Podcasts about Family medicine

Listen as we talk about recognizing burnout with Dr. Karinn Glover, a board-certified physician and psychiatrist and clinician with Montefiore Health System. Dr. Glover helps us examine the unique stressors that healthcare workers face, the symptoms of burnout and when to ask for help. She offers insights and strategies for getting the support you need, from DIY remedies like self-care to professional care and how to find it. Dr. Glover also runs down some outside influences that can contribute to burnout and what you can do to overcome them.   The Takeaway    Find a mental health therapist through the Benefit Funds' Provider Directory: www.1199SEIUBenefits.org/find-a-provider.   Connect with a therapist online through Teladoc: www.Teladoc.com  or (800) TELADOC (835-2362).   Visit the Healthy Minds section of our Healthy Living Resource Center for additional information and resources: www.1199SEIUBenefits.org/healthyminds/    For additional support, call our Wellness Member Assistance Program: (646) 473-6900.   Contact our partners at the National Alliance on Mental Illness (NAMI) for a wide variety of community resources: www.naminycmetro.org.   Reach out to the New York State Office of Mental Health Emotional Support Helpline at (844) 863-9314.   Guest Bio   Karinn Glover, MD, MPH, is an Assistant Professor of Psychiatry at the Albert Einstein College of Medicine, where she teaches psychopharmacology and aspects of psychotherapy to Psychiatry and Family Medicine residents. Her decade-plus experience as a psychiatrist and leader in the practice of integrated care and workplace mental health has informed her approach to health equity, Diversity, Equity, Inclusion and Belonging (DEI+B), and the styles of leadership that produce organizational success. Dr. Gloverattended SUNY Downstate College of Medicine and obtained a Master of Public Health from Columbia University's Mailman School of Public Health via the highly competitive Macy Scholars Program.

This episode is sponsored by: My Financial CoachYou trained to save lives—who's helping you save your financial future? My Financial Coach connects physicians with CFP® Professionals who specialize in your complex needs. Whether it's crushing student loans, optimizing investments, or planning for retirement, you'll get a personalized strategy built around your goals. Save for a vacation home, fund your child's education, or prepare for life's surprises—with unbiased, advice-only planning through a flat monthly fee. No commissions. No conflicts. Just clarity.Visit myfinancialcoach.com/physiciansguidetodoctoring to meet your financial coach and find out if concierge planning is right for you.———————Can faith enhance medical practice and renew purpose? Host Dr. Bradley Block welcomes Dr. Jonathan Weinkle, for an in-depth discussion centered around his insightful book, ‘Illness to Exodus'. Drawing inspiration from the rich traditions of the Passover Seder, Dr. Weinkle has developed an innovative Healing Seder, a ritual designed to cultivate compassion and infuse a renewed sense of purpose into the daily lives of healthcare providers. Leveraging his deep Jewish heritage and his extensive experience teaching courses such as Death and the Healthcare Professions, he delves into the transformative potential of simple rituals, such as performing a morning Kiddush over a cup of coffee, which can elevate routine tasks into profoundly meaningful acts. This episode masterfully weaves together themes of faith, compelling storytelling, and actionable advice, providing physicians with valuable tools to rediscover their calling and maintain a purposeful approach to their practice, even amidst the monotony of repetitive patient care.Three Actionable Takeaways:Adopt a Daily Ritual – Use a morning Kiddush or similar practice (e.g., over coffee) to start your day with purpose and resilience.Embrace Patient Narratives – Listen to patients' unique stories, like a Seder tale, to reignite curiosity and care in repetitive care settings.Navigate Faith Conflicts with Empathy – Engage with patients' religious views openly to find common ground and tailor effective care plans.About the Show:PGD Physician's Guide to Doctoring covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Jonathan Weinkle is an internist and pediatrician who practices primary care and serves as Chief Medical Officer at Squirrel Hill Health Center in Pittsburgh. A University of Pittsburgh School of Medicine graduate with a Med-Peds residency, he is a clinical assistant professor in Family Medicine and part-time instructor in Religious Studies and Conceptual Foundations of Medicine at Pitt. He teaches Death and the Healthcare Professions and Healing and Humanity, authored Healing People, Not Patients and Illness to Exodus, and runs ‘Healers Who Listen', where he blogs on healing and Jewish tradition. Once considering a rabbinical path, he now integrates faith and medicine to support physicians and patients.LinkedIn: http://linkedin.com/in/jonathan-weinkle-3440032awebsite: https://healerswholisten.comInstagram: https://www.instagram.com/healerswholisten?igsh=eXQ3a2QxMXZncTluAbout the host:Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts The Physician's Guide to Doctoring podcast, focusing on personal and professional development for physiciansWant to be a guest? Email Brad at brad@physiciansguidetodoctoring.com  or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

In this episode, we talk about one of the most popular medications on the market right now - GLP1 receptor agonists - with Dr. Greg Gatchell, a physician boarded in Family Medicine, Lifestyle Medicine, and Obesity as well as a certified health coach. We unpack the real science of weight gain, hormones, and the role of hormones like insulin and GLP-1. We break down how GLP-1 medications work, who they're best suited for, and the common myths surrounding these drugs. Together, we explore why weight loss is about more than willpower alone, the importance of lifestyle support even when using medications, and how to make informed choices about long-term obesity management. Whether you're considering a GLP-1 prescription, supporting a loved one, or simply curious about how modern medicine tackles obesity, this episode will give you practical, compassionate insights you can use today!Connect with Dr. Greg Gatchell, DO:LinkedInConnect with Dr. Jonar, MD: Book Your Free Health Coaching Consult with Dr. Jonar4 Truth Health CoachingInstagramFacebookLinkedin ThreadsDr. Jonar Website HOW CAN I SUPPORT THIS PODCAST?Download, Listen, Subscribe, Rate & Review: Glass Half Healthy on Apple Podcast Glass Half Healthy on SpotifyTell Your Family & Friends! And Share Online!Thanks to Dan Olfato for production help and to StockSounds for the music. And to YOU! Thank you for listening!Disclaimer:This podcast is intended for educational purposes only and isn't medical advice so please talk to your primary physician for that. In addition, the views and opinions expressed by me are my own and not that of my former, current or future employer. This also applies to my guests. Finally, we do our best to make every effort to relay correct information, but don't guarantee its accuracy. Thank you for listening.

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Today, Ali and Asif are joined by family physician and the inaugural Primary Care and Health Policy Scholar at St. Michael's Hospital in Toronto, Dr. Danyaal Raza. The guys start off by asking Dr. Raza about how healthcare is structured. Then, they ask him about a recent article he wrote in the ‘Toronto Star' regarding the privatization of family medicine clinics, data brokering and how these developments can be compared to Saturday morning cartoons we watched as children. After a brief aside about Transformers and other cartoons of our youth, they discuss the family medicine crisis in Canada and how privatization may not be the solution individuals have made it out to be. They also discuss potential solutions such as team based care, nurse practitioners, international medical graduates and virtual care.    The opinions expressed are those of the hosts, and do not reflect those of any other organizations. This podcast and website represents the opinions of the hosts. The content here should not be taken as medical advice. The content here is for entertainment and informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions.    Music courtesy of Wataboi and 8er41 from Pixabay   Contact us at doctorvcomedian@gmail.com   Follow us on Social media: Twitter: @doctorvcomedian Instagram:  doctorvcomedian   Show Notes:  https://www.danyaalraza.com/ Private Health Care Reconds Increasingly For Care in Canada: https://www.thestar.com/opinion/contributors/your-private-health-care-records-may-be-sold-as-privatization-increases-in-ontario/article_f40f8616-87de-4a0b-b592-638c6f688677.html Our Care: https://www.ourcare.ca/ Canadian Doctors for Medicare: https://www.canadiandoctorsformedicare.ca/

Dr. David Rakel Talks about the connection between good medicine and the Doctor-Patient connection Bio: David Rakel, MD is professor and chair of the University of Wisconsin Department of Family Medicine and Community Health. Rakel joined DFMCH faculty in 2001. He founded the integrative health program (now known as the Osher Center for Integrative Health at University of Wisconsin-Madison) and received the Gold Foundation's Leonard Tow Humanism in Medicine Award, the school's highest honor for excellence and compassion in care. His team worked with more than 50 clinical systems within the Veterans Health Administration to implement changes to make care more personalized, proactive, and patient driven. An author of both academic and popular writings, one of Rakel's missions is to communicate medical information in a way that is accessible to people of all backgrounds. He has published eleven books, including the Textbook of Family Medicine, Current Therapy, and Integrative Medicine, as well as peer-reviewed research on the impact of measures such as mindfulness meditation and the power of the therapeutic encounter. His 2018 book The Compassionate Connection focuses on how compassionate relationships can influence health outcomes.  AGENDA:  1.             This podcast today is about good medicine being rooted in the doctor-patient connection. Let's start with your study on the common cold, including the unexpected twist, which makes me cry nearly every time I tell your story.  2.             Why is the patient-doctor connection so important? What is 'the clinician effect' and its non-specific influences on health?  3.             What does the research say about this? What research should we be seeking to understand and amplify this effect further?  4.             What is the bare minimum we need to recreate this in a patient-doctor visit today? What would the ideal scenario be? Talk to us about some innovations in primary care delivery.  5.             What are the examples in which you see this working well in the world today? What's happening in the Functional Medicine world? What's been the transformation that's happened in the VA? Where else?  6.             What advice to you give patients seeking to connect with their busy doctors? What advice to you give to clinicians, new & old, who yearn or ache for this but aren't sure how to make it happen?  7.             Let's end on an optimistic note- what are some truths and magic that you've seen come out of an intact patient-doctor connection? 

Since its launch 19 years ago, The Agenda With Steve Paikin has highlighted scientific discoveries and new insights into health. So what's changed over the course of over two decades-and what kinds of challenges and breakthroughs do experts anticipate seeing in the decades to come? To discuss, we're joined by Keith Stewart, University Health Network vice-president, cancer, and director of the Princess Margaret Cancer Centre; Raywat Deonandan, epidemiologist and associate professor with the Faculty of Health Sciences at the University of Ottawa; Saskia Sivananthan, neuroscientist and affiliate professor in the Department of Family Medicine at McGill University; and Ghazal Fazli, epidemiologist and assistant professor with the Department of Geography, Geomatics and Environment at the University of Toronto Mississauga.See omnystudio.com/listener for privacy information.

Listen in as Joseph Kim, MD, MPH, MBA; Manish Shah, MD; Martha Grugel, MA, discuss how they manage the prior authorization process for antiobesity agents to improve the quality of their care delivery, including:The information to collect during patient visitsThe available resources to help you submit prior authorizationsThe supporting documents that are often necessary to accompany prior authorizationsHow to address denials and appealsWhen to access manufacturer-based or foundation-based financial assistancePresentersJoseph Kim, MD, MPH, MBAPresidentQ Synthesis, LLCNewtown, PennsylvaniaManish Shah, MDClinical Associate Faculty MS1 PreceptorUniversity of Florida College of MedicineGainesville, FloridaMartha Grugel, MAMedical AssistantWesley Chapel, FloridaLink to full program: https://bit.ly/45P0v8z

In this episode of Health Talks, we're joined by Dr. Ben Preyss, Family Physician and Program Director, Dr. Elizabeth Redican, and resident Edward Akinyemi from Lawndale Christian Health Center. Together, they walk us through the journey of launching a new family medicine residency program while sharing firsthand what it takes to go from vision to recruitment. Listeners will hear about the essential groundwork, including aligning with community partners, securing resources, and staying mission-driven. The team also reflects on what makes Lawndale's program unique, the timeline from planning to implementation, and the long-term benefits residency programs can bring to FQHCs, including stronger recruitment, improved retention, and a culture of teaching. Whether you're exploring a residency program or already in the process, this conversation is packed with real-world insights and advice.

Riley Goodwin, PA-C, Family Medicine and Primary Care, and Abigail Lambert, Clinical Dietitian, both of Rapid City Clinic, Flormann Street, outline the complicated overlapping concerns that inform eating disorders and treatment, including mental health and access to healthy foods. They distinguish between eating disorders and disordered eating and unpack some of the harmful myths and social stigmas around those who suffer from an eating disorders. Hosted on Acast. See acast.com/privacy for more information.

Rates of chronic illness, behavioral disorders, and neurodevelopmental challenges are rising rapidly among children, often tied to underlying gut dysfunction, nutrient deficiencies, and environmental triggers such as toxins and ultra-processed foods. Conventional treatments frequently overlook these root causes, relying instead on symptom management or medication. Functional approaches emphasize foundational lifestyle changes—clean nutrition, microbiome support, movement, sleep, and stress reduction—as powerful tools to restore health. Children are especially responsive to these changes, often experiencing rapid and dramatic improvements in behavior, mood, and physical symptoms. With education, testing, and family-centered strategies, parents can take simple, effective steps to help their children thrive. In this episode, I discuss, along with Dr. Elisa Song, Dr. Suzanne Goh, and Dr. Elizabeth Boham why a root-cause approach is just as important for children, as it is for adults. Dr. Elisa Song, MD is a Stanford-, NYU-, UCSF-trained integrative pediatrician, pediatric functional medicine expert, and mom to 2 thriving children - and she is on a mission to revolutionize the future of children's health. Dr. Song is the bestselling author of the Healthy Kids Happy Kids: An Integrative Pediatrician's Guide to Whole Child Resilience. Dr. Song created Healthy Kids Happy Kids as an online holistic pediatric resource to help practitioners and parents bridge the gap between conventional and integrative pediatrics with an evidence-based, pediatrician-backed, mom-approved approach. In her integrative pediatric practice, she's helped 1000s of kids get to the root causes of their health concerns and empowered parents to help their children thrive by integrating conventional pediatrics with functional medicine, homeopathy, acupuncture, herbal medicine, and essential oils. Dr. Song is chair of A4M's pediatric education and has lectured around the world at leading integrative and functional medicine conferences and premier parenting events. She has also been featured in hundreds of top podcasts, print and online media outlets, including the Wellness Mama podcast, BloomTV, Forbes, Healthline, MindBodyGreen, National Geographic, PopSugar, Parents, Motherly, Parade, Verywell Health, and New York Post. Dr. Suzanne Goh, co-founder and chief medical officer at Cortica, is a Rhodes Scholar and graduate of Harvard University, University of Oxford, and Harvard Medical School who has spent decades working with autistic children. Her work as a board-certified pediatric behavioral neurologist, behavioral analyst, neuroscience researcher, and author led her to create the Cortica Care Model, an innovative, whole-child approach that combines optimal medical treatment with the most effective strategies for advancing cognition, communication, and behavior. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: How to Raise Healthy Kids: A Functional Medicine Approach The Surprising Causes of Autism & Why It's On The Rise Addressing The Root Causes Of Childhood Obesity

Welcome to the Sustainable Clinical Medicine Podcast! In this inspiring episode, Dr. Sarah Smith sits down with Dr. Linde Corrigan, a family physician practicing in Ontario's Ottawa Valley. Dr. Corrigan shares her journey as a rural generalist, juggling family medicine, care of the elderly, and specialized clinic procedures—all while navigating the unique challenges of ADHD within the medical profession. Listen in as Dr. Corrigan opens up about overcoming imposter syndrome, adapting her workflow to suit her learning style, and the tools and reframing strategies that have helped her create a more sustainable clinical day. She and Dr. Smith discuss practical solutions—from using timers and EMR hacks to embracing positive self-talk and gamifying the most dreaded tasks. Whether you're facing your own clinical challenges or just looking for ways to make your workday more manageable, this conversation is packed with actionable insights and relatable stories. Tune in for an honest, uplifting, and strategy-filled episode designed to help you reclaim time for your life outside of medicine! Here are 3 key takeaways from this episode: Make the Most of Your Strengths: Recognizing personal strengths and challenges (like leveraging visual memory or adapting workflows for ADHD) can be a game-changer in both career direction and daily efficiency. Reframe the Hard Parts: Shifting mindset—from “I have to finish this report” to “I'm almost out the door!”—makes a huge difference. Reward yourself, gamify tasks, and see the power of a positive reframe. Gamify for Focus and Flow: Small hacks (timers, shortcut tools like Magical, or breaking tasks into manageable chunks) help combat time blindness and overwhelm, making even inbox management feel like a win. Meet Dr. Linde Corrigan: I am a rural family physician with enhanced certification in care of elderly. Currently, I work part-time in my family medicine practice in Petawawa, as well as part-time at the hospital, as well as in local long-term care homes in the area. I graduated medical school at University of Ottawa in 2010, Family Medicine residency at U of Ottawa in 2014. -------------- Would you like to view a transcript of this episode? Click here ****Get in on the Backlog Buddies Sale where All Session in June are only $10 https://www.backlogbuddies.com/ **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Episode 194: Acute low back pain.  Future Dr. Ibrahim presents a clinical case to explain the essential points in the evaluation of back pain.  Future Dr. Redden adds information about differentiating between a back strain and more serious diseases such as cancer, and Dr. Arreaza shares information about returning to work after back strain.Written by Michael Ibrahim, MSIV. Editing and comments by Jordan Redden, MSIV, and Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Dr. Arreaza:Welcome back, everyone. Today's topic is one that every primary care provider, emergency doctor, and even specialist sees routinely: low back pain. It's so common that studies estimate up to 80% of adults will experience it at some point in their lives. But despite how frequent it is, the challenge is to identify which cases are benign and which demand urgent attention.Jordan:Exactly. Low back pain is usually self-limiting and mechanical in nature, but we always need to keep an eye out for the rare but serious causes: things like infection, malignancy, or neurological compromise. That's why a good history and physical exam are our best tools right out of the gate.Michael:And to ground this in a real example, let me introduce a patient we saw recently. John is a 45-year-old warehouse worker who came in with two weeks of lower back pain that started after lifting a 50-lb box. He describes it as a dull, aching pain that radiates from his lower back down the posterior left thigh into the calf. He says it gets worse with bending or coughing, but he feels better when lying flat. He also mentioned some numbness in his left foot, but he denies any bowel or bladder issues. His vitals are completely normal. On exam, he had lumbar paraspinal tenderness, a positive straight leg-raise at 40 degrees on the left and decreased sensation in the L5 dermatome, though reflexes were still intact.Dr. Arreaza:That's a great case. Let's take a minute and talk about the straight leg raise test. This is a bedside tool we use to assess for lumbar nerve root irritation often caused by a herniated disc. ***Here's how it works: the patient lies supine, and you slowly raise their straight leg. If pain radiates below the knee between 30° and 70°, that suggests radiculopathy, especially involving the L5 or S1 nerve roots. Pain at higher angles is more likely due to hamstring tightness or mechanical strain.Michael:Right. So, stepping back: what do we mean by "low back pain"? Broadly, it's any pain localized to the lumbar spine, but it's often classified by type or cause:Mechanical (like muscle strain or degenerative disc disease), Radicular (nerve root involvement), Referred pain (like from pelvic or abdominal organs), Inflammatory (AS), and Systemic or serious causes like infection or malignancy. Jordan:In John's case, we're thinking radicular pain, most likely from a herniated disc compressing the L5 nerve root. That's supported by the dermatomal numbness, the leg pain, and that positive straight leg test.Dr. Arreaza:Good reasoning. Now, anytime we see back pain, our brains should run a checklist for red flags. These help us pick up more serious causes that require urgent attention. Let's run through the red flags.Michael:Sure. For fracture, we think about major trauma or even minor trauma in the elderly, especially those with osteoporosis or on chronic steroids. Also, anyone over 70 years old.Jordan:Then we have infections, which could include things like discitis, vertebral osteomyelitis, or epidural abscess. Red flags include fever, IV drug use, recent surgery, or immunosuppression.Michael:Malignancy is another critical one, especially if there's a history of breast, prostate, lung, kidney, or thyroid cancer. Clues include unexplained weight loss, night pain, or constant pain not relieved by rest.Jordan:And don't forget about inflammatory back pain, like ankylosing spondylitis, which is often seen in younger patients with morning stiffness that lasts more than 30 minutes and improves with activity.Dr. Arreaza:And of course, we always rule out cauda equina syndrome: a surgical emergency. That's urinary retention or incontinence, saddle anesthesia, bilateral leg weakness, or fecal incontinence. Missing this diagnosis can be catastrophic.Michael:Thankfully, in John's case, we don't see any red flags. His presentation is classic for uncomplicated lumbar radiculopathy. But we must stay vigilant, because sometimes patients don't offer up key symptoms unless we ask directly.Jordan:And that's where associated symptoms help guide us. For example:Radicular symptoms like numbness or weakness follow dermatomal patterns. Constitutional symptoms like fever or weight loss raise red flags. Bladder/bowel changes or saddle anesthesia raise alarms for cauda equina. Pain that wakes patients up at night might point to malignancy. Dr. Arreaza:So when do we order labs or imaging?Michael:Not right away. For most patients with acute low back pain, imaging is not needed unless they have red flags. If infection is suspected, we'd get CBC, ESR, and CRP. For cancer, maybe PSA or serum protein electrophoresis. And if inflammatory back disease is suspected, HLA-B27 can be helpful.Jordan:Yes, imaging should be delayed for at least six weeks unless red flags or significant neurologic deficits are present. When we do image, MRI is our go-to especially for suspected radiculopathy or cauda equina. X-rays can help if we're thinking about fractures, but they won't show soft tissue or nerve root issues.Michael:In the example from our case, since the patient doesn't have red flags, we'd go with conservative management: start NSAIDs and recommend activity modification. As this is the acute setting, physical therapy would not be recommended.Jordan:For the acute phase, research shows no serious difference between those with PT and those without in the long term. However, physical therapy is really the cornerstone of management for chronic back pain. It's not just movement: it's education, body mechanics, and teaching patients how to move safely. And PT can actually reduce opioid use, imaging, and injections down the line for patient struggling with long term back pain.Dr. Arreaza:Yes, and PT is not one-size-fits-all. PT might include McKenzie exercises, manual therapy, postural retraining, or even neuromuscular re-education. The goal is always to build core stability, promote healthy movement patterns, and reduce fear of motion.Jordan:Let's take a minute to talk about the McKenzie Method, a physical therapy approach used to treat lumbar disc herniation by identifying a specific movement, (often spinal extension) that reduces or centralizes pain. A common exercise is the prone press-up, (cobra pose for yoga fans) where the patient lies face down and pushes the upper body upward while keeping the hips on the floor to relieve pressure on the disc. These exercises should be done carefully, ideally under professional guidance, and discontinued if symptoms worsen.Michael:For our case patient, our working diagnosis is mechanical low back pain with L5 radiculopathy. No imaging needed now, no red flags. We'll treat conservatively and educate him about proper lifting, staying active, and recovery expectations.Jordan:We also emphasized to him that bed rest isn't helpful. In fact, bed rest can make things worse. Keeping active while avoiding heavy lifting for now is key.Dr. Arreaza:Return-to-work recommendations should be individualized. For example, an office worker, positioning while working, or work hours may be able to return to work promptly. However, those with physically demanding jobs may need light duty or be off work.Ice: no evidence of benefit. Heat: may reduce pain and disability in pain of less than 3 months, although the benefit was small and short.And we should always teach safe lifting techniques: bend at the knees, keep the load close, avoid twisting. It's basic knowledge, but it is very effective in preventing recurrence.Jordan:Now, if a patient fails to improve after 6 weeks of conservative therapy, or if they develop new neurologic deficits, that's when we think about referral to spine specialists or surgical consultation.Michael:And as previously mentioned: in cases where back pain becomes chronic (lasting more than 12 weeks) a multidisciplinary approach works best. That can include:Physical therapy, Cognitive behavioral therapy (CBT) And sometimes pain management interventions. Jordan:We can't forget the psychological toll either. Chronic back pain is associated with depression, anxiety, and opioid dependence. Increased risk factors include obesity, smoking, sedentary lifestyle, and previous back injuries.Dr. Arreaza:Well said. So, let's summarize. Michael?Michael:Sure! Low back pain is common, and most cases are benign. But we have to know the red flags that point to serious pathology. A focused history and physical exam are more powerful than many people realize. And the first step in treatment is almost always conservative, with a strong emphasis on maintaining physical activity.Jordan:And don't underestimate the value of patient education. Helping patients understand their pain, set realistic expectations, and stay active is often just as important as the medications or therapies we offer.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Shekelle, P., & Owens, D. K. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478–491. https://doi.org/10.7326/0003-4819-147-7-200710020-00006Deyo, R. A., Mirza, S. K., Turner, J. A., & Martin, B. I. (2009). Overtreating chronic back pain: Time to back off? Journal of the American Board of Family Medicine, 22(1), 62–68. https://doi.org/10.3122/jabfm.2009.01.080102National Institute for Health and Care Excellence. (2020). Low back pain and sciatica in over 16s: Assessment and management (NICE Guideline No. NG59). https://www.nice.org.uk/guidance/ng59Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(7), 514–530. https://doi.org/10.7326/M16-2367UpToDate. (n.d.). Evaluation and treatment of low back pain in adults. Wolters Kluwer. https://www.uptodate.com (Access requires subscription)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Have you been googling “burnout” at 2 a.m., or debating going back to school for a doctorate because, hey, maybe that'll at least give you more career options?In today's conversation, I speak with Renee Hamler, a seasoned family medicine PA-C and doctoral student who knows burnout inside and out. Renee opens up about her personal journey—what it felt like to hit a wall in a career she loves, what helped her climb out, and how going back to school gave her a fresh perspective on her identity as a clinician.We explore the power of taking small, consistent steps: setting boundaries, building a circle of support, finding joy outside of work, and giving yourself permission to rest. Renee and I talk about how mindfulness and gratitude can rewire your daily outlook, and why it's so important to separate your self-worth from your job title.This is not just a burnout episode—Renee is actually working on the issue of burnout as part of her doctoral project. She'll share ideas for getting unstuck, reigniting your purpose, and remembering who you are without your white coat.Whether you're feeling crispy around the edges or flat-out fried, tune in for practical encouragement, permission to slow down, and a reminder that you are not alone.CONNECT WITH RENEE: Facebook, LinkedInHOPE'S BOOK:⁠⁠⁠⁠⁠⁠⁠Healing Clinician Burnout, How to Revive Your Life and Career ⁠⁠⁠⁠⁠⁠⁠(available in ebook and paperback)CONNECT AND SIGN UP FOR COACHING:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Hope's Website: www.coachhopecook.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Hope's IG @coachhopecook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Hope's FB @hopeallencook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Hope's LinkedIn: hope-cook-56041283/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Hope's YouTube @coachhopecook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Email: hope.cook@gmail.comLove y'all, and remember: There's always hope!

Dr. Sarah Weinstein is a triple board-certified physician in Family Medicine, Lifestyle Medicine, and Sports Medicine. Fellowship-trained in Sports Medicine, she combines advanced sports medicine techniques with a holistic approach rooted in lifestyle medicine. With an emphasis on movement and food as medicine, she helps patients heal from injury, prevent future issues, and optimize their health using individualized exercise prescriptions, nutrition, and sustainable lifestyle changes.  Her ultimate objective is to empower her patients to prioritize these aspects of wellness to achieve optimal health, one step at a time. During her fellowship at the University of Colorado, Dr. Weinstein served as a team physician for NCAA Division I and professional athletes and now brings that same level of care to her community. When she's not in the office, she loves staying active, volunteering locally, teaching a group fitness class and spending time outdoors with her husband and two kids. Some of the topics we discussed were: How Dr. Weinstein's practice combines her skills in primary care, sports medicine, and lifestyle medicine How Dr. Weinstein incorporates lifestyle medicine into her patient visits Dr. Weinstein's practice model The most important factors of treating sports injuries The free health clinic that Dr. Weinstein volunteers at Practical tips for physicians who would like to open a practice involving sports medicine or lifestyle medicine How lifestyle medicine and sports medicine enhance each other by being so closely related What helped Dr. Weinstein actually move forward and take the leap on building her own practice How long it took Dr. Weinstein to actually open her practice after deciding to do it How Dr. Weinstein found the right medical malpractice insurance company and policy for her The most helpful thing that helped Dr. Weinstein on her path to building her practice And more! Learn more about me or schedule a FREE coaching call:https://www.joyfulsuccessliving.com/ Join the Voices of Women Physicians Facebook Group:https://www.facebook.com/groups/190596326343825/ Connect with Dr. Weinstein:Website:https://coresportsmedicine.com/ Email: info@coresportsmedicine.com Instagram:@drsassyweinstein Facebook:https://www.facebook.com/profile.php?id=61567208010632 Resources Mentioned: Direct Specialty Care Alliance The American College of Lifestyle Medicine Lifestyle Medicine for DPC Docs American Medical Society for Sports Medicine American Osteopathic Academy of Sports Medicine Private Practice 101 Webinar 

Send us a textSupport Roots' Current Fundraising Campaign!LCMD will be away for the summer. Will Dr Khan post anything in the meantime?? Find out by following her: On the newsletter at longcovidmd.comOn TikTok @LongCovidMDOn Instagram @LongCovidMDIn this episode of Long COVID MD, Dr. Zeest Khan highlights a healthcare system that effectively mitigated the pandemic and maintained community trust, while facing numerous structural obstacles. Should we follow this model of medicine more broadly? She interviews Dr. Noha Aboelata, Family Medicine physician and CEO of Roots Community Health, who shares insights on Root's holistic approach to healthcare, the importance of community trust, and the need for accessible and equitable health services. Roots played a tremendous role in the beginning of the COVID-19 pandemic. The organization offered testing, recognized patterns of viral spread, and shared critical information with the public before, and sometimes in place of, government agencies. Roots' model of rebuilding community trust allowed them to respond quickly and effectively against the COVID-19 pandemic, and continues to serve the community well. The conversation highlights the role of community health in addressing systemic inequities and the significance of empowering patients to advocate for their own health.People's Health BriefingHow Roots Pushed Medtronic to Improve Pulse OximetrySupport the showSubscribe for more at LongCovidMD.substack.com, and follow Dr Khan on X @doctor_zeest

Listen in as Joseph Kim, MD, MPH, MBA, interviews Natalie, Orbach, PA-C, to learn about how she implemented patient-centered and individualized treatment plans to improve obesity care at her practice, includingDiscussing weight and how nutrition, physical activity, mental health, and pharmacotherapy strategies can helpMeeting patients where they are at and offering slow, incremental changes that support long-term outcomesReferring patients to community resources and other professionals as needSharing lessons learned for those interested in implementing similar strategies in their practice PresenterJoseph Kim, MD, MPH, MBAPresidentQ Synthesis, LLCNewtown, PennsylvaniaNatalie Orbach, PA-CPhysician AssistantFeirtag & Ramos, PALutherville, Maryland Link to full program: https://bit.ly/45P0v8z

On tonight's show, I have Dr. Janet Nwaukoni to share about the importance of Gen Z when it comes to a shortage of those working in the field of family medicine. Listen & share.

Dr. Sarah Weinstein is a triple board-certified physician in Family Medicine, Lifestyle Medicine, and Sports Medicine. Fellowship-trained in Sports Medicine, she combines advanced sports medicine techniques with a holistic approach rooted in lifestyle medicine. With an emphasis on movement and food as medicine, she helps patients heal from injury, prevent future issues, and optimize their health using individualized exercise prescriptions, nutrition, and sustainable lifestyle changes.  Her ultimate objective is to empower her patients to prioritize these aspects of wellness to achieve optimal health, one step at a time. During her fellowship at the University of Colorado, Dr. Weinstein served as a team physician for NCAA Division I and professional athletes and now brings that same level of care to her community. When she's not in the office, she loves staying active, volunteering locally, teaching a group fitness class and spending time outdoors with her husband and two kids. Some of the topics we discussed were:Dr. Weinstein's first steps after deciding to open her private practiceResources that helped Dr. Weinstein when she was starting her practice Logistical steps Dr. Weinstein took to launch her practice How Dr. Weinstein found an office spaceHow Dr. Weinstein markets and finds her clients Dr. Weinstein teaching a group fitness class at a local gymPractical tips for physicians who want to open their own private practice And more!Learn more about me or schedule a FREE coaching call Join the Voices of Women Physicians Facebook GroupConnect with Dr. Weinstein:  WebsiteEmailInstagramFacebookResources Mentioned: Private Practice 101 WebinarDirect Specialty Care AllianceThe Private Medical Practice Academy Podcast with Dr. Sandra WeitzApple PodcastsSpotifyMy DPC Story Podcast with Dr. Maryal ConcepcionApple PodcastsSpotifyPodcast Episodes Mentioned: Ep 89 & 90: Building and Expanding a DPC Practice with Dr. Maryal ConcepcionPart 1 on Apple PodcastsPart 1 on SpotifyPart 2 on Apple PodcastsPart 2 on SpotifyEp 97: How to Build Your Online Brand with Dr. Dana CorrielApple PodcastsSpotify

What happens when you are a "general practitioner" but are passionate about Emergency Medicine or PEM. Listen to Dr. Allen Herman's story on practicing Emergency Medicine despite completing his training in Family Medicine. 

This episode covers:In this episode, we discuss foundational lifestyle changes that are essential for healing, the connection between Lyme disease and autoimmune disorders, redefining stress in modern life, and so much more.Since the beginning of her medical career, Dr. Casey Kelley, M.D. continually asked questions about health, longevity, and healing that conventional medicine didn't answer. Seeking those answers, she began studying Functional Medicine to complement her traditional medical studies. Utilizing this multi-disciplinary approach, Dr. Kelley has been at the forefront of Integrative Medicine, devoting her career to treating patients in a highly personalized manner that focuses as much on overall health and wellness as it does on specific issues and diagnoses.Board Certified in Family Medicine, Dr. Kelley was among the first physicians to add a board certification in Integrative Medicine as well. She has studied the causes, effects, and treatments of Lyme Disease extensively, and lectures nationally on this and other topics. Dr. Kelley graduated from The Ohio State University College of Medicine and completed her residency in Family Medicine at St. Joseph Hospital in Chicago.  She is a ten-year member of the Institute of Functional Medicine (IFM), a Treasurer of The International Lyme and Associated Disease Society (ILADS), and is a Founding Member of the Academy of Integrative Health and Medicine (AIHM).  Dr. Kelley is on the faculty at the Feinberg School of Medicine at Northwestern University. Links mentioned during this episode:Dr. Kelley's Course: https://www.healwithcase.com/courses/Groundwork-for-healingDr. Kelley's Instagram: https://www.instagram.com/caseintegrativehealth/Free Initial Consultation with Dr. Megan: https://p.bttr.to/3a9lfYkLyons' Share Instagram: www.instagram.com/thelyonsshareJoin Megan's Newsletter: www.thelyonsshare.org/newsletter

Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximately 25 minutes long and presents 5-6 recently published articles from ADA journals. Intended for practicing physicians and health care professionals, Diabetes Core Update   discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. Welcome to diabetes core update where every month we go over the most important articles to come out in the field of diabetes. Articles that are important for practicing clinicians to understand to stay up with the rapid changes in the field.  This issue will review: 1.    Intensive Blood-Pressure Control in Patients with Type 2 Diabetes 2.    Cardioprotective Glucose-Lowering Agents and Dementia Risk A Systematic Review and Meta-Analysis 3.    A Randomized Trial of Automated Insulin Delivery in Type 2 Diabetes 4.    Screening for Metabolic Dysfunction–Associated Steatotic Liver Disease–Related Advanced Fibrosis 5.    Risk of Urogenital Infections in People With Type 2 Diabetes Initiating SGLT2i Versus GLP-1RA in Routine Clinical Care   For more information about each of ADA's science and medical journals, please visit Diabetesjournals.org. Hosts: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Chair-Department of Family Medicine, Abington Jefferson Health

Many chronic health conditions—such as IBS, asthma, and autoimmune disorders—can be traced back to imbalances in the gut. Disruptions to the microbiome caused by antibiotics, poor diet, food sensitivities, and environmental exposures can lead to inflammation, malabsorption, and increased intestinal permeability (leaky gut). Addressing gut health through a structured Functional Medicine approach called the 5R's of gut repair—removing harmful triggers, replacing missing digestive factors, reinoculating with beneficial bacteria, repairing the gut lining, and rebalancing lifestyle factors—can restore balance and improve systemic health.  In this episode, I discuss, along with Dr. Elizabeth Boham and Raja Dhir, the Functional Medicine approach to healing the gut and why the gut is at the center of imbalances in the body, including many health conditions. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Raja Dhir is the co-founder and co-CEO of Seed Health, a microbiome science company developing innovative probiotics and living medicines to advance human and planetary health. He specializes in translating cutting-edge microbial research into impactful products and leads Seed Health's academic collaborations with institutions such as MIT, Harvard, Stanford, Caltech, and the NIH. Raja co-chairs Seed's Scientific Board alongside Dr. Jacques Ravel, guiding research across microbiology, immunology, genetics, and ecology. He also directs LUCA Biologics, a company focused on the vaginal microbiome and women's health, and oversees SeedLabs, which drives environmental initiatives. Through this work, Raja plays a key role in accelerating microbiome-based solutions from discovery to market. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: What Is Leaky Gut And How Can You Treat It?How to Select a Probiotic and the Future of the MicrobiomeHow To Do The 10-Day Detox

Effective leadership is about more than decision-making—it's about advocacy, collaboration, and advancing a shared mission. In partnership with the Association of Departments of Family Medicine (ADFM), STFM kicks off a three-part series on The STFM Podcast exploring the lifecycle of leadership in academic family medicine. In this first episode, Grant Greenberg, MD, and Wanda Cruz-Knight, MD, MBA, CPE, FAAFP, discuss how to lead within the complex ecosystems of academic medical centers and health systems. From advocating for departments to building coalitions and managing institutional change, they share insights on what it takes to lead with impact.Hosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2025Resources:STFM Understanding Health Systems CoursesSTFM Leading Change CourseSTFM Emerging Leaders FellowshipSTFM Quick Consult - Connecting STFM members for professional development, coaching, and mentorshipADFM Leader Development Committee -  Resources from the Leader Development Committee for New & Interim ChairsADFM LEADS FellowshipGuest Bios:Grant Greenberg, MDDr. Greenberg is the Chief Medical Executive for Primary Care with oversight of Family Medicine, General Internal Medicine, and ExpressCARE operations.  Since joining Lehigh Valley Health Network in October 2016, Dr. Greenberg has also served as the Leonard Parker Pool Endowed Chair of Family Medicine and is a Professor of Medical Education and Family Medicine for the University of South Florida Morsani College of Medicine. Dr. Greenberg received his undergraduate degree in Biology and English from the University of Michigan.  Before medical school, he received a master's degree in Ecology and Evolutionary Biology at Indiana University in Bloomington, IN.  He received his medical degree from the University of Michigan Medical School in Ann Arbor, MI.  He completed his residency training in Family Medicine at the University of Michigan and completed a master's degree in health services administration from the University of Michigan School of Public Health.  He has also completed the Health Management Academy's GE Scholars Fellowship. Dr. Greenberg is active with the Association of Departments of Family Medicine, serving as the Chair of the Membership Committee, participating on the Leadership Development Committee, contributes to the steering committee for the “LEADS” fellowship, and is on the Board of Directors.  Dr. Greenberg is a contributor to the MP3 collaborative “Making Primary Care and Population Health Primary” sponsored by  the ABFM.  Dr. Greenberg has been a member of the American Cancer Society National Lung Cancer Round Table since its inception, serving on the Screening and Implementation Work Group, the Early Detection Strategies Work Group,  and the Fiscal Health Work Group.  He has 4 children (mostly adult, but still “on the payroll”).Wanda Cruz-Knight, MD, MBA, CPE, FAAFPDr. Cruz-Knight is the Owen L. Coon Endowed Chair for the Department of Family Medicine at Endeavor Health and Clinical Professor at University of Chicago Pritzker School of Medicine. She is a graduate of Case Western Reserve School of Medicine and completed her residency training in Family Medicine a

Building Equity into Health Care AI: From Promise to PracticePresented by Irene Dankwa-Mullan, MD, MPH, Dartmouth CollegeSTFM Annual Spring Conference 2025 Blanchard Lecture | Wednesday, May 7, 2025As the integration of artificial intelligence (AI) in health care accelerates, the promise of improved patient outcomes and operational efficiencies is accompanied by critical concerns about the impact on health equity. Family medicine, with its commitment to holistic, patient-centered care, plays a vital role in ensuring that AI solutions contribute to more equitable health care delivery rather than perpetuating existing disparities.In this keynote presentation, the presenter will explore how health care AI can be harnessed to advance equity while also addressing the significant risks posed by biased data and flawed algorithms. Drawing on her work in AI ethics and health equity, Irene will provide a practical framework for the intentional design and deployment of AI tools that promote fairness in patient care. She will discuss key strategies for mitigating biases in clinical algorithms, ensuring diverse patient representation in AI training data, and advocating for policies and practices that uphold equity at every stage of AI development.This session will empower health care professionals and educators to actively engage in shaping AI's future—transforming concerns into action by advocating for responsible AI use, inclusive design processes, and equitable outcomes for all patient populations.Learning ObjectivesAt the end of the session each participant should:Identify potential sources of bias in health care AI systems and understand their impact on health equityUnderstand the principles of equitable AI design and deployment in clinical settingsExplore strategies for family medicine educators to advocate for the intentional development and use of AI technologies that promote health equityDevelop actionable steps to ensure diverse representation and fairness in data used for health care AI algorithmsRecognize the role of health care professionals in shaping the future of AI to achieve more equitable patient outcomesCopyright © Society of Teachers of Family Medicine, 2025Irene Dankwa-Mullan, MD, MPHIrene Dankwa-Mullan, MD, MPH, is a leading expert at the intersection of artificial intelligence, health equity, and clinical care, with over a decade of experience driving innovation in the health care industry. She has worked extensively with academic institutions, nonprofit organizations, and health care systems to develop equitable AI frameworks that ensure the fair and inclusive deployment of technology in medicine. Her expertise lies in integrating AI and machine learning tools into clinical workflows while advocating for policies that prioritize diverse patient populations and mitigate systemic biases in data and algorithms.Dr Dankwa-Mullan currently advises on how to evaluate health care delivery systems' readiness to procure, evaluate, and deploy AI solutions that adhere to the highest ethical and technical standards. She also works with early-stage health technology start-up companies, where she leverages her industry experience and expertise to build fair and inclusive AI solutions. She has published widely on the ethical implications of AI in health care and frequently speaks at national and international conferences on the role of AI in advancing health equity. She is passionate about educating the next generation of health care leaders to be advocates for responsible, patient-centered AI. She is committed to ensuring that AI serves as a tool for reducing health disparities, not exacerbating them.

Welcome to NCFM Today! Today, we're reviewing the Best News in North Carolina Family Medicine: The Care First Act (and its progress through the NC House!), the 2025 Family Medicine Match results, the Collaborative Care Management Capacity Building Fund, and other key topics!Learn more about the Academy at www.ncafp.com!

Listen as Michael S. Blaiss, MD provides case-based perspectives on chronic cough recognition, burden, management, and pathophysiology and describes the evolving treatment landscape for refractory chronic cough.PresenterMichael S. Blaiss, MDClinical Professor of PediatricsDivision of Allergy-ImmunologyMedical College of Georgia at Augusta UniversityAugusta, GeorgiaLink to full program: https://bit.ly/4kweynG

Listen in as Evette Whaley and Katie Smiley PA-C talk about innovative strategies for NPs and PAs to improve treatment for pediatric patients with atopic dermatitis. They discuss how to assess the whole patient and their family to better understand the impact of the disease on their quality of life. They also discuss newer treatments and how they can be incorporated into a comprehensive management plan for pediatric patients and their caregivers. Presenters:Evette WhaleyCaregiverBaltimore, Maryland Katie Smiley PA-CGrants & Clinical DirectorProgram Coordinator, Multidisciplinary Atopic Dermatitis ProgramAllergy & Asthma Medical GroupRady Children's HospitalSan Diego, CaliforniaLink to full program:https://bit.ly/43svVyJ

What Does It Meant To Be A (Family) PhysicianPresented by Thomas L. Schwenk, MD, University of NevadaSTFM Annual Spring Conference 2025 General Session | Monday, May 5, 2025The enduring values of family medicine center on the compassionate, comprehensive care of patients over time. That care has defined family medicine and motivated family physicians for decades. Today, simply providing excellent care for patients may not be enough in the face of an extraordinarily perverse and dysfunctional health care system that often does everything in its power to make caring for patients difficult, stressful and discouraging. The regenerative power of the physician-patient relationship is often compromised and thwarted by a health care system that ranks as the worst in the world among developed countries. The health care system rides on the backs of family and other primary care physicians, and those backs are bending painfully under the system's weight.The solution lies in using the power of the physician-patient relationship as the source of motivation and energy to fight for the very soul of our profession, fight for the core of what it means to be a family physician, fight for operational changes that are designed for quality instead of efficiency, fight for informational and technological solutions that promote continuity, and fight for model operations that show our learners how attractive family medicine can be. This fight will require leadership at all levels of the discipline of family medicine. Through stories and personal anecdotes from his career, the presenter will illustrate the regenerative power of the physician-patient relationship and the power of the family physician's role as an agent for change.Learning ObjectivesAt the end of the session each participant should:Be exposed to the core importance and regenerative power of the physician-patient relationshipHave the opportunity to reflect on their own commitment to the core attributes of the physician-patient relationship as the motivation to fight for operational changes in the health care systemHave the opportunity to consider their role as a leader in preserving and supporting the physician-patient relationshipCopyright © Society of Teachers of Family Medicine, 2025Thomas L. Schwenk, MDThomas L. Schwenk, MD, holds an appointment as dean emeritus at the University of Nevada, Reno, having served as dean of the School of Medicine and Vice-President of Health Sciences from 2011–2021.Dr. Schwenk earned his B.S. degree in chemical engineering and M.D. from the University of Michigan. He trained at the University of Utah and practiced in Park City, Utah, before returning to the University of Michigan where he served as chair of the Department of Family Medicine from 1986–2011. He has served on the Board of Directors of the American Board of Family Medicine and was elected to the National Academy of Medicine in 2002. He also served for four years on the Administrative Board of the Council of Deans of the Association of American Medical Colleges. Dr Schwenk's research has focused most recently on mental health and wellness in medical students, residents and physicians. He has co-authored over 160 publications, and has consulted to over 50 medical schools and teaching hospitals in various capacities. All Episodes

Skin issues like acne, eczema, and rosacea are deeply connected to internal imbalances, especially those originating in the gut. It is important to explore diet—particularly sugar, refined carbs, and dairy—because it can drive inflammation, insulin resistance, and hormonal disruption, all of which contribute to poor skin health. Topical treatments and antibiotics may provide short-term relief, but they often disrupt the skin and gut microbiome, worsening conditions over time. A Functional Medicine approach focuses on restoring gut balance, identifying food sensitivities, and supporting detoxification pathways with nutrient-dense foods, supplements, and lifestyle practices. Addressing the root causes not only improves skin but also promotes systemic healing and resilience. In this episode, I speak with three of our doctors at The UltraWellness Center—Dr. Elizabeth Boham, Dr. Cindy Geyer, and Dr. Todd LePine—about why, when it comes to skin care, we need to look inside the body first. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Cindy Geyer received her bachelor of science and her doctor of medicine degrees, with honors, from the Ohio State University. She completed residency in internal medicine at Strong Memorial Hospital in Rochester, N.Y. and is triple board certified in internal medicine, integrative medicine and lifestyle medicine. Dr. Todd LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine's focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders, and the neurobiology of mood and cognitive disorders. Dr. LePine enjoys skiing, kayaking, hiking, camping, and golfing in the beautiful Berkshires, and is a fitness enthusiast. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: Treating Acne From The Inside OutChoosing Skin Care Products that Won't Make You SickTreating Adult Acne & Rosacea From The Inside Out

Welcome to the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. AJ (Amjed) Kadhim-Saleh, a dynamic family physician and entrepreneur from Toronto. Dr. AJ shares his inspiring journey from dreaming about building his own clinic during residency to actually opening the doors of his practice—starting with just a concrete slab and a vision of long-term sustainability in medicine. The conversation dives into the nuts and bolts of setting up a clinic from scratch, the importance of efficient systems, and the sometimes-overwhelming administrative burden that comes with being both a physician and practice owner. Dr. AJ openly discusses the challenges he faced with paperwork, how it began to impact his family life, and the pivotal moment that led him to co-found Pippin AI, an innovative AI scribe designed to support family doctors. Along the way, Dr. AJ and Dr. Smith explore the often overlooked business side of medical practice, the need for practical education in practice management, and how embracing change (with a little entrepreneurial grit and a supportive team) can help create a more sustainable clinical day—and a life outside of medicine. Whether you're a new resident thinking about your future, a physician looking for inspiration to build a more efficient practice, or just curious about how technology is shaping the future of primary care, this episode is packed with insights, practical tips, and plenty of encouragement to pursue your vision. Here are 3 key takeaways from this episode: Build with Vision & Community: Starting a clinic from the ground up is about more than architectural plans—it's about designing systems, choosing supportive partners, and cultivating a team invested in sustainable change. Embrace Technology for Sustainability: Efficient tools—like secure patient portals and AI-powered documentation—can relieve the paperwork burden, free up precious hours, and allow us to focus on quality patient care (and our lives outside the clinic!). Change is a Team Sport: Successful practice transformation hinges on bringing your people along for the ride. Clearly communicate the “why” behind changes, tailor solutions to their needs, and foster an environment of ongoing collaboration and support. Meet Dr. AJ (Amjed) Kadhim-Saleh: Dr. Amjed Kadhim-Saleh (AJ for short) is a community family physician, clinic owner, and health technology entrepreneur in Toronto. AJ graduated medical school from the University of Ottawa, and completed his family medicine residency at the University of Toronto. Serving a diverse population of over 1700 patients, AJ is passionate about comprehensive family medicine and building efficient practice. AJ developed an AI-powered Physician Assistant called Pippen, which aims to alleviate administrative burden among physicians and encourage better doctor-patient interactions. AJ is also a Clinical Lecturer at the University of Toronto. -------------- Would you like to view a transcript of this episode? Click here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Some relationships stand the test of time—others unravel. In this week's episode, both of our storytellers explore what it means to heal, let go, and move forward. Part 1: Stuck in a monsoon on Kauai, Belinda Fu unintentionally ruins a friendship with a classmate. Part 2: Matt Storrs blames a dinosaur scientist's theory for the end of his marriage. Belinda Fu, MD, (“theImprovDoc”) is a physician, educator, and performing artist based in Seattle. She travels the country teaching about medical improv, using the principles of improvisational theater to improve wellbeing, health, communication, and patient care. (medicalimprov.org) She is also a Clinical Associate Professor of Family Medicine at the University of Washington. Belinda performs and directs improv theatre, studies jazz voice, makes really good popcorn, takes naps in the sun, and would like to say hi to your dog. belindafu.com Matt Storrs is a comedian and storyteller based out of NYC and originally from Phoenix, AZ. Matt created a solo show based upon the story in the episode entitled "Jurassic Heartbreak." It will next be performed at the Harrisburg Fringe Festival in July (https://www.hbgfringe.com/). He has also been featured on NPR and PBS. Matt is known for sharp stories and his esoteric comedy. Matt Storrs is a humor person. He can be found online at @mtstorrs   Learn more about your ad choices. Visit megaphone.fm/adchoices

Some relationships stand the test of time—others unravel. In this week's episode, both of our storytellers explore what it means to heal, let go, and move forward. Part 1: Stuck in a monsoon on Kauai, Belinda Fu unintentionally ruins a friendship with a classmate. Part 2: Matt Storrs blames a dinosaur scientist's theory for the end of his marriage. Belinda Fu, MD, (“theImprovDoc”) is a physician, educator, and performing artist based in Seattle. She travels the country teaching about medical improv, using the principles of improvisational theater to improve wellbeing, health, communication, and patient care. (medicalimprov.org) She is also a Clinical Associate Professor of Family Medicine at the University of Washington. Belinda performs and directs improv theatre, studies jazz voice, makes really good popcorn, takes naps in the sun, and would like to say hi to your dog. belindafu.com Matt Storrs is a comedian and storyteller based out of NYC and originally from Phoenix, AZ. Matt created a solo show based upon the story in the episode entitled "Jurassic Heartbreak." It will next be performed at the Harrisburg Fringe Festival in July (https://www.hbgfringe.com/). He has also been featured on NPR and PBS. Matt is known for sharp stories and his esoteric comedy. Matt Storrs is a humor person. He can be found online at @mtstorrs   Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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In this episode, Drs. Shruti Javali and Adnaan Edun speak with Drs. Maryal Concepcion and Jeannine Rodems live from the CAFP All Member Advocacy Meeting to talk about Direct Primary Care (DPC), what DPC is, how it works with the patient relationship, and resources available for any family physician look at DPC as a potential career. Guests: Maryal Concepcion, MD, FAAFP is a board-certified rural family physician dedicated to serving patients in Northern California since 2012 and Calaveras County since 2015. Passionate about community-focused medicine, she provides comprehensive care for patients of all ages, from infants and expectant mothers to children and adults, including in-office procedures. Jeannine Rodems, MD, FAAFP is a board-certified family medicine physician who brings more than 25 years of experience to Santa Cruz Direct Primary Care. She is a graduate of UC Santa Cruz (go Slugs!), and completed her medical degree at the UCLA School of Medicine with her residency through the UCLA Family Medicine Residency program. She has been an active member of the local physician community in Santa Cruz County for several years. She has been the past president of the Santa Cruz County Medical Society. She has been very active with the California Academy of Family Physicians, having been a previous member of their board of directors, and served as a past president of the Santa Cruz – Monterey — San Benito CAFP Chapter. Shruti Javali, MD is family medicine physician who sees patients of all ages with a specific focus on obstetrics and women's health. In addition to each patient's medical condition, her approach also incorporates whole-person care, considering factors such as nutrition, exercise and work/life balance. Dr. Javali earned her medical degree from Saba University School of Medicine in the Dutch Caribbean and undergraduate degree from McMaster University in Hamilton, Canada. She completed her family medicine residency through Michigan State University at Mercy Health Grand Rapids in Michigan. Adnaan Edun, MD is a board-certified family medicine physician who provides preventive care, such as wellness checks, physicals, health counseling and more, he treats patients with chronic and complex conditions, including obesity, hypertension and depression. Growing up, Dr. Edun became interested in pursuing a career in healthcare as he watched his mother continue to increase her nursing knowledge by studying at home. That interest was solidified when he had open heart surgery, after which he saw healthcare through a different lens. The experience shaped his desire to study medicine and impacts how he provides care with compassion. Dr. Edun also is interested in global and rural medicine and learning about how medicine is practiced around the world. He has participated in medical trips to Peru, Guatemala and Kenya and hopes to continue to share his healthcare knowledge with other underserved communities in the future. Rob Assibey, MD, FAAFP (he/him) identifies as Ghanaian American. Dr. Assibey is the Associate Program Director at San Joaquin General Hospital Family Medicine Residency Program. He practices full spectrum family medicine with an emphasis on street medicine, addiction medicine, SNF. Dr. Assibey is the District 8 Director on the CAFP Board, and a member of the JEDI Committee. Resources: CAFP Direct Primary Care information - www.familydocs.org/dpc  CAFP's New Physician Toolkit - www.familydocs.org/nptoolkit  AAFP Direct Primary Care - https://www.aafp.org/family-physician/practice-and-career/delivery-payment-models/direct-primary-care.html  DPC Summit (July 24-27, 2025) - https://www.dpcsummit.org/home.html  CaliDPC - www.calidpc.com  Inaugural CaliDPC Docs Summit (June 7-8, 2025) - https://www.calidpc.com/resources  The Family Docs Podcast is hosted by Rob Assibey, MD, FAAFP.   The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs  Instagram - https://www.instagram.com/cafp_familydocs  Facebook - https://www.facebook.com/familydocs 

The Environment We Live In and Health: A Complex RelationshipDeploy: Code: WOLVEFDescription:Join us on "The Environment We Live In and Health: A Complex Relationship," where we delve into the intricate dynamics between our environment and human health. This episode explores how environmental factors shape our well-being, examining the complex interplay between health outcomes and the world around us. We'll unpack the latest research, highlight innovative solutions, and tackle pressing challenges at the intersection of environmental science and public health. Whether you're a healthcare provider, an environmental advocate, or simply curious about the world we live in, this podcast will equip you with insights to foster a healthier future for both people and the planet. Tune in and discover how together we can create a sustainable, thriving environment for generations to come!Objectives: Discuss the intricate dynamics between environmental factors and human health and wellness. Explain the impact of the environment on health and well-being and the complex interplay between health outcomes and the surrounding world. Identify and appraise the latest information, innovative solutions, and pressing challenges at the intersection of environmental science and public health. Guests: Gina Alexander, PhD, MPH, MSN, RN, Texas Christian UniversityGina Hill: https://cse.tcu.edu/faculty-staff/view/gina-hill Brendan Lavy: https://cse.tcu.edu/faculty-staff/view/lavy-brendanBios: Gina Alexander, PhD, MPH, MSN, RNDr. Gina Alexander, Professor in the Harris College of Nursing and Health Sciences at Texas Christian University, champions interprofessional collaboration through education, research, and practice. She teaches public health nursing and coordinates interprofessional education initiatives with colleagues on campus and throughout the community.Dr. Alexander leads interprofessional, participatory action research focused on promoting equitable access to nature and food, improving social determinants of health in the local community and beyond. As the project lead of RxPLORE™: Prescribing Life Outdoors and Real Exploration, she develops community-academic-practice partnerships to advance nature-based health promotion and environmental stewardship.With a public health nursing practice grounded in collective action and advocacy, Dr. Alexander co-leads the Fort Worth Climate Safe Neighborhood Coalition and serves on the Immunization Collaboration of Tarrant County. Within the Association of Community Health Nursing Educators, she serves as Policy Committee Chair.Gina Jarman Hill, PhD, RD, LDDr. Gina Jarman Hill is a Professor in and the Chair of the Department of Nutritional Sciences at Texas Christian University (TCU). She joined the faculty of the Department of Nutritional Sciences in 2003. Dr. Hill earned her PhD in Nutrition from Texas Tech University in Lubbock, TX. Hill is a Registered and Licensed Dietitian and a member of the Hunger and Environmental Nutrition (HEN) dietetic practice group and the Dietitians in Integrative and Functional Medicine dietetic practice group. Her current research interests include hunger and food security, sustainability, urban agriculture, and community nutrition education and health. Hill is a Texas Master Gardener, is trained in Permaculture Design, and is an active community volunteer. In her spare time she enjoys gardening, spending time with her family, cooking, traveling and reading.Brendan Lavy, PhDDr. Brendan Lavy is an Assistant Professor at Texas Christian University. As a Professor in the Environmental and Sustainability Sciences, his teaching and research interests include sustainability metrics, business sustainability, urban environmental management, disaster recovery and resilience, watershed resilience, and geographic information systems. Dr. Lavy's research projects include how businesses' sustainability practices align with principles of the circular economy and the UN Sustainable Development Goals, how municipal environmental ordinances and their outcomes support urban sustainability initiatives, and how the recovery of parks and protected places influences the recovery of communities impacted by disasters. References:American Nurses Association. (2023, September 14). Nurses' role in addressing global climate change, Climate Justice, and health. ANA. https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/climate-change/ Haq, C., Iroku-Malize, T., Edgoose, J., Prunuske, J., Perkins, A., Altman, W., & Elwood, S. (2023). Climate change as a threat to health: Family medicine call to action and response. The Annals of Family Medicine, 21(2), 195–197. https://doi.org/10.1370/afm.29...

Garrett Butler, MD. Husband, father, son, friend, and family doc in rural WV. Undergraduate in Physics from Johns Hopkins University. Undergraduate in Molecular and Cell Biology from Towson University. MD from West Virginia University School of Medicine. Family Medicine residency at WVU SOM. Hospitalist at Vandalia Health Davis Medical Center. Outpatient family physician at Vandalia Health Broaddus Family Care. Hospitalist at Vandalia Health Broaddus Hospital. Medical director of Mansfield Place nursing home. Work With Us: Arétē by RAPID Health Optimization Links: Dr. Garrett Butler - Old Fellow Manor Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram

Listen in as Paula Henao, MD; Rohit Loomba, MD, MHSc; Cheryl Pirozzi, MD, MS; and Corinne Young, NP, FCCP, discuss their screening and monitoring strategies for patients with alpha-1 antitrypsin deficiency, including:Why early detection is key for improving patient outcomesHow to monitor through use of noninvasive imaging and biopsy per guideline recommendationsHow to coordinate patient care to provide much-needed multidisciplinary careWhat therapies in the pipeline could transform the treatment landscape for this genetic disease PresentersPaula Henao, MDAssistant Professor of MedicineDivision of Pulmonary, Allergy and Critical Care MedicinePenn State Hershey Medical CenterHershey, PennsylvaniaRohit Loomba, MD, MHScProfessor of MedicineChief, Division of Gastroenterology and HepatologyDirector, MASLD Research CenterUniversity of California, San DiegoSan Diego, CaliforniaCheryl Pirozzi, MD, MSAssociate Professor of Internal MedicineDivision of Pulmonary and Critical Care MedicineUniversity of UtahSalt Lake City, UtahCorinne Young, NP, FCCPPresident/FounderAssociation of Pulmonary Advanced Practice ProvidersColorado Springs, ColoradoLink to full program: https://bit.ly/4dgCRnq

Have you ever struggled to support a close friend or family member dealing with a mental health condition? How do you know when you're truly helping rather than enabling? When should you push, simply show up, or even step away? If these questions resonate with you, you're not alone—at least 20% and possibly up to 40% of people will face this reality at some point in their lives. On this week's podcast, you'll meet a psychologist who shares her research and clinical experiences. Listen and learn: How to differentiate between supporting and enabling a loved one Key questions to ask yourself if you're in a caregiving role The impact of online support groups and AI on mental health care Strategies for handling difficult or unpleasant caregiving situations How to find affordable mental health resources locally and nationally Common challenges of caring for aging family members and how to cope Links www.SeedsofHopeBooks.com ABOUT OUR GUEST Dr. Michelle D. Sherman is a licensed clinical psychologist with over 25 years of experience, specializing in individual and couples therapy. She is a professor in the Department of Family Medicine and Community Health at the University of Minnesota Medical School and a board-certified expert in couples and family psychology. Her work focuses on supporting families dealing with mental illness, PTSD, and trauma. She is the author of Loving Someone with a Mental Illness or Trauma History. Like the Show? Leave us a review Check out our YouTube channel

Listen in as Joseph Kim, MD, MPH, MBA, interviews Sejal Desai, MD, DABOM, to learn about how she implemented virtual support groups to improve obesity care at her practice, including:Dedicating 5 support groups with chat features to obesity-specific topics (eg, sleep, nonscale wins)Moderating these chats to ensure no misinformation is shared and a positive, safe space is maintainedExpanding to include other virtual options that allow patients to engage more in their careUtilizing free and subscription-based services to aid in marketing effortsSharing lessons learned for those interested in implementing similar virtual options for their patients PresentersJoseph Kim, MD, MPH, MBAPresidentQ Synthesis, LLCNewtown, PennsylvaniaSejal Desai, MD, DABOMBoard-Certified Obesity Medicine PhysicianOwner & Medical DirectorTula Medical Weight Loss & WellnessKaty, TexasLink to full program: https://clinicaloptions.com/content/qi-resource-hub

Picture a hospital room late at night, the soft hum of machines in the background. A family gathers quietly around their loved one, unsure how to navigate the complexities of end-of-life care. It's a scene playing out every day across the country, highlighting a crucial yet often neglected part of healthcare—the way we care for people as their lives near an end. Joining me today is Ira Byock, a renowned physician, author, and passionate advocate for palliative care, whose groundbreaking work has transformed how we think about living—and dying—well. As the Emeritus Professor of Medicine and Community & Family Medicine, Dartmouth Geisel School of Medicine, Ira has dedicated his career to ensuring that end-of-life care is compassionate, comprehensive, and patient-centered. From developing the influential Missoula Demonstration Project to leading the Robert Wood Johnson Foundation's initiatives on end-of-life care, Ira's pioneering efforts have touched millions of lives. Drawing deeply from his early experiences in rural family medicine, Ira witnessed firsthand the profound gaps in care for dying patients, sparking a lifelong mission to humanize healthcare. His belief that moments of crisis can also be opportunities for growth and wellbeing and reshaped our understanding of what it means to care for the whole person. In this episode, we explore Ira's remarkable journey—from a young physician confronting ethical dilemmas, to a visionary leader reshaping the landscape of hospice and palliative care. We'll discuss the challenges of balancing compassionate care with a profit-driven healthcare system, the transformative power of treating patients as whole people, and Ira's innovative vision for a more humane and effective healthcare future. Do you have thoughts on this episode or ideas for future guests? We'd love to hear from you. Email us at hello@rosenmaninstitute.org.  

Doctor's Farmacy with Mark Hyman, MD: Read the notes at at podcastnotes.org. Don't forget to subscribe for free to our newsletter, the top 10 ideas of the week, every Monday --------- Many people struggle with mysterious symptoms like fatigue, brain fog, food sensitivities, and skin issues—only to be misdiagnosed or dismissed altogether. This conversation highlights how histamine intolerance and mast cell activation syndrome can be the hidden drivers behind a wide range of chronic conditions, and why they're often overlooked in conventional medicine. From the role of gut health, food triggers, and environmental toxins to deeper root causes like Lyme disease or mold exposure, it's clear that personalized, Functional Medicine is key to uncovering real answers. Understanding the immune system's role in histamine reactions—and how even “healthy” foods can be inflammatory for some—is a critical step toward healing. In this episode, I talk with Dr. Todd LePine, Dr. Elizabeth Boham, and Dr. Mark Pimentel about what histamine intolerance is, how it can be related to gut health, and why it's important to address it. Dr. Todd LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine's focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders, and the neurobiology of mood and cognitive disorders. Dr. LePine enjoys skiing, kayaking, hiking, camping, and golfing in the beautiful Berkshires, and is a fitness enthusiast. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Mark Pimentel is a Professor of Medicine and Gastroenterology through the Geffen School of Medicine and an Associate Professor of Medicine at Cedars-Sinai. Dr. Pimentel is also the Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai, an enterprise of physicians and researchers dedicated to the study of the gut microbiome in order to develop effective diagnostic tools and therapies to improve patient care.  Dr. Pimentel has over 150 publications in many high-profile journals, and he is the author of the book, The Microbiome Connection: Your Guide to IBS, SIBO, and low fermentation eating. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: Is Histamine Intolerance The Cause Of Your Mysterious Symptoms? What is Histamine Intolerance? Surprising Symptoms You Need to Know IBS: It's Not In Your Head—Advances In Diagnosing And Treating, Bloating And Tummy Troubles

James L. Ali, PA-C, DMSc, MBA, DFAAPA is the president of the Society of PAs in Family Medicine, SPAFM. In Part 2, Jim discusses considerations for opening your own practice, the various models for reimbursement, and the future role of PAs in primary and specialty care. Read his article in the recent AAPA here to learn more about Jim and his journey in PA practice: https://www.aapa.org/news-central/2024/11/the-interconnected-journey-of-a-pa-from-rejection-to-innovation-in-primary-care/

Okay, so I made one comment about Kristin's coffee-making skills and instantly became the villain. And then she replaced me—with Family Medicine. Like, actually replaced me. For an entire segment. This episode, we talk about the real heartbreak behind Medicare's decision not to cover GLP-1 medications for weight loss and diabetes, and the wider implications for access, affordability, and the ongoing “just exercise more” narrative that's exhausting all of us. Spoiler: we're not fans of weaponized personal responsibility. Then Family Medicine makes his podcast debut, and wow—he has some things to get off his chest. Like being overworked, underappreciated, and constantly asked to “clear” patients for cataract surgery. (Which isn't a thing. Please stop saying it's a thing.) We close things out with a conversation about burnout, respect, weighted blankets, and fermented Texaco antibiotics. You know, just a normal Tuesday. Takeaways: I mentioned Kristin's coffee grounds and now I'm banned from caffeine commentary. GLP-1 meds aren't being covered by Medicare anymore, and it's as infuriating as you'd expect. Family Medicine is here. He's tired. And he's not “clearing” anyone for anything. If you don't think all doctors are burned out, you're not paying attention. We might've created a new mascot: Emotional Support Drape™. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠ http://www.patreon.com/glaucomflecken⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠http://www.EyelidCheck.com⁠ for more information.  Today's episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit ⁠aka.ms/knockknockhi⁠. Produced by⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

Do you feel like you're doing everything right—eating healthy, exercising—but still not seeing the results you want, especially with bone health? In this episode, I interview Dr. Melissa Mondala, a lifestyle medicine expert, to explore how mindset and stress management can impact osteoporosis and overall wellness. Dr. Melissa is a triple specialist in Family Medicine, Lifestyle Medicine, and Integrative Psychiatry, and is double-boarded in Family Medicine and Lifestyle Medicine. She is one of the first nationally recognized Lifestyle Medicine Intensivists and serves as Core Faculty at Loma Linda University's Preventive and Lifestyle Medicine Department, which is one of the Blue Zones for longevity.   She prioritizes lifestyle modifications to optimize health, brings evidence-based methods to combat chronic disease, and uplifts potential barriers through self-empowerment and self-compassion Dr. Melissa shares her multidisciplinary approach to bone health, combining nutrition, exercise, and the often-overlooked element of mental well-being. Learn about practical tools and strategies you can implement today to reduce stress, improve your mindset, and protect your bones for the long term. Tune in and discover how lifestyle medicine can revolutionize your health! “Every day, we all have a new beginning. We can choose to live the life we want." ~ Dr. Melissa Mondala   In this episode: - [01:18] - Meet Dr. Melissa Mondala, lifestyle medicine expert - [07:50] - Practical tips for improving our health - [18:52] - Affirmations for reducing stress  - [21:21] - The connection between mental and physical health - [24:53] - The importance of proper nutrition for overall well-being - [29:10] - Glutathione and its role in the body - [31:20] - Tips for preparing healthy meals  - [37:53] - Details about the Plant-Powered Mind Masterclass - [41:48] - Book recommendation: Embody Lifestyle Medicine   Resources mentioned - Embody Lifestyle Medicine: How to Build a Successful Direct Care Startup by Dr. Melissa Mondala - https://www.amazon.com/dp/B0DXRCX8RC - Margie's Favorites (products I personally use and love) - https://margiebissinger.com/margies-favorites/ -    More about Margie - Website - https://margiebissinger.com/  - Facebook - https://www.facebook.com/p/Margie-Bissinger-MS-PT-CHC-100063542905332/  - Instagram - https://www.instagram.com/margiebissinger/?hl=en    DISCLAIMER – The information presented on this podcast should not be construed as medical advice. It is not intended to replace consultation with your physician or healthcare provider. The ideas shared on this podcast are the expressed opinions of the guests and do not always reflect those of Margie Bissinger and Happy Bones, Happy Life Podcast.   *In compliance with the FTC guidelines, please assume the following about links on this site: Some of the links going to products are affiliate links of which I receive a small commission from sales of certain items, but the price is the same for you (sometimes, I even get to share a unique discount with you). If I post an affiliate link to a product, it is something that I personally use, support, and would recommend. I personally vet each and every product. My first priority is providing valuable information and resources to help you create positive changes in your health and bring more happiness into your life. I will only ever link to products or resources (affiliate or otherwise) that fit within this purpose.

Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximately 25 minutes long and presents 5-6 recently published articles from ADA journals. Intended for practicing physicians and health care professionals, Diabetes Core Update   discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. Welcome to diabetes core update where every month we go over the most important articles to come out in the field of diabetes. Articles that are important for practicing clinicians to understand to stay up with the rapid changes in the field.  This issue will review: 1.     Lepodisiran — A Long-Duration Small Interfering RNA Targeting Lipoprotein(a) - NEJM 2.     Diabetes and Anemia – Diabetes Care 3.     Efficacy and Safety of Finerenone in Type 2 Diabetes: A Pooled Analysis of Trials – Diabetes Care 4.     Cardiovascular and Kidney Outcomes and Mortality With Long- Acting Injectable and Oral Glucagon-Like Peptide 1 Receptor Agonists in Individuals With Type 2 Diabetes: A Systematic Review and Meta-analysis of Randomized Trials – Diabetes Care 5.     Oral Semaglutide and Cardiovascular Outcomes in High-Risk Type 2 Diabetes - NEJM   For more information about each of ADA's science and medical journals, please visit Diabetesjournals.org. Hosts: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Chair-Department of Family Medicine, Abington Jefferson Health

In episode #368 of The Hormone Puzzle Podcast, our guest Dr. Miranda Naylor, talks about Explaining Unexplained Infertility. More about Dr. Miranda: Dr. Miranda Naylor is a board-certified Family Medicine and Functional Medicine Doctor specializing in women's hormonal health and fertility. She uses a root-cause approach to help women get to the bottom of symptoms and optimize their health from the ground up. Thank you for listening! This episode is made possible by Puzzle Brew's Fertility Tea: https://hormonepuzzlesociety.com/fertility-tea Follow Dr. Miranda on Instagram: @‌drmirandanaylor Follow Dr. Kela on Instagram: @‌kela_healthcoach Get your FREE Fertility Meal Plan: https://hormonepuzzlesociety.com FTC Affiliate Disclaimer: The disclosure that follows is intended to fully comply with the Federal Trade Commission's policy of the United States that requires to be transparent about any and all affiliate relations the Company may have on this show. You should assume that some of the product mentions and discount codes given are "affiliate links", a link with a special tracking code This means that if you use one of these codes and purchase the item, the Company may receive an affiliate commission. This is a legitimate way to monetize and pay for the operation of the Website, podcast, and operations and the Company gladly reveals its affiliate relationships to you. The price of the item is the same whether it is an affiliate link or not. Regardless, the Company only recommends products or services the Company believes will add value to its users. The Hormone Puzzle Society and Dr. Kela will receive up to 30% affiliate commission depending on the product that is sponsored on the show. For sponsorship opportunities, email HPS Media at media@hormonepuzzlesociety.com

Many people struggle with mysterious symptoms like fatigue, brain fog, food sensitivities, and skin issues—only to be misdiagnosed or dismissed altogether. This conversation highlights how histamine intolerance and mast cell activation syndrome can be the hidden drivers behind a wide range of chronic conditions, and why they're often overlooked in conventional medicine. From the role of gut health, food triggers, and environmental toxins to deeper root causes like Lyme disease or mold exposure, it's clear that personalized, Functional Medicine is key to uncovering real answers. Understanding the immune system's role in histamine reactions—and how even “healthy” foods can be inflammatory for some—is a critical step toward healing. In this episode, I talk with Dr. Todd LePine, Dr. Elizabeth Boham, and Dr. Mark Pimentel about what histamine intolerance is, how it can be related to gut health, and why it's important to address it. Dr. Todd LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine's focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders, and the neurobiology of mood and cognitive disorders. Dr. LePine enjoys skiing, kayaking, hiking, camping, and golfing in the beautiful Berkshires, and is a fitness enthusiast. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Mark Pimentel is a Professor of Medicine and Gastroenterology through the Geffen School of Medicine and an Associate Professor of Medicine at Cedars-Sinai. Dr. Pimentel is also the Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai, an enterprise of physicians and researchers dedicated to the study of the gut microbiome in order to develop effective diagnostic tools and therapies to improve patient care.  Dr. Pimentel has over 150 publications in many high-profile journals, and he is the author of the book, The Microbiome Connection: Your Guide to IBS, SIBO, and low fermentation eating. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: Is Histamine Intolerance The Cause Of Your Mysterious Symptoms? What is Histamine Intolerance? Surprising Symptoms You Need to Know IBS: It's Not In Your Head—Advances In Diagnosing And Treating, Bloating And Tummy Troubles

Steve Bierman, MD is the Director of the Noetic Medicine Institute at the Andrew Weil Center for Integrative Medicine (University of Arizona, College of Medicine). He is also the author of two award-winning books on Noetic Medicine: HEALING (2020) and The END of WORRY (2023). Dr. Bierman is a graduate of Northwestern University's School of Medicine and was board certified in and practiced Emergency and Family Medicine. He is also a diplomate of the American Board of Medical Hypnosis. Dr. Bierman teaches noetic medicine (“mind medicine”) around the world, reminding caregivers that MIND MATTERS – that “the words of a caregiver can harm or heal.” You can connect with Dr. Bierman via YouTube @SteveBierman and the website www.healingbeyondpills.com View his recently published paper, Placebo and the law of identification, here. Related Episodes: Ep 299 - Dr. Wayne Jonas on  Whole Person Care for Cancer and Healing Ep 262 - Upgrade your Language with Mark England If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating or share your feedback on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health. Disclaimer: This podcast is for general information only, and does not provide medical advice.  I recommend that you seek assistance from your personal physician for any health conditions or concerns.

What if your fatigue, weight gain, hormone imbalances, and brain fog all traced back to a silent disease that affects 1 in 3 people—and you didn't even know you had it? In today's episode, I'm joined by Dr. Elizabeth Boham and Dr. Yousef Elyaman to talk about a condition that's quietly becoming one of the biggest threats to our health: fatty liver disease—now renamed Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD). It's not just a liver issue. It's deeply connected to heart disease, cancer, infertility, type 2 diabetes, dementia, and even hormone dysfunction. The most alarming part is it's often missed in traditional medicine because there's no easy drug to prescribe. We break down: The real root causes—from sugar and starch overload to gut imbalances, toxins, alcohol, and chronic inflammation The surprising early warning signs your body might be giving you Why standard labs often miss it, and the tests you actually need The step-by-step functional medicine approach to reverse fatty liver naturally—using targeted nutrition, lifestyle upgrades, and proven supplements I also share the latest science on inflammation, why it's the common thread between fatty liver and nearly every chronic disease, and how to calm it down at the root. This is the episode I wish every patient (and doctor) could hear—because fatty liver is reversible when you catch it early, and the ripple effects of healing it are massive. If you care about your energy, hormones, brain health, or longevity… this one's for you. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Yousef Elyaman is the founder and Medical Director of Absolute Health, a primary care functional medicine practice in Ocala, Florida. He is the 100th President of the Marion County Medical Society and the Functional Medicine Director at The Guest House Ocala, a trauma and substance abuse center. Dr. Elyaman also serves as the Medical Director for HumanN, a leading nutraceutical company, and is a Consultant for Quest Diagnostics Laboratory in their Wellness Division. He is teaching Faculty for the Institute for Functional Medicine on their Cardiometabolic module. Dr. Elyaman belongs to the first graduating class of the Institute for Functional Medicine. He is Board-certified in Internal Medicine and holds certifications in functional and integrative medicine as well. His leadership and expertise are reflected in his diverse roles, demonstrating his commitment to advancing medical knowledge and improving patient care. When not at work, Dr. Elyaman loves spending time with his wife and seven children where they live on a cattle and horse ranch. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: How To Prevent And Reverse Fatty Liver Disease with Functional Medicine The Best Diet to Reverse Fatty Liver Disease with Dr. Yousef Elyaman Why Fatty Liver Is So Common And How To Heal It