Podcasts about nortin hadler

Medicine has become a pseudo-religion; our patients must be gently encouraged into apostasy and renunciation...   [We have all] been enslaved by the medical–industrial complex, and it is time we rebelled. Society needs to reach a new accommodation with old age and death.Seamus O'Mahony, Can Medicine Be Cured (2019)Here is the silver lining: when you better understand your fragile life and the limitations of medicine, you will avoid getting sucked into a lot of useless nonsense. By 60, most people have some coronary artery disease; by 70, most have cancers growing somewhere. Nortin Hadler states the cold facts: “Any claim to a science that offers a path to longevity beyond eighty-five years is fatuous… over 85, you are off-warranty.” My pathologist friend Chris Gonzales adds, “something will get you, eventually.” He cuts up dead people for a living, so he knows.Worrying about your lifespan or expecting medicine to save you will not bring you peace. Instead, focus on your mission and the tasks. Be philosophical about your health as it declines. At the end of life, some people can become more grateful rather than more afraid because they have learned to treasure each moment. Max Ehrmann wrote, “Gracefully surrender the things of youth. Nurture strength of spirit to shield you in sudden misfortune.”My friend Dana understood this. He taught me what he could over his final year, and I loved him dearly. He had coronary artery disease with congestive heart failure, and for months, we knew he might die. He had always been optimistic, but during this period, he ignored all negativity and told me he felt better and better. He knew he had no time for regrets, complaints, whining, or worry. I realized later that we are in the same position as Dana every day of our lives.Support the show (https://paypal.me/dryohoauthor?locale.x=en_US)

My guest this week is Charlie Gillihan, my youngest brother. At the time of this recording, Charlie was a few weeks away from graduating from medical school. I was interested in his take on medical education in the 21st century since he not only went to medical school but is an experienced teacher himself. Charlie was very open about his own experiences in a way that I think will be helpful to many people. It was a great discussion as we explored many issues related to learning, medicine, and stress, including: What medical school should look like in the twenty-first century Evidence-based medical education Fixed vs. growth mindset as learners The brain’s ability to learn even without our conscious effort The challenges of learning in medical school What it takes to get through medical school, vs. what it takes to be a doctor High rates of physician burnout and suicide Mental health training in medical school What to look for in a great primary care doctor The importance of being listened to as a patient How people heal, and how it's not often because of medical treatment Nortin Hadler and the Number Needed to Treat (NNT) measure (see TheNNT.com) How to promote a healthy gut microbiome Charlie referenced the Whipple procedure—here's a link to that if you're interested: Whipple procedure. He also highlighted Pamela Wible's work on physician suicide; here's her TEDMed talk about it: Why Doctors Kill Themselves. Our grandfather whom Charlie mentioned, Dr. Alec Spencer, was a doctor for over 50 years in a small town in eastern Kentucky. Here's a write-up about his life and what made him so beloved by his patients and community: The Doctor Will Hear You Now. Here's more information about the author Vinay Prasad. Charlie referenced his book, Ending Medical Reversal which is available on Amazon. For more from Nortin Hadler, see The Citizen Patient and Worried Sick. (A percentage of each purchase made through these affiliate links will be used to support the podcast, at no additional cost to you.)  Charlie was enthusiastic about a measure called the Number Needed to Treat (NNT), which determines the number of people needed to treat in order to change one outcome for the better. For example, if 100 people get a treatment and 10 show improvement, compared to 9 out of 100 who got the placebo, then the NNT would be 100. That is, for every 100 people treated, one person would show improvement who wouldn't have gotten better without the treatment. The Voltaire quote Charlie cited was, “The art of medicine consists of amusing the patient while nature cures the disease.” Charlie Gillihan was born and raised in Indiana and graduated from Columbia University with a degree in creative writing. After graduation he taught chemistry and other science courses for three years in the New York City public schools. He will graduate from New York University's School of Medicine in May 2019, and will continue his training in NYU's internal medicine residency. Charlie is fluent in Spanish, having spent considerable time in Central and South America, and his bilingualism is often useful in his clinical work. To see what he's up to, find him on Twitter.

Our guest in this episode is Dr. Nortin Hadler, a rheumatologist and professor of medicine at the University of North Carolina in Chapel Hill, who has spent decades right in the middle of several health care debates. Dr. Hadler, or as Sandy likes to call him "Quote Machine," spent an hour with us reflecting on a range of topics. What is medicalization and why is so important? What predicts poor health outcomes related to regional pain disorders most robustly? What is the difference between a treatment act and a treatment encounter? Why do people shop in the placebo aisle of the grocery store? How is a well intentioned provider to proceed with care? All of this and much more in this episode. Links to his books via Amazon:           Music by Kevin MacLeod - incompetech.com: Intro - Brandenburg No4 and Meatball Parade Close - Meatball Parade

At a time when access to health care in the United States is being widely debated, Nortin Hadler argues that an even more important issue is being overlooked. Although necessary health care should be available to all who need it, he says, the current health-care debate assumes that everyone requires massive amounts of expensive care to stay healthy.

We all know that our health care system is in trouble, but who's responsible? Nortin Hadler says that it is you and me and that we have a duty to understand the existing system and to visualize what the outcome of successful reform might look like. And he provides a guide in his latest book, "The Citizen Patient: Reforming Health Care for the Sake of the Patient, Not the System."

We continue our series on NC 's community colleges with Davidson County Community College. We visit Stone Mountain State Park. Two photo exhibits commemorating the Civil War are touring the state. And author Nortin Hadler talks about his new book.

Go to www.imtalk.me for this weeks show notes. 

Host: Maurice Pickard, MD Guest: Nortin Hadler, MD Dr. Nortin Hadler, professor of medicine and microbiology/immunology at the University of North Carolina at Chapel Hill, joins host Dr. Maurice Pickard to discusses his book, Worried Sick: A Prescription for Health in an Overtreated America. Dr. Hadler's book examines the reach of medical treatment in America and the degree to which health is determined by socioeconomic factors that are out of a doctor's hands.

Guest: Nortin Hadler, MD Host: Maurice Pickard, MD Dr. Nortin Hadler, professor of medicine and microbiology/immunology at the University of North Carolina discusses his new book Worried Sick. A prescription for Health in an Overtreated America. He documents how the consumer needs to adopt an attitude of skepticism regarding the claims of modern medicine and arm themselves with enough information to make some of their own decisions about what care is truly necessary. Hosted by Dr. Maurice Pickard