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Second Opinion

31 Episodes

4 minutes | 7 months ago
ACES and Trauma Informed Care Part 2
Adverse childhood experiences (ACES) harm children's developing brains and lead to long term physical and emotional health issues. While we can’t go back and undo early trauma, we can intervene using “trauma informed care” approaches.
4 minutes | 7 months ago
ACES and Trauma Informed Care: Part 1
ACES are adverse childhood experiences that harm children's developing brains and lead to changing how they respond to stress and damaging their immune systems so profoundly that the effects show up decades later. ACEs cause much of our burden of chronic disease, most mental illness, and are at the root of most violence.
4 minutes | 7 months ago
The state of Alzheimer Disease in America
A new test offers some benefits, but also some risks, to finding out if you are at high risk for Alzheimer’s - a disease for which there are currently no good treatments available. 
4 minutes | 7 months ago
The prohibition against marijuana in the hospital
Why is a drug that can be so useful to a group of patients not allowed in the hospital?
4 minutes | 8 months ago
Changes in thinking about blood pressure
For some elderly taking several blood pressure medications can be risky.  Do they need to take multiple medicines?  Doctor have been hesitant to stop blood pressure medications because they fear they might harm their patients.  The OPTIMISE trial results provides some reassurance. 
4 minutes | 8 months ago
Practice Guidelines the drive toward racial disparities
Practice guidelines use evidence to help doctors and patients make decisions about care. But, if the guidelines are biased so too are the decisions.
4 minutes | 9 months ago
Medical Leadership and Conflicts of Interest
Why do we listen to expert medical groups when they have conflicts of interests that involve pharmaceutical companies and device manufacturers?
4 minutes | 9 months ago
Racism and Medicine
With regard to racism, medicine is part of the problem and needs to quickly become part of the solution.
4 minutes | 9 months ago
The dangerous use of off label prescribing in times of a pandemic
Off label prescribing as grown into an enormous problem, and it risks putting people’s health at risk.
4 minutes | 9 months ago
Implicit Bias in Mental Health
Could it be that our subconscious biases lead us to make assumptions that are not based on the facts?
3 minutes | 10 months ago
The right to NOT know a medical diagnosis
Doctors have a moral, ethical and legal duty to inform patients of their medical results.  But, do patients have a right to NOT be told crucial medical information?
4 minutes | 10 months ago
200 years of change started by one woman
Florence Nightingale is known as a champion of nursing but she did much more….
5 minutes | 10 months ago
The origins of the antiviral drug Remdesivir
The long journey for Remdesivir starting with a deadly cat disease
4 minutes | 10 months ago
Fake news and its impact on health
Medical journalists need to slow down and do their homework before reporting on new research.  Covering medicine is not a race, but a slow evolving process.    
3 minutes | 10 months ago
The stigma around COVID can be as dangerous as the virus, says Dr. Wilkes
In many of those countries stigma around the disease plays an important role.  Today we look at Tunisia and the role stigma plays in managing COVID.
3 minutes | a year ago
COVID-19 in Africa
Thinking about COVID-19 may different around the world
4 minutes | a year ago
Missed lessons from the Ebola Outbreak
With each epidemic there are important lessons to be learned.  When we do not learn from these lessons, the next time around we are bound to make the same errors.
4 minutes | a year ago
Disease patterns and planetary health
In some ways we have only ourselves to blames for our changing planet and its relationships with diseases.
4 minutes | a year ago
Our behavior changes when we are being watched
For generations we’ve know that when we are watched, or think we are being watched, our behavior changes.  How can we use this to improve health?
4 minutes | a year ago
A health care birthday
The Affordability Care Act (aka Obama Care) turns ten this month.  Despite a decade of challenges and opposition from some, the bill remains broadly popular and has improved our health in many ways.  Without it, many who get sick from COVID would have been left without access to health care or with enormous bills.
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