nutritional medicine while currently pursuing his PhD. He is the founder of Alinea nutrition which aims to promote science-based nutrition for healthcare professionals. he is also a contributor for sigma nutrition with Danny lennon who has been on this show before. lastly, he is also the host of the Cut Through Nutrition Podcast.
Alan's Social Media:
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Show Outline
What made you go from being a barrister (lawyer) to getting a masters and now pursuing a PhD in nutrition? Why do you do what you do? What does preventive medicine mean to you? What has the evolution of nutritional science looked like over the years? How has food science evolved, do you think this has been a net positive or negative? How do we as humans develop our dietary patterns? What influences shape our choices throughout our life cycle? Is there any truth to the notion of the food industry making and keeping us fat with various chemicals designed to make foods “as addictive as cocaine?” Why do people buy into fad diets no matter their educational level? How does the cycle of fad dieting get broken? How can the science of nutrition be better translated to a larger populace given people don’t tend to trust guidelines? People dont tend to trust experts, so why go get a PhD yourself? What can be done to improve the nutrition of those with lower SES status who might not even be able to follow dietary guidelines based on food availability? If you’re waiting for your coffee at Starbucks and someone asks you, “How do I get healthy,” what do you tell them in 2 minutes?
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Are we really in control of our diet? What influences what we either put or keep out of our mouths? Why is fast food so prevalent and why do we as humans gravitate towards it so much? There's so much more to nutrition than calories in vs. calories out as explained by Dr. Stephan Guyenet in this episode.
Dr. Guyenet completed his PhD in neuroscience followed by a post doctoral fellowship in the neuroscience of obesity and eating. He is the founder of redpenreviews.org, an editor for Frontiers in Nutrition, and a scientific reviewer for examine.com among other endeavors. Dr. Guyenet is passionate not only about nutrition, but in what sets the background for our diets and how they have evolved over time. In this episode we talk about the concept of an "ideal body weight," the drivers behind our urge to eat, our culture around food, and the obesity epidemic. Dr. Guyenet's Links:
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Show Outline
How did you fall into the world of nutrition science and what gets you up every morning? What does preventive medicine mean to you? Is there an ideal weight? What can the average person do to get past their ‘setpoint” to an “ideal weight?” How should one construct their diet in accordance with impulses/preferences/nutrition? What are the factors that influence our weight the most? Is it all “will-power” as many claim it to be? Why is it so hard to understand that it’s more than just will power? What drives our desire to eat? Can you talk about the neuroscience behind hunger? Why do we like ultra-processed foods so much? People tend to blame various specific nutrients such as sugar, fat, processed foods, etc. for the obesity epidemic. What do you think is there to blame for the obesity epidemic? How did the food environment come to be the way it is? How can we design a better food environment for ourselves? What can we do on a systems and community level? How do physicians and healthcare providers fit into helping patients/clients create a better food environment? If someone asks you, “How do I get healthy” while you’re waiting for your coffee at Starbucks, what do you tell them in 2 minutes?
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What is gut health. What even is the microbiome and how does it play a role in our gut let alone our overall health? What are pre and pro-biotics all about? What should someone do who might be experiencing digestive issues? Who do they see? Does maintaining a healthy gut really prevent many diseases from developing? Hear from gut health expert Gabrielle Fundaro, PhD on all of these topics and more on this episode! Dr. Fundaro received her PhD in Human nutrition, foods, and exercise; is an ISSN sports nutrionist, owner of her own lifestyle coaching company Vitamin PhD Nutrition; and the author of "The Science of Gut Health" which dives deep into what gut health is all about. This episode has a lot of gems within it, make sure to give it a listen! Dr. Fundaro's Links:
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Show Outline:
What do you do on a day to day basis? Why do you do what you do? What does preventive medicine mean to you? Many people claim the gut is the key to good health - thus working on gut health becoming “preventive” for many other conditions such as depression, diabetes, etc. When did the gut become linked with health? Is it a big deal or not? In the name of prevention, many people consume probiotics/prebiotiscs. What is the difference between pro and pre-biotics? When should these be consumed? Do certain foods “ruin” the gut microbiome? What about medications? What should someone do who is having digestive issues? How do they know if their symptoms are related to their gut? Who is qualified to give advice regarding gut health? Physicians vs. online coaches vs. PhDs, etc. What do you think about the future of gut health research? I’ve always heard, we are at the “beginning” of discovery but what potential lays ahead? If you are asked “how do I get healthy?” while waiting for your coffee at starbucks, what do you tell them in 2 minutes?
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While the function of healthcare is to improve our health, how we pay for healthcare matters. With many Americans experiencing medical debt and many others battling insurance companies to have medications covered, payment is at the backbone of healthcare. Dr. Joshua Liao is the Associate Professor of Medicine and and Associate Chair for Health Systems in the Department of Medicine among other positions he holds at The University of Washington. He is also the founder and director of the Value and Systems Science Lab at UW which aims to bring value into payment and care delivery models. Lastly, he advises policy makers through a number of avenues, including service on the US department of Health and Human Services through his role on PTAC (the physician focused payment model advisory technical committee).
In this episode, we discover the depths of payment for medical services, how preventive services and care might be promoted within a value based payment model, and how to make healthcare more equitable and accessible for those in need. This episode covers a lot and answers many questions about payment in healthcare. The opinions, views, and statements made in this podcast are solely those of Dr. Liao and do not reflect those of his employer or any group he's affiliated with. Dr. Liao's Links:
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Show Outline
What gets you up every morning, why do you do what you do? What does preventive medicine mean to you? How do people pay for healthcare and how did it get so complicated? Where do preventive services fall in the reimbursement model? What is the Value and Systems Science Lab and why did you start it? How do we reduce the overuse of health systems? How does reducing the overuse of healthcare impact patient care? Even with preventive services available, they are often not accessible to those who need them most. How can the right services be made available to those who need them? What does incentivizing preventive care in a healthcare system look like? You serve on some committees at a higher level such as the PTAC, what is their take on payment for healthcare? Is this acknowledged as a problem? What is your ideal payment approach for improving the efficiency and value of healthcare delivery
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With over 50 episodes filled with incredible guests, there has been a lot of very powerful information shared. In this episode, hear some of my takeaways from talking to nearly 50 experts in their fields of study specifically from episodes 26-51! Listen to the main takeaways from podcasts with personal trainers, PhDs, ER physicians, sports medicine physicians, and many other unique perspectives around preventive medicine. Show Notes Episode 26: Adam Meakins, PT - Musculoskeletal medicine
Episode 27: Ragav Sharma, DO, CSCS - 1 year anniversary episode
Episode 28: Robert Bowers, DO, PhD - Musculoskeletal medicine, sports medicine
Episode 29: Jeffrey Linder, MD - Annual well-visits
Episode 30: Jim Eubanks, MD - Musculoskeletal medicine, spinal medicine
Episode 31: Karl Nadolsky, DO - Obesity, endocrinology
Episode 32: Jeb Dunkelburger, MS - Healthcare and Insurance
Episode 33: Leah Lutz - Weight Loss and Women's Training
Episode 34: Ragav Sharma, DO, CSCS - What is preventive medicine
Episode 35: Mike Albert, MD - Obesity Medicine
Episode 36: Jonathan Alessi & Ragav Sharma, DO, CSCS - Weight Loss Journey's
Episode 37: Danny Lennon, MS - Nutrition Deep Dive
Episode 38: Mark Lewis, MD - Oncology
Episode 39: Chris Winter, MD - Sleeping Disorders
Episode 40: Jade Wu, PhD - Sleep psychology and Insomnia
Episode 41: Zain Husain, MD - Dermatology and Skin Care
Episode 42: Eliud Sierra, DC - Exercise selection in Rehabilitation
Episode 43: Ragav Sharma, DO, CSCS - Exercise in Prevention
Episode 44: Ragav Sharma, DO, CSCS - New Year Outlook
Episode 45: Stephen Trevick, MD - Neurocritical care and psychiatric crises
Episode 46: Nicole Piemonte, PhD - Death and Dying in Healthcare
Episode 47: Sameena Rehman, MD - Women's Health
Episode 48: Jordan Syatt - Goal Setting and Common Sense
Episode 49: Gerald Ernat, RD, MS - Supplements
Episode 50: Leoson Hoay, MS - Big Data and Public Health
Episode 51: Natasha Poulopoulos, PhD - Pediatric Psychology Join our Mailing List HERE:
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With over 50 episodes filled with incredible guests, there has been a lot of very powerful information shared. In this episode, hear some of my takeaways from talking to nearly 50 experts in their fields of study. Listen to the main takeaways from podcasts with personal trainers, PhDs, ER physicians, sports medicine physicians, and many other unique perspectives around preventive medicine. This is part 1 covering episodes 1-25, stay tuned for part 2! Join our Mailing List HERE:
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What better time to start thinking about prevention than in the pediatric population. Yes, the fountain of youth often keeps pediatric patients physically healthy but what about their mental health? Dr. Natasha Poulopoulos is a pediatric psychologist with both a masters and Ph.D in clinical psychology. She has authored several peer reviewed publications, given multiple seminars and presentations, and loves educating on the topic! She is also an avid advocate for the LGBTQ+ community.
In this episode we talk about pediatric mental health, the reality behind the youth mental health crisis, what parents need to look out for and can do to improve the mental health of their children, and much much more! Tune into this fascinating episode and let us know what you think! Natasha's Social Media:
Show Outline
Tell us a little bit about yourself and why you do what you do? What does preventive medicine mean to you? What are the differences between adult and child psychology? Why are we seeing a rise in youth suicide? What factors are contributing to this and what can we do about it? Has virtual schooling had an impact on the mental development of children? What about masks? What are the warning signs that something might be wrong or a child might be suffering due to mental health struggles? What can we do to prevent children from suffering due deteriorating mental health? Are LGBTQ+ youth specifically susceptible to mental health struggle compared to their peers? Why? What do we do about it? If someone stops you at Starbucks and asks you “How do I get healthy?” What do you tell them in 2 minutes?
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How does big data help make large public health decisions? How do we set up the collection, the analysis, and interoperate the data to create infrastructure? Leoson Hoay serves as a Research Analyst and Data Steward at the University of Chicago Urban Labs, working with the Health Lab team to support the creation of data-driven solutions to public health problems. Prior to joining the Urban Labs, he had worked in various fields spanning data engineering, mental health counseling, and environmental remediation with organizations in the US, Singapore, and Australia. Leoson received his MA in Computational Social Science from the University of Chicago, and his undergraduate degree in Psychology from the National University of Singapore. He is currently pursuing an MS in Computer Science at the Georgia Institute of Technology.In this episode we discuss many big questions invovling the use of big data to solve large problems. We dive into two projects Leoson has contributed to and generally discuss what big data means in the context of health decisions. Check it out! Leoson's Social Media:
Show Notes Tell us a little bit about what lead you to this path and what you do on a day to day basis?What does preventive medicine mean to you?How are large amounts of data able to be used to solve problems? What does the process look like? What are the challenges with this process?You have done research into the homeless population cycling between the streets, hospitals, and jails. Can you tell us about this project?Can you tell us a little bit more about your research with insurance backed psychiatric placement and providers?How do you measure the impact of these projects?What impact does the collection of data make on these projects and what changes were or could be made? How does data lead to infrastructure?Do you think that community social services can help prevent problems from occurring or are they most active at solving acute problems?Healthcare adds on a level of complexity for data collection with HIPPA and insurance companies. Are hospitals and insurance companies willing partners?What are some of the protective measures to safeguard privacy when working with healthcare data?If someone asks you how data contributes to health, what do you tell them? Join our Mailing List HERE:
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What does preventive medicine mean to you? This is a question we ask each and every one of our guests. Why? Because prevention can mean many different things to many different people depending on what they value in their life. A cardiologist, public health expert, and personal trainer may all answer this question differently with all of the responses being relevant for their own circumstance.
Are supplements a necessary part of a healthy lifestyle? What supplements should you be taking with health in mind? Are there any to avoid? We answer all of these questions and more on this podcast with Team BioLayne dietitian Gerald Ernat! Gerald holds a master's degree in nutrition and physical performance, is a certified specialist in sports dietetics (CSSD) as well as a registered dietitian making him more than qualified to talk about the use of supplements as part of a healthy diet.
In this episode we talk about what appropriate scenarios for the use of supplements, what supplements are worth taking, how to pick a specific product out of the sea of companies and products, and when to seek help with your nutritional needs. There is a lot of good information in this podcast so make sure to check it out! This is actually the first podcast Gerald has been on so go over to his social media pages and let him know he did a fantastic job! Gerald's Social Media:
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Show Outline
Tell us a little bit about your background and why you do what you do What does preventive medicine mean to you What is a supplement and in what scenarios would you recommend people to take supplements? What are supplements you’d recommend to most people? Should EVERYONE be taking a particular supplement? Are there any supplements you would recommend NO one take? What are some useless supplements out there? With so many products out there people have difficulty deciding which one is right for them. What should people look for when finding supplements? Supplements aren’t all that make up an athletes diet and as stated they are “supplements.” How do you coach an athlete through construction of their diet? How do you build a successful diet for performance? When should someone seek out help for their nutrition? When does a sports nutritionist come into play? Ask about dietitian vs nutritionist If you’re at a Starbucks and someone asks you, “How do I get healthy in 2 minutes?” what do you tell them?
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If you haven't heard of Jordan Syatt, you probably aren't a heavy social media user. Jordan has over 1 million followers across all of his platforms and for good reason! He has had consistently great advice on nutrition, exercise, and on building a sustainable lifestyle. His formal education includes a bachelors of science in health and behavior science with a focus on strength and conditioning but his experience includes helping thousands if not more. Jordan is also well known for being Gary Vaynerchuck's personal trainer for many years.
On this episode, we discuss a multitude of topics but focus on lessons learned from Jordan's experience with the thousands of people he's helped. We talk about appropriate goal setting, debunking anti-common sense fitness advice, and how to keep fitness simple. Jordan's Social Media:
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Can you tell u a little bit about yourself and your journey, why do you do what you do? What does preventive medicine mean to you? The burning question everyone wants to know the answer to and number one goal a coach hears - can you lose weight and build muscle at the same time? Many individuals set general goals for their fitness such as “get healthy.” What does good goal setting practice look like when it comes to health? One of the biggest issues I see with persons getting into fitness is overcomplicating things right out of the gate. “What vegetables do I eat,” “do timing my meals matter?” How do you help people keep things simple and effective? Does this improve compliance? Under the rug of fitness there are many maladaptive behaviors such as eating disorders, poor body image, etc. How can people break out of those? How do you break the cycle of binge eating or yo-yo dieting? There are numerous strategies for weight loss. How do you determine what works for someone? I think you have an excellent balance between maintaining general advice and nuance in your content. How do you find that balance? In your eyes, what is the role of physicians when it comes to health and fitness? If someone approaches you at Starbucks and asks you, “how do I get healthy in 2 minutes?” What do you tell them?
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An often overlooked component of preventive medicine is that of women's health. If you google common questions females might have about their bodies you'll get a multitude of answers, some evidence-based, and some not so much. On this episode, we had Dr. Sameena Rahman, also known as Gynogirl on social media, to talk about how preventive medicine relates to the various topics around women's health.
We talk prevention around menarche, the reproductive years, menopause, and beyond. We discuss how prevention can take the form of anything from simple education regarding normal processes, to screening for cervical cancer, and how other lifestyle factors influence reproductive health. This episode is the first we've had on women's health and likely not the last. Let us know what you think! Dr. Rehman's Social Media:
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Show Outline
Tell us a little bit about what you do, and why you decided to become an obstetrician/gynecologist? What made you go into private practice focusing on gyn? What does preventive medicine as a whole mean to you? Outside of pap-smears, what are other ways preventive medicine relates to female sexual health? When it comes to female sexual health, what are things that females need to watch out for and how can they be active participants in their own sexual health? How does nutrition/exercise/stress relief/etc impact female sexual health? Are they independent or linked? (I.e. CVD and lifestyle factors) Menopause presents a list of changes and challenges for women, outside of the “normal symptoms” what do women need to keep an eye out for? Many symptoms of menopause are disregarded by physicians and patients are given non-useful suggestions such as yoga resulting in reliance on pseudoscientific supplements. What actually works for menopause symptoms? Do you think that our system of medicine currently does a good job of addressing the reproductive health of females and preventing downstream issues? What can we improve? If someone asks you how to get healthy in 2 minutes, what would you tell them?
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What does death and dying have to do with prevention? We're supposed to prevent that from ever happening right? Well, unfortunately none of us can avoid death at some point; yet, our healthcare system hardly addresses the needs and medical care of those nearing the end of their life. Luckily, there are people who focus a large part of their career to just that. Dr. Nicole Piemonte is an assistant professor and assistant dean at the Creighton University School of Medicine having earned her PhD in Medical Humanities. On top of that, Dr. Piemonte is the author of two excellent books - "Afflicted: How Vulnerability can Heal Medical Education and Practice" as well as "Death and Dying."
In this episode, we discuss all things death and the role of preventive medicine around the end of life. We talk about how many people now die in circumstances against their wishes, how the hospital became a place of death, how the medical system isn't designed to care for dying patients, and what we can do about it. This podcast covers many important topics that might not seem relevant at the time but that quickly become all encompassing in unfortunate circumstances. Give this episode a listen and let me know what you think! Nicole's Social Media:
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Show Outline:
Tell us a little bit about yourself, what do you do on a daily basis and what gets you out of bed in the morning? What does preventive medicine mean to you? What do the words “goals of care mean” and do they mean different things for physicians vs. patients? What is an advanced directive? Physicians are not taught very much about end of life care, why does it matter and how can focusing on it actually improve quality of life? Can this also reflect prevention? As healthcare providers, how do we help families understand what is going on with their loved one when they are acutely dying or are near death? What does it mean to have “excellent care” for a dying patient? what is hospice You write a lot about introducing the humanities within medicine, which is sorely needed, but how can this practically be implemented when there are already so many demands on healthcare providers Do you think that introducing vulnerability and reflection for medical/healthcare trainees can reduce the risk for inadequate care due to indifference? If you’re recognized in a coffee shop and someone asks you how to be healthy, what do you tell them in 2 minutes?
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Prevention can be practiced in almost any scenario - all the way from primary prevention to quaternary prevention in end-of-life situations. Furthermore, there are various social aspects that also play a role in prevention such as improving outcomes due to improved communication with patients and families or not isolating psychiatric patients and preventing a future crises.
In this episode I speak with Dr. Stephen Trevick a triple-board certified physician in neurology, psychiatry, and neurocritical care about how a preventive approach can have a large impact even in an ICU setting. We talk about keeping people out of the neuro-ICU, talking to patients and families regarding critical situations, end-of-life discussions, and even dive into the prevention of psychiatric crises. This episode has a lot of concepts that might not sound related to preventive medicine at first but still play a critical role in improving the quality of life of patients and families. Hopefully you enjoy this episode! Dr. Trevick has no social media! Show Outline:
You have a broad range of interests and are triple board certified, how do you use your knowledge on a day to day basis? Given the many hats that you wear, what does preventive medicine mean to you? Boring questions first: How do you keep yourself out of the neurocritical care unit. what risk reducing practices reduce the risk for neurological catastrophes? (Can decide whether or not you want to talk about this one since it’s mostly pretty straightforward) We’ve talked about more common outpatient type mental illness topics on the podcast before but never about acute psychiatric needs. What is the difference between “poor mental health” and “psychiatric crisis?” How do psychiatric crises develop and how do we reduce the risk for them? Is it all about medication? Communication and support? Some psychiatric illnesses leave patient’s isolated by the medical system, how can we as physicians communicate with these patients when they have seemingly become “closed off?” In medicine we often do a poor job of communicating medical events and prognosis to both patients and family, can improving this communication improve a patient’s quality of life? Whether from a psychiatric or neurological diagnosis, patient’s families may experience significant grief. What is the physician’s role in that grief response? If someone recognizes you in the hospital starbucks line and asks you “how do I get healthy?” What do you tell them in 2 minutes?
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It's a brand new year! The podcast has been silent for a little over a month but it's time to change that with the first episode of 2022. In this episode I start off by talking about podcast updates including the proposed podcast schedule for this year, improvement in it's quality, and other goals for this year.
The meat of the episode however lies in using the new year as a marker for change and the concept of new-year's resolutions. I discuss getting started on your fitness goals, how to make your likelihood of success greater, and the various challenges that people might face in making lifestyle changes.
I also discuss my current view of the healthcare system coming off an ICU month in my residency. I talk about changes I see coming in healthcare and my experiences in the past month.
And lastly, I discuss some personal updates including completing my Certified Strength and Conditioning Specialist (CSCS) certification and starting to officially coach other individuals. Ragav's Social Media:
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Show Outline
Podcast Updates
Frequency of uploads Content Quality Social Media Posts Goals for this year
New year new me?
The best time to start was yesterday, the next best time is now
Get help from others around you as needed Get support to keep you motivated and to keep yourself accountable
Gym newbies for gym veterans
Accept the new people and don't shame them for not knowing how to use a machine etc. Teach them how to use a machine or exercise if they are struggling.
Challenges that will be faced this year
Outlook on the healthcare system
Burnout Staffing shortages Less and less likely to have active dialogue with patients due to exhaustion
Personal Updates
I completed my CSCS! Finished ICU block, starting to move towards PMR
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Exercise is an obvious component of living a healthy lifestyle. Yet, despite how important and well-known the importance of exercise is, it is still very often misunderstood and its effects marginalized. In this episode, Ragav dives into exercise from multiple perspectives including a definition, the guidelines in the face of the sedentary lifestyle epidemic, types of exercise, and how exercise can be made more accessible.
This episode also discusses the relatively novel concept of exercise as an independent beneficial activity rather than it being attached to weight-loss as it traditionally is. Let us know what you think of this shorter format episode! Ragav's Social Media:
Show Links: Classification of Exercise Intensity: https://www.acsm.org/docs/default-source/files-for-resource-library/exercise-intensity-infographic.pdf?sfvrsn=f467c793_2
Examples of Various Exercise Intensities: https://www.cdc.gov/nccdphp/dnpa/physical/pdf/pa_intensity_table_2_1.pdf Show Outline:
What is exercise and what are the different forms Exercise guidelines and the current sedentary lifestyle epidemic Exercise as a tool for health beyond weight loss The two main forms of exercises and examples On making exercise accessible and reducing friction to regular exercise
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Yes, another chiropractor that doesn't crack! Dr. Sierra focuses on helping individuals rehab their injuries and chronic pain so that they can get back to doing what they want to do. By breaking down complex topics into memes and teachable content, Dr. Sierra has built a strong reputation as an evidence-based clinician and educator.
In this episode, we break down Dr. Sierra's approach to injury and how he helps individuals navigate rehabilitation. We talk self-management, the role of exercise, how to approach an acute injury, and more! Make sure to follow him on Instagram for the memes! Eliud's Social Media:
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Show Notes
Why did you decide to become a chiropractor and what does your practice consist of now? What does preventive medicine mean to you What is the concept of self-management and why is it so important in the context of both injury and general wellness? How do you select the appropriate exercises for persons and how can people select them for themselves? Take us through how you would rehab someone through an injury after they have passed the acute phase? How do you appropriately modify activities? Are there certain exercises that might be better than others for building resiliency to injury? What are some of the common barriers to exercise and how do we remove them? If someone recognizes you in a coffee shop and asks you how to get healthy, what do you tell them in 2 minutes?
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Whenever it comes to prevention we always think about organs like the heart, the lungs, and maybe bone. We think of diseases like obesity, diabetes, and heart disease. But we don't typically think of the skin and prevention in the same sentence. Well, Dr. Zain Husain is a board certified dermatologist specializing in both Moh's surgery and cosmetic dermatology who own's his own practice and loves talking about keeping our skin healthy. His love for educating shows through his social media presence and assistance in training future dermatologists.
In this episode, we discuss prevention as it relates to the skin diving into topics like skin cancer, what various rashes to worry about, the effect of lifestyle on skin, and skin care! Yes, we talk about skin care and try to clarify the evidence-based products and concepts from those popularized by marketing and "skinfluencers." This is a unique episode and we hope you enjoy it! Dr. Husain's Social Media:
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Show Outline
Can you tell us a little bit about yourself, NJ derm center, and what brought you to the field of dermatology? What does preventive medicine mean to you? Skin cancer is probably the largest apparent preventable disease for dermatologists, what can people do to decrease their risk for skin cancers? Rashes are very common and multifactorial - how does someone know whether or not they should get it checked out or whether it will self-resolve? How do diet and exercise affect the skin? Beyond skin cancer, people care about preventing skin aging usually through skin care. People either seem to really care or don't bother at all. Is skin care necessary? There are so many skin care products out there with questionable evidence, how do you know which skin care products work? There aren't many RCTs out there for skin care products! Do you think the cosmetic aspect of dermatology can have a significant effect in helping people live a more fulfilling and happier life? If someone recognizes you at a Starbucks while you're waiting for your coffee, what do you tell them in 2 minutes if they ask you "How do I keep my skin healthy?"
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There's more to sleep than sleeping disorders! Dr. Jade Wu is a clinical psychologist specializing in sleeping psychology, and unlike Dr. Winter, takes a non-pharmacologic or interventional approach to sleep. Given her Phd in clinical psychology, Dr. Wu uses behavioral therapies to help individuals improve their sleep. Aside from her clinical work, Dr. Wu is also a very well-regarded presenter, speaker, and consultant for companies as well as making appearances on many well-known TV shows, podcasts, and other media outlets. She is also an active researcher in the field of sleeping disorders in chronic illnesses while being a reviewer for sleep related journals.
In this episode, we talk about the basics of sleep, why people develop poor habits around sleep, how sleep affects and may be affected by chronic illnesses, and the power of behavioral therapies in helping others sleep. Near the end of the podcast we break down how to construct a sleeping routine and what might be done to mitigate the influence of various lifestyles on sleep. Check it out! Dr. Wu's Social Media:
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Show Outline
What drove you to getting a PhD in clinical psychology and how did you get interested in sleep science? What is sleep psychology? What does preventive medicine mean to you? Briefly what are the stages of sleep? How does poor sleep quality or quantity affect the risk of chronic disease? Does it provide a minimal risk that can be mitigated through other means or a large risk that cannot be mitigated? How does sleep change in those already battling chronic disease including mental illness? You discuss that you provide non-medication solutions to help people improve their sleep, what does this include? What does good sleep hygiene look like? How do you create a sustainable sleep schedule? What can someone do to mitigate their risk of insufficient sleep that might not be able to get enough sleep due to other stressors in their life - financial stressors, familial stressors, safety stressors, etc? Not getting enough seems to have become a cultural symbol of working hard despite it's ill effects and is often celebrated. How do we reverse this trend? If someone asks you how to get healthy while you're waiting for a coffee at Starbucks, what do you tell them in 2 minutes?
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Sleep is something we all do for about a third of our lives but rarely think to work on. We just sleep, that's all there is to it, right? Dr. Chris Winters is board certified in both neurology and sleep medicine with a mission of helping everyone with their sleep. He has authored two books on the topic, is a well renowned speaker, consultant for major companies, and has worked with numerous professional sports organizations in improving the sleep of their players. Beyond that he owns his own practice where he helps people from all walks of life overcome their sleep difficulties.
In this episode, we discuss the connection between sleep and preventive medicine before diving into the various issues people may have with their sleep. We talk about sleeping disorders, the risks of insufficient sleep, the relationships between various diseases and sleep, as well as medical approaches to improving people's sleep. This episode is packed with information so you're not going to want to fall asleep during this one! Dr. Winters' Social Media:
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Show Outline:
How did you get interested in sleep medicine and what do you do on a day to day basis as a sleep specialist and neurologist? What does preventive medicine mean to you? What are the most common sleeping disorders and how do they develop? Ex. diabetes comes from insulin resistance and hormonal dysregulation How does someone know whether or not they might have a sleeping disorder vs. another medical problem such as thyroid disease? One of the common sentiments people have is to work hard (sleep less) when younger and can rest later. Can you make up a sleep debt or is the damage done? Can you combat sleep debt in other ways if you have a demanding job or are in certain societal contexts? What is the relationship between sleep and neural diseases such as Alzheimer's, Parkinson's, dementia, etc. What are the dangers of children not getting enough sleep and what can parents do with a school system that isn't always designed with their schedules in mind? What pharmaceutical or interventional approaches are there to improving sleep? How does sleep affect body composition and performance? If someone asks you how to get healthier while you're at a Starbucks waiting for your coffee, what do you tell them in 2 minutes?
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Not only is he an oncologist, but a survivor of cancer himself. Dr. Lewis completed his training in hematology and oncology at the Mayo Clinic before becoming a cancer specialist focusing on gastrointestinal tumors. However, not only did Dr. Lewis learn about cancer from the physician standpoint, but from the patient standpoint himself as he was diagnosed and treated for a rare cancer himself while in training. Given his unique perspectives, Dr. Lewis is able to provide incredibly valuable insight into what we can and can't do about our cancer risk. In this episode, we discuss the basics of cancer, what we can do to reduce our risk of cancer, what is under our control, and what we should leave up to the powers that be. We also talk about what is and isn't evidence based when it comes to "alternative" treatments, various products, supplements, diets, and exercise as they relate to cancer prevention and treatment. Let us know what you think of this episode! Dr. Lewis' Social Media:
Link
Show Outline How did you get into the field of oncology and what do you do on a daily basis?What does preventive medicine mean to you?What is cancer, what are the risk factors for that we can control? What can't we control?Why don't we screen more robustly for cancer, why do we screen for some things (colon cancer, breast cancer) but not for others (lung cancer, uterine cancer, etc)?You not only treat cancers but have also been a patient. What is MEN1 and when should people know whether or not they need to be tested for these rarer cancers?How big of an impact does diet have on cancer risk? Exercise?With cancer comes a lot of psuedoscientific supplements and protocols, are there any that actually provide some benefit?Many people claim that many materials we use such as plastics are carcinogenic and we just don't know about it yet. Is there any truth to these or is it just fear mongering?If you're waiting for your coffee at Starbucks and someone asks you how to avoid cancer, what do you tell them in 2 minutes? Join our Mailing List HERE:
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I don't listen to many podcasts anymore but one that remains in the rotation consistently is Sigma Nutrition Radio founded and hosted by Danny Lennon. Danny holds a master’s degree (MSc.) in Nutritional Sciences from University College Cork and has quickly become a heavyweight in the world of nutrition. In addition to his role at Sigma Nutrition, Danny is a member of the advisory board of the Sports Nutrition Association, on the scientific board of Legion Athletics, and an international lecturer. He's the real deal.
In a world of nutritional partisanship, Danny aims to explore the nuances of nutrition through an unbiased perspective reporting the research as is. He has interviewed world experts in nutrition, consistently reads the literature himself, and keeps the bigger picture in mind making him one of the most respected authorities in the world of Nutrition. In our conversation, we discuss what really matters in nutrition, how to simplify nutrition for the average person, and address common pieces of misinformation and pseudoscience. This is a do-not-miss episode, I hope you enjoy it! Danny's Social Media:
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Episode Outline
Tell us a little bit about yourself and why you do what you do? What does preventive medicine mean to you! Where did the idea for sigma nutrition come from and what accomplishment through Sigma are you most proud of? Out of the context of weight loss, are all calories the same? Is a calorie a calorie regardless of the source? What is the importance of diet vs. exercise when it comes to health and longevity? Do they have unique benefits or do they always go hand-in-hand? There are so many specific nutrient-based questions that people encounter in their daily lives (i.e. how much salt should I be eating, should I be supplementing with vitamin d, etc) - how do they know what matters and what doesn't? Is there any credibility to food intolerance tests? Why do some people seem to find benefit in avoiding certain foods? What is the basis for creating a sustainable diet and how would you coach someone through in approaching their diet? If you're at a coffee shop and someone asks you how to get healthy, what do you tell them in 2 minutes while you're waiting?
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Obesity is a topic we have discussed several times on the podcast including a recent deep dive into the subject. However, we have nearly always approached it with the birds-eye view merely talking about it or others with it. In this episode, Jon and I dive into our own stories and experiences with obesity having both lost nearly 90 pounds at one point.
Jon and I discuss our motivations for weight loss, our journey, how we navigated various obstacles along the way, our current weight status, and our current and future views on obesity. We hope this episode is relatable to those dealing with obesity serving as both an informative and inspirational roll to those currently in a similar situation. Jon's Social Media:
Ragav's Social Media:
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Show Outline
Weight loss in the context of preventive medicine. How much does it help? Does everyone need to lose weight? Why is weight loss so hard? How much weight did we lose and over how much time? What methods did we use and what successes and failures did we find? What physical barriers did we face in weight loss? What mental barriers in weight loss? Was the weight loss sustained? What do we currently weigh? What advice do we have for people out there who are currently trying to lose weight?
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Obesity is at the root of many preventable causes of both morbidity and mortality. Despite addressing obesity in several episodes, we decided it was time to dedicate an entire episode to it featuring Dr. Mike Albert who is board certified in both internal medicine and obesity medicine. He is also the host of the Impossible Healthcare Podcast as well as Co-founder and CMO of the newly founded Accomplish Health!
In this episode, we talk about Dr. Albert's path to obesity medicine before taking the deep dive into the why, what, and how's of obesity. We also discuss potential solutions to the obesity epidemic including what innovators and entrepreneurs can contribute! Dr. Albert's Social Media:
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Show Outline: Question 1: Tell us a little bit about yourself and why you decided to pursue medicine, specifically your field? Question 2: What does preventive medicine mean to you? Question 3: What is your definition of obesity? Question 4: Why does the incidence of obesity continue to rise and why has this never been a problem before for humans? Question 5: How do we identify those at risk for obesity and help them avoid it? Is this even something that can feasibly be done? Question 6: What is the ultimate goal of treating obesity and what have you seen to be the most effective strategies? Question 7: Can you talk about the role of exercise versus diet in the context of the various energy expenditure models? Question 8: What is semaglutide and have you seen success with it? Question 9: Why is it so hard to maintain weight loss? what can we do as physicians to help people keep weight off? Question 10: At this point, do we have more questions or answers? What does it take to move forward with putting a dent in the obesity epidemic? Question 11: I know that you're into entrepreneurship and innovation within the healthcare space, what can entrepreneurs do to help in the obesity epidemic. What are you seeing in this space? Question 12: If someone asks you how to get healthy while you're waiting for your coffee at starbucks, what do you tell them in 2 minutes Join our Mailing List HERE:
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In every episode we ask our guests, "what does preventive medicine mean to you" and get a variety of answers. In fact, we recently had a post on Instagram that included all of the answers in one graphic. Beyond that question, we don't explore the question further and get straight into the topic at hand. In this episode, Ragav goes in depth into the question of what preventive medicine means from various different perspectives to create a comprehensive picture.
He discusses his interest in preventive medicine, the different "branches" of preventive care, and what we can do to bring it all together to improve people's lives. Let us know what you think of this episode!
The contents of this episode do not reflect that of Ragav's employer and all statements and opinions are his alone. This podcast is not intended for medical advice in any way. Ragav's Social Media:
Link
Show Notes USPSTF Screening Recommendations: https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P
Episodes mentioned during this podcast:
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Dr. Austin Baraki: https://thepreventivemedicinepodcast.com/preventive-medicine-fact-vs-fiction-dr-austin-baraki-md/
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Dr. Mitesh Patel: https://thepreventivemedicinepodcast.com/mental-health-the-mind-body-connection-dr-mitesh-patel-md/?utm_source=rss&utm_medium=rss&utm_campaign=mental-health-the-mind-body-connection-dr-mitesh-patel-md
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Leah Lutz: https://thepreventivemedicinepodcast.com/from-teaching-to-coaching-the-incredible-journey-leah-lutz/
Show Outline:
What got Ragav into preventive medicine and his experiences with medicine What preventive medicine means to Ragav The three perspectives on preventive medicine - institutional medicine vs. health and fitness vs. general population Creating the perfect blend of preventive medicine
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When it comes to sports science and musculoskeletal care, there are not many people with as much experience as Adam Meakins. Inspired by his curiosity and passion, Adam has continued gaining experience throughout his entire career first as a trainer before becoming a physiotherapist practicing in the UK. Since then, he has become a world-wide authority on musculoskeletal care giving international seminars, being a published author in peer-reviewed journals, and even an author for a textbook. He is also the host of his own podcast - the NAF podcast which I personally listen to!
In this episode, we discuss Adam's straightforward and experienced approach to risk reduction in the field of MSK care. We discuss his thoughts on promoting prevention in the field, manual therapy, proper exercise prescriptions, and his own recent back injury. This is a fun episode, hope you enjoy! Adam's Social Media:
Podcast
Topics Discussed:
How did you chose on the path of becoming a physiotherapist and where does your passion for MSK care come from? What does preventive medicine mean to you? Physical therapy is often used after an injury, how can it be used for prevention? You are a well known critic of manual therapy despite being trained in it and previously using it, when did you flip the switch? Is manual therapy (including scraping, cupping, adjustments, etc) ever beneficial for preventing or treating sport related injuries? How do you write a proper prescription for exercise for patients and who should be writing it? Is it more important to start exercising or perfect your form first? Where do you draw the balance between the two? What is "natural history" and how do you tell whether something will heal on its own or not? Work in back injury with this If someone asks you how to get healthy at a coffee shop, what do you tell them in 2 minutes?
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Hormones are some of the most confusing aspects of human physiology. Due to their complexity a lot of psuedoscience and misinformation surrounds them giving rise to pervasive false ideas about what hormones are and what they do. Well, luckily medicine has an entire field dedicated to hormones in endocrinology! However, Dr. Karl Nadolsky is not only an endocrinologist but also holds board certification in internal medicine and obesity medicine on top of being a board certified endocrinologist. Furthermore, he is a doctor that definitely lifts and a huge proponent of resistance training and fitness in general as a part of a health lifestyle.
In this episode, we discuss Dr. Nadolsky's background in athletics, the field of endocrinology as a whole, obesity, diabetes, and "hormonal dysfunction." There was a lot to go over in this episode including the foundations of obesity and diabetes as well as dispelling many of the common myths out there regarding hormones. We hope you enjoy this episode! Dr. Nadolsky's Social Media:
Link
Show Links: Endocrine Disrupting Chemicals:
https://www.endocrine.org/advancing-research/scientific-statements/edc
https://www.endocrine.org/advancing-research/scientific-statements/edc2 Show Outline: Question 1: How did you get into medicine and when did you start Docswholift.com?
Question 2: What is endocrinology and what do you do on a day-to-day basis?
Question 3: What does preventive medicine mean to you?
Question 4: Despite so many Americans being obese, we still don't seem to have a good grasp of obesity. What is obesity?
Question 5: How do we prevent obesity and what can we do to combat it from the individual and institutional perspective?
Question 6: What is type 2 diabetes, how does it develop, and what are ways that we can prevent it?
Question 7: Is type 2 diabetes a reversible disease? How do we go about doing it?
Question 8: The thyroid is often blamed for weight related issues, when can the thyroid actually be blamed and how do you know if you need to get it checked out?
Question 9: Many people claim that various diets and other interventions improve their hormonal profile. Is there any validity to the effects of diets or other materials on hormones?
Question 10: If you're in a coffee shop and someone asks you, "How do I get healthy," what do you tell them in 2 minutes? Join our Mailing List HERE:
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There's no guest this episode. Just gratitude! We're turned 1 year old on August 1st, 2021 and could not be more thankful for your support in this endeavor. In this episode, Ragav talks about the podcast from its beginnings until now, significant events and milestones along the way, and it's future path. Ragav also talks about some of the behind the scenes in recording episodes as well as giving an overview of each of the episodes for those that might not have had a chance to go through all of our 30 episodes thus far.
We are incredible fortunate to have received the support we have and will continue making high-quality content on preventive medicine! Thank you for listening! Our Social Media:
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Episode Introduction Dr. Eubanks' thoughts and statements on this episode do not reflect those of his employer, The University of Pittsburgh Medical Center Department of Physical Medicine and Rehab. They are solely his opinions.
Dr. Eubanks is the first medical resident we have had on the show and for good reason. He has a tremendous amount of experience within the world of musculoskeletal and spine care given his masters degree in exercise science and rehabilitation as well as his doctor of chiropractic. Jim worked closely with a physiatrist during his time as a chiropractor and decided to take the step to become one himself.
Since then, he has become a rising star in the world of back pain and spinal care and was recently given a chair on the clinical practice guideline committee for the North American Spine Society. Beyond his expertise in spinal care and back pain, Dr. Eubanks also loves giving back to the PM&R community by providing mentorship and guidance to medical students and residents through PMR Scholars.
This episode goes over EVERYTHING you need to know on back pain in a 1 hour distilled episode. We talk about why the care for back pain is so broken in the United States, what the current thoughts on back pain are, and what we can do moving forward. This episode is a masterclass in back pain so make sure to listen till the end! Jim's Social Media
Show Notes Episode Outline:
Question 1: Tell us a little bit about yourself and what you hope to accomplish in the future?
Question 2: Given your unique experiences and background, what does preventive medicine mean to you?
Question 3: How did you get into spinal care and back pain?
Question 4: Why did you decide to go from being a chiropractor to attending medical school and becoming a physiatrist?
Question 5: What is the current situation with how we deal with back pain and how did it get to be this way?
Question 6: Given that lower back pain is extremely prevalent and often self-resolving, when should the average person know to get it checked out? What should the know?
Question 7: How does posture relate with back pain? Are the related?
Question 8: How do we move towards better care for spinal and back pain?
Question 9: When it comes to patients that actually require surgery for their pain, is there any sort of prehabilitation that can be done to improve outcomes?
Question 10: What is the role of a physiatrist when it comes to spinal care? What can a physiatrist offer that's different from a surgeon?
Question 11: How do we improve medical education at the medical school and resident levels to improve spinal care? What about from a policy standpoint?
Question 12: If you're in a coffee shop and someone asks you how to get healthy, what do you tell them in 2 minutes?
Other:
Statement by Dr. McGill on his views on spinal flexion can be found here Join our Mailing List HERE:
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Sports medicine is often a misnomer for what physicians in this field of medicine do. They don't always take care of athletes and don't always work for a sports team but they are the people to go to when it comes to musculoskeletal care.
Dr. Bowers is board certified in both Physical Medicine and Rehabilitation and Sports Medicine as well as a PhD in exercise physiology. In our episode, we discuss his unique path to medicine and his experience dealing with evidence-based musculoskeletal care. Furthermore, we also discuss the gaps in both medical care and in medical education that could help promote prevention for more patients. Dr. Bower's Social Media
Show Notes Link to study mentioned in episode: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0096745
Topics Addressed in the Episode: 1. Tell us about yourself and your path to medicine, why did you go the PhD, DO route?2. What does preventive medicine mean to you as a sports medicine physician?3. What is sports medicine as a general field and what is the patient population? Can you practice preventive medicine from this position? 4. There are typically 3 realms within musculoskeletal health - physicians, therapists, and trainers. What is the relationship between the three now and how can it be improved to facilitate prevention?5. When people get injured they are often scared to return to play, how do you prevent this fear and facilitate a safe return to play?6. Orthobiologics are a fast growing treatment modality that can be used both therapeutically and preventatively, what are they and are they beneficial?7. As a physician, what do you think can be done to get more people exercising and what do you do to facilitate this?8. What can be done to improve education of preventive practices such as exercise and nutrition in the medical education system? 9. If someone asks you how to get healthy while you are waiting for your coffee at a coffee shop, what do you tell them in 2 minutes? Join our Mailing List HERE (and get a free training template!)
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Leah Lutz There are some people who just have a lot of experience and wisdom to share from those experiences. Leah Lutz is one of those people. From her incredible journey of losing over 100 pounds to transitioning here career from a teacher to a powerlifting coach, to her experience with cooking, Leah is a treasure trove of information.
In this episode, we discuss Leah's journey through weight loss, the struggles and barriers she faced a long the way. We also discuss Leah's invovlement with Barbell Medicine along the way and how she decided to transition her career from being a teacher to a powerlifting coach. From there we discuss the challenges facing women in the weight room along with the barriers encountered by her clients (male and female) with training and how she coaches through them. To finish the episode, we dive into a topic never before discussed on the podcast - cooking! Make sure to stay till the end of the episode for high-yield tips on how to make cooking more accessible and better serve your health goals. Leah's Links:
Link
Show Notes (1:00 - 7:15) - Introductions
Question 1 : Tell us a little bit about yourself and what you do?
Question 2: How was the transition from teaching in school to coaching for you?
(7:15 - 21:20) - Experiences with Preventive Medicine
Question 2: What does preventive medicine mean to you?
Question 3: Can you tell us about your weight loss journey and how it coincided with powerlifting?
(21:20 - 45:00) - Barriers for Women and in Resistance Training
Question 4: Along your journey with weight loss, what barriers did you see or face with regards to resistance training as a woman?
Question 5: How do you find the positive rewards or reinforcements that help you keep going towards a goal?
Question 6: Does someone's experience level with training impact your coaching of them through various barriers in training?
(45:00 - 57:00) - Cooking for Health
Question 6: Is cooking your own food better for you in terms of your health? Is it inherently healthier?
Question 7: How do you make cooking at home more convenient for those that want to cook at home but are on a time crunch?
Question 8: What are some of your basic food principles?
(57:00 - 59:00) - Wrapping it up
Question 8: If you're at a coffee shop waiting for your coffee and someone asks you "how do I get healthy," what do you tell them in 2 minutes? Join our Mailing List HERE:
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Jeffrey Linder, MD, MPH We are told by everyone to value our health and get ourselves checked out once a year. The annual "well-visit" typically includes getting your blood pressure and other vitals taken, blood drawn about a week before or so, and recommendations to have screenings such as colonoscopies done. These have become a staple and are what most primary care doctors are known for. However, are they really necessary? Dr. Jeffrey Linder is a professor and physician at Northwestern Feinberg School of Medicine who has data saying they might not be.
In this episode, we dive into the annual "well-visit" with Dr. Linder and discuss whether or not individuals should be going to them. Originally discussed on a JAMA clinical review podcast, we discuss the useful parts, the not so useful parts, and the real utility of the annual check up. Furthermore, we discuss the role of primary care within healthcare as a whole and how the pandemic affected medicine. For details on the research conducted by Dr. Linder, check out the following links below! Episode Links:
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Podcast
Show Notes (1:00 - 4:30) - Introductions
Question 1: Tell us a little bit about yourself, your journey through medicine, and why you do what you do?
(4:30 - 15:30) - Prevention and Primary Care
Question 2: What does preventive medicine mean to you?
Question 3: What are the key items that help prevent bad outcomes down the road?
Question 4: Are well-checkups necessary, how did they come to be, and are we going to do away with them in the future?
Question 5: What groups of people should be coming in to see their primary care physician?
(15:30 - 25:00) - Advances in Primary Care
Question 6: Do you think the use for tele-health and health monitoring via apps can be useful for providing healthcare?
Question 7: Do you think tele-health and new technology could assist with the primary care physician shortage and reduce overdiagnosis/overtreatment?
Question 8: What is a standardized physical exam and what are your thoughts on it? What are the potential harms of the less useful parts of the physical exam? Should students be conducting parts of the physical exam that are not as useful?
(25:30 - 33:10) - The Harms in Healthcare
Question 9: What are some of the biggest harms to patient health within healthcare and what do we do about it?
Question 10: What are some of the harms of over-prescribing antibiotics?
(33:10 - 41:40) - A Primary Care Rundown
Question 11: Take us through a primary care visit that you might have with a patient, how much time are you focusing on prevention vs. other factors?
Question 12: How do you address the social determinants of health within the patient visit? What resources can you provide?
Question 13: What are you recommending to patients when it comes to exercise and nutrition?
(41:40 - 50:30) - The Pandemic
Question 14: How did the COVID-19 pandemic effect your practice and how did tele-health impact care?
Question 15: Does tele-health actually make life easier for physicians?
Question 16: How do we address the shortage in primary care physicians?
(50:30 - 51:45) - Wrapping up
Question 11: What do you tell someone who asks you "how do I get healthy" in 2 minutes? The Exercise Guidelines (via health.gov)
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Jeb's Media:
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Jeb Dunkelberger,
CEO - Sutter Health | Aetna No matter what type of discussion we have regarding healthcare on this podcast, there is always one constant - Insurance. Insurance is the middle man between the provider and the patient and determines much of the transaction. In this episode we dive into the business of healthcare with the youngest CEO of an insurance/healthcare company ever - Jeb Dunkelberger. Not only is he the youngest CEO, but also the author of Rich and Dying, An Insider Calls Bullsh*t on America's Healthcare Economy.
Have you ever wondered what preventive medicine means to a healthcare executive? That question and many more you didn't even know you had are answered by Jeb in this episode. Jeb brings unique perspectives to the table as we discuss the incentives of insurance companies, the cost of healthcare in the USA, the relationship between insurance companies and physicians, and so much more! However, the most important question we discuss is the one of making our system better. This is one you don't want to miss! Show Notes (1:00 - 4:00) - Introductions
Question 1 : Tell us a little bit about yourself and why you decided to go into medicine
(4:00 - 7:30) - Setting the Scene
Question 2: Where did you come up with the idea for this book and why did you decide to write it?
Question 3: What does preventive medicine mean to you from the insurance or administrator side?
(7:20 - 17:20) - Incentives
Question 4: How do we align the incentives of insurance companies and the general populace?
Question 5: There are many physicians who have recently been talking about how bad insurance companies are. Are physicians and insurance companies aligned?
Question 6: What are you thoughts on insurance coverage in instances such as the emergency room where neither the patient, physician, or insurance company may be linked?
(17:20 - 24:30) - Footing the Bill
Question 7: Why do we spend so much on healthcare and what can we do about it?
Question 8: Do you have any thoughts on the skyrocketing amount of administrators within healthcare compared to physicians?
(24:30 - 31:00) - Healthcare and Insurance Models
Question 9: What are the differences between different healthcare plans and why are there so many of them?
Question 10: From the consumer perspective, why do people pay different amounts for insurance and what are they paying for?
(32:00 - 44:10) - Trends in Insurance and Healthcare
Question 11: Do you think the trend of employer tied insurance should continue? What is value-based reimbursement?
Question 12: Value-based reimbursement is an ideal but may not be the most practical based on your book. How do we bridge the gap between what we have with fee-for-service and value based reimbursement?
(44:10 - 54:00) Funding Prevention and Medicare for All
Question 13: Why aren't preventive measures incentivized more by insurance companies when it comes to reimbursement?
Question 14: What are your thoughts on medicare for all? What does the middle ground between the free market and government sponsored healthcare look like?
(54:00 - 1:04:15) - The Solution
Question 15: How do we fix healthcare, where is the middle ground?
Question 16: What are some of the key points you want listeners to take home from this episode? Join our Mailing List HERE:
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Claire Zai, MS Females have always had an uphill battle when it comes to sports and exercise opportunities. They have been told for decades to get "smaller" and to primarily do cardio as their form of exercise. This societal pressure was best visualized during the NCAA tournament with the massive discrepancy between the male and female exercise areas. Well, Claire Zai is an incredibly strong female helping other females get stronger themselves. Getting a masters degree in physiology, specifically biomechanics, Claire has worked in the scientific world but now works primarily as a coach with Barbell Medicine helping others reach their strength goals. Claire is a scientist, state-record holding powerlifter, and women's advocate and brings all of that to the table talking with us.
In this episode, we talk with Claire about why empowering women is so important, how men and women differ when it comes to training, and also how differing biology affects exercise and recovery. Let us know what you think of the episode! Claire's Social Media:
Link
Show Notes (1:00 - 4:50) - Introductions
Question 1: Tell us a little bit about yourself and what you do?
(4:50 - 18:00) - Preventive Medicine and Women's Empowerment
Question 2: Given your background and perspective, what does preventive medicine mean to you?
Question 3: Do you think that your background in coaching will give you a unique perspective in patient care compared to other doctors?
Question 4: Can you tell us a little bit about the load women fundraiser and why you decided to start it?
Question 5: What does it mean to be chronically under-loaded, why are women under-loaded, and what experiences have you had where someone has told you "you're lifting too much?"
(18:00 - 38:00) - Gender differences in training
Question 6: What gender differences are there between men and women when it comes to training?
Question 7: Are there any changes that females need to make around their training due to the menstrual cycle?
Question 8: How do we go about changing the narrative around women strength training and being chronically under-loaded?
(38:00 - 54:30) - Rehabbing and Training with Injuries
Question 8: You recently suffered a back injury and have been rehabbing it, can you tell us a little bit about that and what you've been doing to rehab it?
Question 9: Is there anything you wish people knew about pain and rehab?
(54:30 - 56:40 ) - Wrapping it Up
Question 10: If someone were to ask you how to get healthy while you were waiting for your coffee, what do you tell them in 2 minutes? Join our Mailing List HERE:
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Alyssa Olenick, MS, CISSN, PhD(c) The human metabolism is incredibly complex and the backbone of every activity we do. Whether it's laying on the couch or running an ultra-marathon, our metabolism supports whatever activities we engage in. In this episode, we talk with Alyssa Olenick who is finishing up her PhD in metabolism and exercise about just that! Alyssa is our second repeat guest and the perfect person to talk about this topic given her background! Alyssa not only studies metabolism and exercise but puts her knowledge to the test everyday as an avid runner, lifter, and overall badass. Alyssa has competed in poewrlifting, weightlifting, marathons, and even ultramarathons making her the perfect person to understand the potency of the human metabolism.
In this episode we talk about what the metabolism is, what it means in the context of weight loss or weight gain, how people can properly support their metabolism, and the role of exercise in supporting the metabolism. We also dive into gender differences within the context of both exercise and metabolism which brings out some fantastic segments. This episode is full of energy and we hope you all enjoy it! Alyssa's Social Media:
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Show Notes (1:00 - 4:30) - Introductions
Question 1: Has anything changed in our outlook on preventive medicine since the last time we spoke?
(4:30 - 30:10) - The Human Metabolism
Question 2: What is the metabolism, how does the metabolism relate to calories, and what do people mean when they say "I have a fast [or slow] metabolism?"
Question 3: What determines someone's metabolic rate, what is the metabolic rate, and how does it relate to energy balance?
Question 4: Can you increase your metabolism? How do you do it?
(30:10 - 1:05:30) - How the Metabolism Differs Between People
Question 5: is there a relationship between the metabolism and being obese or being fit? Do obese people just have a slower metabolism than fit people?
Question 6: Are there any gender differences between males and females in how the metabolic rate is determined and are there controllable factors such as diet or exercise that should be approached differently due to these differences?
Question 7: Why are carbohydrates important for exercise and how do you know how many to eat?
(1:05:30 - 1:09:15) - Wrapping it Up
Question 8: What do you tell people that ask you "How do you get healthy" if you have 2 minutes to answer while you're waiting for your coffee? Join our Mailing List HERE:
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Astrid Naranjo, RD Nutrition is a huge aspect of preventive medicine but there is so much more to nutrition than just the food we eat - the relationship we have with food also matters heavily. Astrid Naranjo is an accredited dietitian in Australia who is extremely passionate about helping people develop a healthy relationship with food. Born in Venezuela, she received her training there before moving all the way across the world to Australia, getting re-certified, and practicing there within the hospital setting. Astrid also has a significant following on social media and owns her own nutrition consulting company where she coaches clients and has had many interviews with industry experts.
In this episode, we focus on how to develop a healthy relationship with food as well as what disordered eating and specifically defined eating disorders look like. We also discuss Astrid's motivations behind what she does, her story, and her presence on social media. Astrid's Social Media:
Link
Show Notes (1:00 - 15:00) - Introductions
Question 1: Tell us a little bit about yourself and what you do?
Question 2: How did you get into social media and how did it become such a big part of what you do?
Question 3: Why did you move from Venezuela all the way across the world to Australia?
(15:00 - 26:15) - A Healthy Relationship with Food
Question 4: How does a person's relationship with food affect their choices and what they eat?
Question 5: Is there a difference between a poor relationship with food and eating disorders?
(26:15 - 34:40) - Prevention of Disordered Eating
Question 6: Do you think that eating disorders or disordered eating is preventable?
Question 7: What does preventive medicine mean to someone in dietetics?
(34:40 - 48:15) - Building a Healthful Diet
Question 8: How do you create a healthful diet that works in preventing both disease and disordered eating?
Question 9: Where do you find information to help build a healthful diet? What sources should they use?
(48:15 - 53:00) Closing Remarks
Question 10: If someone asks you how to get healthy at a coffee shop, what do you tell them in 2 minutes while you are waiting for your coffee? Join our Mailing List HERE:
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Tommy Wood, BM BCh (MD)/PhD The brain is one of, if not the, most important organs in the human body as it is responsible for coordinating nearly everything we do. The human brain is what makes us human and allows us to complete complex tasks and much much more. Well, what happens if the brain gets injured? In this episode, Dr. Tommy Wood, BM BCh (MD)/PhD talks to us about the brain, brain injuries, and neurocognitive diseases. Dr. Wood originally completed his medical training from Oxford before beginning his PhD in physiology and neuroscience at the University of Oslo. He now works in the department of pediatrics at the University of Washington researching brain injury making him the perfect person to talk to us about the topic!
We talk about what brain injuries are, how they effect us, and what we can do to reduce our risk of these injuries. This episode is packed with information throughout so get ready to take notes! Dr. Wood's Social Media:
Link
Show Notes (1:00 - 7:50) - Introductions
Question 1: I told the listeners a little bit about you but is there anything else you want to highlight?
Question 2: What does preventive medicine mean to you?
(7:50 - 42:00) - Brain Health and Preventive Medicine
Question 3: How did you become interested in the brain, brain injury, and make neonatal brain injury your topic of research?
Question 4: What is brain injury and what are the different types?
Question 5: Are there any ways to prevent brain injuries, traumatic or the other types you described?
Question 6: What are the neurodegenerative diseases such as Parkinson's, Alzheimer's, etc. and how do they differ from traumatic brain injuries?
Question 7: How do you prevent the neurodegenerative diseases, can you? What can people do on a daily basis to reduce their risk of neurodegenerative diseases?
Question 8: Is there any evidence behind genetic testing such as for the apoE4 gene? Should people go out and get genetically tested?
(42:00 - 46:00) - The Future of Brain Injury
Question 9: What do you think about emerging technologies such as Neuralink in their ability to restore cognitive function and help patient's with brain injury?
(58:30 - 1:01:34) - Wrapping it Up
Question 10: If you're waiting in line for your coffee and someone asks you, "how do I get healthy," what do you tell them? Join our Mailing List HERE:
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Beth Frates, MD Medicine is a unique field with many different specialties all focused on helping individuals get or stay healthy. While there is a specialty for preventive medicine, there are also additional specialties such as function, integrative, and lifestyle medicine. What's the difference between all of them and what is lifestyle medicine? In this episode, we have Dr. Beth Frates the president-elect of the American College of Lifestyle medicine explain and talk about her approach when it comes to promoting health in her patients and clients. Throughout the episode we discuss the unique approach of lifestyle medicine compared to other specialties, high value tips from Dr. Frates, and much more.
The mention of any organizations on this podcast by Dr. Frates are not an endorsement by The Preventive Medicine Podcast. Dr. Frate's Social Media:
Show Notes (1:00 - 2:00) - Introductions
Question 1: Is there anything in particular you want to highlight about yourself to the listeners?
(2:00 - 39:00) - Lifestyle Medicine and Preventive Medicine
Question 2: How did you find out about lifestyle medicine, why did you decide to go into it, and why do you do what you do?
Question 3: What does preventive medicine mean to you?
Question 4: What is the American College of Lifestyle Medicine?
Question 5: Why should medical trainees or physicians join the American College of Lifestyle medicine if I can discover most of the information on nutrition and exercise online?
Question 6: How do you bridge the gap between evidence based medicine and nutrition advice from physicians or members in the American College of Lifestyle Medicine that are not based in evidence?
(39:00 - 58:00) - Wellness Coaching
Question 7: You offer wellness coaching on your website, what is your approach when helping others improve their lifestyle?
Question 8: When you are coaching someone, what are the highest impact things you address right away?
(58:00 - 1:00:00) - Wrapping Up
Question 9: If you were waiting for your coffee at a coffee shop and someone asks you, "how do I get healthy," what do you tell them in 2 minutes?
? Join our Mailing List HERE:
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Ryan Nosak, MS, CSCS We talk about the union of healthcare and personal training in many episodes but have yet to had a coach or trainer on the show. Well, that changes with Ryan Nosak who was formerly a strength and conditioning coach for many D1 collegiate programs until recently deciding to start his own coaching company RyNo Strength! A former overweight child, Ryan is incredibly passionate about helping others better their lives through exercise and nutrition as he did or himself.
In this episode we dive into topics relating to his history as a coach and his approach to clients. We talk setting goals, talking to clients, and exercise selection among other topics! Near the end of the podcast we talk about the union between personal training/coaching and healthcare and what Ryan thinks about creating a better team approach to the health of our populace. Ryan's Social Media:
Link
Show Notes (00:00 - 10:00) - Introductions
Question 1 : Why did you decide to pursue strength training and coaching/training as a career?
Question 2: What does preventive medicine mean to you?
(10:00 - 23:10) - Personal Training and Preventive Medicine
Question 3: You are a certified strength and conditioning specialist (CSCS), what is the difference between strength training and conditioning?
Question 4: If you have to do a lot of muscle does this mean that you don't have to do any conditioning work?
Question 5: Do you think there are any differences between people who look at training as a way to burn calories vs. people who look at training to better their lives when it comes to overall health?
Question 6: Are there any particular methods or strategies for getting people to start exercising?
Question 7: For those that are hesitant to start or continue, how do you get them to keep going or keep them bought into the process?
(16:20 - 33:20) - Exercise Selection
Question 8: What exercises are you telling people to do if they are on a time crunch, what are the most effective exercises?
Question 9: Are trainers and coaches aware of physical activity guidelines set by the evidence or do they set up their own goals for clients?
Question 10: When it comes to CoVID-19 what exercises do you recommend to people who may not be able to come into a gym and have to train at home?
Question 11: What are your thoughts on trainers that push their clients to exhaustion with the idea that exhaustion is required to achieve a "good workout?"
Question 12: Have you noticed a difference in guidance and coaching required between athletes and those who are not athletes?
(33:20 - 40:40) - The Intersection of Healthcare and Training
Question 13: What do you think about the gap between healthcare providers and personal trainers and how do you think this gap can be bridged?
Question 14: Are there any questions you would have for a physician in a primary care role in how they approach patients and in their thought process?
(40:40 - 18:20) - Wrapping it Up
Question 8: If you're waiting for your coffee at Starbucks and someone asks you "How do I get healthy?" What do you tell them in 2 minutes? Join our Mailing List HERE:
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Jonathan Alessi and Austin Boos In an effort to expand our message of prevention we added two new team members - Austin Boos, DO and Jonathan Alessi. Austin is currently a first year resident going into PM&R while Jonathan is a MD/PHD candidate both of whom are extremely passionate about preventive medicine. If you've been around for a while you've seen our Statistics and Study posts which have now been taken over by Austin. You also may have noticed we started posting written content on our website which we have had contributed by Jonathan!
In this episode we get to know these two better both with their personal goals, ideas in preventive medicine, and much much more. These two bring their own unique perspectives to the podcast which we always appreciate. At the end of the podcast we discuss our strategy and future direction for the podcast. If you want to learn more about the inner workings of our podcast than check this episode out! Show Notes (00:00 - 7:40) - Introductions
Question 1 : Tell us a little bit about yourself and why you are passionate about preventive medicine
(7:40 - 22:10) - Podcast Projects
Question 2: Austin, what direction are you taking with the statistics posts and where do you seem them going in the future?
Question 3: Jon, what have you been working on in terms of long-form writing and what do you hope to accomplish with them?
(22:10 - 45:00) - Preventive Medicine
Question 4: What does preventive medicine mean to you two?
Question 5: What do you two think are effective strategies to promote preventive medicine?
(45:00 - 58:00) - Personal Journeys and the Future of the Podcast
Question 6: What are some of the biggest myths or hurdles you have encountered in your own journeys in improving your health?
Question 7: Discussion regarding the future of the podcast
(58:00 - 1:02:00) - Wrapping it Up
Question 8: How do you answer the question "How do I get healthy" in 2 minutes?
Join our Mailing List Here:
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The world of evidence-based physical therapy is still evolving and at its forefront is Dr. Samuel Spinelli DPT. Dr. Spinelli, known as The Strength Therapist, is not only a physical therapist but a well-regarded strength and conditioning coach as well. A co-owner of Citizen Athletics and E3 rehab, Dr. Spinelli has trained professional and Olympic sport athletes in football, hockey, powerlifting, weightlifting, bobsleigh, and even ballet. Dr. Spinelli believes in bringing his clients and patients the utmost care to help them reach their goals, come back from injury, and stay healthy. In this episode Dr. Spinelli returns for his second appearance on the show talking about smaller injuries this time. We discuss the injury prevention vs. risk reduction model of approaching these injuries, when to seek care for them, whether or not they can even be prevented, and how to approach treating them when the time comes. We also go through some myth busting of common techniques people use to treat or manage these nagging injuries. Dr. Spinelli's Social Media:
Youtube
Show Notes (1:00 - 3:30) - Preventive Medicine
Question 1: Since the last time you came on the show has your definition of preventive medicine changed?
(3:30 - 28:40) - Nagging Injuries
Question 2: Is there anyway to prevent smaller injuries or the nagging aches and pains that people might experience due to activities in their daily lives?
Question 3: If resistance training is used to help prevent those nagging injuries what about if you get these nagging injuries from resistance training itself?
Question 4: When do you stop activity, when do you decide to push through, and when do you take a step back to re-evaluate your approach?
Question 5: If someone doesn't back away from their pain, is there long-term harm in pushing through the pain?
(28:40 - 37:00) - "Prehabilitation" and Preventive Exercise
Question 6: What is "prehab" and is it evidence-based?
Question 7: Can you use extrapolate evidence-based techniques for injury prevention to other applications that there is no direct evidence for?
(37:00 - 58:45) - Treating Nagging Injuries
Question 8: Why did you decide to have your bicep tear managed non-surgically?
Question 9: Myth vs. Fact - Is there any validity to KT or Roc Tape as a treatment modality?
Question 10: Myth vs. Fact - Are passive modalities validated at all as a therapeutic?
Question 11: Myth vs. Fact - Muscle Imbalances cause injuries such as tendonitis and other nagging injuries
Question 12: Myth vs. Fact - Massage therapy may prevent injuries and improve sport performance
(58:45 - 1:04:00) - Wrapping Up
Question 13: What do you tell someone in 2 minutes if they come up to you while you are waiting for your coffee and asks you, "are there exercises I can be doing everyday to stay functional?"
Kristopher Hunt M.D. When it comes to preventive medicine you wouldn't typically think about emergency room physicians would you? Well, Dr. Kristopher Hunt proves otherwise in this episode. Aside from being an emergency physician, Dr. Hunt is also the medical director for USA Powerlifting and has been competing within the organization for 20+ years.
In our episode with him we discuss his take on prevention, the importance for primary care physicians in keeping people out of the emergency room, powerlifting, and how strength training has tremendous benefits for our health. Join our Mailing List!
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Show Notes (1:00 - 12:40) - Introductions
Question 1: Tell us a little bit about yourself, your role as medical director in USA Powerlifting, and why you went into Emergency Medicine?
Question 2: What has it been like as the medical director for USAPL during COVID times?
(12:40 - 23:50) - Emergency Medicine and preventive medicine
Question 2: As an emergency room physician, what does preventive medicine mean to you?
Question 3: What does primary care entail and why is it important?
(23:50 - 47:00) - Powerlifting and strength training
Question 4: What is powerlifting as a sport?
Question 5: Are there injuries associated with powerlifting, is it safe?
Question 6: Has your role within the USAPL been regulatory or given you an opportunity to expand the boundaries of strength training? Do you have any interest in creating any outreach activities in expanding the message of lifestyle modification?
(47:00 - 1:03:00) - Keeping out of the Emergency Room
Question 6: Are there any particular things you tell your patients in general to keep them out of the emergency room?
Question 7: What are the major barriers you see towards a healthier America?
(1:03:00 - 1:05:40) - Wrapping Up
Question 8: What do you tell someone who asks you how to be healthy when you have 2 minutes while waiting for your coffee?
Austin Chiang, MD, MPH Looking at his achievements and CV, you might think Dr. Chiang has accrued many gray hairs so it might surprise you that he is only 35 years old! Aside from being board certified in Internal Medicine, Gastroenterology, and Obesity Medicine, Dr. Chiang is the director of the endoscopic bariatric program and chief medical social media officer for his employer Thomas Jefferson Hospital! Yes, you read that right - chief medical social media officer! Dr. Chiang is a pioneer in the field of medical social media and the founder of the Association for Healthcare Social media - the first professional society for healthcare social media use. On top of all of his professional pursuits, Dr. Chiang has a huge footprint on his own social media platforms and has been featured in the NY Times for his ability to use social media to educate the public.
In our episode with him, we discuss many topics from the dichotomy between interventional endoscopic procedures and preventive medicine all the way to how healthcare professionals can harness the power of social media to advance public health endeavors. This is likely the most succinct podcast we have had so make sure to give it a listen and let us know what you think! Dr. Chiang's Social Media
Youtube
Tiktok
Show Notes (1:00 - 4:00) - Introductions
Question 1: Tell us a little bit about yourself and why you do what you do?
Question 2: Did you always know you wanted to go the academic and rigorous medical route?
(4:00 - 10:55) - The Dichotomy of Intervention and Prevention
Question 2: What does preventive medicine mean to you and how does bariatric surgery play a role in that?
Question 3: Do bariatric procedures provide a more definite weight loss or do these patients also regain weight like the majority of those who endeavor to do so in the first place?
Question 4: What exactly do you do in these bariatric procedures?
(10:55 - 17:30) - Obesity and Gastroenterology
Question 4: Do bariatric procedures help in changing the gut microbiome to promote weight loss?
Question 5: What do you cover in the follow-up visits with your patients that help patients keep the weight off?
Question 6: Is your knowledge of the importance of follow-up and obesity counseling something you picked up in practice or learned?
(17:30 - 30:30) - Social Media in Medicine
Question 7: How can social media help us overcome and circumvent the barriers within the current paradigm of medicine?
Question 8: How did you get into TikTok?
Question 9: Where do you draw the line between professionalism in medicine and producing content for social media?
Question 10: How do you balance the relationship between working for a hospital which may be thought of as "corporate" and your presence on social media?
Question 11: Do you envision a future where larger institutions might have social media departments?
(30:30 - 37:15) - Misinformation and Social Media
Question 9: How do we combat misinformation on social media whether its from physicians or others within the healthcare field versus those outside of the field?
Question 10: What do you say to people who think of bariatric procedures as "western medicine" and instead want to "keep it natural?"
(37:15 - 43:20) - Wrapping up
Question 11: What do you tell someone in 2 minutes while waiting for your coffee who asks you, "how do I get healthy?"
Question 12: Is there anything you want to plug?
Dr. Ray's Social Media:
Michael Ray, DC, MS Dr. Ray is a chiropractor based in the Harrisonburg, Virginia area and, strangely enough, he is the chiropractor who doesn't crack necks, backs, or practice any manipulation. Dr. Ray is as evidence based as it goes when it comes to treating pain and other neuromuscular issues and he has been a part of barbell medicine working as a pain and rehab clinician for several years. Between his own practice, the Shenandoah Valley Performance Clinic, his online clients, and the seminars he has done, he has helped numerous individuals overcome their pain.
In our episode with him we discuss many topics including what pain really is, how to overcome chronic pain, why he doesn't practice manipulative techniques, and many more topics. This is a very unique episode as pain is a huge issue within the world and something we would all like to prevent. Can we prevent it, or is it just something we have to live with occasionally? Tune into this episode to hear what Dr. Ray has to say about it! Show Notes (1:00 - 13:30) - Introductions and Chiropractic
Question 1: What do you do and what is a chiropractor?
Question 2: What is the difference between a chiropractor and someone like a sports medicine physician?
Question 3: How did you get to the point of not using manipulative medicine as a chiropractor and what do you do today?
Question 4: What is the difference between chiropractic care and physical therapists?
(13:30 - 16:30) - Chiropractic Care and Preventive Medicine
Question 4: What does preventive medicine mean to you as a chiropractor?
(16:30 - 31:30) - All Things Pain
Question 6: What is pain?
Question 7: When does pain matter and when should we worry about it, when do you intervene?
Question 8: How do contextual factors and narratives influence what we feel?
Question 9: How do you balance patients wanting a cure for their pain now versus the nuanced and longer-term approach?
Question 10: How can we bring this evidence based approach to pain to the public to someone who might not have the same background in the literature?
(31:30 - 49:30) - Myth Busting
Question 11: Myth or truth - back pain is dangerous most of the time?
Question 12: Myth or truth - are trigger point releases or injections valid treatment modalities?
Question 13: How do you address expert experience and opinion when they say "you don't have my hands?"
Question 14: Myth or truth - humans should generally live pain free.
Question 15: Is pain a disease?
Question 16: Myth or truth - posture and pain are related
Question 17: Myth or truth - strength imbalances are related to pain in the weaker body parts
(49:30 - 57:00) - Treatments for Pain
Question 18: When do procedures or surgery come into play for helping someone with their pain?
Question 19: Are there specific things you can do to reduce your risk of pain?
(57:00 - 1:00:00 ) - Closing Remarks
Question 20: What do you tell someone in 2 minutes who asks you, "how do I get healthy?"
Danielle Halsey, MS, ACSM EP-C Cancer is a big and scary disease that many believe unavoidable and difficult to treat. Well, it does have a large medical burden in the USA but that doesn't necessarily mean it is completely unpreventable or that cancer patients can't continue exercising. In fact, exercise and other principles of preventive medicine are just as, if not more, important in the cancer population. Our guest on this episode is Danielle Halsey who is an exercise physiologist specializing in cancer rehab who also works as a research coordinator for the use of exercise in cancer patients.
In this episode we discuss what cancer actually means, some common misconceptions about cancer, how some cancers can be prevented, and how exercise plays a large role in the management of cancer patients! This is a laid back and high energy episode with excellent conversation throughout so make sure to listen to this one all the way through! Danielle is also a health coach who advocates for balance and an all-around approach to fitness having completed a triathalon but also lifting weights consistently. Make sure to check out her interactive and informative social media accounts as well! Danielle's Social Media:
Show Notes (1:00 - 9:30) - Introductions
Question 1: Tell us a little bit about yourself, what you do, and what you do in your job?
Question 2: How did you get interested in or pursue the field of exercise in oncology?
(9:30 - 19:30) - Preventive Medicine and Cancer
Question 3: What does preventive medicine mean to you as an exercise physiologist with cancer patients?
Question 4: As a basic definition, what is cancer?
(19:30 - 44:30) - Exercise in Cancer Patients
Question 5: What is the relationship between exercise, cancer, and chemotherapy?
Question 6: Is there a particular form of exercise that is more beneficial for cancer patients? Should these patients be doing HIIT workouts, yoga, weight training?
Question 7: How would a trainer who works with healthy individuals approach a workout in a cancer patient?
Question 8: Are there some cancers whose risk can be reduced by engaging in regular exercise?
(44:30 - 49:05) - Basic Nutritional Recommendations for Cancer
Question 9: Is there any validity to the statement that sugar feeds cancer? What other common misconceptions are there?
(49:05 - 56:40) - Exercise for Everyone
Question 10: What is one thing in general that you wish everyone knew about exercise?
(18:20 - 1:00:00 ) - Closing Remarks
Question 11: If someone asks you how to get healthy at Starbucks, what do you tell them in the 2 minutes you have waiting for your coffee?
Edward Laskowski, MD We have had some distinguished guest on the podcast and Dr. Edward Laskowski is no stranger to awards and accomplishments. Dr. Laskowski is a sports medicine physician at the Mayo Clinic and has been a team physician for the USA Olympics team and been on the USA President's Council for Fitness among his numerous achievements. Of his many interests, Dr. Laskowki is a very vocal advocate for exercise as medicine and has given a multitude of lectures across the globe about the topic.
In our episode, we discuss the challenges facing our healthcare system today, what larger institutions can do to help alleviate the burden of obesity driven chronic disease, and of course, exercise as medicine. We also talk about Dr. Laskowski's experiences throughout his career with sports injuries as they relate to preventive medicine and how everyone can benefit from even the most minuscule amount of exercise. This episode is full of quality information from a very distinguished individual so make sure not to miss this one! Dr. Laskowski's Social Media:
Show Notes
Youtube
(1:00 - 4:15) - Introductions
Question 1 : Tell us a little bit about yourself and about your interest in sports medicine!
(4:15 - 7:20) - Preventive Medicine and Our Body
Question 2: What does preventive medicine mean to you?
Question 3: Do you think that the healthy at every size movement is detrimental to work in lowering preventable disease?
(7:20 - 21:00) - Exercise as Medicine
Question 4: How do you explain to patients that doing basic exercises such as walking could have a large impact on their health?
Question 5: How do you go about the difference between academia and reality when it comes to buying into data?
Question 6: How do we bridge the gap between pushing research to orthobiologic interventions versus additional funding to researching effective communication techniques to patients?
(21:00 - 32:10) - Sports Medicine and Preventive Medicine
Question 7: What can you do as a sports medicine physician with your patients that promotes prevention?
Question 8: How do you address the psychosocial factors surrounding exercise and sports as it relates to pain and injury?
(32:10 - 35:00) - Approaching Obesity
Question 9: If you are treating someone's child who might be obese, how do you discuss obesity with the family within the context of genetics and environment?
(35:00 - 42:30) - Institutional and Individual Changes
Question 10: What do you think the role is of larger academic institutions when it comes to preventive medicine?
Question 11: In your mind what are the biggest barriers that prevent people from making changes?
(42:30 - 44:40 ) - COVID-19 and Lifestyle
Question 12: Do you think that, given the state of many people having poor diets and less exercise in COVID-19, we are in for an uptick in chronic disease?
(44:40 - 49:00) - Closing Remarks
Question 13: What do you tell someone in 2 minutes if they ask you "How do I get healthy?"
Spencer Nadolsky, DO Dr. Spencer Nadolsky is a family medicine physician specializing in obesity and lipidology whose mission is to help his patients lose weight and keep it off. Through his work he has helped thousands of patients achieve this goal whether through direct patient contact, through his work with Renaissance Periodization, and his presence on social media. Starting during his residency, Dr. Nadoslky has continued to find way to communicate effective lifestyle modification techniques and now describes himself as a "memeologist" for his ability to communicate and educate through memes!
In our episode we discuss a multitude of topics including the burden of obesity in the United States, effective weight loss techniques, a brief introduction to lipidology and, of course, his tremendous memes. Dr. Nadolsky is easy to listen to and explains difficult issues in relatively simple terms. We think you will get a lot from this episode so make sure to tune in! Dr. Nadolsky's Social Media and Renaissance Periodization
Link
Show Notes
Youtube
(1:00 - 4:00) - Introductions
Question 1: Tell us a little bit about yourself and why you decided to go into medicine
(4:00 - 14:40) - Social Media and Medicine
Question 2: How did you get started in the social media space?
Question 3: How do you navigate the negative spaces and aspects of social media?
(14:40 - 27:00) - The Role of a Lipidologist in Medicine
Question 4: What does preventive medicine mean to you?
Question 5: What is lipidology and what do you do?
(27:00 - 39:00) - The Risk Factors for Obesity
Question 6: What in your mind are the biggest determinants of obesity or avoiding obesity?
Question 7: What is the deal with cholesterol, what does the evidence say regarding cholesterol and what should people do?
Question 8: How do you approach a patient or someone who is obese in the right way?
(39:00 - 48:00) - Differentiating Good and Bad Advice
Question 9: How do you know if someone knows what they are talking about?
Question 10: How do we sift out good information vs bad information when it comes to preventive medicine?
(48:00 - 52:30 ) - Pharmacotherapy in Preventive Medicine
Question 11: Is there a role for pharmaceuticals in preventive medicine?
(52:30 - 54:30) Communication in Healthcare
Question 12: Why are memes so effective in communicating complex topics?
Question 13: What is the one nutritional piece of advice you would have for someone trying to get healthier?
(54:30 - 59:00) - Closing Remarks
Question 14: Anything you want to plug?
https://renaissanceperiodization.com/
Ali Haider, MD Dr. Ali Haider is an interventional cardiologist and medical director practicing in the Northeastern United States as well as an assistant professor of medicine at the University of Massechesetts Medical School. He also has a substantial following on social media as @yourheartdoc where he educates on topics such as medicine, healthcare, and fighting misinformation.
Cardiology is one of the most relevant practices when it comes to preventive medicine as heart disease has been the biggest killer of Americans for many years. In our episode with Dr. Haider, we discuss balancing the principles of preventive medicine in his role as an interventional cardiologist, how the institution of medicine can come to promote prevention, and his efforts on social media in educating and dispelling misinformation. We also touch on topics such as nutrition as it relates to cardiology and the effect of COVID-19 on the heart and reports of post-COVID myocarditis which has been circulating on the internet.
Dr. Haider is incredibly energetic and passionate about what he does which can be heard as this energy translates into his voice on the podcast. This is an episode you don't want to miss! Dr. Haider's Social Media:
Youtube
Show Notes (1:00 - 7:00) - Introductions
Question 1 : Tell us a little bit about yourself and why you decided to go into medicine
(7:00 - 13:00) - Preventive Medicine
Question 2: What does preventive medicine mean to you as an interventional cardiologist?
Question 3: How did we get to the point where cardiovascular disease is the number one killer of Americans and come to develop so many risk factors of cardiovascular disease?
(13:00 - 20:00) - The Healthcare System and Prevention
Question 4: How can we as future physicians and as a group make the system better, does the system allow us to be better?
Question 5: What do you think the role of interventionalists such as yourself come into play if preventive medicine takes off?
Question 6: What can we do right now to promote preventive medicine without waiting for the healthcare system to change?
(20:00 - 32:00) - Diet and Cardiology
Question 7: Do you make any specific recommendations in terms of diet for your patients?
(32:00 - 42:30) - Social Media and Medicine
Question 8: How did you get into the social media space and how has that impacted your reach?
Question 9: Do you think that interactive devices or platforms such as Peleton can get more people exercising?
Question 10: Do you agree that social media is one of the best tools we have to spread preventive medicine?
(42:30 - 51:00) - Misinformation in the Media Age
Question 11: How do you separate the science from the politics or push them both at the same time when necessary?
Question 12: Have you dealt with someone or a patient in person who has had anti-science views?
(51:00 - 54:00 ) - Heart Problems in COVID-19
Question 13: What are you seeing in terms of heart complications in COVID-19 patients?
(54:00 - 58:34) Closing Remarks
Question 18: If you were waiting for your coffee and someone comes up to ask you "How do I get healthy," what do you tell them in 2 minutes?
Dr. Jessie Hoffman, PhD, RD We have sorely been needing a discussion on nutrition on the podcast and we fulfilled this need with an incredible guest - Dr. Jessie Hoffman! Dr. Hoffman's original interest in nutrition began with her own history of disordered eating which sparked her to pursue a career as a registered dietitian and eventually obtain her PhD in the Nutritional Sciences. Currently, Dr. Hoffman is an assistant professor of nutrition and teaches a course in macro and micronutrient breakdown among her many other responsibilities as a professor. Aside from teaching students she also educates on her Instagram platform using digestible posts to break down topics in nutrition and overall health for her audience. She also owns and runs Jessie Hoffman Nutrition LLC where she provides services geared towards individuals building healthier diets.
In this episode, we discuss a multitude of topics on nutrition making sue to balance the discussion between research and practical takeaways. We discuss what registered dietitians do, why she decided to pursue her doctorate, what individuals need to focus on for their nutrition, how to balance the research and practical worlds of nutrition, some well-needed myth busting, and finally how to address nutrition in the setting of disparities. This is an incredible episode and definitely fulfills our need of nutrition on the podcast so we hope you enjoy it! Show Notes (1:00 - 6:30) - Introductions
Question 1: Can you tell us what a registered dietitian is and what their role is within the healthcare system?
(6:30 -12:10) - Why Nutrition, Nutrition and Preventive Medicine
Question 2: What got you interested in nutrition and to pursue a doctorate in nutritional sciences?
Question 3: Why is nutrition important when it comes to preventive medicine?
(12:10 - 24:40 ) - Research Telephone and Translating Research
Question 4: How do we get away from the sensationalist headlines and help people navigate research?
Question 5: How do we bridge the gap between headlines and what the research says?
(24:40 - 45:15) - Nutrition and Health
Question 7: How does nutrition impact health?
Question 8: How do you prescribe nutrition when it comes to health?
(30:10 - 48:00) - Myth Busting!
Question 9: High protein is bad for you, myth or truth?
Question 10: Saturated fat is good for you, myth or truth?
Question 11: Carbohydrates make you fat, myth or truth?
Question 12: Artificial sweeteners make you gain weight, myth or truth?
Question 13: Organic foods are better for you than conventional foods, myth or truth?
Question 14: Packaged food is worse for you than fresh foods, myth or truth?
(45:15 - 55:20) - Healthy Food and Health Disparities?
Question 15: What is considered healthy food?
Question 16: How can we address food deserts?
Question 17: Can you eat healthy while on a convenience store diet?
(55:20 - 1:04:10) - Getting educated?
Question 18: What are the best resources and sources of information for nutrition?
Question 19: For those looking through research on nutrition, how do you do this appropriately?
(1:04:10 - End) - Closing Remarks
Question 20: You're in a coffee shop with 2 minutes to spare and someone asks you how to get healthy. What do you say? Dr. Hoffman's Social Media and Website: http://www.Instagram.com/jessiehoffman_phd/
http://www.JessiePhD.com
Link
Eddy Coan A quick Google search reveals that Eddy Coan set over 71 world records during his career as a powerlifter and is considered the Greatest of All Time in the strength sport. During his career spanning from 1981 all the way to 2007, Eddy progressed from a light 165 pound lifter all the way to a 275 pound lifter and was the lightest ever to break into the 2400 pound total barrier. Since he has retired from powerlifting Eddy has been flying around the world teaching, mentoring, and expanding the world of strength sports.
Although Eddy is a world renowned coach and strength athlete, he is lesser known for being an incredible human being and helping others at their level. Eddy is an excellent communicator and is able to give recommendations for exercise depending on the circumstances of the recipient. Listen to this podcast to learn about powerlifting, the differences between cardio and resistance training, and how to improve your health no matter what level you start at. This podcast has mature language in it, listener discretion is advised. Show Notes (1:00 - 3:30) - Introductions
Question 1: Can you tell us a little bit about what powerlifting is and how you got into it?
(3:00 -10:00)
Question 2: Why did you decide to powerlift and how did you end up becoming the greatest powerlifter of all time?
Question 3: What are some of the life lessons you have learned from powerlifting?
(10:00 - 32:30 ) - Getting the ball rolling
Question 4: What does preventive medicine mean to you?
Question 5: If you're giving advice to someone trying to get healthy for the first time, how do you go about encouraging them and getting the ball rolling in the right direction?
Question 6: How do you overcome the idea that taking care of yourself is selfish?
(32:30 - 40:30) - Resistance Training and Health
Question 7: What is the difference between aerobic and strength training, can you balance both?
Question 8: What are the benefits of strength training?
(40:30 - 48:00) - The Barriers to Resistance Training
Question 9: Why do you think so many people are scared to start resistance training or to use weights?
Question 10: Is resistance training for everyone? How old is too old? How young is too young?
Question 11: Do you think we need to gently encourage people or be more aggressive in our approach to getting people to start?
(48:00 - 55:00) - Injuries and Resistance Training
Question 12: Is there an injury risk associated with resistance training? Are you going to blow out your knees or mess up your back?
(55:00 - 1:07:00) - Closing Remarks
Question 13: What is one thing you think physicians should know or do that is more anecdotal and not seen in the literature?
Question 14: You're in a coffee shop with 2 minutes to spare and someone asks you how to get healthy. What do you say? Eddy's Social Media:
Dr. Sheila Dugan M.D. A board certified Physiatrist and the current medical director of PM&R at Rush University, Dr. Dugan is not just a physician but a huge advocate for many causes including healthcare disparities and women's health. She currently serves as the chair of the Rush Women's Leadership Council and is on both the Americans with Disabilities Act and Diversity Leadership committees. Through her work on projects such as the WISHFIT and SWAN projects among other research initiatives, Dr. Dugan has made a tremendous impact on addressing disparities within healthcare.
In this episode Dr. Dugan discusses her path into medicine from physical therapy, and how that path led to being a leader in the field of women's health and her interest in healthcare disparities. We discuss common misconceptions within women's health as well as how we can combat them with regards to preventive care. Dr. Dugan discusses her experiences working with underserved communities in Chicago and the barriers to preventive medicine that these communities encounter. Listen on to discover why not everyone can access or practice preventive medicine and how we don't all live the same life experiences in this episode! Show Notes (1:00 - 6:30) - Introductions
Question 1: What part of your journey has been the most impactful thus far? Has there been a shining moment?
(6:30 - 14:00)
Question 2: What does preventive medicine mean to you?
Question 3: What made you go into physical therapy initially and why did you switch to medicine after that?
Question 4: Where does your interest and advocacy for women's health come from?
(14:00 - 19:00)
Question 5: Have you noticed any specific biases against women within the current medical paradigm?
Question 6: Why is addressing women's health so important?
Question 7: How do you prevent atherosclerosis in women given that it has a rapid onset and progression after menopause?
Question 8: Is there a specific age that women should start implementing preventive interventions?
(19:00 - 22:30)
Question 9: What are some of the biggest misconceptions regarding women's health?
Question 10: Are there any large misconceptions for women going through menopause or during middle age?
(22:30 - 33:30)
Question 11: How does preventive medicine relate to issues of the pelvic floor that many women experience?
Question 12: How do you combat the many misconceptions about the pelvic floor such as the one-stop prescription of performing Kegels?
Question 13: What do you tell females at the various stages of life if they ask your for advice on how to be healthy? Young females? Middle-aged females? Older females?
(33:30 - 42:00)
Question 14: Where is the starting point for the many communities that don't have access to the same resources as others and are under served?
Question 15: Can you talk specifically about what some of the barriers are that some of these communities face?
Question 16: Do you have any potential solutions other than what you have already done for addressing the healthcare barriers seen by communities in Chicago?
(42:00 - 45:00)
Question 17: What do you tell someone in two minutes that is asking you how to get healthy?
Azlan Tariq D.O. Dr. Azlan Tariq is the CCO of the largest physiatry group in the country, IRC, and also has his own practice in Naperville, IL. Physiatry is a lesser known, but very important field, focusing on helping patients get back to doing the things they love through rehabilitation. Dr. Tariq is known as an excellent clinician and huge advocate for preventive medicine. With nearly every patient Dr. Tariq not only provides excellent care but makes sure to discuss the various lifestyle factors that may impact the patient's ability to rehabilitate and function.
This hour long podcast is an engaging conversation talking about the field of Physiatry, his approach to patient care, and the role of entrepreneurship to promote a preventive take to medicine. Check the show notes below for a summary of the episode! Show Notes (1:00 - 12:30) - Introductions
Question 1: Tell us a little bit about yourself and why you do what you do
(12:30 - 15:50) - Practical Advice for Practicing Preventive Medicine
Question 2: What tips do you have for people who are trying to become healthier but maybe have some sort of physical ailment or medical issue that bars them from doing so?
(15:50 - 25:40) - Navigating the Education and Expectations of Patients
Question 3: What is Physiatry?
Question 4: How do you walk a patient who may be in pain from point A to point B when all they know is that they are in pain with no other understanding of the situation?
Question 5: How do you get a patient to buy-in to the process of education and working towards achieving their goals rather than waiting for a quick fix?
(25:40 - 36:00) - Physiatry and Preventive Medicine
Question 6: What does Preventive Medicine mean to you?
Question 7: Physiatry is mostly a post-acute field taking care of stroke, brain injury, or other acute patients after the fact. What is the role of physiatry in preventive medicine?
(36:00 - 39:00) - A Personalized Approach to Patient Health
Question 8: We have talked about your post-acute care among the older population but you also own another practice which seems to have a different population. Why did you start that practice and what is the goal behind it?
(39:00 - 48:00) - Does Entrepreneurship Have a Place in Medicine?
Question 9: There is growing discontent within the current system of medicine in this country with a national discussion for a public system among other suggestions. The ideal entrepreneur is one who aims to solve problems and you are the CCO of one practice and have started your own as well. Do you think there is a role for entrepreneurship in fixing medicine?
Question 10: How do you balance being on the cutting edge of medicine, entrepreneurship, and evidence-based medicine seeing as many novel treatments and ideas are not heavily supported by literature if at all?
(48:00 - 56:36 ) - Does Placebo Work? What is Regenerative Medicine?
Question 11: With regenerative medicine you still work on the big rocks first such as exercise, nutrition, etc. How do you balance the placebo effect of regenerative therapies which seems to be more prevalent in physical medicine? Do you use positive placebo effects?
Question 12: How does regenerative medicine fit into preventive medicine?
(56:36 - 1:00:00) - Wrapping it Up
Question 12: You are in a coffee shop and someone asks you how to be healthier, what do you say to them in two minutes? Dr. Tariq's Social Media:
Dr. Sam Spinelli DPT. The world of evidence-based physical therapy is still evolving and at its forefront is Dr. Samuel Spinelli DPT. Dr. Spinelli, known as The Strength Therapist, is not only a physical therapist but a well-regarded strength and conditioning coach as well. A co-owner of Citizen Athletics and E3 rehab, Dr. Spinelli has trained professional and Olympic sport athletes in football, hockey, powerlifting, weightlifting, bobsleigh, and even ballet. Dr. Spinelli believes in bringing his clients and patients the utmost care to help them reach their goals, come back from injury, and stay healthy.
In this podcast we discuss several important topics such as back pain, the integration of strengthening and stretching into rehabilitation, and whether or not injuries are preventable. Dr. Spinelli brings many unique insights and perspectives to this podcast from a very informed position so don't skip through this one! Show Notes (1:00 - 4:00) - Introductions
Question 1: What got you into physical therapy and to starting and growing your Instagram?
(4:00 - 22:00)
Question 2: What does preventive medicine mean to you?
Question 3: What are your thoughts on lower back pain and what can we be doing better as clinicians to address this problem using an evidence-based approach?
Question 4: Is there anything an individual can do to prevent back pain?
Question 5: Can you talk a little bit about the nocebo effect and narratives that clinicians create for patients around back pain?
Question 6: Do you think that having the knowledge of our bodies being self-healing is preventive in that it decreases healthcare usage by individuals?
(22:00 - 34:00)
Question 7: What is the role of stretching and strengthening when it comes to patients treating their back pain?
Question 8: How do you properly utilize stretching, if at all, within an evidence-based model for prevention and as a treatment modality?
(34:00 - 45:00)
Question 9: How did we get to the point of vague non-evidence based therapy for patients who receive physical therapy?
Question 10: Can you prevent injuries? If not, what can we do to reduce our risk of sustaining injuries?
(45:00 - 49:00)
Question 11: If you have 2 minutes and someone asks you "how do I get healthy," what do you tell them? Dr. Spinelli's Social Media:
Youtube
Ragav Sharma, MS4 & Jason Garrett, MS4 We figured it was time to share the stories of The Preventive Medicine Podcast's hosts and how the podcast came to be! In the conversation we discuss how we met despite attending medical schools in different states, how the podcast arose form ideas shot back and forth in the DMs, our personal stories, and where we see this podcast going.
Listening to this episode you will learn more about our backgrounds and the perspectives we bring to the table when interviewing our guests for other episodes. You'll hear how at one point how Ragav resembled a bowling ball and how Jason's impetus for changing his habits was a tight seat belt. You'll learn about how our interests in medicine developed and where we see our careers going.
Most importantly, we discuss how we believe this podcast began, the process of producing content, and how we believe it has the potential to change the conversation regarding healthcare in a preventive direction. Show Notes Social Media Links:
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Ragav's Website: https://www.Ragavsharma.com
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Ragav's Instagram: https://www.instagram.com/_ragavsharma_/
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Ragav's Twitter: https://twitter.com/_RagavSharma_
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Ragav's YouTube Channel: https://www.youtube.com/c/_ragavsharma_
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Jason's Instagram: https://www.instagram.com/jgarrett041/
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The Podcast Website: https://www.thepreventivemedicinepodcast.com
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The Podcast Instagram: https://www.instagram.com/preventpodcast/
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The Podcast Twitter: https://twitter.com/preventpodcast
Mitesh Patel M.D. Dr. Mitesh Patel is a psychiatric physician practicing in Indianapolis, Indiana who is a an advocate for the practice of preventive medicine with regards to mental health. Dr. Patel completed his medical school at the Ross School of medicine before completing his residency at the University of Louisville. During his time in medical school, Dr. Patel was introduced to the field of psychiatry and fell in love with the transformative nature of the field. Dr. Patel is passionate about helping others improve their mental health through practices such as finding your flow state, practicing mindfulness, and focusing on yourself rather than what you see on your phone.
This hour long podcast is an engaging conversation talking about the issues behind the growing mental health crisis of the USA and provides practical practices to enhance mental well-being. Find the podcast on your favorite podcast app or below on the web player! Want a summary of the podcast? Check the show notes below!
Dr. Patel practices what he preaches and doesn't maintain any social media accounts and ultimately wishes to practice medicine from the comfort of a van as he travels the country. Instead of finding him on social media, he would like you to check your screen time and start practicing some preventive techniques for your mental well-being! Show Notes (1:00 - 4:00) - Introductions
Question 1 : Tell us a little bit about yourself and why you decided to go into medicine
(4:00 - 7:20) - Mental Health and Preventive Medicine
Question 2: When you think about prevention and medicine you think about the physical aspect such as nutrition, diet, exercise, and the other things that come along with that. So introducing psychiatry into the field of preventive medicine is very interesting which you can provide unique insight into this. What can you say about the role of psychiatry in preventive medicine?
Question 3: Evidence based medicine is becoming more important in every specialty but even moreso in psychiatry which has been more of a subjective specialty thus far. What do you think about the direction psychiatry is going in?
(7:20 - 12:40) - Evidence Based Techniques to Promote Mental Health
Question 4: Have there been any evidence based techniques for self-care in terms of preventing psychiatric issues?
Question 5: What kind of mindfulness techniques are you talking about here? Is it like sitting down and staring out a window or something more active?
(12:40 - 16:00) - The Roots of Anxiety
Question 6: In the Book of Joy, a conversation between Archbishop Tutu and the Dalai Lama, the Archbishop talks about how ambition is built into the fabric of our society which often fuels a lot of people's anxiety. Is it ok to not be ambitious?
Question 7: Do you think we have lost connection with others and that also fuels our anxiety?
(16:00 - 18:20) - What Does Being Mentally Healthy mean?
Question 8: What does it mean to be mentally healthy?
(18:20 - 21:40 ) - Success and Happiness
Question 9: How do you limit yourself from pushing hard like the rest of the world to be successful if pushing that hard decreases from your happiness?
Question 10: Isn't being successful being happy?
(21:40 - 27:00 ) The Flow State and Hobbies
(27:00 - 33:46) - The Role of Social Media in Anxiety and Depression
Question 11: It seems that social media has been pushing that you should be chasing your goals 24/7, is that an unhealthy mindset to have?
Question 12: Do you think parents should be limiting their kids screen time to be preventive of the situation that we are seeing with social media and anxiety/depression?
(33:46 - 39:27) The Integrative Approach to Health
Question 13: What is the role of gut health and nutrition in mental health?
Question 14: How do you approach mental health and health in general from the biopsychosocial model of health?
(39:27 - 45:25) - Beating the Stigma
Question 15: How do you get beyond the current stigma of seeking ...
John Whyte M.D. If you've heard of a little website called WebMD, you have seen the work of Dr. John Whyte who is currently the Chief Medical Officer behind the online health behemoth. Dr. Whyte has had a tremendous career already completing his internal medicine residency at Duke University before completing his MPH at Harvard. He has worked in both the private and public sectors as well as spending time in academia at Stanford University. He has been passionate about health policy since his early days in medical school and continued to work in the field through positions at the FDA, medicare and medicaid, The Discovery Channel, and now WebMD. Despite all of his commitments and contributions to the field of health policy, the most amazing of all is that he is still a practicing physician in the Washington D.C. area.
In this episode, we discuss the numerous aspects to preventive medicine from the perspectives of the patient, healthcare provider, and the healthcare system itself. During the podcast we also discovered Dr. Whytes enthusiasm and passion for providing his patients with strategies to improve their health and fitness with a sustainable approach. Of all the subjects in this podcast, the conversation tends to come back to the importance of communication on all fronts. Tune in for this lively and illuminating conversation with Dr. John Whyte! Show Notes (1:00 - 10:00) - Introductions
Question 1: How did you career get started, what are you doing right now, and what are your goals for the future?
(10:00 - 21:00)
Question 2: What does preventive medicine mean to you?
Question 3: What is the most important aspect of preventive medicine?
(21:00 - 33:00)
Question 4: What is the role of large media corporations in preventive medicine?
Question 5: How do physicians or other evidence-based practitioners on social media combat the spread of misinformation over both traditional and social media?
Question 6: How do you balance the role of websites like WebMD in providing information to patients versus them self-diagnosing and using it in a manner it wasn't designed to be used?
(33:00 - 39:00)
Question 7: What is the role of technology in advancing healthcare and what will the role of AI be in aiding physicians?
(39:00 - 46:30)
Question 8: Do you see preventive medicine taking a much larger role in our current healthcare system?
(46:30 - 57:00)
Question 9: How do you communicate preventive lifestyle measures to patients?
(57:00 - 1:03:00)
Question 10: If you were in a coffee shop with 2 minutes to spare and someone asks you how to get healthy, what do you tell them?
Question 11: Do you think how a patient views self is ultimately the most important thing when it comes to making the right decisions moving forward?
(1:03:00 - 1:12:00)
Question 12: What was your role with The Discovery Channel as their Chief Medical Expert and VP? What was that like?
Question 13: You are an incredibly busy person as are most physicians, how do you take care of yourself?
(1:00 - 10:00) - Introductions
Question 1: How did you career get started, what are you doing right now, and what are your goals for the future?
(10:00 - 21:00)
Question 2: What does preventive medicine mean to you?
Question 3: What is the most important aspect of preventive medicine?
(21:00 - 33:00)
Question 4: What is the role of large media corporations in preventive medicine?
Question 5: How do physicians or other evidence-based practitioners on social media combat the spread of misinformation over both traditional and social media?
Question 6: How do you balance the role of websites like WebMD in providing information to patients versus them self-diagnosing and using it in a manner it wasn't designed to be used?
(33:00 - 39:00)
Question 7: What is the role of technology in advancing healthcare and what will the role of AI be in aiding physicians?
(39:00 - 46:30)
Question 8: Do you see preventive medicine taking a much larger role in our curre...
Alyssa Olenick PhD(c) Alyssa Olenick is currently a third year PhD student but has already made a significant impact on thousands of individuals across the country. With a background in sports, Alyssa enrolled in college thinking about a career in fitness but quickly fell in love with science and is now working on her PhD in exercise physiology with a special interest in metabolism, metabolic diseases, and sex differences. Alyssa is the owner and founder of LittleLysFitness where she provides coaching and guidance to individuals across the country on nutrition and exercise. She is also very vocal on social media and has an Instagram following of nearly 30,000 people where she provides evidence-based advice to others seeking to learn more about health and fitness.
Currently, Alyssa is training for a 100km ultramarathon while balancing her coaching business, PhD, social media presence, and appearances on many podcasts. Tune into this lively 1 hour conversation and learn about preventive medicine through an evidence-based approach to exercise, nutrition, and living your best healthy and fulfilling life. Show Notes (0:00 - 3:40) - Introductions
Question 1: Tell us a little bit more about what you do and why it is what you do?
(3:40 - 10:10) - A Digestible Approach to Evidence-Based Recommendations
Question 2: How do you balance the line between using scientific information to advise people and a message that people can understand and get behind?
(10:10 - 18:50) - The Use of Social Media as an Informative Platform
Question 3: Was there a defining moment when you decided you wanted to start using social media to spread your message?
Question 4: Do you ever doubt yourself on your social media posts due to the nature of evidence-based medicine shifting as new evidence reveals itself?
(18:50 - 28:10) - An Evidence-Based vs. "Bro-science" Approach to Fitness
Question 5: What is the difference between the bro-science and evidence-based approach to health and fitness when the results or outcomes of each seem to be the same when scrolling through social media?
Question 6: Is it true that an evidence-based approach to fitness mostly serves to provide guidelines so that individuals may build a plan that works for them versus the one path that a bro-science approach gives you?
(18:50 - 37:10) - Are Coaches Necessary for Health?
Question 7: Everyone knows that they should be doing specific things (exercise, eat right) but no one seems to do it. Does it always take a coach to guide them? How can a general person apply information themselves?
Question 8: Do you think there is a specific person who should be the coach? Should it be a physician?
Question 9: Why did you decide to go the PhD route vs. the MD/DO route to helping people with their health?
(37:10 - 46:00) - An All-Hands on Deck Approach to Health
Question 10: Often times we see the miscommunication or complete lack of communication between practicing physicians and academia. What can you speak about the gap between these two and a team-based approach to health?
Question 11: What does preventive medicine mean to you as someone engaged in academia?
(46:00 - 58:20) - Why is Fitness Always Extreme?
Question 12: People tend to think that fitness only includes the extremes such as lifting super heavy, running marathons, etc. Where is the middle ground?
(58:20 - 1:10:00) - Exercise Differences in Men vs. Women?
Question 13: You do a lot of work and coach many women, are there any differences with preventive medicine or fitness between men and women?
(1:10:00 - 1:13:00) - Closing Remarks
Question 14: If someone runs into you in an elevator and you have two minutes to tell them how to get healthier what do you tell them? Alyssa's Social Media:
Dr. Austin Baraki M.D. A prominent figure on social media with his contributions to Barbell Medicine, Dr. Austin Baraki is a physician dedicated to giving his best to his patients. Dr. Baraki is a board certified physician in internal medicine as well as a coach and educator through Barbell Medicine which aims to highlight the role of resistance training in a healthy lifestyle. Whether in the hospital inpatient floors or his clients in the gym, Dr. Baraki brings evidence-based information and suggestions to help those he works with.
Known for his extremely thorough approach to issues and refusing to accept reductionist explanations, Dr.Baraki explores an evidence-based approach to preventive medicine in this episode. This episode includes discussions on the importance of using data to guide discussions regarding preventive medicine, the potential harms of excessive screening, developing resiliency in patient populations, and the role of resistance training in medicine. Get your keyboard or notepad out because this is one of those podcasts you want to take notes on!
Show Notes (1:00 - 9:00) - Introductions
Question 1: What is Barbell Medicine, why did you decide to get involved and what are it's goals?
Question 2: Why did you decide to go into Internal Medicine given your athletic history and interest in exercise?
(9:00 - 15:00)
Question 3: What do you think other physicians that do not lift weights can learn from Barbell medicine, should they attend your seminars?
Question 4: Does the population of those attending your Barbell Medicine seminars trend more towards physicians or healthcare professionals?
(15:00 - 25:00)
Question 5: There are many silly ideas surrounding preventive medicine and other aspects regarding medicine, can you speak to the use of evidence when it comes to recommendations in preventive health?
Question 6: What does preventive medicine mean to you?
(25:00 - 43:00)
Question 7: Why is the allure of more screening with regards to preventive care problematic?
Question 8: How do you balance limiting the allure of physicians to use screenings widely as a way to "check-off" preventive care and patients that desire screening based on false notions of prevention?
Question 9: How do you communicate to patients who come in wanting to get unneeded screening such as a whole-body scan to determine all potential problems?
(43:00 - 55:00)
Question 10: Why is it important that patients are educated and develop a level of self-efficacy?
Question 11: Do you think helping patients develop a positive self-narrative is beneficial in the scope of preventive medicine?
(55:00 - 1:05:00)
Question 12: Do you think we do a poor job of letting our patients know that they should be striving to develop a more robust exercise program based on the current guidelines?
Question 13: How do we bridge the gap between personal trainers and physicians in bringing exercise programs and nutritional counseling to patients?
(1:05:00 - 1:10:00)
Question 14: In 2 minutes what do you tell someone who asks you "how do I get healthy?" Dr. Baraki's Social Media:
Youtube