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Cardiac arrest for pathologists to podiatrists with EM Physician, Dr. Jeff Jarvis

Dr. Jeff Jarvis, the EMS Medical Director for Williamson County EMS and Marble Falls Area EMS in Central Texas, teaches us about cardiac arrest for every physician, from pathologists to podiatrists.  We learn how to identify and manage a cardiac arrest if we happen to be the medical professional on the scene.  We cover multiple circumstances from the woods to the mall to a plane.  After this talk, you will feel better equipped to know what you can and can’t, should and shouldn’t do in those situations.

Dr. Jarvis maintains his clinical practice at Baylor Scott & White Hospital in Round Rock, Texas. He is board certified in both Emergency Medicine and Emergency Medical Services. He began his career in EMS over 30 years ago, has worked in three states as a paramedic, and retains his active paramedic license today. He teaches extensively and has authored multiple articles on EMS issues in both peer-reviewed and industry journals. His research interests include airway management and clinical performance measures. He discusses EMS research on his podcast “EMS Lighthouse Project Podcast”.

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

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Emotional Intelligence with the Inspired Dentist, Dr. Shakila Angadi

On today’s episode, we spoke about emotional intelligence with the Inspired Dentist, Dr. Shakila Angadi.  She is a dentist and social & emotional intelligence certified coach that is determined to help improve the lives of fellow health care professionals. She graduated from the University of Missouri Kansas City School of Dentistry and has been in private practice for over 11 years. She realized that empathetic communication and self-awareness techniques were the key to expanding her practice and leadership skills exponentially.  You can learn more about EQ and her coaching programs on www.theinspireddentist.comand on social media Facebook and Instagram @theinspireddentist.

We start out defining EIQ, or the emotional intelligence quotient and how she ended up becoming a certified coach in this area.  She tells us the common issues health professionals have that seek her expertise and how she helps them address those issues.  In discussing how it can help the doctor-patient relationship, she gives a particularly powerful piece of advice, saying just ONE THING to each patient, and that will help all of us connect with our patients just a little bit better.

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

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Be Calm and Queer On with Dr. Crystal Beal

Be Calm and Queer On – What Your Trans and Gender Diverse Patients Want You to Know

Dr. Crystal Beal answers the questions that will helps us better care for our transgender and gender diverse patients.  They went to med school at Florida State University, and completed the Valley Family Medicine Residency program, part of the University of Washington.  They are the physician- owner of QueerDoc.  Dr. Beal hopes to change the experience of care for the trans and gender diverse community and raise the bar for gender affirming care.  Through QueerDoc, Dr. Beal provides increased access to expert, affirming, and culturally competent care for queer and gender expansive children, adolescents, and adults.  They currently serve Washington and Alaska (through partnership with Full Spectrum Health), and have dreams of expanding service to several more states as an online queer and gender affirming healthcare provider.

We talk about why Dr. Beal created their practice and we talk a little about some of the specific needs of gender-diverse people.  They make some suggestions about how to best introduce yourself to patients who may be gender diverse, and as it turns out, it really sounds like the best way to introduce yourself to all of your patients.  Dr. Beal educates use about issues they have faced when interacting with the medical establishment as a patient and gives some pointers for how we can all interact with gender diverse individuals to make sure the relationship develops as it should, based on trust and free from stigma and biases.  We end with some great resources for learning more about the gender diverse community and a great place to start is QueerDoc.com.

Choosing the Right Financial Advisor

Ryan Inman is a fee-only financial advisor who works exclusively with physicians and he teaches how to pick a financial advisor.  How did he end up in the physician niche?  He understands us.  His wife is a pediatric pulmonologist and part of why he understands the struggle so well is that they’ve been together since college.  He graduated from the University of San Diego and has two masters, one in business administration and another in Accounting and financial management.  He manages Physician Wealth Services, which does financial planning for physicians, and he has his own podcast where he answers physician specific financial questions, called the Financial Residency and manages with Physician Finance Facebook group.

We discuss how to find a financial advisor and answer questions like, what is a fiduciary, who should I buy life and disability insurance from, is picking stocks and timing the market possible with enough research, what services should a financial advisor provide and what is the most common financial mistake he sees physicians make. 

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

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Wealthy Mom MD, Dr. Bonnie Koo, Discusses Female Physician Finance

Dr. Bonnie Koo, is a dermatologist and former systems administrator at Morgan Stanley. She is a graduate of Barnard College and Columbia University’s College of Physicians & Surgeons and completed her dermatology residency at UC Irvine. 

She created the website WealthyMomMD.com to fill the void of knowledge and resources specific to women physicians on how to take control of their finances. She directs the Women Physicians Personal Finance group on Facebook–the largest online community of women physicians mastering their finances.

We discuss some of the financial issues that are more common to female physicians, from prenuptial agreements, taking care of financial ill-prepared parents or other family members, the importance of having your financial house in order, outsourcing to buy more time, and why it is importance to secure disability insurance before you get pregnant.   

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

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The Physician Philosopher’s Guide to Personal Finance

The next three episodes comprise an intro to the Physician’s Guide to Personal Finance. We start with the Physician Philosopher, an anesthesiologist blogger who wants his audience to understand their “why” to understand their “how” of personal finance.  Next week we interview Bonnie Koo, MD, the voice of female physician finance, and the following week we interview Ryan Inman, a fee-only financial advisor who understands the specifics of physicians’ financial needs as he exclusively works with us and he’s married to one of us.

To understand The Physician Philosopher’s book, you first need to understand the Pareto Principle, or the 80/20 rule, which states that 80% of the effects come from 20% of the causes.  James Turner, MD, aka Physician Philosopher, believes this about personal finance.  To get 80% of the benefit, you only need to understand 20% of the concepts.  To quote the phys ed coach from Teen Wolf, “the rest is cream cheese.”  We discussed the 20% he wants physicians to understand to take control of their personal finances. 

He completed his undergraduate studies at Erskine College, went to medical school at Wake Forest, was an anesthesia resident at North Carolina Baptist Hospital before returning to Wake Forest as a regional anesthesia and acute pain management fellow and there he has stayed as an attending.  He is currently creating a personal finance curriculum for the PA, CRNA and medical students of Wake Forest.  His blog is thephysicianphilosopher.com, now part of the White Coat Investor Network, and his new book, The Physician Philosopher’s Guide to Personal Finance, is available everywhere fine books are sold.

We start out discussing some philosophical questions, the Kinder questions, that have helped him to focus on his priorities and why this is critical in personal finance.  We get into the financial independence movement and how to calculate how much money you need to be financially independent; why it is totally fine that he bought a tricked-out new car despite this being anathema to his spending philosophy, an introduction to public student loan forgiveness and who should be looking into this, and why the 80:20 rule may help you avoid the need to hire a financial advisor. 

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

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You Get Medicare and You Get Medicare! Everyone Gets Medicare!

Adam E. Block, PhD is currently an Assistant Professor of Public Health at the School of Health Sciences and Practice at New York Medical College. He is a health economist with deep experience in the hospital, health plan and government sectors. His research is focused on how individuals make decisions in health care markets including patient choice of hospitals, physicians and insurance plans. 

We discuss the new push for “Medicare for all.”  First, we discuss what Medicare is, what it covers and doesn’t cover, then get into House Bill 1384, the Medicare for all act of 2019.  We discuss why this could be financially problematic for physicians and lead to a physician shortage for patients.  Ultimately, we discuss that for political reasons, we really don’t need to worry about this on a national level, but it could happen on a state level.

Prior to joining New York Medical College in 2017, he worked developing contracting models for value-based purchasing for a major hospital system and has worked extensively performing financial analysis and evaluation of medical management programs for a large Medicaid managed care plan.

Before that, Dr. Block spent several years developing the legislation on the Affordable Care Act as an economist at the Congressional Joint Committee on Taxation and subsequently wrote regulations and regulatory impact analyses for key parts of the Affordable Care Act as Division Director of Health Plan Policy in the Center for Consumer Information and Insurance Oversight at CMS.  In July, 2018 Dr. Block founded Charm Economics, LLC a translational economics consulting group.  His consulting work focuses on managed care contracting and pricing optimization of new technology and data analytics.  Dr. Block received his PhD in Health Policy from Harvard and undergraduate degree in neuroscience from Amherst College.

Twist of Lyme

Because borrelia burgdorferi is a spirochete; a spiral! A little mnemonic device for the med students.

Dr. Daniel Solomon is an infectious disease doctor on staff at the Brigham and Women’s Hospital and an instructor of medicine at Harvard Medical School.  He went to med school at Yale, and then did both residency and fellowship at the Brigham, although fellowship was combined with Mass General, where he was on the HIV Clinician Educator track. 

He is actively involved in improving care at the intersection of injection drug use and infectious diseases, where he integrates addiction treatment and infectious disease care to improve infection and addiction related outcomes.  He also teaches clinical reasoning at Harvard Medical School, and is a course director for the Harvard ID in Primary Care CME course, giving talks on immunizations and Lyme Disease.

We start off talking about the measles outbreak, but the main focus of the talk is Lyme disease and it is chock full of useful information.  We discuss the presentations of primary Lyme, early and late disseminated, the treatment and work-up.  We discuss prevention in light of the fact that we both have 3-year olds that run around outside in Lyme endemic areas.  We end by discussing how the presentation of Lyme can be missed, the symptoms hard to appreciate, and the tests sometimes difficult to interpret, but he helps us parse through all that and we end by differentiating chronic Lyme from post-treatment Lyme disease syndrome, one of which is recognized by the CDC and infectious disease community.

Find this and all episodes on your favorite podcast platform at PhysiciansGuidetoDoctoring.com

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Human Errors: A Panorama of Our Glitches, from Pointless Bones to Broken Genes

Professor Nathan Lents studied biology at St. Louis University and then completed his PhD at St. Louis University’s school of medicine in Pharmacological and Physiological Sciences.  PhDs need residencies, too, so he did his postdoctoral training in cancer genomics at NYU and loved New York so much that he stayed and is now a Professor at John Jay College in Manhattan and director of the honors program.  He maintains the Human Evolution Blog and his podcast is called This World of Humans.  

His book, Human Errors: A Panorama of Our Glitches, from Pointless Bones to Broken Genes, discusses the beauty of our flaws.  We are not the well-oiled machines that we think we are.  In today’s episode we start by discussing how this book caused an unexpected run-in with the intelligent design folks, and then get into the cognitive biases and heuristics that help shape our reality and how this, while designed as an advantage, can frequently be a disadvantage in our modern world.  We then get into the design flaws, like the vitamins that we should be able to make ourselves but can’t, vitamins and minerals we absorb poorly or in the wrong place, and finally end on the paleo diet and intermittent fasting.  You’ll have to listen to the end to find out which this evolutionary biologist advocates and why.

He can be found at NathanLents.com

Post-nasal Podcast or the Physician’s Guide to Throat Clearing

Should we assume EVERYONE has reflux until proven otherwise?  Does reflux cause global warming?  If there’s a post-nasal drip, is there a pre-nasal drip?  Where’s all that mucus coming from anyway?  On today’s episode we discuss the epidemics of reflux and post-nasal drip with laryngologist Dr. Matthew Clary, an assistant professor at the University of Colorado Anschutz Medical Campus.  Dr. Clary went to medical school at The Ohio State, started his otolaryngology residency at George Washington, which is where I met him, as I was in DC, too, at Georgetown at the same time.  After two years, he defected and transferred to Thomas Jefferson University, now the Sidney Kimmel Medical College and then did a laryngology fellowship at UCSF.

Dr. Clary and I discuss laryngopharyngeal reflux and post-nasal drip and other conditions one should be considering if your patient has one of these, but doesn’t seem to be improving.  We discuss common misconceptions about these conditions and how many patients with complaints like globus, throat clearing, and throat mucus may have a voice disorder.  He gives us recommendations for some simple exercises that might help and we end with some advice for professional voice users like us physicians, who, like it or not, are professional voice uses because we speak to our patients all day long. 

He does not have a presence on social media, so if you are looking to find him, you’ll have to make an appointment.  Here’s his professional website.  He takes a dang good picture.

https://www.cudoctors.com/Find_A_Doctor/Profile/20862