Épisodes

  • Thyroid Cancer Advances and Environmental Factors
    Feb 19 2025

    Discover the extraordinary journey of Dr. Ruth Decker, a leading thyroid and parathyroid surgeon whose unique blend of medical and legal expertise is transforming patient care. Explore how her roots in Sheboygan, education at Northwestern University and the University of Wisconsin, and a law degree from Washington University have shaped her innovative approach to surgery. Dr. Decker shares her secrets to demystifying complex procedures using a simple whiteboard, ensuring patients leave her office not just informed, but empowered to make the best decisions for their health.

    Our conversation navigates the cutting-edge advancements in thyroid cancer treatment and diagnosis. Marvel at the power of ultrasound technology and the TI-RADS scoring system in revolutionizing cancer detection and management. Dr. Decker sheds light on the nuanced differences between papillary and anaplastic thyroid cancers, while also addressing the growing incidence of thyroid cancer and the critical need for diligent follow-up care. Her insights reveal both the promise and challenges of evolving treatment strategies in this dynamic field.

    As we round out the episode, the discussion turns to the broader endocrine implications of weight and environmental factors. Dr. Decker explains how conditions like parathyroid disease, obesity, and hormonal disruptors are interlinked with rising rates of thyroid disease. Uncover how adipose tissue plays a pivotal role in overall health, influencing thyroid, prostate, and breast conditions. This episode offers a comprehensive understanding of the hormone-cancer connection and emphasizes the importance of education and primary care in tackling these complex health challenges.

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    25 min
  • Unlocking Secrets of Athlete Care and Recovery
    Feb 12 2025

    Discover the inspiring journey of Dr. Devon Myers, whose path from collegiate baseball player at Truman State University to a leading sports medicine specialist offers valuable insights into the world of athletic health and recovery. Dr. Myers shares his experiences and lessons learned from growing up in Fenton, playing college baseball, and his transformative role as a patient care tech at MOBAP. We explore his educational adventures from Kirksville to Columbus, Ohio, and back to WashU for his fellowship. Tune in to hear Dr. Myers' perspectives on managing the physical and mental hurdles faced by athletes during recovery, and learn how empathy and understanding play vital roles in effective medical care.

    Get ready to explore the complex world of ligament injuries with Dr. Myers as we tackle common challenges like ACL, PCL, and MCL tears, and the infamous Tommy John surgery. Discover the pressures young athletes face due to early sports specialization and year-round play, and why diverse athletic experiences can be crucial for healthy development. Finally, gain insights into injury prevention strategies through progressive overload, and understand how balancing muscle, ligament, and tendon health can mitigate risks. Dr. Myers' passion for sports medicine is palpable as he shares practical advice and compelling stories from his work with athletes striving to return to their peak performance.

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    27 min
  • Navigating Burnout: Balancing Technology, Wellness, and Mindfulness
    Feb 5 2025

    Ever wondered if the pressures of modern medicine are taking a toll on our doctors? Dr. Tom Pohlman, a committed nephrologist and key figure in the physician burnout committee, joins us to shed light on this critical issue. Together, we navigate the historical landscape of physician burnout, revealing its rise in prominence and the pivotal role played by Dr. Maslach in bringing this to the forefront. From loss of control and overwork to the weight of patient expectations, learn about the multifaceted challenges faced by healthcare professionals today. The intricate dance between technological advancements and increased workload is no secret, making the quest for a balanced work-life equation more crucial than ever.

    Beyond the confines of the hospital walls, we explore lifestyle factors impacting health and wellness. As we tackle issues like poor sleep, diet, and the omnipresent specter of obesity, Tom shares practical wisdom on small, incremental steps that can transform your energy levels and resilience. Simple actions, such as staying hydrated and integrating art and music into your daily routine, are highlighted as powerful tools to enhance mental health and productivity. By focusing on self-care, we aim to inspire listeners to cultivate a lifestyle that cherishes both professional responsibilities and personal well-being.

    Finally, we invite you to a journey through the world of mindfulness and meditation. Discover the various practices that can help you manage stress and boost concentration, whether it's through Buddhist practices, mindfulness, or Transcendental Meditation. Tom also reveals his personal strategies for improving sleep quality and incorporating more movement into everyday life. As we discuss the subtle signs of burnout and its far-reaching impact, we underscore the importance of early recognition and proactive measures. Tune in to gain valuable insights that will not only serve healthcare professionals but anyone striving to lead a balanced and fulfilling life.

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    32 min
  • Exploring New Frontiers in Patient-Doctor Relationships
    Jan 29 2025

    Have you ever wondered how a career in medicine can transform with a shift in focus and approach? Join us in a captivating conversation with Katie Hewn-Usry, who shares her remarkable journey from managing a bustling traditional medical practice with her husband, Gabe, to embracing the world of concierge medicine in St. Louis. Katie's story is one of passion and dedication to understanding her patients beyond their immediate health concerns. Discover how this transition has allowed her to explore emerging medical trends and create meaningful connections with her patients, all while rekindling her lifelong love for horseback riding.

    In this episode, I also open up about the personal side of balancing a demanding career in healthcare with family life. My wife, a high-risk OB-GYN, made a significant career shift to prioritize our family, and this experience resonates with our broader discussion on career transitions. Whether you're a healthcare provider considering a career shift or a patient curious about the concierge experience, this episode promises valuable insights and heartwarming stories.

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    18 min
  • Transforming Surgical Care: Laparoscopic Innovations and Compassionate Practice
    Jan 22 2025

    Discover the journey of Dr. Nick Boston, a remarkable general surgeon who has transformed the landscape of surgical care with his expertise and dedication. From his roots in Centerville, Ohio, to his outstanding education at Ohio State University, Dr. Boston's story is both inspiring and informative. We dive into the world of general surgery, focusing on the significant advancements brought about by laparoscopic techniques. You'll gain insights into common procedures like gallbladder removals and appendectomies, and understand the crucial role that simulation labs play in training the next generation of surgeons.

    Have you ever wondered what it's like to be in a surgeon's flow state? We'll explore how the operating room becomes a peaceful haven for surgeons like Dr. Boston, where focus and precision create a unique sense of fulfillment. Listen as we discuss the rewarding aspects of aiding cancer patients through essential services offered by St. Luke’s Surgical Consultants. We'll also touch on the profound importance of surgical judgment and the collaborative nature of patient care. Join us to learn how you can reach out for consultations or second opinions, as Dr. Boston shares his deep commitment to providing accessible and compassionate medical care.

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    17 min
  • Innovation in Orthopedic Surgery: Insights on Joint Treatments and Injury Prevention with Dr. Richard Rames, Jr
    Jan 8 2025

    Dr. Richard Rames, Jr. sheds light on the importance of joint health in maintaining both physical and mental well-being, discussing preventative measures and advances in orthopedic treatment. He provides insights into effective strategies to reduce injury risks, emphasizing the role of exercise, weight management, and nutrition.

    • Understanding common orthopedic injuries and their treatments
    • Importance of joint health for overall quality of life
    • Advances in hip and knee replacement technology
    • Role of exercise and weight management in injury prevention
    • Nutrition's impact on bone health and inflammation
    • Addressing gender differences in joint issues
    • Risks associated with popular exercise trends
    • Strategies for self-care and injury avoidance

    If you’re keen on enhancing your orthopedic health, we encourage you to follow Dr. Rames's advice and discuss with your primary care physician.

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    30 min
  • Heart Health and Resilience: A Journey with Dr. Jonas Cooper from Pacemakers to Positive Mindsets
    Dec 18 2024

    Join us for a fascinating journey with Dr. Jonas Cooper, St. Luke's acclaimed cardiologist and electrophysiologist who shares his life story from Toronto to St. Louis, and his work as an "electrician" for the heart. Together, we navigate everything from high-volume pacemaker implantation to the imperative of cardiovascular exercise, and even uncover Dr. Cooper’s literary muse, Malcolm Gladwell's "Outliers." He reflects on how his father's legacy as a thoracic surgeon shaped his path and offers practical, heart-healthy tips grounded in years of expertise. Dr. Cooper's insights are not just about the technicalities of cardiology but about embracing heart health as an integral part of life.

    We also explore the intriguing intersection of technology and health, with the Apple Vision Pro’s potential impact and the Apple Watch's role in detecting atrial fibrillation, transforming unknown heart risks into actionable insights. Delving into mindset’s power, we discuss how positive attitudes can transform health recovery and sports performance, revealing mental resilience's true strength. Dr. Cooper’s passion for maintaining a hopeful outlook is contagious, inspiring listeners to embrace a proactive approach to heart health and life’s challenges. This conversation is a powerful reminder of the interconnectedness of mind, body, and the technology that bridges the two.

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    25 min
  • Empathy and Innovation in the Fight Against Cancer
    Dec 11 2024

    Dr. Michael Ogawa joins us for a heartfelt conversation as we trace his compelling path from a childhood in Garland, Texas, to becoming a dedicated medical oncologist in St. Louis. His journey through the halls of Washington University and Texas A&M is more than just a career story; it's a testament to the power of passion and perseverance. Alongside reflections on his cherished partnership with Dr. Mira Rana and the joys of family life, Mike opens up about personal challenges, including a recent ankle injury, offering a window into how these experiences have deepened his empathy and approach to patient care.

    The landscape of cancer treatment is ever-evolving, and this episode takes an insightful look at its promising advancements. We discuss the transformative potential of treating cancer as a chronic condition, akin to diabetes, and the groundbreaking role of immune therapies in modern oncology. With honesty and optimism, Mike and I explore the collaborative magic of tumor boards, where specialists unite to push the boundaries of patient care. Together, these collective efforts are leading to improved survival rates and a better quality of life for those living with cancer.

    Success is redefined as we discuss family values and the enriching power of professional friendships. It's not just about individual accolades but about nurturing happiness and well-being within our families and communities. Parenting's journey is shared with an understanding of its challenges and rewards, painting a picture of true wealth found beyond material gains. The episode concludes with a tribute to the strength of professional bonds, as Mike and I express gratitude for a supportive work environment that has been a cornerstone of both our personal and professional growth.

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    26 min