Day-to-day health care given by a health care provider
POPULARITY
Categories
708 episodes with Primary care
432 episodes with Primary care
299 episodes with Primary care
203 episodes with Primary care
193 episodes with Primary care
234 episodes with Primary care
103 episodes with Primary care
72 episodes with Primary care
72 episodes with Primary care
49 episodes with Primary care
158 episodes with Primary care
58 episodes with Primary care
27 episodes with Primary care
49 episodes with Primary care
31 episodes with Primary care
38 episodes with Primary care
35 episodes with Primary care
28 episodes with Primary care
64 episodes with Primary care
33 episodes with Primary care
53 episodes with Primary care
23 episodes with Primary care
35 episodes with Primary care
27 episodes with Primary care
20 episodes with Primary care
81 episodes with Primary care
26 episodes with Primary care
36 episodes with Primary care
31 episodes with Primary care
24 episodes with Primary care
27 episodes with Primary care
18 episodes with Primary care
26 episodes with Primary care
20 episodes with Primary care
28 episodes with Primary care
33 episodes with Primary care
16 episodes with Primary care
23 episodes with Primary care
15 episodes with Primary care
15 episodes with Primary care
14 episodes with Primary care
15 episodes with Primary care
31 episodes with Primary care
34 episodes with Primary care
31 episodes with Primary care
14 episodes with Primary care
27 episodes with Primary care
22 episodes with Primary care
23 episodes with Primary care
28 episodes with Primary care
265 episodes with Primary care
16 episodes with Primary care
15 episodes with Primary care
10 episodes with Primary care
Credits: 0.75 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-500 Overview: To celebrate our 500th episode, each member of our team revisits a popular topic from the podcast's earlier installments—GLP-1s, cervical and breast cancer screening, diet and exercise, contraception, hypertension, and lipid management—to trace how the evidence and guidelines have changed since it was first covered. Whether you're catching up or reinforcing what you know, this milestone episode helps you bring the latest evidence into everyday patient care. Guest: Robert Baldor, MD, Alan Ehrlich, MD, Susan Feeney, DNP, FNP-BC; FAANP, Jillian Joseph, PA, Mariyan L. Montaque, DNP, FNP-BC, Jill Terrien PhD, ANP-BC, FAAN Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com Episode resource links: Zhou H et al. Evaluation and Comparison of the PREVENT and Pooled Cohort Equations for 10‐Year Atherosclerotic Cardiovascular Risk Prediction. Journal of the American Heart Association Volume 14, Number 4 Goff DC et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation. 2014;129:S49–S73. Circulation. 2018 Jul 24;138(4):345-355. eClinicalMedicine 2025: 103741. Curry, J. (2018). Screening for cervical cancer: US Preventive Services Task Force Recommendation Statement. JAMA.320(7):674-686. doi:10.1001/jama.2018.10897 https://www.ncbi.nlm.nih.gov/pubmed/30140884 Perkins RB, Wolf AMD, Church TR, et al. Self-collected vaginal specimens for human papillomavirus testing and guidance on screening exit: An update to the American Cancer Society cervical cancer screening guideline. CA Cancer J Clin. 2026;e70041. doi:10.3322/caac.70041 Screening for Cervical Cancer (2026). Obstetrics & Gynecology, 148(1), e63-e67. https://doi.org/10.1097/AOG.0000000000006257 Jad Zeitouni, Nosayaba Osazuwa-Peters, Yusuf Dundar, Gregory Zimet, Mark A. Varvares. (2025). Two decades of the HPV vaccine: its promise, progress, prospects, projections, and posterity, The Lancet Regional Health - Americas, (51), https://doi.org/10.1016/j.lana.2025.101243 Diabetes, Obesity and Metabolism 28, no. 6 (2026): 5043–5057, https://doi.org/10.1111/dom.70698. Relationship of early rapid weight loss to efficacy and safety of tirzepatide and semaglutide for obesity: SURMOUNT-5 post hoc analysis. Am J Med. 2026 Jul;139(7):913-921. doi: 10.1016/j.amjmed.2026.03.010 US Preventive Services Task Force; Nicholson WK, Silverstein M, Wong JB, et al. Screening for breast cancer: US Preventive Services Task Force recommendation statement. JAMA. 2024;331(22):1918–1930. Trentham-Dietz A, Chapman CH, Jayasekera J, et al. Collaborative modeling to compare different breast cancer screening strategies: a decision analysis for the US Preventive Services Task Force. JAMA. 2024;331(22):1931–1946. Giaquinto AN, Sung H, Miller KD, et al. Breast cancer statistics, 2022. CA Cancer J Clin. 2022;72(6):524–541. Qaseem A, Harrod CS, Balk EM, et al. Screening for breast cancer in asymptomatic, average-risk adult females: a guidance statement from the American College of Physicians (Version 2). Ann Intern Med. 2026.: American Cancer Society. Breast Cancer Facts & Figures 2022–2024. Atlanta, GA: American Cancer Society, 2022. Hu X, Chehal PK, Kaplan C, et al. Racial differences in patient-reported symptoms and adherence to adjuvant endocrine therapy among women with early-stage, hormone receptor-positive breast cancer. JAMA Netw Open. 2022;5(8):e2225485. Torres JM, Sodipo MO, Hopkins MF, Chandler PD, Warner ET. Racial differences in breast cancer survival between Black and White women according to tumor subtype: a systematic review and meta-analysis. J Clin Oncol. 2024;42(35):4225–4234. Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453–1463. Hypertension. 2026;83:00–00. DOI: 10.1161/HYPERTENSIONAHA.125.25787 Allen RH, Bartz D. Opill: The Over-the-Counter Contraceptive Pill. Obstet Gynecol. 2024;143(2):184-188. doi:10.1097/AOG.0000000000005455 Cahill EP, Kaur S. Advances in contraception research and development. Curr Opin Obstet Gynecol. 2020;32(6):393-398. doi:10.1097/GCO.0000000000000666 Charles DN, Nagarsheth M, Oshman L. Pain Management for IUD Insertion in Primary Care. Am Fam Physician. 2025;111(4):299-301. Chen, C., Strasser, J., Banawa, R., Luo, Q., Bodas, M., Castruccio-Prince, C., Das, K., & Pittman, P. (2022). Who is providing contraception care in the United States? An observational study of the contraception workforce. American journal of obstetrics and gynecology, 226(2), 232.e1–232.e11. https://doi.org/10.1016/j.ajog.2021.08.015 Diedrich,J., Klein, D. Peipert, J.(2017). Long-acting reversible contraception in adolescents: a systematic review and meta-analysis, Am J Ob Gyn, April 2017. http://dx.doi.org/10.1016/j.ajog.2016.12.024 Li RHW, Lo SST, Gemzell-Danielsson K, Fong CHY, Ho PC, Ng EHY. Oral emergency contraception with levonorgestrel plus piroxicam: a randomised double-blind placebo-controlled trial. Lancet. 2023;402(10405):851-858. doi:10.1016/S0140-6736(23)01240-0 Mørch LS, Meaidi A, Corn G, Hargreave M, Wessel Skovlund C. Breast Cancer in Users of Levonorgestrel-Releasing Intrauterine Systems. JAMA. 2024;332(18):1578–1580. doi:10.1001/jama.2024.18575 Nguyen AT, Curtis KM, Tepper NK, et al. U.S. Medical Eligibility Criteria for Contraceptive Use, 2024. MMWR Recomm Rep. 2024;73(4):1-126. Published 2024 Aug 8. doi:10.15585/mmwr.rr7304a1 Paradise SL, Landis CA, Klein DA. Evidence Based Contraception: Common Questions and Answers. American Family Physician. 2022. https://www.aafp.org/afp/2022/0900/contraception The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.
"I'd already finished my cardiovascular unit. I'd finished my pulmonary unit. I had never heard about this in any of my classes." That was Dr. Joel Bervell's reaction to discovering that a device used every day in hospitals -- the pulse oximeter -- reads less accurately on darker skin tones. He posted a 30-second video about this consequential discrepancy that, to his utter surprise, gained over 500,000 views by the next morning. That video launched Dr. Bervell into orbit as a social media presence and created his identity as The Medical Mythbuster. In just a few years, he's built a following of two million people, earned a Peabody Award and was named to the inaugural Time 100 Creators list, all while finishing his residency. On this episode of Raise the Line, host Lindsey Smith welcomes Dr. Bervell to explore the roots of this kind of bias and the real world impact of drawing attention to it. “The most impactful biases in medicine exist because no one stops to ask who was included in the original data and who was left out,” Dr. Bervell explains. Stay tuned to also learn about: His YouTube animated series The Doctor is In which helps kids understand how their bodies work, as well as providing medical role models; How to build trust with marginalized communities; His forthcoming book, The Default Body which examines who medicine was actually designed for. Mentioned in this episode:Dr. Bervell on InstagramTikTok ChannelFacebook"The Doctor Is In" Show If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
In this episode, Neil Machhar, Chief Executive Officer, Greenbrook Medical, discusses Greenbrook's high-touch primary care model for seniors, its growing partnership with Tampa General Hospital, and plans for expansion. He also shares insights on Medicare Advantage headwinds, sustainable growth, and building a team-first culture.
About 30% to 40% of the world's population is affected by some form of allergic disease, making allergy a routine consideration in primary care. But as interest in the microbiome grows, clinicians and patients face an important question: what does the evidence actually tell us about its role in allergic disease? This episode explores immune development, the hygiene and biodiversity hypotheses, food allergy, early-life tolerance, the gut-skin axis, atopic dermatitis, asthma, allergic rhinitis, antibiotic exposure, diagnostic testing, and early peanut introduction. The discussion separates established evidence from emerging associations and considers what, if anything, should change in clinical practice today. Clinicians will come away with practical guidance on maintaining evidence-based allergy diagnosis and management while understanding where microbiome research may shape future approaches to prevention and care. Resources and references: https://www.thermofisher.com/phadia/us/en/resources/immunocast/microbiome-and-allergy-what-primary-care-should-know.html?cid=0ct_3pc_05032024_9SGOV4
Despite gains in recent years, Black, Hispanic, and Asian communities are still under-represented in the U.S. nursing workforce. We're going to explore that gap and how to close it on this episode of Raise the Line from Elsevier with Dr. Ernest Grant, Vice Dean for Diversity, Equity, Inclusion and Belonging at the Duke University School of Nursing. "You get a patient who is more compliant when they see someone who looks like them, who is from their culture and who can advocate on their behalf," he tells host Lindsey Smith. Dr. Grant bases that and other insights on a rich professional background that includes 50 years in nursing, being a leading advocate for his profession and breaking down barriers himself as a male nurse of color and the first man elected president of the American Nurses Association. In this thoughtful conversation, Dr. Grant reflects on what it took to earn credibility in leadership roles, how he's navigating the political climate on DEI initiatives, and the causes and solutions to the persistent shortage in nursing faculty, among other pressing issues. Tune in for a uniquely-informed look at what it will take to build a stronger, more representative nursing profession. Mentioned in this episode: Duke University School of Nursing American Nurses Association If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
This week, we feature new research on acute respiratory failure, wheezing in childhood, lung cancer, and obesity. We review myeloproliferative neoplasms and follow a diagnostic case of a patient with myasthenia gravis who developed dyspnea and weakness. Perspectives explore medical marijuana research, AI in clinical care, sexual and gender minority health research, and the Perspectives Editor saying goodbye.
Health care workforce shortages aren't experienced the same way in every community and deciding where to invest limited resources requires more than just counting clinicians. Steve Holloway, director of the Primary Care Office for the Colorado Department of Public Health and Environment, explains how his team uses data and geospatial analysis to identify communities with the greatest need for primary, oral and behavioral health providers. Holloway discusses the role of Health Professional Shortage Area designations, Colorado's state-specific approach to measuring access, and the Colorado Health Service Corps, which has supported hundreds of clinicians serving underserved communities. He also explains how partnerships with philanthropy have helped Colorado stretch public workforce investments further, directing resources toward communities where they can make the biggest difference.2026 Primary Care Office Annual Technical Assistance Assessment | ASTHOVoices From the Field: Public Health Success Stories | ASTHOUsing Data-Driven Strategy to Prevent ACEs and Improve Health Outcomes | ASTHOStrengthening Partnerships to Prevent Overdose: Key Actions in a Multi-State Learning Collaborative | ASTHORisk of Severe Arboviral Disease in Patients Receiving B Cell-Depleting or Modulating Medications | HAN | CDC
What does it take to compete on the world's biggest stage and then pivot to one of the most demanding training paths in professional life? Today's guest, Samantha "Sammy" Kolowrat, has done both, and she has some fascinating insights into the commonalities of those two worlds on this episode of Raise the Line. “Something that really drew me to medicine is the team atmosphere that's there as you work towards a common goal, and there's this level of intensity that's very reminiscent of the experiences I had as a professional athlete.” Originally from Prague, Kolowrat represented Czechia at six IIHF Women's World Championships and the 2022 Beijing Olympics, and also captained the Division I women's hockey team at the University of Vermont while earning degrees in biology and pharmacology. As she starts an anesthesiology residency at Vanderbilt University, she credits her athletic career with shaping how she handles pressure, feedback, and teamwork in medicine. "The more I improve, the more knowledge I acquire, the more skills I hone, the better care my patients get," she tells host Lindsey Smith, describing what drew her to a field that rewards the same relentless fine-tuning as elite sports. This engaging conversation also explores: How crippling performance anxiety as a Division I athlete ended up preparing Kolowrat for the operating room; Why she was drawn to anesthesiology's "well-oiled machine" atmosphere; The mentorship gap she's working to close for the next generation of athlete-physicians. Mentioned in this episode: Vanderbilt University Anesthesiology Residency Program If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
We're discussing The Beautiful Mess of Primary Care! Faisel and Dan are joined by Rebecca Etz, PhD from The Larry A. Green Center.Our conversation revolves around working with the system and the technology we have, addressing outcomes from different care models, and investing time and humanity to foster depth of connection with patients.
This week, we feature new research on polymyalgia rheumatica, hypercholesterolemia, prostate cancer, and multiple myeloma. We review evidence-based strategies for tobacco cessation, and follow a case of a woman with nausea, dizziness, and metabolic acidosis. We discuss recent advances in gene editing for rare metabolic diseases. Perspectives address HIV care, health care quality, medical ethics, and finding resilience in the face of serious illness.
Eric Schneider is an adjunct professor of health policy and management at the Harvard T.H. Chan School of Public Health and a member of the Journal's Perspective Advisory Board. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. M. Chernew and E.C. Schneider. Rethinking the Role of Pay for Performance in Federal Health Care Quality Programs. N Engl J Med 2026;395:625-628.
Send us Fan MailFamily medicine is about more than treating illness—it's about caring for the whole person through every stage of life. From preventive care and chronic disease management to mental health and overall wellness, family medicine providers help patients stay healthy long-term. Today, we're talking about what comprehensive healthcare in Family Medicine really means and why having a primary care provider matters.To find a primary care provider who is accepting new patients near you, visit uph.link/CR-PrimaryCareProviders.If you have a topic you'd like Dr. Arnold to discuss with a guest on the podcast, shoot us an email at stlukescr@unitypoint.org.
For educational purposes only It's time to get superior results with us! Support your health & wellness journey with #Titan! Feel Better, Look Better & Perform Better with TitanMedical Center! HormoneOptimization #Health #Wellness #TitanMedicalCenter
There are few things more frustrating for an Emergency Physician than caring for patient after patient who lands in the ED not because it's necessarily the best place for their care, but because every other door in the health care system was closed, confusing or impossible to find. Emergency Medicine and Primary Care often operate in different worlds—one built around rapid diagnosis and uncertainty, the other around continuity and prevention—but our patients move constantly between the two. In this special EM Cases podcast, EM–Primary Care Health Systems Strategies, we step outside the usual ED lens with Dr. Tara Kiran (host of the Primary Focus podcast) and Dr. Danielle Martin to ask how we can deliver the right care, in the right place, at the right time. We challenge assumptions about what drives ED use and explore team-based primary care, after-hours cooperatives, call-first triage, virtual care, information sharing and warm handoffs. Drawing on models from Canada, the Netherlands, Denmark and elsewhere, we finish with practical strategies to reduce fragmentation, improve continuity and make the system work better for patients and providers. Please consider a donation to EM Cases to support our mission of providing high quality free open access medical education here: https://emergencymedicinecases.com/donation/. Disclaimer: This episode was recorded in October 2025, prior to Dr. Danielle Martin becoming a candidate for government office. The views and opinions expressed by Dr. Martin in this discussion were her own at the time of recording and do not represent or reflect the views, policies, or positions of the Government of Canada.
Some of the most serious diagnoses in pediatrics begin with common pediatric symptoms. A child comes in looking pale or with a febrile illness. They've been more tired than usual. Maybe they're bruising easily or complaining their legs hurt. Individually, none of these symptoms are unusual. Together, or with persistence, they can tell a different story. Leukemia is the most common childhood cancer, but it's earliest signs often resemble everyday illnesses. The episode introduces Ashley Rogers, MD, a pediatric oncologist at Children's Hospital Colorado and faculty member at the University of Colorado School of Medicine, as the newest host of Charting Pediatrics. As David Brumbaugh concludes his remarkable nine-year tenure as host, he passes the microphone to Dr. Rogers, ushering in the next chapter of the podcast. Dr. Rogers joins the conversation to share her expertise on childhood leukemia, including key considerations for diagnosis, treatment and the pediatrician's role in recognizing and managing these patients. This episode offers both valuable clinical insights and a warm welcome to a new voice who will continue bringing evidence-based pediatric education to listeners. Some highlights from this episode include: Earliest signs of leukemia pediatricians can look out for How to distinguish between viral illnesses or leukemia Red flags that shouldn't be dismissed Role of the pediatrician after a leukemia diagnosis For more information on Children's Colorado, visit: childrenscolorado.org.
Two experts in obesity medicine discuss the latest advances in obesity care, including: Current data for incretin-based therapies Beyond the scale—individualizing OMM selection based on weight-related comorbidities and cardiometabolic risk Common contraindications and warnings associated with certain OMMs Shared decision-making strategies to inform treatment selection. [JF1]Added this to the episode notes to maybe help with the posttest Presenters Amy Butts, PA-C, DFAAPA, BC-ADM, CDCES Endocrine Physician Associate WVU Medicine Wheeling Hospital Immediate Past President of American Society of Endocrine Physician Associates Wellsburg, West Virginia Nicholas Pennings, DO Professor of Family Medicine Campbell University School of Osteopathic Medicine Director of Clinical Education Obesity Medicine Association Buies Creek, North Carolina Link to full program:https://bit.ly/4v7eIY4 Get access to all of our new podcasts by subscribing to the Decera Clinical Education Multispecialty Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Over a week ago, I stood at 19,341 feet on the roof of Africa, Mount Kilimanjaro. It was the hardest thing I've ever done, harder than any Ironman or marathon. But somewhere between the rainforest and the summit, I realized I wasn't just climbing a mountain. I was watching my patients' weight loss journeys play out in front of me. In this episode, I'm sharing the first four lessons Kilimanjaro taught me about health, resilience, and what it actually takes to accomplish something hard. From the invisible prep work no one applauds, to why "pole pole" (slowly) is the secret to going further, this episode reframes what progress really looks like. Your summit isn't built in one dramatic moment. It's built in thousands of small, unglamorous decisions, the walk after dinner, the water instead of soda, the appointment you finally book. You'll learn why plateaus and slow progress aren't failures, why community and encouragement matter as much as calories, and why the hardest and most important step is simply saying yes. Episode Highlights: Why the journey begins long before the mountain, or the diet, ever starts The invisible decisions behind every success story nobody sees Lesson two: why "pole pole" (slowly) is the pace that actually gets you there Why our culture's obsession with fast results works against how bodies really change Lesson three: why encouragement on the journey matters as much as the plan itself Lesson four: why saying yes before you feel ready is the hardest and most important step Why no single meal, workout, or medication changes your life, consistency does The one question to ask yourself this week to keep moving forward Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Dr. Kyle Rickner heard about Direct Primary Care in a side room at the AAFP National Conference in October 2014 and committed to it 50 minutes later. Today Primary Health Partners cares for employee lives in 30 states, and it started with a patient named Jason who owned a 22 person company and handed Dr. Rickner a check covering every employee for a full year, six weeks after opening.In this episode, Dr. Rickner talks with Dr. Maryal Concepcion about what it takes to build a DPC practice that serves employers without giving up autonomy. He opened with 198 members on day one after a 15 month runway, a $1,000 equipment haul from a shuttered nursing program, and a lot of honest conversations with patients he wanted to bring with him.He also gets direct about the mistakes he sees. Enrollment is not engagement. A 375 employee contract can gut a 600 patient panel overnight if that company sells or closes. And overpromising to an employer poisons the well for the next DPC doctor who walks through that door.What you will hear:Why commitment and enthusiasm persuade patients faster than any marketing budgetThe three pillars Primary Health Partners built on before opening the doorsHow to identify a good employer partner, and when to say noUtilization differences between retail members and employee members, and why adoption rates range from 10% to 92%How he built a 28 doctor affiliate network in three weeks using DPC MapperWhat he thinks about private equity and venture capital money entering DPC, and the two non-negotiables that protect your practiceWhy passive customer acquisition channels may be how DPC reaches the next tens of thousands of patientsLessons on autonomy from practicing inside the Army health systemFind resources and your next step at mydpcstory.com, including the free startup checklist and the Physician Owner's Planner built for the business side of practice ownership.Leave a voice message at mydpcstory.com/contact and your question could be featured on a future episode.Follow My DPC Story on socials @mydpcstory.Stand With Dr. Nyasha Spears and the Future of Patient-Centered Healthcare. Get your copy of the Physician Owner's Planner today at mydpcstory.com/librarySupport the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
In this episode, Surendra Khera, MD, MSc, President, Cleveland Clinic Florida Accountable Care Organization; Vice Chief, Primary Care Institute, Florida Market, Cleveland Clinic, discusses how expanding access, redesigning primary care, and embracing AI are improving patient outcomes and clinician well-being. He also shares strategies for addressing digital workload, strengthening value-based care, and preparing primary care for the future.
For educational purposes only It's time to get superior results with us! Support your health & wellness journey with #Titan! Feel Better, Look Better & Perform Better with TitanMedical Center! HormoneOptimization #Health #Wellness #TitanMedicalCenter
CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
In this episode of CoROM Conversations, Aebhric O'Kelly is joined by Dr Bill Vasios to discuss one of the most overlooked aspects of remote and austere medicine: the intelligent use of over-the-counter (OTC) medications in austere primary care.Rather than focusing on advanced equipment and prescription drugs, this discussion explores how a carefully selected collection of inexpensive, widely available medications can effectively manage many of the illnesses and injuries encountered in remote, expeditionary, humanitarian and disaster settings.The conversation emphasises clinical reasoning, careful assessment, conservative prescribing, and making the most of simple interventions before escalating treatment.Chapters00:00 – Introduction: Why OTC medicines matter in austere medicine02:22 – Traveller's diarrhoeaAssessmentOral rehydrationLoperamide: when to use it (and when not to)06:54 – Upper respiratory infectionsSymptom managementSalt-water garglesSaline spraysWhen antibiotics are unnecessary13:34 – Musculoskeletal injuriesPain packsDiclofenacPatient-guided pain managementRICE and the ice debate20:45 – Allergic rashes and contact dermatitisHydrocortisoneAntihistaminesOatmealRecognising anaphylaxis23:02 – Insect bites and stingsLocal treatmentCold therapyWhen to escalate care25:21 – DehydrationOral rehydrationIV versus oral fluidsHydration strategies in the field29:59 – Heat illnessCooling methodsField managementPreventing heat injury32:15 – Acid reflux in austere environmentsAntacidsGingerPractical management tips32:15 – Minor wound careIrrigationSoap versus antisepticsDakin's solutionAlcohol and iodinePractical wound cleaning36:45 – Building the ideal austere OTC medical kitEssential medicationsDressingsTapeWater purificationSplintsEpiPensMulti-use equipment41:20 – Final discussion, audience questions and wrap-upThe discussion concludes by assembling a practical remote medicine kit, including:Oral Rehydration Salts (ORS)ParacetamolIbuprofenLoperamideAntacidsOral antihistaminesHydrocortisone creamAntifungal creamTopical diclofenacZinc oxide tapeCohesive bandage (Coban/Vet Wrap)SalineSoapCling filmDressingsGauzeSunscreenWater purification equipmentSAM splintsEpiPenCompact medication organiser (FOLCA)Key Take-Home MessagesGood assessment should always precede medication.Oral hydration remains the cornerstone of treating dehydration.Many common conditions can be managed safely with inexpensive OTC medications.Every item carried should ideally have multiple uses.Patient education and involvement improve outcomes.Simple treatments, applied correctly, are often more effective than complicated ones.Featured SpeakersAebhric O'Kelly: Paramedic, educator and Rector of the College of Remote and Offshore Medicine.Dr Bill Vasios: Physician Associate, educator and specialist in austere and remote healthcare.Resources MentionedWorld Health Organization Oral Rehydration Solution (ORS)Wilderness Medical Society clinical practice guidelinesJoint Trauma System Clinical Practice Guidelines (JTS CPGs)Bristol Stool ChartOttawa Ankle RulesListen, Learn, DeployWhether you're preparing for an expedition, humanitarian mission, offshore deployment or remote clinic, this episode provides practical, evidence-informed advice on building a lightweight, effective medical kit capable of managing the conditions you are most likely to encounter.
An 11-year-old boy in rural Zambia once told Dr. Genesis Mwamba that he was about to attend school wearing shoes for the first time in his life. That moment, Dr. Mwamba says, crystallized why he started the Lead Me Back Foundation to provide school supplies and other support to marginalized communities in his native country. As you'll learn in this inspiring installment in our NextGen Journeys series, Dr. Mwamba started the foundation in 2021while still a medical student because he had experienced the power of education as an “equalizer” in his own life, taking him from humble roots to a career in medicine. He and his colleagues have grown the bootstrapped organization to a point where it now provides hundreds of thousands of people across the country with educational access, climate education and community health clinics. “I've always been drawn to opportunities and initiatives that bring help to humankind,” he tells Raise the Line host Dr. Parsa Mohri. This episode also explores: What building "with" a community rather than "for" it looks like in practice; The storytelling strategy that attracted donors and partners; How his mother's untimely death inspired his commitment to preventive medicine. Mentioned in this episode: Lead Me Back Foundation If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
For educational purposes only It's time to get superior results with us! Support your health & wellness journey with #Titan! Feel Better, Look Better & Perform Better with TitanMedical Center! HormoneOptimization #Health #Wellness #TitanMedicalCenter
A new survey says 40% of consumers who saw the new alcohol health warning labels on alcoholic products made them think about alcohol's impact on health and were influenced to buy less or no alcohol.While they have not been fully implemented just yet, and wont until 2028, will they have the desired effect over all on our drinking habits?Bobby Smyth is Professor at the Department of Public Health and Primary Care at Trinity College Dublin and joins Shane to discuss.
This week, we feature new research on chronic kidney disease, high-risk prostate cancer, peripheral artery disease, and oxygen therapy after cardiac arrest. We review the evaluation and management of syncope, follow a challenging case of immune-related inflammatory illness, and report on Perspectives exploring pandemic preparedness, the Bundibugyo Ebola outbreak, and physician mental health.
Jean Nachega is a professor of infectious diseases and the director of the Biomedical Research Institute at Stellenbosch University and an associate professor at the University of Pittsburgh School of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A. Zumla and Others. Ebola at 50 — Lessons for Outbreak Response and Preparedness. N Engl J Med 2026;395:527-529. S. Tonen-Wolyec and L. Bélec. The Social Contract of Bundibugyo Ebola Isolation. N Engl J Med. DOI: 10.1056/NEJMp2607429.
PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/RJR865. CME/MOC/AAPA/IPCE credit will be available until July 27, 2027.Optimizing PAH Outcomes in Primary Care: Shifting the Paradigm Toward Early Intervention and Escalation In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an independent educational grant from Merck & Co., Inc., Rahway, NJ, USA.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/RJR865. CME/MOC/AAPA/IPCE credit will be available until July 27, 2027.Optimizing PAH Outcomes in Primary Care: Shifting the Paradigm Toward Early Intervention and Escalation In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an independent educational grant from Merck & Co., Inc., Rahway, NJ, USA.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/RJR865. CME/MOC/AAPA/IPCE credit will be available until July 27, 2027.Optimizing PAH Outcomes in Primary Care: Shifting the Paradigm Toward Early Intervention and Escalation In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an independent educational grant from Merck & Co., Inc., Rahway, NJ, USA.Disclosure information is available at the beginning of the video presentation.
Jonas Goldstein, Senior Vice President of Transformation at Aledade, and Annette DuBard, MD, Senior Vice President of Clinical Strategy, join Josh Israel, MD, and Sean Cavanaugh to discuss Aledade's participation in the CMS ACCESS model through a new program called Aledade Access which aims to improve patient outcomes by proactively engaging patients in controlling their hypertension. Jonas explains how Aledade Access will use AI-driven technologies to deliver evidence-based insights to primary care physicians within their current workflows, keeping them at the center of patient care. Dr. DuBard shares that she's most excited about the opportunity to expand support for patients between visits, all while strengthening the relationship between primary care physicians and their patients.
How does our immune system change as we age, and what role can vaccines play in supporting healthy longevity? In this informative episode of Growing Older Living Younger, Dr. Gillian Lockitch welcomes physician, healthcare executive, and medical writer Dr. Michael Myers for a thoughtful, evidence-based discussion about immunosenescence—the age-related decline of immune function—and its implications for healthy aging. Together they explore how vaccines work, why vaccine recommendations evolve throughout life, and the importance of understanding both the science and the uncertainties surrounding public health recommendations. Listeners will gain practical insights into immune health, healthspan optimization, brain health and aging, and informed healthcare decision-making. Dr. Michael Myers is a physician, healthcare executive, medical writer, and educator with more than 35 years of experience in clinical medicine, healthcare leadership, and public health. He trained at Johns Hopkins University and Harvard Medical School before pursuing a career in primary care medicine and physician leadership.He most recently served as Chief of Primary Care and Chief of Pediatrics for one of New Jersey's largest medical group practices. His work focuses on preventive medicine, vaccine education, public health communication, and helping patients understand complex medical science. He is the author of The Vaccine Bible: A Comprehensive, Commonsense Guide to What Keeps Us Safe from the Flu, Hepatitis Measles and More. In the Guide he explains how vaccines are developed, how they work, their safety, effectiveness, and the diseases they help prevent. Episode Timeline 00:00 – Welcome and why vaccines matter to healthy longevity 04:15 – Dr. Michael Myers' medical career and what inspired The Vaccine Bible 09:45 – Understanding the immune system: innate immunity, adaptive immunity, and immune memory 17:45 – Immunosenescence: how the immune system changes with age 23:30 – Individualizing vaccine recommendations throughout adulthood 30:25 – Vaccines most relevant for older adults, including influenza, pneumococcal disease, RSV, COVID-19, and shingles 32:30 – Emerging research linking shingles vaccination with reduced dementia risk 34:00 – COVID-19, children, public health messaging, and lessons learned from the pandemic 42:55 – Vaccine confidence, public trust, and addressing misinformation 52:20 – Autism research, vaccine myths, and current scientific understanding 55:35 – Dr. Myers' key message on vaccines, prevention, and healthy aging Connect with Dr. Michael Myers The Vaccine Bible—Amazon The Vaccine Bible—Bookshop.org The Vaccine Bible—Audiobook Dr. Myers' Website Connect with your host, Dr, Gillian Lockitch email: askdrgill@gmail.com For a personalized one on one conversation about health aging strategies Website: www.askdrgill.com https://www.facebook.com/gillian.lockitch/ https://www.linkedin.com/in/gillianlockitch/
n this episode, Shawn Martin, Executive Vice President and Chief Executive Officer, American Academy of Family Physicians, discusses the growing momentum behind independent primary care, the financial and policy challenges facing physicians, and how AI could help reshape the future of family medicine. He also shares why affordability and innovation will define healthcare's next chapter.
Send us Fan MailCan hospice organizations remain relevant if they only engage patients during the final months of life?In Part Two of this thought-provoking conversation, host Chris Comeaux continues his discussion with Dr. Bethany Snider, exploring why traditional primary care often falls short for frail elders and why nonprofit healthcare organizations must rethink the future of serious illness care.Dr. Snider explains how frail elder practices, value-based care, advanced primary care, palliative care, and hospice can work together as one seamless continuum to improve patient outcomes, reduce unnecessary hospitalizations, and help older adults age safely in place. She also shares practical insights on reimbursement strategies, accountable care, leadership, emotional intelligence, organizational innovation, and building sustainable care models that preserve the hospice mission for decades to come.Whether you lead a hospice organization, health system, nonprofit, accountable care organization, or healthcare practice, this episode provides actionable leadership insights on preparing for the next generation of healthcare delivery.Episode Highlights- Why traditional primary care often fails frail elders- The business case for upstream serious illness care- Building sustainable value-based care models- Measuring outcomes beyond traditional healthcare metrics- The future of integrated primary care, palliative care, and hospice- Leadership lessons on innovation, emotional intelligence, and failing fast- Why partnerships will shape the future of nonprofit healthcareGuest:Dr. Bethany Snider, CMO of Everent HealthHost:Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of LeadershipThe Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact.https://www.teleioscn.org/anatomy-of-leadership
For educational purposes only It's time to get superior results with us! Support your health & wellness journey with #Titan! Feel Better, Look Better & Perform Better with TitanMedical Center! HormoneOptimization #Health #Wellness #TitanMedicalCenter
For educational purposes only It's time to get superior results with us! Support your health & wellness journey with #Titan! Feel Better, Look Better & Perform Better with TitanMedical Center! HormoneOptimization #Health #Wellness #TitanMedicalCenter
Can hospice organizations remain relevant if they only engage patients during the final months of life?In Part Two of this thought-provoking conversation, host Chris Comeaux continues his discussion with Dr. Bethany Snider, exploring why traditional primary care often falls short for frail elders and why nonprofit healthcare organizations must rethink the future of serious illness care.Dr. Snider explains how frail elder practices, value-based care, advanced primary care, palliative care, and hospice can work together as one seamless continuum to improve patient outcomes, reduce unnecessary hospitalizations, and help older adults age safely in place. She also shares practical insights on reimbursement strategies, accountable care, leadership, emotional intelligence, organizational innovation, and building sustainable care models that preserve the hospice mission for decades to come.Whether you lead a hospice organization, health system, nonprofit, accountable care organization, or healthcare practice, this episode provides actionable leadership insights on preparing for the next generation of healthcare delivery.Episode Highlights- Why traditional primary care often fails frail elders- The business case for upstream serious illness care- Building sustainable value-based care models- Measuring outcomes beyond traditional healthcare metrics- The future of integrated primary care, palliative care, and hospice- Leadership lessons on innovation, emotional intelligence, and failing fast- Why partnerships will shape the future of nonprofit healthcareGuest:Dr. Bethany Snider, CMO of Everent HealthHost:Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of LeadershipTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
"We have an untapped army of 200,000 PAs that really could step up and drive some change in the healthcare system if we weren't restricted,” says Dr. Jennifer Kolb, capturing her motivation for pushing to update practice regulations for physician associates that date back more than 50 years. As Chief Medical Officer and Senior Vice President of Clinical Affairs at the American Academy of Physician Associates, Dr. Kolb has been in the middle of the fight at the state and federal level to grant PAs more independence from physicians, full billing rights, and the increased ability to practice across state lines, among other changes. In this pertinent conversation with Raise the Line host Lindsey Smith, Dr. Kolb explains how these updates could help close huge gaps in access to healthcare, better manage the fight against chronic diseases and improve patient outcomes. Dr. Kolb also addresses: Why the name shift from "assistant" to "associate" took her years to fully appreciate; How a 10-year gap in life expectancy across Chicago zip codes shapes her view of health equity; Why PA's shouldn't wait for permission to start making change in their communities. Mentioned in this episode:American Academy of Physician Associates If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
This week on Faisel and Friends, we are discussing Improving the Match: The Resident Perspective. Faisel and Dan are talking with Dr. Amanda Lilley and Dr. Molly Stegman, residents involved in shaping the AAFP's Residency Selection Improvement Initiative (RSII).Our conversation explores identifying factors of the match that are in need of improvement, participating in efforts that will impact the future for domestic and international medical students, and creating a system to support shifting the culture around applying for residency.
This week, we feature advances that may change care for prostate cancer, multiple myeloma, acute pain, and IgA nephropathy. We review platelet factor 4 disorders and follow a case of persistent nasal ulceration. Perspectives explore medical aid in dying, federal authority in health care, public health and litigation, and the challenge of delivering life-changing news with honesty and compassion.
How MY DR NOW is Scaling Consumer-Centric Primary Care Dr. Payam Zamani, CEO and Founder of MY DR NOW, shares how you don't need urgent care if you do primary care right, how outcomes improve when you make it easy for patients to be compliant, and whether he thinks patients using LLMs are good for business. All that, plus the Flava of the Week about the Nourishing Change conference. How did the conference's attendee mix reflect the collaboration that needs to happen to make healthcare more preventive, and how much progress is possible if we all join the Movement? Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
Jerry Avorn is a professor of medicine at Harvard Medical School and the codirector of the Program on Regulation, Therapeutics, and Law at Harvard Medical School and Brigham and Women's Hospital. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. J. Avorn. Products That Pose Health Risks — Can Litigation Protect Us When Government Fails? N Engl J Med 2026;395:421-423.
Send us Fan MailIs traditional primary care failing America's frail elders? As our aging population grows, healthcare leaders face an urgent challenge: today's healthcare system was never designed to meet the complex, long-term needs of frail older adults.In Part One of this compelling conversation, Chris Comeaux welcomes Dr. Bethany Snider, Chief Medical Officer of Everent Health, to explore why the future of healthcare requires a new model of care. Together, they examine the emerging concept of the frail elder practice—an interdisciplinary, relationship-centered approach that goes far beyond traditional primary care by integrating home-based care, caregiver support, palliative care principles, and longitudinal care management.Dr. Snider explains why traditional primary care, built around brief office visits and volume-driven reimbursement, is increasingly inadequate for patients living with serious illness, multiple chronic conditions, functional decline, and caregiver challenges. She also discusses why hospice organizations must begin moving upstream as value-based healthcare, accountable care organizations (ACOs), and population health models reshape access to patients and redefine the future of serious illness care.Whether you lead a health system, hospice, physician practice, nonprofit, or healthcare organization, this episode offers strategic insights into where healthcare is headed—and why organizations that adapt early will be best positioned to improve patient outcomes while advancing their mission.In this episode, you'll learn:•Why traditional primary care often falls short for frail elders•What defines a successful frail elder practice model•How interdisciplinary, home-based care improves quality of life•Why hospice leaders must rethink their role in value-based healthcare•How palliative care should be integrated throughout the patient journey•What healthcare leaders should be doing today to prepare for tomorrow
Send us Fan MailDr. Lauren Hall, a new physician with UnityPoint Clinic Family Medicine - Mount Vernon, joins Dr. Arnold to talk about her background, clinical and personal interests, what led her to UnityPoint Health and much more.If you would like to schedule an appointment with Dr. Hall, call UnityPoint Clinic Family Medicine – Mount Vernon at (319) 895-8841 . This is another episode in a segment on the podcast called "New Clinician Spotlight." In these episodes, Dr. Arnold will sit down with new clinicians at UnityPoint Health - Cedar Rapids and get to know them as a clinician and as a person.If you have a topic you'd like Dr. Arnold to discuss with a guest on the podcast, shoot us an email at stlukescr@unitypoint.org.
Four inflammatory bowel disease (IBD) experts explore case-based strategies for optimizing advanced IBD therapy and long-term disease management early in real-world practice. They discuss practical approaches for implementing treat-to-target via strategic treatment sequencing, therapeutic drug monitoring, and maintenance approaches while supporting individualized, evidence-based care for patients with IBD. Presenters Jessica R. Allegretti, MD, MPH, FACG, AGAF Medical Director, Infusion Services Director, Crohn's and Colitis Center Director of Clinical Research Director, Fecal Microbiota Transplant Program Division of Gastroenterology, Hepatology and Endoscopy Brigham and Women's Hospital Associate Professor of Medicine, Harvard Medical School Boston, Massachusetts Jordan E. Axelrad, MD, MPH, AGAF, FACG, FCCF Co-Director, Inflammatory Bowel Disease Center at NYU Langone Health Associate Professor of Medicine Division of Gastroenterology and Hepatology NYU Grossman School of Medicine New York, New York Russell D. Cohen, MD, FACG, AGAF Professor of Medicine, Pritzker School of Medicine Co-Director, Digestive Diseases Center Clinical Director, Inflammatory Bowel Disease Center Co-Director, Advanced IBD Fellowship Program The University of Chicago Medicine Chicago, Illinois Amy Stewart, MSN, FNP-C Lead Advanced Practice Provider Capital Digestive Care Washington, DC Link to full program: https://bit.ly/4wvm7l4 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Separating Signal from HypePatients bring us lists. Greens powders, magnesium for everything, vitamin D “for immunity,” fish oil, creatine, curcumin… so how do we separate signals from hype without becoming the office that just says “no” to everything? In this home-grown deep dive, we build a practical, patient-centered framework for evaluating any supplement, then pressure-test it against the products patients actually take. Learn a five-question approach to any supplement, how to judge product quality in an industry the FDA does not pre-approve, and where the evidence actually lands on greens powders and multivitamins, magnesium, creatine, vitamin D, fish oil (and why cod liver oil is not the same thing), turmeric/curcumin, and glucosamine/chondroitin.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Ask These Five Questions: A Framework for Any Supplement Supplement Quality and Regulation Greens Powders and Multivitamins Magnesium Creatine Vitamin D Fish Oil and Cod Liver Oil Turmeric and Curcumin Glucosamine and Chondroitin Simplifying the Regimen Take-Home Points Credits Writer and Producer, Show Notes, Cover Art, Infographic: Paul Wurtz MD. Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Sai S Achi MD, MBA, FACP Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste DisclosuresThe Curbsiders report no relevant financial disclosures. Sponsor: FIGSCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. Sponsor: Panacea FinancialVisit Panacea.Legal/curb to schedule your free consultation.Sponsor:Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.
I had a patient walk into my office recently looking frustrated. She sat down, crossed her arms, and said, "Dr. Shelly, my medication has stopped working. I lost 32 pounds, but for the last six weeks my weight hasn't budged. Am I immune to this medication?" If you've looked at the scale lately and wondered the same thing, this episode is for you. In this episode, I'm walking you through the seven most common reasons weight loss plateaus happen, from still being on a starting dose to hidden medical conditions like thyroid issues or PCOS that can quietly work against you. I'll also break down why protein intake and resistance training matter more than most people realize once a GLP-1 medication kicks in. But here's what matters most: a plateau doesn't mean your medication has failed. Your body is incredibly smart, and adapting is exactly what it's designed to do. You'll learn exactly what's happening biologically during a stall, and the five practical steps to get your progress moving again. Episode Highlights: Why plateaus are a normal, expected part of every weight loss journey, not a sign of failure Why your starting dose may not be your effective dose yet How low protein intake quietly stalls progress and costs you muscle Why resistance training protects the muscle mass your metabolism depends on How untreated sleep issues like sleep apnea can sabotage results The hidden medical conditions, from thyroid issues to PCOS, that can slow weight loss Why hitting a plateau might actually mean you've already succeeded Five practical steps to get moving again when progress stalls Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Most adults who smoke want to quit, and about half try to do so in any given year, yet fewer than one in ten succeed. That persistent gap between intention and outcome is one of the central challenges in public health, and it's exactly the kind of problem that calls for new thinking about how to communicate with people to support behavior change. Dr. Amanda Graham has been a leading force in doing just that in her role as chief health officer at Truth Initiative, the nation's largest non-profit public health organization dedicated to preventing addiction among young people and helping people of all ages to quit tobacco. On this episode of Raise the Line from Elsevier, Dr. Graham, who holds a PhD in clinical health psychology and has done 25 years of NIH-funded research focused on technology-based cessation interventions, helps us understand the interplay between behavioral science and digital communications in the field. "A well-timed message can really be powerful in interrupting what for many people is kind of an automatic behavior, especially via text, which data tell us is an extraordinarily powerful modality,” she explains to host Lindsey Smith. Tune-in to understand where the field is heading, and to learn about: Why "push" technology may work better than apps and websites when it comes to breaking automatic behaviors; How the rise of e-cigarettes, nicotine pouches, and heated tobacco has scrambled decades of public health messaging; How highschool smoking rates plunged from over 30% to less than 2%. Mentioned in this episode: Truth Initiative Program with Mayo Clinic If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Knowing when to refer and when to manage a patient yourself is one of the biggest clinical judgment skills you will build in primary care. It can also be a common source of confusion on NP boards, especially when referral feels like the safest answer. In this episode, Alex and I break down how to think through referral decisions using patient stability, red flags, scope of practice, and response to first-line treatment. We walk through primary care scenarios involving hypertension and diabetes to show why the same diagnosis may be managed in one situation and referred in another. Get full show notes, transcript, and more information here: https://blog.npreviews.com/when-to-refer-primary-care-np-boards Follow us on Instagram: instagram.com/smnpreviewsofficial
This week, we bring you advances in pancreatic and bladder cancer, preventing gonorrhea, a promising new therapy for adolescent hypertrophic cardiomyopathy, and a review of antiretroviral treatment for HIV. We also follow a striking case of vision loss that led to an unexpected diagnosis and discuss Perspectives on vaccine evidence, hepatitis C elimination, the endorsements of prescription drugs on social media, and the enduring intersection of love and loss in medicine.
It's just the two of us this week, which means we bounce between Star Wars, ageism in medicine, Mark Cuban's healthcare policy ideas, and the spleen. Kristin sent me a video about the Bajau people of Southeast Asia, a group of divers from Indonesia and the Philippines who have genetically evolved spleens that are 50% larger than average, which they use as an oxygen reservoir to dive 70 meters and hold their breath for up to 13 minutes, and look, I'm not saying I was wrong about the spleen, but I'm being forced to acknowledge it might have one useful function. We also talk about the 72-year-old medical school graduate who is now heading into a family medicine residency and the baffling ageist backlash she received from people who apparently think someone "stole a spot", in family medicine, where programs regularly can't fill their positions. She earned it, full stop. We get into Mark Cuban's argument that free medical school tied to service requirements could help fix the primary care shortage, I think he's closer to right than I initially gave him credit for, but the downstream problems are thornier than they look, and the direct primary care model, which makes a lot of happy doctors but probably has a selection bias problem. We also go deep on spleen physiology because Kristin is my heckler and this is the bit now: splenic lacerations, splenules, Howell-Jolly bodies in the blood post-splenectomy, and why losing your spleen means you really, genuinely need to be vaccinated against pneumococcus, meningococcus, and Haemophilus influenzae type b. Also, I had mono in college, did not follow the no-contact-sports instructions, and I only survived because Kristin wasn't around yet to enforce anything. She has since made up for lost time. Takeaways: The Bajau people of Southeast Asia have genetically evolved larger spleens. A 72-year-old woman earning her medical degree and entering family medicine isn't taking anyone's spot Free medical school tied to service requirements is a more interesting idea than pure loan forgiveness Losing your spleen significantly raises your infection risk from encapsulated bacteria Direct primary care attracts genuinely enthusiastic physicians, but that may partly reflect selection bias — 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. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
© 2020-2026 Ivy Podcast Discovery LLC
