The Original Guide To Men's Health

The Original Guide to Men's Health will be taking the month of May off and will be returning June 5th with brand new content for you. Until then be well, take care of yourselves and we will see you in June!

Another pandemic will happen. When it does, will we be prepared? What are we doing to make certain that we are? Our guest is the Director of the Office of Pandemic Preparedness and Response Policy. Hear about what is being done to facilitate and improve our ability to face another pandemic. Guest:   "Major General (ret) Paul Friedrichs, MD, FACS, Deputy Assistant to the President and Director of the Office of Pandemic Preparedness and Response Policy (OPPR)"   Major General (ret) Paul Friedrichs, Inaugural Director of OPPR and Principal Advisor on Pandemic Preparedness and Response   Major General Friedrichs is currently Special Assistant to the President and Senior Director for Global Health Security and Biodefense at the National Security Council (NSC). Prior to joining the NSC, Dr. Friedrichs most recently served as the Joint Staff Surgeon and the medical advisor to the Department of Defense (DoD) COVID-19 Task Force. Throughout his career he has worked closely with Federal, State, Tribal, local, and territorial government partners, as well as industry and academic counterparts and has been active in multiple professional medical societies. Dr. Friedrichs has also overseen the DoD global patient evacuation system, supporting global medical care and numerous interagency domestic and global disaster responses. He led the DoD Task Force which developed plans to implement high reliability medical principles across DoD and stood up the Air Force's first medical analytics capabilities. Over the course of his 37-year career, he has led military hospitals and regional and global health care systems, published multiple medical papers, and consistently sought opportunities to partner with colleagues to improve health care delivery and preparedness. As the United States' representative to the North Atlantic Treaty Organization Committee of Military Medical Chiefs, he worked closely with many of America's closest allies and partners throughout the pandemic and in developing medical support to the Ukrainian military.   Dr. Friedrichs is a board-certified physician who has cared for hundreds of patients in combat and managed broad domestic and global public health threats. He has spent all of his career in public service, having first received his commission through Reserve Officer Training Corps in 1986 and rising to Major General in 2023. During This Episode We Discuss:   Overview of the Office of Pandemic Preparedness and Response Policy What are the goals for the office How will  the office function How will the office coordinate with state health agencies, health delivery systems, medication manufacturers , support and personal protective device manufacturers, research and  testing facilities? The importance of a robust Public Health System. How does a public health system integrate into the office's response policy? What can the office do to facilitate a functioning national,regional and local deployment of response teams? How can we speak to the public, ie messaging about the science of pandemic causation, diagnosis, containment and treatment strategies without the politicalization that occurred with the Covid pandemic? What recommendations and routines does the Air Force use to keep it's personnel healthy?   

Why do we find it challenging to take care of ourselves, follow up on health concerns or enter into preventive health maintenance? Men in particular seem to have more difficulty in this regard. Even when we have the knowledge to pursue evaluation we sometimes fail to follow through.  Health Behavior is complex and has a multitude of factors influencing our decisions. Join in to listen to 2 experts review the theory of health behavior, as well as other health models. Guest: Grace Lasker, Ph.D, MCHES, CN, CHC (she/her) Director of Health Studies; Teaching Professor, Nursing and Health Studies Adjunct Teaching Professor, Dept. of Environmental & Occupational Health Sciences University of Washington Bothell   Joseph Henrich,Ph.D Ruth Moore Professor of Biological Anthropology, Professor of Human Evolutionary Biology Department of Human Evolutionary Biology Harvard University  

We are pushing back the publication of our next episode of The Original Guide to Men's Health by one week due to a scheduling issue. We will be back with new content for you on March 13th with an excellent episode all about Health Behavior, what is it, what do we know about, and how do we change it?   Join us next week for a fantastic episode of  The Original Guide to Men's Health!

The final two presentations of the ‘Real Talk on Men's Health' event are presented in this episode.  The first presentation provides the listener with important information regarding the early detection of Prostate and Testicular Cancers.   The second presentation reveals important information regarding the new ‘ Obesity Medications” as well as information on Obesity, Diabetes and Metabolic Syndrome. Guests:   Men's Cancers: Early Detection for Prostate and Testicular Cancers
 
 Yaw A. Nyame, MD, MS, MBA
Deputy Associate Director of Diversity, Equity and Inclusion, Fred Hutch Cancer Center
Assistant Professor, Department of Urology and Fred Hutch Cancer Center, University of Washington   Metabolic Syndrome, Diabetes & Obesity : Updates in Management & Medications JOSHUA THALER, MD, PhD Associate Professor Division of Endocrinology and Nutrition, University of Washington School of Medicine UW Medicine Diabetes Institute  

This episode represents 2 additional presentations from the October 25 live event titled' Real Talk on Men's Health.   In this Episode the following presentations are featured: Heart Health: Keep Your Heart Beating and Benign Prostatic Enlargement Guest:   Heart Health: Keep Your Heart Beating Dr Eugene Yang, MD,MS, FACC, Clinical Professor Department of Cardiology University of Washington School of Medicine. He is the Carl and Renee Behnke Endowed Professor for Asian Health and the Medical Director, UW Physicians Eastside Specialty Center as well as the Co Director UW Medicine Cardiovascular Wellness and Prevention Program.   Benign Prostatic Enlargement:   Dr Will Fuller, MD. Dr Fuller is an Attending Urologist, Virginia Mason Franciscan Health Urology During This Episode We Discuss:   Primary Risk Factors for Cardiovascular Disease Behavioral and lifestyle optimization of risk factors 2019 American College of Cardiology(ACC)  and American Heart Association (AHA)Prevention Guidelines The ACC ASCVD Risk Estimator Cholesterol Goals Blood Pressure Goals Lifestyle Recommendations Sodium and Blood Pressure Heart Healthy Diets Exercise and Heart Health   Prostate Anatomy Prostate Enlargement Symptoms Evaluation of Prostate Enlargement  Treatment options for Prostate Enlargement  

In October a special event occurred in Seattle titled Real Talk on Men's Health, an evening of presentations on prevention and lifestyle tips from men's health experts. The event also reviewed a groundbreaking effort to create a state commission on boys and men. Presentations covered the following topics: Longevity, Sexual Health, ED & Testosterone, Heart Health, Benign Prostatic Enlargement, Prostate and Testicular Cancer, Metabolic  Syndrome, Diabetes and Obesity  (updates in management & medications), and a update regarding House Bill 1270, a Washington State bill to create a state commission for boys and men.   This episode of the Original Guide to Men's Health will include 3 of the presentations from that evening. We begin with a brief update on why a commission for boys and men is so important. Following that, is  a presentation on longevity and completing this episode is a presentation on sexual health. ED and Tesosterone.  Guest:   Update on House Bill 1270:    Blair Daly founder and director of the Washington Initiative for Boys and Men Joe Cook Volunteer Youth Leader   Longevity: Living Better and Longer:   Matt Kaeberlein, PhD CEO Optispan, Professor of Pathology, an Affiliate Professor of Oral Health Sciences UW School of Medicine. He is the former Director Health Aging and Longevity Research Institute and the Biological Mechanisms of Health Aging Training Program. He is also the former co - director of UW Nathan Shock Center of Excellence in the Basic Biology of Aging   Sexual Health, ED and Testosterone:    Marah Hehemann, MD, Assistant Professor, Department of Urology, UW School of Medicine, and the Director of Male Sexual and Reproductive Health, Puget Sound VA  

Health Insurance continues to be a very complex, difficult to understand and in many instances less than transparent entity.    This episode explores health insurance from multiple perspectives (individuals, employers, health care providers and care delivery organizations.    The role of Pharmacy Benefit Managers (PBM's) is also explored   Guest:   Dr Jeffrey Frankel, MD,  Is a Past President of the Washington State Urology Society, a Past President of the Western Section of the American Urological Association, a Past President of the American Association of Clinical Urologists, and he currently chairs the Government Affairs Committee for the Washington State Urology Society He has practiced Urology in the King County area since1985. During This Episode We Discuss:   What is your responsibility regarding your insurance coverage prior to visiting a medical providers office, undergoing a procedure or study and or surgery.   How does your coverage differ from someone else who might be under the same plan   What happens when you are in Network or out of Network.. What does that mean?   What happens when you care provider becomes employed by a healthcare entity, clinic or insurance company   How does Medicare, Medicaid work? How is it different from private insurance?   What are Medicare advantage plans?   What are Pharmacy Benefit Managers?      Recommended Resources:   Episode 17 Understanding and Navigating the health Insurance System, The Original Guide to Men's Health  

 Those aches and pains in your fingers, hand, elbow, toes, foot, ankle and knee, what causes them ? What to do when they seem to be getting more severe and are interfering with your activities? What are the various types of arthritis?  Not all Rheumatological disease is arthritis, what else does this area of medical specialties deal with? We explore the major Rheumatological diseases with a leading Rheumatologist and experienced clinician, researcher. Guest:   S. Louis Bridges, Jr., MD, PhD has served as Physician-in-Chief and Chair of the Department of Medicine at Hospital for Special Surgery (HSS) and Chief of the Division of Rheumatology at HSS and at Weill Cornell Medical College since 2020. He is immediate Past President of the Rheumatology Research Foundation and a former member of Executive Committee of the Board of Directors of the American College of Rheumatology (ACR).  He received a BS degree from the University of Notre Dame, and an MD degree from Louisiana State University School of Medicine in New Orleans.  After serving as a Medicine Resident and Chief Medical Resident at the University of Texas Medical Branch in Galveston, Texas, he completed a fellowship in Rheumatology at UAB, where he also obtained a PhD degree in Microbiology/Immunology. From 2008 to 2020, he was Director of the Division of Clinical Immunology and Rheumatology at the University of Alabama at Birmingham.  Dr. Bridges has been named to Best Doctors in America, Castle-Connolly Top Doctors, and to the 2023 New York Super Doctors list. He has received the UAB Department of Medicine's Max Cooper Award for Research Excellence and the UAB School of Public Health's Sam Brown Bridge Builder Award. He is former Co-Editor of Arthritis & Rheumatology and past Chair of the NIH Arthritis, Musculoskeletal, and Skin Study Section.  His research focus is rheumatoid arthritis susceptibility, autoantibodies, and biomarkers of treatment response. He has authored more than 185 manuscripts, many book chapters, and served as editor of three books.  During This Episode We Discuss: What are Rheumatological diseases? What differentiates sore joints from Rheumatoid or Osteoarthritis? How do we differentiate , diagnose and treat these diseases? What are some of the newer therapies?  When should you see a physician about your aches and pains in your joints?  When should you see a Rheumatologist? What are some of the other major Rheumatological diseases?  What should we know about Lupus, Psoriatic arthritis, and Gout.  

In this episode we explore our understanding of longevity with a leading longevity researcher. Guest:   Dr Matt Kaeberlein, PhD Former Director, Healthy Aging and Longevity Research Institute Former Director, Biological Mechanisms of Healthy Aging Training Program Co-Director, UW Nathan Shock Center of Excellence in the Basic Biology of Aging Co-Director, Dog Aging Project Professor of Pathology Adjunct Professor of Genome Sciences Adjunct Professor of Oral Health Sciences   Dr. Kaeberlein's research interests are focused on biological mechanisms of aging in order to facilitate translational interventions that promote healthspan and improve quality of life. He has published more than 200 scientific papers, has been recognized by several prestigious awards, and has Fellow status in the American Association for the Advancement of Science (AAAS), the American Aging Association, and the Gerontological Society of America (GSA).  Dr. Kaeberlein is currently the CEO of the American Aging Association and has served on the Board of Directors for the Federation of American Societies for Experimental Biology (FASEB), AGE, and GSA. Dr. Kaeberlein is the founding Director of the UW Healthy Aging and Longevity Research Institute, the Director of the UW Nathan Shock Center of Excellence in the Basic Biology of Aging, Former Director of the Biological Mechanisms of Healthy Aging Training Program, and founder and co-Director of the Dog Aging Project.   Recommended Resources:   Twitter @mkaeberlein   Peter Attia: Podcast, book, articles  

Learn all you need to know about Kidney Stones,who is at risk, the various types of stones and presentations.  Guest:   Robert M. Sweet, MD, FACS, MAMSE Professor of Urology, Surgery and Bioengineering(adj) Medical Director UW Medicine Kidney Stone Center Chief, Division of Healthcare Simulation Sciences Executive Director of WISH and CREST University of Washington   Dr. Sweet is a Joint Professor of Urology and Surgery and Adjunct Professor in Bioengineering at the University of Washington.  He is the Inaugural Chief of the Division for Healthcare Simulation Science and the Founding Medical Director of the UW Medicine Kidney Stone Center. Dr. Sweet founded and led the University of Minnesota's SimPORTAL and cofounded the University of Washington's ISIS which was renamed the Washington, Wyoming, Alaska, Montana and Idaho Institute for Simulation Technologies (WISH) when he assumed the Executive Director position.  He is the PI for all programs in the Center for Research in Education and Simulation Technologies (CREST) including the “Advanced Modular Manikin”  During This Episode We Discuss:   We review the diagnosis and various presentations of stones- Why are some painful and others not so much?    How are Kidney Stones diagnosed? What constitutes a Kidney Stone emergency?   Who has stones that might pass versus stones that require therapy. How are Kidney Stones managed and treated?   How can we prevent Kidney Stones   The role of the Kidney Stone Center     Recommended Resources:   Kidney Stones National Kidney Foundation: https://www.kidney.org/atoz/kidneystones  

Chronic Pelvic Pain, Chronic Prostatic Pain Syndrome, Chronic Testicular and Penile Pain often have origins in abnormal pelvic floor muscle tension. Listen and find out how modern pelvic physical therapy can help. Guests:   Molly Riley, PT,DPT: Pelvic Health Physical Therapist, University of Washington,Northwest Outpatient Medical Center   Ken Berger, JD, MD: President of the Washington State Urology Society,  Practicing Urologist, Tri-State Health,Clarkso,WA, Chair of American Urological Association's Leadership and Business Education Committee. During This Episode We Discuss: The Evaluation and Management of Chronic Pelvic, Prostatic, Testicular, and Penile Pain.  Management of the abnormal voiding ( the non relaxing voider ), improving post operative stress urinary incontinence, and appropriate technique for strain free bowel evacuation.   Chronic Prostatitis is now referred to as Chronic Pelvic Pain Syndrome (CPPS): This is an effort to change thinking that all chronic prostatitis is infection oriented. Many times CPPS patients respond very nicely to pelvic floor PT   Quotes: Referring to the steps in evaluating testis pain….” If I do all of that and I don't find anything, that becomes a much more difficult problem for me as a Urologist to treat. That is where I start thinking about sending ( the patient ) to Physical Therapy.                                                                                                                                                                                  Dr. Ken Berger, JD, MD. Recommended Resources: Pelvicrehab.com:  Use this as a resource to find a Pelvic Health Physical Therapist  

A community based initiative partnering with multiple agencies and resources toward gun violence prevention. Learn what's involved in this campaign. Listen and be educated on opportunities to intervene and resources needed. Guest:   Will Jimerson, Regional Gun Violence Team for Public Health - Seattle & King County The Regional Peace Keepers Collective -  An Initiative Implemented by the RGV Program During This Episode We Discuss:   Mr Jimerson reviews all aspects of the program and the efforts, resources  needed to effect changes in gun violence and outcomes. Recommended Resources:   Can Community Programs Help Slow The Rise In Violence. By Alec Macgillis. Pro Publica January 30   Regional Gun Violence Community-Based Resource Guide for resources: https://kingcounty.gov/initiatives/Regional-Gun-Violence-Community-Based-Intervention-Resource-Guide.aspx  

For this month we are collaborating with The Partnership for Male Youth, to share their amazing podcast, Let's Examine This hosted by Dennis Barbour. We will be doing a collaborative episode with them in June for Men's Health Awareness Month, so be sure to check out their show and we'll be back with a new episode of The Original Guide to Men's Health in June.   What are some of the body image and eating disorders that young males are prone to? What is the difference between a body image and an eating disorder? How many young men are affected by these disorders? What are some of the other disorders that are present at the same time? What are some of the risk factors? Is there a genetic component? What role does the media play? What are some of the treatments for these disorders? Our two guest experts will discuss these and other issues.   Guests: Dr. Roberto Olivardia Dr. Jason Nagata Recommended Resources: National Eating Disorders Association Eating Disorders in Boys and Men The Adonis Complex: How to Identify, Treat and Prevent Body Obsession in Men and Boys Eating Disorders Helpline

Obesity is a chronic disease and is associated with related conditions such as cardio vascular disease(heart attack and stroke),type 2 diabetes, and certain cancers. The current understanding of obesity demonstrates both biological and environmental factors like economics and infrastructure, psychosocial and developmental issues as important  contributors as well as newer understanding of their role in influencing the hypothalamus. New treatment strategies and medications demonstrate opportunities for success in management of obesity. Guest:   Joshua Thaler, MD, PhD. Associate Professor of Medicine, Division of Metabolism, Endocrinology and Nutrition.   Dr. Thaler graduated with a major in Biochemistry from Harvard College (Magna Cum Laude with Highest Honors, and on the Dean's List), then obtained an MD and a PhD in Biomedical Sciences from the University of California, San Diego and the Salk Institute (where he was a Chapman Scholar and a Lucille P. Markey Fellow). He short-tracked through the Internal Medicine residency program at UW and was an endocrinology/metabolism fellow, working in Dr. Michael Schwartz's laboratory. He is currently an Associate Professor at the UW Diabetes Institute.     Research Interests   Dr. Thaler's focus is the hypothalamic regulation of energy homeostasis and the alterations to this system during obesity pathogenesis. His primary project investigates hypothalamic inflammation and its relationship to high fat diet-induced weight gain with an emphasis on the role of glial cells (astrocytes and microglia) in modulating the neuronal regulation of energy homeostasis. In particular, his research aims to determine whether glial cells provide a repair response to diet-induced damage to critical hypothalamic neurons and whether interventions targeted at glia may therefore influence the course of obesity. A second study examines the role of inflammatory signaling in hypothalamic neurons and microglia in obesity-associated insulin resistance and diabetes. Additionally, Dr. Thaler's research is examining the metabolic role of POMC neurons through modification of atypical protein kinase C signaling. During This Episode We Discuss: Obesity versus  being overweight, what Body Mass Index (BMI) defines each condition. Causes of obesity. New data on root causes  Health impact of obesity The individualized approach to treating obesity Investigations and Research into the role of the brain (Hypothalamus) in obesity and obesity management. Successful strategies for managing obesity,including newer medications and Bariatric Surgery Quotes (Tweetables): The US obesity prevalence was 41.9% in 2017-March 2020 BMI 25-30 = overweight BMI 30 or greater = Obesity   “Obesity by many estimates is at least 50% if not more based on inherited genes. That susceptibility is being acted on by the environment, You shouldn't take the fatalistic view I've got these genes and there is no hope”                                                                                                                 Dr Josh Thaler “The Heavier you are, the higher your energy expenditure. Thus we can't say that in general, that people who are overweight have a slower metabolism”                                                                                                                  Dr Josh Thaler “How much weight needs to be lost in order to reverse either the disease that's established or lower the risk of the one that hasn't come yet..  You don't have to go back to your original normal weight..What the data suggests is that even 5-10% weight loss from wherever your current weight,is sufficient to reverse a lot of things(associated diseases) that are associated with obesity”                                                                                                                   Dr Josh Thaler “The (newer injectable)weight loss medications do not cure (obesity), if you stop them, the weight will come back…there is no reason to believe it changed your biology in some way that's permanent”                                                                                                                                      Dr Josh Thaler Recommended Resources: CDC https://www.cdc.gov/obesity/basics/index.html   Obesity Canada ( formerly called,The Canadian Obesity Network). Obesitycanada.ca.   The Obesity Society  www.obesity.org.   Ania Jastreboff, MD, PhD   Kevin D.Hall, PhD Multiple You Tube videos and publications   Michael W. Schwartz, MD University of Washington  

In this two part episode we explore where the modern male finds himself. We review data demonstrating a trend of increasing gaps in educational achievement, increasing rates of male suicide, and addictions, the preponderance of males in the homeless population and the decline in males participating in key careers.   We also hear about a Washington State bill to create a commission on boys and men, why it's important and potentially unique.   If you're unsure if men are indeed in crisis, or are already familiar with some of the issues, listen as we explore,learn and hear not only the issues but solutions from our two very thoughtful, knowledgeable and engaging guests.   Guests: Richard V. Reeves Richard V. Reeves is a senior fellow in Economic Studies,The Brookings Institute, where he holds the John C. and Nancy D. Whitehead Chair and leads the Boys and Men Project. His research focuses on boys and men, inequality, and social mobility. Richard's publications for Brookings include his latest book Of Boys and Men: Why the Modern Male Is Struggling, Why It Matters, and What to Do about It (2022) and 2017's Dream Hoarders: How the American Upper Middle Class Is Leaving Everyone Else in the Dust, Why That Is a Problem, and What to Do about It. He is a contributor to The Atlantic, National Affairs, Democracy Journal, the Wall Street Journal and the New York Times. Richard is also the author of John Stuart Mill – Victorian Firebrand, an intellectual biography of the British liberal philosopher and politician. Rep. Mary Dye First appointed to the House of Representatives in 2015, Representative Mary Dye is a Republican from the Eastern Washington community of Pomeroy. She is serving her fifth term, representing the 9th Legislative District. As a ranking member of the House Environment and Energy Committee, Representative Dye prioritizes protection of affordable and reliable energy, improving environmental and water quality and outdoor recreation. She is also working to improve irrigation infrastructure to ensure irrigated farms are climate resilient. Representative Dye graduated from the Harvard Kennedy School Senior Executive Leadership program and holds a B.S. in Crop Management from the University of Idaho. She and her husband farm dryland wheat in Garfield County. Get more information from her website: www.RepresentativeMaryDye.com   During This Episode We Discuss:   The background data and trends supporting the issues are reviewed in an enlightened discussion with Brookings Scholar Richard Reeves   Learn from a Washington State Legislator Rep. Mary Dye about her efforts to sponsor a bill that would create a Washington state commission on boys and men. The would address well-being, including educational achievement, suicide, homelessness, drug and alcohol addiction and overdose, and incarceration.    Those that feel this bill is serving a population that has already been privileged are looking through a narrow lens. These interviews demonstrate why vulnerable populations, men in poverty, and BIPOC populations would all find an advantage to having such a commission.   Recommended Resources:   Of Boys and Men: Why the Modern Male is Struggling, Why It Matters and What to Do About It By Richard V Reeves   How Toxic is Masculinity by Zoe Heller, Books, The New Yorker August 8,2022 Issue   Men Need Purpose More Than ‘Respect' Opinion by David French, The New York Times, Feb.12,2023   https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bills/House%20Bills/1270.pdf?q=20230116070700   Soulhealfilm.com.   A film by Jose Enrique Pardo Equality for Boys and Men – Advancing empathy and equality ... https://equalityforboysandmen.org   https://www.brookings.edu/blog/up-front/2023/01/13/the-case-for-a-commission-on-boys-and-men-will-washington-state-lead-the-way/   Visit our website for all the podcasts, additional resources and social media links Website: theoriginalguidetomenshealth.org Facebook: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/

This episode follows 2 Kidney Cancer expert Urologists in understanding Kidney tumors from diagnosis to treatment options.  Guest:   John L. Gore, M.D. Professor of Urology, Professor of Surgery, Health Services Researcher, University of Washington. Urologist, surgeon, clinician, researcher, educator and expert in clinical care guidelines and outcomes. Dr. Gore is the PI of a large pragmatic trial in bladder cancer, and a quality of care expert. He previously served as the American Urological Association (AUA) representative to the National Quality Forum, which endorses national health care performance measures, and has been on guidelines panels for the National Comprehensive Cancer Network (NCCN) for kidney cancer, and the AUA for bladder cancer.   Brian Shuch, MD is the Director of the Kidney Cancer Program and the Alvin & Carrie Meinhardt Endowed Chair in Kidney Cancer Research. He completed his urology training at UCLA followed by a Urologic Oncology Fellowship at the National Cancer Institute. He is an accomplished surgeon (open/laparoscopic/robotic surgery and percutaneous ablations) and clinical/translational researcher. He serves in leadership positions within various kidney cancer research organizations such as SWOG and the Society of Urologic Oncology. He is recognized as an expert in the genetics of kidney cancer and runs a translational research program with over 140 peers reviewed publications including primary research published in prestigious journals such as Nature, Nature Genetics, Proceedings of the National Academy of Sciences, Journal of Clinical Oncology, and Clinical Cancer Research. He is one of the few clinicians to bring bench science to the bedside in an upcoming therapeutic clinical trial for metastatic kidney cancer.   During This Episode We Discuss: The types of Kidney Cancer   Non cancerous kidney cysts (benign) versus cancerous kidney cysts,   Solid kidney tumors, benign and malignant   Diagnosis of kidney cancers: Imaging and Biopsy   Risk factors for kidney cancers   Genomics of kidney cancer   Treatment of kidney cancer: Localized and Metastatic Quotes (Tweetables) Back in the olden days we used to talk about the triad of three symptoms people associated with kidney cancer. Those three symptoms were hematuria or blood in the urine, palpable mass, and flank pain. Realistically in 2023 this triad happens less than 1% of the time. What has changed is that there is a much higher frequency of use of imaging to diagnose problems in our bodies. Kidney cancer is one of the fastest growing cancer types in terms of it's incidence, because of incidental detection.                                                                                  Dr Gore   Regarding tumor size, it all depends on the scenario.The larger the lesion the more concerning it is for cancer, but even a 1 cm tumor can have some aggressive elements. There is not an absolute size where you say that a tumor below this threshold cannot be a cancer.                                                                                Dr Shuch Most kidney cancers are what we would call sporadic, in that it occurs in the absence of known risk factors. The 2 biggest risk factors that are more behavioral are smoking and obesity.                                                                                 Dr Gore                                                                                Recommended Resources:   KCA: Kidney Cancer Association www.kidneycancer.org   Kidney Can www.kidneycan.org   KC Cure  www.kccure.org   American Cancer Society   Fred Hutchinson   UCLA

Learn what we know about these often undetected conditions. We look back to relevant episodes and some important comments from our experts.   We also asked our producer Sean Fox for some of his favorite episodes from the past year. Guests:              Episode 36.  Quick Virtual Workouts for Anywhere   Lauren Updyke, MS, American College of Sports Medicine Certified Trainer, Director of the University of Washington Whole U program.   Episode 6. Cardiovascular Health—How to Keep Beat with your Heart                 Eugene Yang, MD: Cardiologist, Clinical Associate Professor, Cardiology, UW School of Medicine; Medical Director for UW Physicians Eastside Specialty Center, Governor of the Washington Chapter of the American College of Cardiology; Director of the Cardiovascular Wellness & Prevention Program at University of Washington    Episode 15. What Everyone Should Know about Tobacco, Smoking and Vaping Sarah Ross Viles, MPH: Director of the Tobacco Studies Program University of Washington, former Chronic Disease Program manager Public Health, King County Washington. Tim McAfee, M.D. Affiliate Assistant Professor, Health Sciences University of Washington, Former Director, Office on Smoking and Health, Center for Disease Control and Prevention. Consultant with the CDC Anti Smoking Media Campaign   Episode 4.  Diet - Eat, Drink and Be Healthy            Marian L. Neuhouser, PhD, RD Fred Hutchinson Cancer Research, Program Head, Cancer Prevention Program Public Health Sciences Division, Affiliate Professor University of Washington, School of Public Health, Department of Epidemiology ALSO: Episode 27: Metabolic Syndrome, Diabetes and Other Common Endocrine Health Issues              Arthi Thirumalai, MD.  Assistant Professor, Endocrinology Division, University of Washington Episode 16. Mental Health: Part 1—General Depression; Part 2—Deeper Depression, Suicide and Suicide Prevention.               Daniel J. Singer Ph.D. Washington State Licensed Mental Health Therapist, Specialized in the Counseling and Treatment on Mental Health Diagnosis.  Dr. Jeffrey Sung M.D. University of Washington Instructor of Psychiatry and Behavioral Sciences, Board certified psychiatrist at the University of Washington, the Pioneer Square Clinic, and in private practice. Episode 10. Prostate Cancer:  A) Detection, Diagnosis and PSA, B) Surveillance and Treatments                Daniel W. Lin, MD, Professor Department of Urology, University of Washington School of Medicine, Chief of UW Urologic Oncology, and The Pritt Family Endowed Chair for Prostate Cancer Research.           Episode 52: Hiking, Backpacking and Staying Safe in the Wilderness   Lee Jacobsen, JD. Lee is a Seattle attorney and avid hiker and backpacker. He is a founder of the Washington Hikers and Climbers facebook group, an 8-years running FB hiking community of over 200,000 people in WA state. Tim Durkin MD. Tim is a physician with board certification in both emergency and sports medicine, based in Colorado. Dr Durkin is the chief medical officer for Base Medical, a wilderness medicine education company, as well as medical director for the San Juan National Forest, SAR program coordinator for Colorado Highland Helicopters, and a responder with La Plata County SAR in Colorado. He is a former paramedic and Eagle Scout, with over 25 years of technical wilderness SAR experience. Dr Durkin practices emergency medicine at a rural hospital serving Native Americans, and occupational medicine for public safety agencies. Opinions expressed today by Dr Durkin are his own and not official positions of any of his employers or affiliates.    Episode 47: Dental Health and Care    Gary Burt, DDS. Private practitioner for more than 35 years in the Seattle Washington USA area. Specializing in General and Family Dentistry, Esthetic Dentistry, and Complex Restorative & Cosmetic Dentistry.     Episode 44: Grief, Grieving and the End of Life Jennifer R. Levin, PhD, MPH, MFT.  Trauma and grief therapist, marriage and family counselor, with extensive experience in counseling and education on trauma, death and dying, bereavement, and loss.   Visit our website for all the podcasts, additional resources and social media links Website: theoriginalguidetomenshealth.org Facebook: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/

Please join and listen to this wonderful review of common conditions affecting the lungs. Dr Schwartz provides us with information regarding how today's air quality affects developing lungs in children, how it affects those of us who are adults and may or may not have underlying pulmonary issues.  We review the most common pulmonary concerns, advances in therapy and how to maintain good pulmonary health.  Dr Schwartz shares some very recent information on the genetics associated with one of the more common pulmonary diseases, Pulmonary Fibrosis. Guest:   Guest Dr. David Schwartz, MD Distinguished Professor of Medicine and Immunology in the Division of Pulmonary Sciences & Critical Care at the University of Colorado   Immediate Past Chair of Medicine The University of Colorado School of Medicine, Director Center for Genes, Environment & Health, National Jewish Health, and previous Director of the National Institute of Environmental Health Sciences at the National Institutes of Health.  During This Episode We Discuss:   A review of how the lungs function The role of the Pulmonary specialist How the lungs interact with the environment A review of common lung conditions and diseases  What is COPD  Asthma Bronchitis Emphysema   Sarcoidosis Pulmonary Fibrosis Pulmonary Cancers and Detection Pulmonary Infections Smoking and Smoking related pulmonary diseases   Chronic Cough   When should you be seen by a Pulmonary specialist (Pulmonologist) Current research and understanding of the role of the environment and the above conditions, diseases Genetic determinants of pulmonary disease How to maintain good pulmonary health Quotes (Tweetables):   ‘The Environment that we are faced with really is interesting because it forces the lungs to adapt and re adapt to a changing and dynamic environment'                                                                                                      Dr Schwartz   If you smoke less than 10 cigarettes per day, your not addicted to Nicotine                                                                                                       Dr Schwartz Recommended Resources:   Pulmonary Fibrosis:   Google NIH, find National Heart, Lung, and Blood Institute (NHLBI) Pulmonary Fibrosis rarediseases.info.nih.gov/diseases/8609/idiopathic-pulmonary-fibrosis/   The Pulmonary Fibrosis Foundation www.pulmonaryfibrosis.org   Dr David Schwartz University of Colorado School of Medicine, Division of Pulmonary Sciences Pulmonary Disease WW.NIH.GOV Select: Health Information: Pulmonary Disease   Your Primary Care Physician ( Family Medicine or Internal Medicine Physician )

Ophthalmology is a medical surgical specialty concerned with the study and treatment of disorders and diseases of the eye. Listen as this episode reviews common conditions that affect the eye and our vision. Find out what you need to know to take appropriate care of your eyes. Learn how different eye diseases are diagnosed and treated. Listen to Dr Alder speak about innovations in disease management. Learn how to preserve and optimize your vision.   Guest: Brian Alder, M.D. is a fellowship-trained cornea, external disease, and refractive eye surgeon. He received his medical degree from Duke University in Durham, North Carolina where he interned and then advanced to Chief Resident during his residency. Dr. Alder published numerous articles and abstracts related to eye conditions and collaborated on cutting-edge corneal surgery research while at Duke. Dr. Alder did his corneal fellowship training at Bascom Palmer Eye Institute at the University of Miami, recognized by U.S. News and World Report as the number one hospital for ophthalmology in the country. Dr. Alder worked side-by-side with the most prominent cornea specialists in the world to learn the most up-to-date treatment of corneal disease. Shepherd Eye Center is proud to present Dr. Alder's unique corneal expertise to Las Vegas. Dr. Alder is Board Certified by the American Board of Ophthalmology and a member of the American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery. Outside the office, Dr. Alder loves spending time with his wife and five children. His favorite pastimes include board games around the dinner table, playing sports, traveling, and watching movies with a family-sized bowl of caramel popcorn.   During This Episode We Discuss:   Ophthalmologist vs. Optometrist, what is the difference, who should you see for eye care? What to expect from a general eye exam When should you begin to get eye exams, what changes of eyesight should lead to an exam?   Common Eye Conditions: Cataracts Macular Degeneration Glaucoma Floaters (what is a floater and what's not) Retinitis Pigmentosa Dry Eye and Excessive Tearing Cancers of the Eyes Viagra and the Eye   Visit our website for all the podcasts, additional resources and social media links Website: theoriginalguidetomenshealth.org Facebook: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/  

This episode reviews the progress in developing biomaterials that allow for external and internal non - invasive interfaces with our various organs. A leading researcher reviews the requirements for such materials and shares some recent device developments. Guest: Dr Chris J Bettinger, PhD: "Christopher Bettinger is a Professor at Carnegie Mellon University in the Departments of Materials Science and Engineering and Biomedical Engineering. He directs the laboratory for Biomaterials-based Microsystems and Electronics at CMU, which designs materials and interfaces that integrate medical devices with the human body. Dr. Bettinger has published over 90 articles and has been issued over 10 patents. He has received numerous honors including the MIT Tech Review TR35 Top Young Innovator under 35, and the DARPA Young Investigator Award." During This Episode We Discuss:   The challenges of interfacing device technology to humans. Think of fitting a device to curved tissue, that's flexible, miniature and allows for continuous monitoring.   Materials Science: Bio Inspired Materials   Embedded Electronics   Noninvasive monitoring of the human Gastrointestinal trac   Recommended Resources:   Carnegie Mellon University, Faculty, Dr Chrisopher J Bettinger.    Socials Visit our website for all the podcasts, additional resources and social media links Website: theoriginalguidetomenshealth.org Facebook: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/  

A smart speaker and your Heart. “ Alexa, is my heart rhythm normal”? An Electro Cardiologist interfaces a clinical problem with a smart speaker to identify cardiac arrhythmias. Learn how innovation in biotechnology had led a cardiologist and his team to train Alexa to determine abnormal from normal heart rhythms. Still in development, this fascinating interface highlights how leading innovators take technology and smart devices forward to enhance clinical care.  Listen as we review common cardiac arrhythmias, causes, treatments and diagnosis current and future. Directions for innovation with devices and additional developments in Telehealth.   Guest:  Arun Mahankali Sridhar, M.D., M.P.H., is a cardiac electrophysiologist and a specialist in heart rhythm disorders. He is an Assistant Professor in the Division of Cardiology at the University of Washington.  Dr. Sridhar's sees patients with both rapid and slow heart rhythm disorders, as well as patients with a risk of sudden cardiac death. He has comprehensive expertise in management of both common and complicated arrhythmias. He is an expert in catheter ablations for atrial fibrillation; atrial flutters (both typical and complex), supraventricular tachycardia, WPW, ventricular tachycardia (VT) and premature ventricular complexes (PVCs); stroke prevention in atrial fibrillation, including left atrial appendage closure; In addition he is an experienced implanter of all types of cardiac device therapy, including cardiac pacemakers; implantable cardiac defibrillators (ICDs) and cardiac resynchronization therapy (CRT).  Dr. Sridhar's research focuses on improving ablation techniques and patient outcomes in atrial arrhythmias. He collaborates with the UW computer science and bio-engineering department on various innovation projects to improve the care of heart rhythm patients utilizing advanced computing and novel low-cost patient accessible technologies.     During This Episode We Discuss:  Cardiac (Heart) Arrhythmias: causes, detection and treatment options.  Innovations in the diagnosis of arrhythmias.  The benefits of a multi disciplinary team in researching a very innovative solution to a common clinical problem.  The role of adaptive, machine learning, signal processing and clinical experience in moving technology forward.  Future potential enhancements in current technology to diagnose other metabolic, cardiac and respiratory conditions.    Recommended Resources:  Nature: COMMUNICATIONS BIOLOGY| (2021) 4:319 | https://doi.org/10.1038/s42003-021-01824- https://www.nature.com/articles/s42003-021-01824-9.pdf  UW Cardiology website  Stopafib.org      Visit our website for all the podcasts, additional resources and social media links Website: theoriginalguidetomenshealth.org Facebook: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/  

Bio Technology is exciting and rapidly expanding. It is the future of health and healthcare. While the technology is far reaching. One aspect is simulation technology. What is simulation technology? Consider how we use simulation to train pilots,what about using simulation to train surgeons and the surgical team?   In this episode we interview Dr Robert Sweet, MD, a leader in simulation training for healthcare professionals.   Visit our website for all the podcasts, additional resources and social media links Website: theoriginalguidetomenshealth.org Facebook: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/

We all or mostly all consider ourselves competent drivers. In this episode a Driving Safety expert reviews health related concerns and conditions that may negatively impact our driving skills and experience. She also reviews some very important data and recommendations on how to become an even better driver.   Guest:   Mi Ae Lipe is a Seattle-based writer, editor, and graphic designer who lives another life as a citizen traffic safety advocate. In 2011, she founded a blog called Driving in the Real World and is the author of a very popular monthly column on traffic safety and ADAS technology for Roundel, the national magazine of the BMW Car Club of America. Along with fellow citizen advocate Mark Butcher, she has worked extensively with Washington State government agencies to strengthen their driver training, testing, instructor curricula, and licensing standards. In 2016, she and Mark organized and led a fact-finding trip to the UK by Washington State government officials and driving school owners to explore that country's traffic safety ecosystem, long considered one of the best in the world. In 2017, she and Mark were publicly recognized by NHTSA at the Lifesavers Conference for this work. She is currently part of a government group that shapes strategy and policy around autonomous vehicle testing and implementation in Washington State, and she writes and consults about road safety for organizations both in America and internationally.   Visit our website for all the podcasts, additional resources and social media links Website: theoriginalguidetomenshealth.org Facebook: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/

Humans have a long history of two healthy and accessible activities: walking & hiking. But being in the wilderness is more than a walk in the park. In this episode, experts from WA and CO discuss hiking benefits, preparation, safety, and respect for nature. [214 characters].   Guests:  Lee Jacobsen, JD. Lee is a Seattle attorney and avid hiker and backpacker. He is a founder of the Washington Hikers and Climbers facebook group, an 8-years running FB hiking community of over 200,000 people in WA state. Tim Durkin MD. Tim is a physician with board certification in both emergency and sports medicine, based in Colorado. Dr Durkin is the chief medical officer for Base Medical, a wilderness medicine education company, as well as medical director for the San Juan National Forest, SAR program coordinator for Colorado Highland Helicopters, and a responder with La Plata County SAR in Colorado. He is a former paramedic and Eagle Scout, with over 25 years of technical wilderness SAR experience. Dr Durkin practices emergency medicine at a rural hospital serving Native Americans, and occupational medicine for public safety agencies. Opinions expressed today by Dr Durkin are his own and not official positions of any of his employers or affiliates.    Resources: Washington Trails Association—A nonprofit organization. “Washington Trails Association mobilizes hikers and everyone who loves the outdoors to explore, steward and champion trails and public lands.” Trail information is specific to Washington State, but there is much on their website that is useful to anyone—general hiking information and tips for hiking. For example, see Trail Smarts, which has a lot of how to videos. The Mountaineers— A nonprofit “outdoor community of 14,000 active members in the Pacific Northwest. Founded in 1906, getting people of all ages outside safely and responsibly for over 100 years.”  The Mountaineers has much to offer anyone no matter where they live: The Mountaineers book publishing and information resources are useful to hikers worldwide, including maps and a range of books and guides that provide detail about hiking & climbing tools, techniques, skills and safety in the wilderness.  Base Medical — Their mission is “to empower a safe outdoor community through access to innovative and sustainable education.” They have some on-line training available. Our guest Dr. Tim Durkin is Chief Medical Office for this organization. WHC - Washington Hikers and Climbers, public FB group “for Washington hikers, climbers, snowshoers, cross-country skiers, and other outdoor inclined residents of or visitors to the state.” NWAC —“The Northwest Avalanche Center exists to increase avalanche awareness, reduce avalanche impacts, and equip the community with mountain weather and avalanche forecasts, education, and data.” All Trails — An app based retail organization that aims to connect people with the outdoors; large resource of curated trails and detailed trail information with global coverage.  MeetUp Groups — There are thousands of walking and hiking meetup groups in the US and globally. A great way to meet like minded walkers/hikers and learn and explore together. FB Groups — A great way to meet like minded walkers/hikers and learn and explore together.  REI — A cooperative retail organization that not only sells gear but also provides lots of information resources on line and in classes and group events for hiking, camping, and staying safe in the wilderness.    Follow the Show online at Podcast Website: https://theoriginalguidetomenshealth.org/ Facebook: https://www.facebook.com/theoriginalguidetomenshealth/   Twitter: https://twitter.com/guide2menshlth   Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/  

This episode demystifies clinical medical care ‘best practices' — clinical guidelines & outcome measures. These are regularly created, validated & updated, by expert teams and organizations. This rigorous, evidence-based process provides the USA with a quality and up to date clinical health care system.  [261 characters].   Guest:  John L. Gore, M.D. Professor of Urology, Professor of Surgery, Health Services Researcher, University of Washington. Urologist, surgeon, clinician, researcher, educator and expert in clinical care guidelines and outcomes. Dr. Gore is the PI of a large pragmatic trial in bladder cancer, and a quality of care expert. He previously served as the American Urological Association (AUA) representative to the National Quality Forum, which endorses national health care performance measures, and has been on guidelines panels for the National Comprehensive Cancer Network (NCCN) for kidney cancer, and the AUA for bladder cancer.   Resources: Avedis Donabedian — author of a classic core framework for evaluating the quality of medical care, laid out 50 years ago; the basis of our system today. This link is to a recent article about Donabedian and his work, and is helpful for understanding how and why outcome measures and clinical guidelines are needed and beneficial for quality health care. American Urological Association (AUA) Guidelines for Urology Care — find current health care guidelines for prostate conditions, bladder cancer, erectile dysfunction, etc. National Quality Forum  (NQF)— nonprofit US organization that sets standards for quality health care, and provides other services that advance quality health care. National Committee for Quality Assurance (NCQA)— nonprofit US organization that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation. Agency for Health Care Research and Quality (AHRQ) — lead US Federal agency charged with improving the safety and quality of healthcare for all Americans. AHRQ develops the knowledge, tools, and data needed to improve the healthcare system and help consumers, healthcare professionals, and policymakers make informed health decisions   Podcast Webstie & Social Media: Podcast Website: theoriginalguidetomenshealth.org Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health/

The ear, nose and throat (ENT) have their own medical specialty, based on proximity and function.  Guest Dr. Ian Humphries takes us through a range of basic ENT health issues, including chronic irritation of the sinuses, disordered smell, ringing ears, hearing loss, swallowing problems, vocal cord issues, and oral cancers. [274 characters].   Guest:  Ian M. Humphreys, D.O. Associate Professor of Otolaryngology - Head and Neck Surgery( ENT) at University of Washington School of Medicine. He is currently Director of the Division of Rhinology & Endoscopic Skull Base Surgery at the University of Washington Medical Center – Montlake. His research interests include cancers of the sinuses and skull base as well as fungal infections involving the sinuses. If patients want to learn more they can find us via this patient care link.   Resources: American Academy of Otolaryngology - Head and Neck Surgery  A rich source of patient resources and information  To find an ear, nose and throat doctor Social Media Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health

Males & females have similar anatomy + physiology when it comes to libido, arousal and orgasm—but they can differ in likes and experiences.  To improve sexual health, couples should communicate about these. Learn also how hormonal, medication, education and technological methods can help both younger and older people   Guests: Rachel Rubin, M.D. Practicing Clinical Urologist and Sexual Medicine Specialist in the Washington DC area; Assistant Clinical Professor of Urology at Georgetown University. Clinician, researcher and educator.   Resources: To find sexual health information or a sexual medicine doctor: International Society for the Study of Women's Sexual Health (ISSWSH) The North American Menopause Society (NAMS) Sexual health: https://www.menopause.org/for-women/sexual-health-menopause-online Listen to other podcast episodes on sexual health:  The Original Guide to Men's Health— see podcast episodes on sexual health: Episode 20 Sexual Health: Erectile and Ejaculation Problems Episode 38 Dating, Sex and Relationships in Young Adults (Human Sexuality Part 1) Episode 39 Sexual Desire and Function (Human Sexuality Part 2) Health by Heather Hirsch — see podcast episodes on sexual health    Social Media Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health

Bladder cancer affects more males than females by 3:1. In this episode, two experts demystify this common cancer, in a detailed and accessible discussion. They cover risk factors, cancer types, symptoms, diagnostic tests, treatments & reconstructive options. Useful information for anyone with bladder cancer or at risk for it   Guests:  Max Kates, M.D. Urologist at Johns Hopkins Hospital, Baltimore Maryland; Associate Professor and Director of the Bladder Cancer Program at Johns Hopkins' Hospital Brady Urologic Institute. Jonathan Wright, M.D. Urologist at The University of Washington, Seattle Washington; Professor of Urology, and Medical Director of the UWMC Urology Clinic at the University of Washington School of Medicine; Associate Professor at the Fred Hutchinson Cancer Research Center.    Resources: bcan.org Bladder Cancer Advocacy Network; founded by spouses of bladder cancer patients, comprehensive resource for patient support, information, advocacy, and research. Make connections to local support groups and other patients.    Social Media Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health

Dental care for all ages has come a long way in the last couple of decades. There are new tools and methods for preventative and restorative care, and for reducing fear of the dentist. This episode gives you the basics plus these updates, and has helpful tips for optimizing your personal dental health, and even how to help pay for it.   Guest Gary Burt, DDS. Private practitioner for more than 35 years in the Seattle Washington USA area. Specializing in General and Family Dentistry, Esthetic Dentistry, and Complex Restorative & Cosmetic Dentistry. Resources How to find a dentist: 1) Ask friends, family or colleagues for general dentist recommendations. 2) If you are new in town, try calling the local periodontist--they usually know most of the general dentists in an area. 3) https://findadentist.ada.org/ For low cost, high quality care, visit the clinic of a University Dental School (e.g. in the Seattle area: https://dental.washington.edu/patient/clinics/ ) Look for city, county or organizational health fairs that offer dental clinics (e.g. in the Seattle area: https://seattlecenter.org/skcclinic/.    https://www.facebook.com/SKCClinic/   Social Media Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health

Biomarkers are windows into health, like a cholesterol or PSA test. Precision medicine biomarkers enable us to refine clinical targets, and identify more precise cancer risks, diagnoses & treatments. This new health care trend translates into better cancer care & reduced collateral damage, especially for prostate cancer.   Guest:  Jeffrey J. Tosoian, MD, MPH Assistant Professor and Director of Translational Cancer Research, Department of Urology, Vanderbilt University Medical Center, Nashville TN. Dr. Tosian's research is focused on the development and clinical application of diagnostic and prognostic tools, including blood-, urine-, and tissue-based biomarkers, to guide detection and management of genitourinary cancers. Social Media Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health   Resources: The Original Guide to Men's Health Podcast, Episode 10. Prostate Cancer:  A) Detection, Diagnosis and PSA, B) Surveillance and Treatments. The Original Guide to Men's Health Podcast Episode 43: Precision Oncology: Cancer Diagnosis and Treatment National Comprehensive Cancer Network— Patient Resources Prostate Cancer Foundation, Patient Resources BCAN—Bladder Cancer Advocacy Network.

Allergies occur when the immune system responds to an allergen threat. Mild and severe allergies are caused by environmental exposure & genetic predisposition. Listen to experts discuss the immunology, features and management of allergies to food, peanuts, pets, gluten, drugs, bees, mold, dust mites, latex, plants and more.   Guests:  Lahari Rampur, MD.  Allergy and Immunology Physician, Kaiser Permanente, Seattle WA Andrew G. Ayars, MD. Physician and Associate Professor of Medicine, Division of Allergy and Infectious Diseases, University of Washington, Seattle WA. Social Media Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health Resources: American Academy of Allergy, Asthma and Immunology (AAAAI). Covers symptoms and treatment for a wide range of allergies and asthma. American College of Allergy, Asthma and Immunology (ACAAI). Lots of useful information on what allergies and asthma are, diagnosis and treatment. Allergy Free Skin  Products safe for contact dermatitis allergies. The Original Guide to Men's Health Podcast, Episode 13. Gut Health: Part B—Gut Microbiome (Part B starts at the 40 minute 30 second mark). Early life exposure to foods and allergens can influence a person's lifetime gut microbiome and allergy risk.

The end of life is devastatingly hard, and difficult to navigate, for those grieving a loss, as well as the friends, family & colleagues of people grieving. We don't know what to do, what not to do, or how to cope. Dr. Jennifer Levin, a traumatic grief counselor, talks us through understanding, coping with, and even growing with grief.  Guest:  Jennifer R. Levin, PhD, MPH, MFT.  Trauma and grief therapist, marriage and family counselor, with extensive experience in counseling and education on trauma, death and dying, bereavement, and loss. Social Media Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health   Resources: AARP Advanced Directives  Legal forms and guides for planning your end of life care, by USA state. Five Wishes Discussion guides and forms on advanced care planning, for people to let loved ones know their wishes in advance of an expected or unexpected trauma or death. Helps people talk about end of life wishes with their family.  From Grief to Growth, Online resource (Traumatic Grief resources, Covid-19 and Grief resources, free mini course) and support website by our podcast guest,  Dr. Jennifer R. Levin. Religious organizations provide support groups and resources for those experiencing loss. Hospitals usually provide support groups and resources for those experiencing loss.

In this episode, oncologist Dr. Bruce Montgomery covers precision cancer diagnosis and targeted therapies, for prostate and other cancers. Thanks to rapid-sequencing technology and medical advances, cancer care is better able to identify specific genetic alterations causing a cancer, and identify a specific therapy targeted against that cancer variant.   Guest:  R. Bruce Montgomery, M.D.  Oncologist, Clinical Director of Genitourinary Oncology at the Fred Hutchinson Cancer Center, and Professor of Medicine, Oncology, and Urology at the University of Washington.   Resources: U.S. National Comprehensive Cancer Network Guidelines.  Click on the Patient Resources tab and then the tab Guidelines for Patients tab, and then click on prostate or other cancer types for more information. This information is compiled and updated by panels of experts.  FORCE: Facing Hereditary Cancer Empowered.  Information and support resource for people who already know they have certain risk variants of genetic or other biomarkers. U.S. National Institutes for Health: The Promise of Precision Medicine American Cancer Society: information on Precision Medicine Episode 28: Medical Genetics. Original Guide to Men's Health Podcast Your healthcare provider, major medical centers with oncology units

Some brain functions decline gradually and normally with advancing age in many people. In some cases, more severe cognitive disorders—Alzheimer's and other conditions that cause dementia—can develop. Dr Bernick, an expert on the aging brain, discusses these conditions, and on a positive note, he highlights that mental and physical exercises can reduce risk factors for cognitive loss.    Guest: Charles Bernick M.D., MPH. Clinical Professor, Department of Neurology, University of Washington, Seattle WA. Director of Clinical Trials, Memory and Brain Wellness Clinic, University of Washington.   Resources: Luminosity. Website with lots of brain and cognitive exercises. Alzheimer's Association  Alzheimer's Disease and Related Dementias, National Institutes of Health.  Detailed educational information and resources Alzheimer Centers — check your nearest big city Seattle and Puget Sound Area: Memory and Brain Wellness Center, University of Washington. Available to anyone in the community.

Skin is a major organ that serves as a barrier between oneself and the world. It's amazingly good at its job but needs care. In this episode, learn how skin changes with age and the environment, and how to take care of it, from the teens to the aging years. Dermatologist Dr. Kendra Bergstrom covers many conditions, treatments and preventative strategies.       Guest: Kendra G. Bergstrom M.D. University of Washington Medical Center, Roosevelt Dermatology Clinic, Seattle WA.

In this episode, a panel of three physician experts in health care equity discuss barriers to health care, due to racism, bias, and structural inequities. Partnerships of medicine (medical training and care delivery) with public health (population health) are a promising approach to reduce barriers. Listen to the challenges, strategies and pathways these experts are undertaking and recommending to transform health care to a more equitable system.   Guests: Bessie Young, MD, MPH. Professor, Division of Nephrology; Medical Director and Associate Dean for Healthcare Equity. University of Washington, VA Puget Sound Health Care System. Leo S. Morales, MD, PhD. Professor of Medicine; Assistant Dean with the Office for Healthcare Equity; Co-Director of the Latino Center for Health. University of Washington.  Eugene Rhee, MD, MBA. National Chair of Urology for Kaiser Permanente; Chair, American Urologic Association Public Policy Council; Assistant Medical Director/Business Line & Finance, Kaiser Permanente

This explicit discussion with sexual health experts covers causes of and treatments for reduced libido, arousal and orgasm, in both males and females. Hormones are key players in sexual health, and anything that affects those hormones can potentially affect people's sex lives. For example, antidepressant medications and hair replacement treatments can reduce sexual interest or function. Resources and treatments exist, from therapy to medication.   Guests: Dr. Irwin Goldstein, M.D., Director of San Diego Sexual Medicine, Director of Sexual Medicine at Alvarado Hospital in San Diego California, and Clinical Professor of Surgery at the University of California, San Diego.   Sue Goldstein, B.A. Sexuality Educator and Clinical Research Manager at San Diego Sexual Medicine

The need for sex education is significant, as indicated by a popular college course on human sexuality. Dr. McNichols explains that students want to learn how to have successful sexual and intimate relationships, and her course is one of the few places where they can. Hear what young adults' concerns and needs are, from how to meet potential partners to the role porn plays in (mis)informing about sex.   Guest:   Nicole McNichols, PhD. Associate Teaching Professor, Depart of Psychology, University of Washington, Seattle, Washington.

Scientists have been working non-stop to rid the world of Covid19. Amazingly, they achieved safe and effective vaccines in a mere 11 months. In this episode learn how and why the vaccines work to 1) protect us from infection, 2) reduce the threat of variants, and 3) wipe out highly infectious disease. Guest is Dr. L. Corey, a leader in the global strategic response to Covid. [312 char]   Guest:   Lawrence Corey, MD, Professor of Medicine and Laboratory Medicine, University of Washington;  member of Vaccine and Infectious Disease Division of Fred Hutch Cancer Research Center; past president and director of Fred Hutchinson Cancer Research Center, Seattle, Washington

In this episode learn how easy it is to develop a daily habit of a virtual, do anywhere, mood-elevating workout. After listening to the podcast, check out these videos from Certified Trainer Lauren Updyke: Yoga,  Mini Fitness,  Move More in 2021     Guest:   Lauren Updyke, MS, American College of Sports Medicine Certified Trainer, Director of the University of Washington Whole U program.  

Background and current Covid19 (& vaccine) information will leave you optimistic about and informed on: what science, public health, individuals & communities have achieved in our understanding of and fight against Covid19 in the past year. We've come a long way, fast. Guest: Dr. Paul Pottinger, MD. Professor, Department of Medicine, Division of Allergy and Infectious Disease, University of Washington, Seattle WA.  

Back pain is usually short-lived and resolves with minimal treatment. But not always. Take care of your back by working on mobility, reducing risk factors and consulting with physical therapists or physiatrists if needed. Guest: Neelwant Sandhu, MD, Rehabilitation and Physical Medicine Specialist, University of Washington Sports Medicine Clinic

What do you learn when a Rabbi, a Pastor and a Reverend zoom into a men's health podcast? A lot! For example, there is cross-faith consensus: religion and spirituality play important roles in a holistic approach to health. Religions and spirituality provide support, love, guidance, community and resources in times of stress and need, and in everyday birth, life and death, filling in areas not typically covered by preventative health or the health care system. Guests: Rabbi Daniel Weiner, Senior Rabbi - Temple De Hirsch Sinai, Seattle, WA The Very Rev. Steven L. Thomason, Dean and Rector - Saint Mark's Episcopal Cathedral, Seattle, WA Pastor Cary Anderson, Senior Pastor - First African Methodist Episcopal Church, Seattle, WA

We know a lot about health disparities: what and where they are. What can we do about them? This organization provides concrete and effective steps toward reducing disparities (in health care knowledge, access, clinical/vaccine trials) for Black men. In this podcast with a dynamic and inspiring team of African American men, hear their stories of what brought them to this successful endeavor, and learn how they provide Black men and communities with trusted information (a big issue these days, always has been a big issue), and a range of free resources and health events. Guests: John H. Gregory. Founder, National African American Male Wellness Agency. Victor Tolbert. Trainer, Coach, Leader, Pacific Northwest Chapter of National African American Male Wellness Agency. Kiwan Lawson M.S. Executive Director, National African American Male Wellness Agency.

PTSD manifests in several forms, but is recoverable with support. Support is the critical word here: talking about and working through the traumatic experience and triggers with trusted therapists, counselors, or others is key.  You are not alone. Guest: Daniel J. Singer Ph.D. Washington State Licensed Mental Health Therapist, specialized in counseling and treatment on mental health diagnosis.

The long standing and large disparity in longevity and life expectancy between Black and White Americans is hard evidence of serious health inequities.  Disparities in health result from factors influencing both the 80% of health that happens outside of the doctor's office, as well as the 20% that happens within the healthcare system. This episode talks with two leaders doing transformational work at many levels. Guests: Dr. Aletha Maybank, MD, MPH, Chief Health Equity Officer for the American Medical Association, Pediatrician and Preventive Medicine Specialist. Dr. Willie Underwood III, MD, MSc, MPH, FACS, Executive Director of Buffalo Center for Health Equity, Member of the American Medical Association Board of Trustees, Urology Specialist.

There is much you can do to watch out for, minimize, and manage the physical and mental changes that accompany aging.  Among other things, learn how deep sleep, Tai Chi, and social engagement (appropriately socially distanced social engagement of course!) may reduce risks of dementia and other age-related health issues. Guest: Vittoria Gassman, MD, Medical Director, Jewish Senior Services;  Clinical Assistant Professor of Medicine, Quinnipiac School of Medicine, Hamden, Connecticut.

Genetics is a growing part of health care, and  is used to identify heritable genetic variants that increase the risk of certain diseases and conditions, including some types of cancers. Among other things, learn why breast cancer-related variants are also related to prostate cancer, and why you should be leery of direct-to-consumer tests for heritable disease risk indicators. Guest: Gail P. Jarvik, MD, PhD, Endowed Chair in Medicine and Genome Sciences, and Professor and Head of Division of Medical Genetics, University of Washington, Seattle WA.

Early diagnosis—for pre-diabetes, diabetes, thyroid issues, osteoporosis, and low testosterone—is critical for a quality long life managing or even reversing these challenges.  Screening and treatment are effective and available. These health issues are under-diagnosed in guys, because the symptoms are in that category of ‘my arm is not falling off, I don't need a doc.” Except for one condition: erectile issues can get guys to the doc. Guest: Arthi Thirumalai, MD.  Assistant Professor, Endocrinology Division, University of Washington

Sex is an easy way for infections to get from person to person, when you think about it. An infectious disease doctor and a men's health doctor give you the skinny on the STD's that sexually active, and not-yet-sexually-active, folks should know about: chlamydia, gonorrhea, hepatitis B, herpes (HSV-2), HIV, HPV, and syphilis. This knowledge will help you protect and care for yourself, and your partner. Guest: Margot Schwartz, MD, Virginia Mason Medical Center, Seattle WA.