Episodes
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The Original Guide to Men's Health will be taking the month of May off and will be returning June 5th with brand new content for you. Until then be well, take care of yourselves and we will see you in June!
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Another pandemic will happen. When it does, will we be prepared? What are we doing to make certain that we are?
Our guest is the Director of the Office of Pandemic Preparedness and Response Policy. Hear about what is being done to facilitate and improve our ability to face another pandemic.
Guest:
"Major General (ret) Paul Friedrichs, MD, FACS, Deputy Assistant to the President and Director of the Office of Pandemic Preparedness and Response Policy (OPPR)"
Major General (ret) Paul Friedrichs, Inaugural Director of OPPR and Principal Advisor on Pandemic Preparedness and Response
Major General Friedrichs is currently Special Assistant to the President and Senior Director for Global Health Security and Biodefense at the National Security Council (NSC). Prior to joining the NSC, Dr. Friedrichs most recently served as the Joint Staff Surgeon and the medical advisor to the Department of Defense (DoD) COVID-19 Task Force. Throughout his career he has worked closely with Federal, State, Tribal, local, and territorial government partners, as well as industry and academic counterparts and has been active in multiple professional medical societies. Dr. Friedrichs has also overseen the DoD global patient evacuation system, supporting global medical care and numerous interagency domestic and global disaster responses. He led the DoD Task Force which developed plans to implement high reliability medical principles across DoD and stood up the Air Force’s first medical analytics capabilities. Over the course of his 37-year career, he has led military hospitals and regional and global health care systems, published multiple medical papers, and consistently sought opportunities to partner with colleagues to improve health care delivery and preparedness. As the United States’ representative to the North Atlantic Treaty Organization Committee of Military Medical Chiefs, he worked closely with many of America’s closest allies and partners throughout the pandemic and in developing medical support to the Ukrainian military.
Dr. Friedrichs is a board-certified physician who has cared for hundreds of patients in combat and managed broad domestic and global public health threats. He has spent all of his career in public service, having first received his commission through Reserve Officer Training Corps in 1986 and rising to Major General in 2023.
During This Episode We Discuss:
Overview of the Office of Pandemic Preparedness and Response Policy
What are the goals for the office
How will the office function
How will the office coordinate with state health agencies, health delivery systems, medication manufacturers , support and personal protective device manufacturers, research and testing facilities?
The importance of a robust Public Health System. How does a public health system integrate into the office's response policy?
What can the office do to facilitate a functioning national,regional and local deployment of response teams?
How can we speak to the public, ie messaging about the science of pandemic causation, diagnosis, containment and treatment strategies without the politicalization that occurred with the Covid pandemic?
What recommendations and routines does the Air Force use to keep it’s personnel healthy?
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Missing episodes?
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Why do we find it challenging to take care of ourselves, follow up on health concerns or enter into preventive health maintenance? Men in particular seem to have more difficulty in this regard. Even when we have the knowledge to pursue evaluation we sometimes fail to follow through.
Health Behavior is complex and has a multitude of factors influencing our decisions. Join in to listen to 2 experts review the theory of health behavior, as well as other health models.
Guest:
Grace Lasker, Ph.D, MCHES, CN, CHC (she/her)
Director of Health Studies; Teaching Professor, Nursing and Health Studies
Adjunct Teaching Professor, Dept. of Environmental & Occupational Health Sciences
University of Washington Bothell
Joseph Henrich,Ph.D
Ruth Moore Professor of Biological Anthropology, Professor of Human Evolutionary Biology
Department of Human Evolutionary Biology
Harvard University
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We are pushing back the publication of our next episode of The Original Guide to Men's Health by one week due to a scheduling issue. We will be back with new content for you on March 13th with an excellent episode all about Health Behavior, what is it, what do we know about, and how do we change it? Join us next week for a fantastic episode of The Original Guide to Men's Health!
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The final two presentations of the ‘Real Talk on Men’s Health’ event are presented in this episode.
The first presentation provides the listener with important information regarding the early detection of Prostate and Testicular Cancers.
The second presentation reveals important information regarding the new ‘ Obesity Medications” as well as information on Obesity, Diabetes and Metabolic Syndrome.
Guests:
Men’s Cancers:
Early Detection for Prostate and Testicular Cancers
Yaw A. Nyame, MD, MS, MBA Deputy Associate Director of Diversity, Equity and Inclusion, Fred Hutch Cancer Center Assistant Professor, Department of Urology and Fred Hutch Cancer Center, University of Washington
Metabolic Syndrome, Diabetes & Obesity : Updates in Management & Medications
JOSHUA THALER, MD, PhD
Associate Professor Division of Endocrinology and Nutrition, University of Washington School of Medicine
UW Medicine Diabetes Institute
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This episode represents 2 additional presentations from the October 25 live event titled’
Real Talk on Men’s Health.
In this Episode the following presentations are featured:
Heart Health: Keep Your Heart Beating and Benign Prostatic Enlargement
Guest:Heart Health: Keep Your Heart Beating
Dr Eugene Yang, MD,MS, FACC, Clinical Professor Department of Cardiology University of Washington School of Medicine. He is the Carl and Renee Behnke Endowed Professor for Asian Health and the Medical Director, UW Physicians Eastside Specialty Center as well as the Co Director UW Medicine Cardiovascular Wellness and Prevention Program.
Benign Prostatic Enlargement:
Dr Will Fuller, MD. Dr Fuller is an Attending Urologist, Virginia Mason Franciscan Health Urology
During This Episode We Discuss:
Primary Risk Factors for Cardiovascular Disease
Behavioral and lifestyle optimization of risk factors
2019 American College of Cardiology(ACC) and American Heart Association (AHA)Prevention Guidelines
The ACC ASCVD Risk Estimator
Cholesterol Goals
Blood Pressure Goals
Lifestyle Recommendations
Sodium and Blood Pressure
Heart Healthy Diets
Exercise and Heart Health
Prostate Anatomy
Prostate Enlargement Symptoms
Evaluation of Prostate Enlargement
Treatment options for Prostate Enlargement
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In October a special event occurred in Seattle titled Real Talk on Men’s Health, an evening of presentations on prevention and lifestyle tips from men’s health experts. The event also reviewed a groundbreaking effort to create a state commission on boys and men.
Presentations covered the following topics:
Longevity, Sexual Health, ED & Testosterone, Heart Health, Benign Prostatic Enlargement, Prostate and Testicular Cancer, Metabolic Syndrome, Diabetes and Obesity (updates in management & medications), and a update regarding House Bill 1270, a Washington State bill to create a state commission for boys and men.
This episode of the Original Guide to Men’s Health will include 3 of the presentations from that evening. We begin with a brief update on why a commission for boys and men is so important. Following that, is a presentation on longevity and completing this episode is a presentation on sexual health. ED and Tesosterone.
Guest:
Update on House Bill 1270:
Blair Daly founder and director of the Washington Initiative for Boys and Men
Joe Cook Volunteer Youth Leader
Longevity: Living Better and Longer:
Matt Kaeberlein, PhD CEO Optispan, Professor of Pathology, an Affiliate Professor of Oral Health Sciences UW School of Medicine. He is the former Director Health Aging and Longevity Research Institute and the Biological Mechanisms of Health Aging Training Program. He is also the former co - director of UW Nathan Shock Center of Excellence in the Basic Biology of Aging
Sexual Health, ED and Testosterone:
Marah Hehemann, MD, Assistant Professor, Department of Urology, UW School of Medicine, and the Director of Male Sexual and Reproductive Health, Puget Sound VA
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Health Insurance continues to be a very complex, difficult to understand and in many instances less than transparent entity.
This episode explores health insurance from multiple perspectives (individuals, employers, health care providers and care delivery organizations.
The role of Pharmacy Benefit Managers (PBM’s) is also explored
Guest:
Dr Jeffrey Frankel, MD, Is a Past President of the Washington State Urology Society, a Past President of the Western Section of the American Urological Association, a Past President of the American Association of Clinical Urologists, and he currently chairs the Government Affairs Committee for the Washington State Urology Society He has practiced Urology in the King County area since1985.
During This Episode We Discuss:
What is your responsibility regarding your insurance coverage prior to visiting a medical providers office, undergoing a procedure or study and or surgery.
How does your coverage differ from someone else who might be under the same plan
What happens when you are in Network or out of Network.. What does that mean?
What happens when you care provider becomes employed by a healthcare entity, clinic or insurance company
How does Medicare, Medicaid work? How is it different from private insurance?
What are Medicare advantage plans?
What are Pharmacy Benefit Managers?
Recommended Resources:
Episode 17 Understanding and Navigating the health Insurance System, The Original Guide to Men’s Health
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Those aches and pains in your fingers, hand, elbow, toes, foot, ankle and knee, what causes them ? What to do when they seem to be getting more severe and are interfering with your activities? What are the various types of arthritis?
Not all Rheumatological disease is arthritis, what else does this area of medical specialties deal with?
We explore the major Rheumatological diseases with a leading Rheumatologist and experienced clinician, researcher.
Guest:
S. Louis Bridges, Jr., MD, PhD has served as Physician-in-Chief and Chair of the Department of Medicine at Hospital for Special Surgery (HSS) and Chief of the Division of Rheumatology at HSS and at Weill Cornell Medical College since 2020. He is immediate Past President of the Rheumatology Research Foundation and a former member of Executive Committee of the Board of Directors of the American College of Rheumatology (ACR). He received a BS degree from the University of Notre Dame, and an MD degree from Louisiana State University School of Medicine in New Orleans. After serving as a Medicine Resident and Chief Medical Resident at the University of Texas Medical Branch in Galveston, Texas, he completed a fellowship in Rheumatology at UAB, where he also obtained a PhD degree in Microbiology/Immunology. From 2008 to 2020, he was Director of the Division of Clinical Immunology and Rheumatology at the University of Alabama at Birmingham. Dr. Bridges has been named to Best Doctors in America, Castle-Connolly Top Doctors, and to the 2023 New York Super Doctors list. He has received the UAB Department of Medicine’s Max Cooper Award for Research Excellence and the UAB School of Public Health’s Sam Brown Bridge Builder Award. He is former Co-Editor of Arthritis & Rheumatology and past Chair of the NIH Arthritis, Musculoskeletal, and Skin Study Section. His research focus is rheumatoid arthritis susceptibility, autoantibodies, and biomarkers of treatment response. He has authored more than 185 manuscripts, many book chapters, and served as editor of three books.
During This Episode We Discuss:
What are Rheumatological diseases? What differentiates sore joints from Rheumatoid or Osteoarthritis? How do we differentiate , diagnose and treat these diseases?
What are some of the newer therapies?
When should you see a physician about your aches and pains in your joints?
When should you see a Rheumatologist?
What are some of the other major Rheumatological diseases?
What should we know about Lupus, Psoriatic arthritis, and Gout.
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In this episode we explore our understanding of longevity with a leading longevity researcher.
Guest:Dr Matt Kaeberlein, PhD
Former Director, Healthy Aging and Longevity Research Institute
Former Director, Biological Mechanisms of Healthy Aging Training Program
Co-Director, UW Nathan Shock Center of Excellence in the Basic Biology of Aging
Co-Director, Dog Aging Project
Professor of Pathology
Adjunct Professor of Genome Sciences
Adjunct Professor of Oral Health Sciences
Dr. Kaeberlein’s research interests are focused on biological mechanisms of aging in order to facilitate translational interventions that promote healthspan and improve quality of life. He has published more than 200 scientific papers, has been recognized by several prestigious awards, and has Fellow status in the American Association for the Advancement of Science (AAAS), the American Aging Association, and the Gerontological Society of America (GSA). Dr. Kaeberlein is currently the CEO of the American Aging Association and has served on the Board of Directors for the Federation of American Societies for Experimental Biology (FASEB), AGE, and GSA. Dr. Kaeberlein is the founding Director of the UW Healthy Aging and Longevity Research Institute, the Director of the UW Nathan Shock Center of Excellence in the Basic Biology of Aging, Former Director of the Biological Mechanisms of Healthy Aging Training Program, and founder and co-Director of the Dog Aging Project.
Recommended Resources:
Twitter @mkaeberlein
Peter Attia: Podcast, book, articles
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Learn all you need to know about Kidney Stones,who is at risk, the various types of stones and presentations.
Guest:
Robert M. Sweet, MD, FACS, MAMSE
Professor of Urology, Surgery and Bioengineering(adj)
Medical Director UW Medicine Kidney Stone Center
Chief, Division of Healthcare Simulation Sciences
Executive Director of WISH and CREST
University of Washington
Dr. Sweet is a Joint Professor of Urology and Surgery and Adjunct Professor in Bioengineering at the University of Washington. He is the Inaugural Chief of the Division for Healthcare Simulation Science and the Founding Medical Director of the UW Medicine Kidney Stone Center.
Dr. Sweet founded and led the University of Minnesota’s SimPORTAL and cofounded the University of Washington’s ISIS which was renamed the Washington, Wyoming, Alaska, Montana and Idaho Institute for Simulation Technologies (WISH) when he assumed the Executive Director position. He is the PI for all programs in the Center for Research in Education and Simulation Technologies (CREST) including the “Advanced Modular Manikin”
During This Episode We Discuss:
We review the diagnosis and various presentations of stones- Why are some painful and others not so much?
How are Kidney Stones diagnosed? What constitutes a Kidney Stone emergency?
Who has stones that might pass versus stones that require therapy. How are Kidney Stones managed and treated?
How can we prevent Kidney Stones
The role of the Kidney Stone Center
Recommended Resources:
Kidney Stones National Kidney Foundation: https://www.kidney.org/atoz/kidneystones
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Chronic Pelvic Pain, Chronic Prostatic Pain Syndrome, Chronic Testicular and Penile Pain often have origins in abnormal pelvic floor muscle tension. Listen and find out how modern pelvic physical therapy can help.
Guests:
Molly Riley, PT,DPT: Pelvic Health Physical Therapist, University of Washington,Northwest Outpatient Medical Center
Ken Berger, JD, MD: President of the Washington State Urology Society, Practicing Urologist, Tri-State Health,Clarkso,WA, Chair of American Urological Association’s Leadership and Business Education Committee.
During This Episode We Discuss:
The Evaluation and Management of Chronic Pelvic, Prostatic, Testicular, and Penile Pain.
Management of the abnormal voiding ( the non relaxing voider ), improving post operative stress urinary incontinence, and appropriate technique for strain free bowel evacuation.
Chronic Prostatitis is now referred to as Chronic Pelvic Pain Syndrome (CPPS): This is an effort to change thinking that all chronic prostatitis is infection oriented. Many times CPPS patients respond very nicely to pelvic floor PT
Quotes:
Referring to the steps in evaluating testis pain….” If I do all of that and I don’t find anything, that becomes a much more difficult problem for me as a Urologist to treat. That is where I start thinking about sending ( the patient ) to Physical Therapy.
Dr. Ken Berger, JD, MD.
Recommended Resources:
Pelvicrehab.com: Use this as a resource to find a Pelvic Health Physical Therapist
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A community based initiative partnering with multiple agencies and resources toward gun violence prevention. Learn what’s involved in this campaign.
Listen and be educated on opportunities to intervene and resources needed.
Guest:
Will Jimerson, Regional Gun Violence Team for Public Health - Seattle & King County
The Regional Peace Keepers Collective - An Initiative Implemented by the RGV Program
During This Episode We Discuss:
Mr Jimerson reviews all aspects of the program and the efforts, resources needed to effect changes in gun violence and outcomes.
Recommended Resources:
Can Community Programs Help Slow The Rise In Violence.
By Alec Macgillis.
Pro Publica January 30
Regional Gun Violence Community-Based Resource Guide for resources: https://kingcounty.gov/initiatives/Regional-Gun-Violence-Community-Based-Intervention-Resource-Guide.aspx
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For this month we are collaborating with The Partnership for Male Youth, to share their amazing podcast, Let's Examine This hosted by Dennis Barbour. We will be doing a collaborative episode with them in June for Men's Health Awareness Month, so be sure to check out their show and we'll be back with a new episode of The Original Guide to Men's Health in June.
What are some of the body image and eating disorders that young males are prone to? What is the difference between a body image and an eating disorder? How many young men are affected by these disorders? What are some of the other disorders that are present at the same time? What are some of the risk factors? Is there a genetic component? What role does the media play? What are some of the treatments for these disorders? Our two guest experts will discuss these and other issues.
Guests:
Dr. Roberto Olivardia
Dr. Jason NagataRecommended Resources:
National Eating Disorders Association
Eating Disorders in Boys and Men
The Adonis Complex: How to Identify, Treat and Prevent Body Obsession in Men and Boys
Eating Disorders Helpline -
Obesity is a chronic disease and is associated with related conditions such as cardio vascular disease(heart attack and stroke),type 2 diabetes, and certain cancers. The current understanding of obesity demonstrates both biological and environmental factors like economics and infrastructure, psychosocial and developmental issues as important contributors as well as newer understanding of their role in influencing the hypothalamus.
New treatment strategies and medications demonstrate opportunities for success in management of obesity.
Guest:
Joshua Thaler, MD, PhD.
Associate Professor of Medicine, Division of Metabolism, Endocrinology and Nutrition.
Dr. Thaler graduated with a major in Biochemistry from Harvard College (Magna Cum Laude with Highest Honors, and on the Dean’s List), then obtained an MD and a PhD in Biomedical Sciences from the University of California, San Diego and the Salk Institute (where he was a Chapman Scholar and a Lucille P. Markey Fellow). He short-tracked through the Internal Medicine residency program at UW and was an endocrinology/metabolism fellow, working in Dr. Michael Schwartz’s laboratory. He is currently an Associate Professor at the UW Diabetes Institute.
Research InterestsDr. Thaler’s focus is the hypothalamic regulation of energy homeostasis and the alterations to this system during obesity pathogenesis. His primary project investigates hypothalamic inflammation and its relationship to high fat diet-induced weight gain with an emphasis on the role of glial cells (astrocytes and microglia) in modulating the neuronal regulation of energy homeostasis. In particular, his research aims to determine whether glial cells provide a repair response to diet-induced damage to critical hypothalamic neurons and whether interventions targeted at glia may therefore influence the course of obesity. A second study examines the role of inflammatory signaling in hypothalamic neurons and microglia in obesity-associated insulin resistance and diabetes. Additionally, Dr. Thaler’s research is examining the metabolic role of POMC neurons through modification of atypical protein kinase C signaling.
During This Episode We Discuss:
Obesity versus being overweight, what Body Mass Index (BMI) defines each condition.
Causes of obesity. New data on root causes
Health impact of obesity
The individualized approach to treating obesity
Investigations and Research into the role of the brain (Hypothalamus) in obesity and obesity management.
Successful strategies for managing obesity,including newer medications and Bariatric Surgery
Quotes (Tweetables):
The US obesity prevalence was 41.9% in 2017-March 2020
BMI 25-30 = overweight
BMI 30 or greater = Obesity
“Obesity by many estimates is at least 50% if not more based on inherited genes. That susceptibility is being acted on by the environment, You shouldn't take the fatalistic view I've got these genes and there is no hope”
Dr Josh Thaler
“The Heavier you are, the higher your energy expenditure. Thus we can’t say that in general, that people who are overweight have a slower metabolism”
Dr Josh Thaler
“How much weight needs to be lost in order to reverse either the disease that’s established or lower the risk of the one that hasn't come yet.. You don't have to go back to your original normal weight..What the data suggests is that even 5-10% weight loss from wherever your current weight,is sufficient to reverse a lot of things(associated diseases) that are associated with obesity”
Dr Josh Thaler
“The (newer injectable)weight loss medications do not cure (obesity), if you stop them, the weight will come back…there is no reason to believe it changed your biology in some way that's permanent”
Dr Josh Thaler
Recommended Resources:
CDC
https://www.cdc.gov/obesity/basics/index.html
Obesity Canada ( formerly called,The Canadian Obesity Network). Obesitycanada.ca.
The Obesity Society www.obesity.org.
Ania Jastreboff, MD, PhD
Kevin D.Hall, PhD Multiple You Tube videos and publications
Michael W. Schwartz, MD University of Washington
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In this two part episode we explore where the modern male finds himself. We review data demonstrating a trend of increasing gaps in educational achievement, increasing rates of male suicide, and addictions, the preponderance of males in the homeless population and the decline in males participating in key careers.
We also hear about a Washington State bill to create a commission on boys and men, why it’s important and potentially unique.
If you're unsure if men are indeed in crisis, or are already familiar with some of the issues, listen as we explore,learn and hear not only the issues but solutions from our two very thoughtful, knowledgeable and engaging guests.
Guests:
Richard V. Reeves
Richard V. Reeves is a senior fellow in Economic Studies,The Brookings Institute, where he holds the John C. and Nancy D. Whitehead Chair and leads the Boys and Men Project. His research focuses on boys and men, inequality, and social mobility.
Richard’s publications for Brookings include his latest book Of Boys and Men: Why the Modern Male Is Struggling, Why It Matters, and What to Do about It (2022) and 2017's Dream Hoarders: How the American Upper Middle Class Is Leaving Everyone Else in the Dust, Why That Is a Problem, and What to Do about It. He is a contributor to The Atlantic, National Affairs, Democracy Journal, the Wall Street Journal and the New York Times. Richard is also the author of John Stuart Mill – Victorian Firebrand, an intellectual biography of the British liberal philosopher and politician.
Rep. Mary Dye
First appointed to the House of Representatives in 2015, Representative Mary Dye is a Republican from the Eastern Washington community of Pomeroy. She is serving her fifth term, representing the 9th Legislative District. As a ranking member of the House Environment and Energy Committee, Representative Dye prioritizes protection of affordable and reliable energy, improving environmental and water quality and outdoor recreation. She is also working to improve irrigation infrastructure to ensure irrigated farms are climate resilient. Representative Dye graduated from the Harvard Kennedy School Senior Executive Leadership program and holds a B.S. in Crop Management from the University of Idaho. She and her husband farm dryland wheat in Garfield County. Get more information from her website: www.RepresentativeMaryDye.com
During This Episode We Discuss:
The background data and trends supporting the issues are reviewed in an enlightened discussion with Brookings Scholar Richard Reeves
Learn from a Washington State Legislator Rep. Mary Dye about her efforts to sponsor a bill that would create a Washington state commission on boys and men. The would address well-being, including educational achievement, suicide, homelessness, drug and alcohol addiction and overdose, and incarceration.
Those that feel this bill is serving a population that has already been privileged are looking through a narrow lens. These interviews demonstrate why vulnerable populations, men in poverty, and BIPOC populations would all find an advantage to having such a commission.
Recommended Resources:
Of Boys and Men: Why the Modern Male is Struggling, Why It Matters and What to Do About It
By Richard V Reeves
How Toxic is Masculinity by Zoe Heller, Books, The New Yorker August 8,2022 Issue
Men Need Purpose More Than ‘Respect’ Opinion by David French, The New York Times, Feb.12,2023
https://lawfilesext.leg.wa.gov/biennium/2023-24/Pdf/Bills/House%20Bills/1270.pdf?q=20230116070700
Soulhealfilm.com. A film by Jose Enrique Pardo
Equality for Boys and Men – Advancing empathy and equality ...https://equalityforboysandmen.org
https://www.brookings.edu/blog/up-front/2023/01/13/the-case-for-a-commission-on-boys-and-men-will-washington-state-lead-the-way/
Visit our website for all the podcasts, additional resources and social media links
Website: theoriginalguidetomenshealth.org
Facebook: https://www.facebook.com/theoriginalguidetomenshealth/
Twitter: https://twitter.com/guide2menshlth
Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/
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This episode follows 2 Kidney Cancer expert Urologists in understanding Kidney tumors from diagnosis to treatment options.
Guest:
John L. Gore, M.D. Professor of Urology, Professor of Surgery, Health Services Researcher, University of Washington. Urologist, surgeon, clinician, researcher, educator and expert in clinical care guidelines and outcomes. Dr. Gore is the PI of a large pragmatic trial in bladder cancer, and a quality of care expert. He previously served as the American Urological Association (AUA) representative to the National Quality Forum, which endorses national health care performance measures, and has been on guidelines panels for the National Comprehensive Cancer Network (NCCN) for kidney cancer, and the AUA for bladder cancer.
Brian Shuch, MD is the Director of the Kidney Cancer Program and the Alvin & Carrie Meinhardt Endowed Chair in Kidney Cancer Research.
He completed his urology training at UCLA followed by a Urologic Oncology Fellowship at the National Cancer Institute. He is an accomplished surgeon (open/laparoscopic/robotic surgery and percutaneous ablations) and clinical/translational researcher.
He serves in leadership positions within various kidney cancer research organizations such as SWOG and the Society of Urologic Oncology. He is recognized as an expert in the genetics of kidney cancer and runs a translational research program with over 140 peers reviewed publications including primary research published in prestigious journals such as Nature, Nature Genetics, Proceedings of the National Academy of Sciences, Journal of Clinical Oncology, and Clinical Cancer Research. He is one of the few clinicians to bring bench science to the bedside in an upcoming therapeutic clinical trial for metastatic kidney cancer.
During This Episode We Discuss:
The types of Kidney Cancer
Non cancerous kidney cysts (benign) versus cancerous kidney cysts,
Solid kidney tumors, benign and malignant
Diagnosis of kidney cancers: Imaging and Biopsy
Risk factors for kidney cancers
Genomics of kidney cancer
Treatment of kidney cancer: Localized and Metastatic
Quotes (Tweetables)
Back in the olden days we used to talk about the triad of three symptoms people associated with kidney cancer. Those three symptoms were hematuria or blood in the urine, palpable mass, and flank pain. Realistically in 2023 this triad happens less than 1% of the time. What has changed is that there is a much higher frequency of use of imaging to diagnose problems in our bodies. Kidney cancer is one of the fastest growing cancer types in terms of it’s incidence, because of incidental detection.
Dr Gore
Regarding tumor size, it all depends on the scenario.The larger the lesion the more concerning it is for cancer, but even a 1 cm tumor can have some aggressive elements. There is not an absolute size where you say that a tumor below this threshold cannot be a cancer.
Dr Shuch
Most kidney cancers are what we would call sporadic, in that it occurs in the absence of known risk factors. The 2 biggest risk factors that are more behavioral are smoking and obesity.
Dr Gore
Recommended Resources:
KCA: Kidney Cancer Association www.kidneycancer.org
Kidney Can www.kidneycan.org
KC Cure www.kccure.org
American Cancer Society
Fred Hutchinson
UCLA
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Learn what we know about these often undetected conditions. We look back to relevant episodes and some important comments from our experts.
We also asked our producer Sean Fox for some of his favorite episodes from the past year.
Guests:
Episode 36. Quick Virtual Workouts for Anywhere
Lauren Updyke, MS, American College of Sports Medicine Certified Trainer, Director of the University of Washington Whole U program.
Episode 6. Cardiovascular Health—How to Keep Beat with your Heart
Eugene Yang, MD: Cardiologist, Clinical Associate Professor, Cardiology, UW School of Medicine; Medical Director for UW Physicians Eastside Specialty Center, Governor of the Washington Chapter of the American College of Cardiology; Director of the Cardiovascular Wellness & Prevention Program at University of Washington
Episode 15. What Everyone Should Know about Tobacco, Smoking and Vaping
Sarah Ross Viles, MPH: Director of the Tobacco Studies Program University of Washington, former Chronic Disease Program manager Public Health, King County Washington.
Tim McAfee, M.D. Affiliate Assistant Professor, Health Sciences University of Washington, Former Director, Office on Smoking and Health, Center for Disease Control and Prevention. Consultant with the CDC Anti Smoking Media Campaign
Episode 4. Diet - Eat, Drink and Be Healthy
Marian L. Neuhouser, PhD, RD Fred Hutchinson Cancer Research, Program Head, Cancer Prevention Program Public Health Sciences Division, Affiliate Professor University of Washington, School of Public Health, Department of Epidemiology
ALSO:
Episode 27: Metabolic Syndrome, Diabetes and Other Common Endocrine Health Issues
Arthi Thirumalai, MD. Assistant Professor, Endocrinology Division, University of Washington
Episode 16. Mental Health: Part 1—General Depression; Part 2—Deeper Depression, Suicide and Suicide Prevention.
Daniel J. Singer Ph.D. Washington State Licensed Mental Health Therapist, Specialized in the Counseling and Treatment on Mental Health Diagnosis.
Dr. Jeffrey Sung M.D. University of Washington Instructor of Psychiatry and Behavioral Sciences, Board certified psychiatrist at the University of Washington, the Pioneer Square Clinic, and in private practice.
Episode 10. Prostate Cancer: A) Detection, Diagnosis and PSA, B) Surveillance and Treatments
Daniel W. Lin, MD, Professor Department of Urology, University of Washington School of Medicine, Chief of UW Urologic Oncology, and The Pritt Family Endowed Chair for Prostate Cancer Research.
Episode 52: Hiking, Backpacking and Staying Safe in the Wilderness
Lee Jacobsen, JD. Lee is a Seattle attorney and avid hiker and backpacker. He is a founder of the Washington Hikers and Climbers facebook group, an 8-years running FB hiking community of over 200,000 people in WA state.
Tim Durkin MD. Tim is a physician with board certification in both emergency and sports medicine, based in Colorado. Dr Durkin is the chief medical officer for Base Medical, a wilderness medicine education company, as well as medical director for the San Juan National Forest, SAR program coordinator for Colorado Highland Helicopters, and a responder with La Plata County SAR in Colorado. He is a former paramedic and Eagle Scout, with over 25 years of technical wilderness SAR experience. Dr Durkin practices emergency medicine at a rural hospital serving Native Americans, and occupational medicine for public safety agencies. Opinions expressed today by Dr Durkin are his own and not official positions of any of his employers or affiliates.
Episode 47: Dental Health and Care
Gary Burt, DDS. Private practitioner for more than 35 years in the Seattle Washington USA area. Specializing in General and Family Dentistry, Esthetic Dentistry, and Complex Restorative & Cosmetic Dentistry.
Episode 44: Grief, Grieving and the End of Life
Jennifer R. Levin, PhD, MPH, MFT. Trauma and grief therapist, marriage and family counselor, with extensive experience in counseling and education on trauma, death and dying, bereavement, and loss.
Visit our website for all the podcasts, additional resources and social media links
Website: theoriginalguidetomenshealth.org
Facebook: https://www.facebook.com/theoriginalguidetomenshealth/
Twitter: https://twitter.com/guide2menshlth
Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/
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Please join and listen to this wonderful review of common conditions affecting the lungs. Dr Schwartz provides us with information regarding how today's air quality affects developing lungs in children, how it affects those of us who are adults and may or may not have underlying pulmonary issues.
We review the most common pulmonary concerns, advances in therapy and how to maintain good pulmonary health.
Dr Schwartz shares some very recent information on the genetics associated with one of the more common pulmonary diseases, Pulmonary Fibrosis.
Guest:
Guest Dr. David Schwartz, MD Distinguished Professor of Medicine and Immunology in the Division of Pulmonary Sciences & Critical Care at the University of Colorado
Immediate Past Chair of Medicine The University of Colorado School of Medicine, Director Center for Genes, Environment & Health, National Jewish Health, and previous Director of the National Institute of Environmental Health Sciences at the National Institutes of Health.
During This Episode We Discuss:
A review of how the lungs function
The role of the Pulmonary specialist
How the lungs interact with the environment
A review of common lung conditions and diseases
What is COPD
Asthma
Bronchitis
Emphysema
Sarcoidosis
Pulmonary Fibrosis
Pulmonary Cancers and Detection
Pulmonary Infections
Smoking and Smoking related pulmonary diseases
Chronic Cough
When should you be seen by a Pulmonary specialist (Pulmonologist)
Current research and understanding of the role of the environment and the above conditions, diseases
Genetic determinants of pulmonary disease
How to maintain good pulmonary health
Quotes (Tweetables):
‘The Environment that we are faced with really is interesting because it forces the lungs to adapt and re adapt to a changing and dynamic environment’
Dr Schwartz
If you smoke less than 10 cigarettes per day, your not addicted to Nicotine
Dr Schwartz
Recommended Resources:
Pulmonary Fibrosis:
Google NIH, find
National Heart, Lung, and Blood Institute (NHLBI) Pulmonary Fibrosis
rarediseases.info.nih.gov/diseases/8609/idiopathic-pulmonary-fibrosis/
The Pulmonary Fibrosis Foundation
www.pulmonaryfibrosis.org
Dr David Schwartz
University of Colorado School of Medicine, Division of Pulmonary Sciences
Pulmonary Disease
WW.NIH.GOV
Select: Health Information: Pulmonary Disease
Your Primary Care Physician ( Family Medicine or Internal Medicine Physician )
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Ophthalmology is a medical surgical specialty concerned with the study and treatment of disorders and diseases of the eye. Listen as this episode reviews common conditions that affect the eye and our vision. Find out what you need to know to take appropriate care of your eyes. Learn how different eye diseases are diagnosed and treated. Listen to Dr Alder speak about innovations in disease management. Learn how to preserve and optimize your vision.
Guest:
Brian Alder, M.D. is a fellowship-trained cornea, external disease, and refractive eye surgeon. He received his medical degree from Duke University in Durham, North Carolina where he interned and then advanced to Chief Resident during his residency. Dr. Alder published numerous articles and abstracts related to eye conditions and collaborated on cutting-edge corneal surgery research while at Duke. Dr. Alder did his corneal fellowship training at Bascom Palmer Eye Institute at the University of Miami, recognized by U.S. News and World Report as the number one hospital for ophthalmology in the country.
Dr. Alder worked side-by-side with the most prominent cornea specialists in the world to learn the most up-to-date treatment of corneal disease. Shepherd Eye Center is proud to present Dr. Alder’s unique corneal expertise to Las Vegas.
Dr. Alder is Board Certified by the American Board of Ophthalmology and a member of the American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery. Outside the office, Dr. Alder loves spending time with his wife and five children. His favorite pastimes include board games around the dinner table, playing sports, traveling, and watching movies with a family-sized bowl of caramel popcorn.
During This Episode We Discuss:
Ophthalmologist vs. Optometrist, what is the difference, who should you see for eye care?
What to expect from a general eye exam
When should you begin to get eye exams, what changes of eyesight should lead to an exam?
Common Eye Conditions:
Cataracts
Macular Degeneration
Glaucoma
Floaters (what is a floater and what’s not)
Retinitis Pigmentosa
Dry Eye and Excessive Tearing
Cancers of the Eyes
Viagra and the Eye
Visit our website for all the podcasts, additional resources and social media links
Website: theoriginalguidetomenshealth.org
Facebook: https://www.facebook.com/theoriginalguidetomenshealth/
Twitter: https://twitter.com/guide2menshlth
Linkedin: https://www.linkedin.com/company/the-original-guide-to-mens-health/
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