Does Everyone Have Pencillin Allergy? Does Anyone?

On today’s show we speak to allergist, Dr. Payel Gupta about penicillin allergy.  Dr. Gupta is triple board certified in Allergy & Immunology, Pediatrics and Internal Medicine and currently has a practice on the Upper West Side of Manhattan with ENT and Allergy Associates.  We discuss how common penicillin allergy is and how commonly the diagnosis is incorrect.  She goes through the four types of hypersensitivity reaction, and then focus in on type I, the IgE-mediated reaction.  We go through presentation, treatment, and some commonly confused conditions.  She teaches us how penicillin testing is done, why we can trust it and dispels some misconceptions about penicillin allergy.

Dr. Gupta earned her medical degree from Michigan State University; and then pursued a residency in both Internal Medicine and Pediatrics at Rush University Medical Center in Chicago. She then moved to New York City where she completed a fellowship in Allergy and Immunology at the State University of New York, Downstate Medical Center.   

She is currently on the board of the New York Allergy and Asthma Society and serves as the treasurer/ secretary.  She is also a National Spokesperson for the American Lung Association.

Find her podcast at itchpodcast.com and follow her on Instagram @nycdoctor.

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The Onion’s Scott Dikkers helps us find our patients’ funny bones

Scott Dikkers founded the world’s first humor website, TheOnion.com, in 1996. A few years earlier he helped found the original Onion newspaper. He’s served as The Onion’s owner and editor-in-chief, on and off, for much of the last quarter century.  He led The Onion’s rise from small, unknown college humor publication to internationally respected comedy brand.  He is also a New York Times best seller, and Peabody Award winner. 

He documented his process for creating humor in his book, How to Write Funny, and the second in the series, How to Write Funnier, and next on the way, How to Write Funniest, which are the basis of the Writing with The Onion program he created and teaches at The Second City Training Center in Chicago. Scott offers other courses and free resources for comedy writers on the How to Write Funny website.

He first dispels the myth that funny is innate an then we dive into how to be funny, starting with how to just dip our toes in the water.  He teaches us how to recover from a failed joke, how to joke about subjects that might seem taboo, how to work humor into our office visits and lectures.  Apparently, stand-up comics are jealous of our mundane topics.  He has a system of 11 funny filters, or types of humor of which all jokes are made, and which are the most and least appropriate for physicians. If you take nothing else away from this, the one rule to follow for comedy is to afflict the comfortable while comforting the afflicted.  Afflicting the comfortable might be out of our comfort zones, but comforting the afflicted is what we do!

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#SOMEDOCs #funnydoc #docfunny #phunnyphysician #docmcfunny

How to Become the Next Millionare Next Door

On today’s episode, we discuss the characteristics that predict an individual’s propensity to build wealth, why physicians have a bed reputation in this department and what we can do to improve, with industrial psychologist, Dr. Sarah Stanley Fallaw.  Dr. Fallaw is the author of The Next Millionaire Next Door and the founder of DataPoints LLC, a research and technology company that provides advisors and individuals with behavioral science tools to achieve financial success. DataPoints created the industry’s first assessment of individual propensity to build wealth based on The Millionaire Next Door. Her research on psychometrics and financial psychology has been featured in conferences and publications including Industrial and Organizational Psychology and the Journal of Financial Services Professionals. Sarah received her Ph.D. in Applied Psychology from the University of Georgia in 2003.

We dive into the six behavioral components that contribute to an individual’s propensity to build wealth: social indifference, frugality, an internal locus of control, confidence in financial literacy, contentiousness, and planning and monitoring.  We discuss how a few big decisions can have far reaching consequences on our ability to accumulate wealth, like choosing a neighborhood and choosing a spouse and creating a long-term financial plan.  She gives us some smaller habits to help us develop our wealth building potential, like suggestions for apps that allow us to check in on our finances easily, reading blogs or books to allow us to realize how much control we do have, and we end with how she is passing that wealth building mindset on to her children.

The Student Loan Planner helps you to financial freedom

Travis Hornsby founded Student Loan Planner after helping his physician wife navigate ridiculously complex student loan repayment decisions.  He helps us parse through the complexity of optimizing your student loan repayment strategy.  He gives us an overview of the different repayment systems, who qualifies and who doesn’t and why it seems like nobody qualifies right now. We get a little political as he predicts what’s going to happen to the current system as well as the student loan forgiveness the democrats are discussing.

To date, Student Loan Planner has consulted on over half a billion in student debt. Travis is a Chartered Financial Analyst and brings his background as a former bond trader, trading billions of dollars. He brings that same intensity to analyzing the best repayment paths for graduate degree professionals with six figures of student debt. Student Loan Planner has helped over 2,000 clients save over $100 million dollars on their student loans.

Physician’s Guide to Trauma-Informed Healthcare Approaches with Dr. Megan Gerber

Megan Gerber, MD, MPH is a general internist with a career-long focus on the medical care of trauma-exposed women. We start out defining trauma and then get introduced to trauma-informed care.  Interfacing with the medical system and physicians can be traumatizing and triggering, so we discussed ways to minimize that, and why it actually isn’t important to identify who needs trauma informed care. We should be taking a “universal precautions” like approach.  She teaches us how to incorporate a routine of respectful care and how we can get the staff involved.  The approach to patients needs to change from questions like “what’s wrong with you?” to “what happened to you?” but this needs to happen within the confines of our time limited schedules, so Dr. Gerber teaches out how to be effective while still respecting the time of those in the waiting room.

She is currently an Associate Professor of Medicine at Boston University and Medical Director of Women’s Health at VA Boston. She holds an adjunct appointment as Lecturer on Medicine at Harvard Medical School.  Her work focuses on optimizing medical outcomes for women who have experienced trauma as well as adapting systems of care to be “trauma-informed” and sensitive to the needs of survivors.  She has authored multiple peer-reviewed publications on intimate partner violence and is the editor of the recently released Springer book, “Trauma-informed Healthcare Approaches: A Guide for Primary Care.”   After a brief hiatus, she is now back and very active on Twitter at @meggerber




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”.

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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.

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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. 

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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.   

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