Why Your Graves' Patients Gain Weight
The Confident Clinician Podcast
In this episode, our founder, Dr. Jordan Robertson ND, shares a key paper in the nutritional management of Graves' disease that explains why patients experience rapid weight gain after treatment. She discusses the metabolic rate changes that happen at diagnosis, 1 and 6 months after treatment, and how patients can be euthyroid but experience weight gain after ADT. This episode is a snapshot of our full Graves' medical topic that supports clinicians with decision-making around supplementation, exercise and conventional treatments. The Confident Clinician membership supports...
info_outline
Managing Sexual Side Effects of SSRI's - Considerations for Saffron and Probiotics
The Confident Clinician Podcast
In this episode, Dr. Stephanie Bayliss, a Naturopathic Doctor based in British Columbia, reviews how we assess and manage sexual side effects from SSRI’s. Up to 80% of SSRI treated patients can experience sexual side effects. This may include changes to desire, arousal or satisfaction. Dr. Bayliss explores both the conventional care guidelines on managing these sexual side effects, and promising up and coming integrative solutions, including Saffron and Probiotics. References: Hashemi-Mohammadabad, N., Taghavi, S.-A., Lambert, N., Moshtaghi, R., Bazarganipour, F. & Sharifi,...
info_outline
Men's Health - Body Image and Eating Disorders
The Confident Clinician Podcast
In this episode, Dr. Sylvi Martin, a naturopathic doctor and registered nurse psychotherapist based in Ontario, delves into the often overlooked realm of body image and eating disorders in men. Despite common misconceptions, a significant portion of individuals affected by eating disorders are men, comprising 10 to 25% of those affected. Dr. Martin highlights the challenges in identifying and addressing eating disorders in men, citing gaps in research and diagnostic tools that fail to capture the unique experiences and concerns of male individuals. Drawing from a qualitative study, Dr. Martin...
info_outline
How you talk about depression matters: chemical imbalance as causality
The Confident Clinician Podcast
In this podcast, Antonella Aguilera-Ruiz, ND discusses the most evidence based way to talk about depression with our patients. And what can be the implications of attributing causation to the chemical imbalance theory. We take a look at two trials that give insight on why complexity is likely the name of the game and how causal attribution affects patient outcomes. References:
info_outline
Nutrition in standards of care. What does a "high fibre" diet even mean?
The Confident Clinician Podcast
In this episode, our founder, Dr. Jordan Robertson, uses chronic pancreatitis as an example to show why we need to read standards of care with a critical eye, especially when they make nutrition recommendations. Nutrition recommendations in SOC guidelines are often aged (old studies), small studies or singular studies, or studies that look at an adjacent audience, not the audience in question. We discuss the single study that has been the reference for not using a "high fibre" diet in patients with chronic pancreatitis and why we need to be critical of this recommendation, given...
info_outline
The Evolving Role of Naturopathic Doctors in Menopause Care. The Importance of Comprehensive Support for Women in Midlife
The Confident Clinician Podcast
The episode featuring Dr. Kara Dionisio, ND,faculty member at the Confident Clinician Club and facilitator of the Menopause Fellowship, discusses the role of naturopathic doctors in menopause care and explores potential for interdisciplinary collaboration in treatment. Key discussions included analyzing menopause healthcare delivery through naturopathic and conventional means, the increasing openness of conventional doctors to hormone therapy, and the unique value naturopathic practitioners bring through their holistic approach and time investment in patient education. Emphasis was placed on...
info_outline
Have we been testing for SIBO wrong? With Dr. Kim Bretz ND
The Confident Clinician Podcast
In today's podcast, we have Dr. Kim Bretz, ND, our GI fellowship facilitator, joining us to share the significant updates in the field of SIBO testing that will shape how we diagnose patients with this condition in the future. She calls out one particular paper (referenced below) that calls into question many of the standard SIBO tests that practitioners use and explains where we go from here as practitioners who have relied on these outdated forms of testing in their practices. Dr. Bretz is running a 1-day Advanced Training, which is an essential training for practitioners...
info_outline
You don't want satisfied patients. Here's why.
The Confident Clinician Podcast
We don’t want your patients to be satisfied. What do your patients expect when they see you? Do they expect a diet plan and a supplement? Probably. When people see a Naturopathic Doctor or an Integrative Doctor they expect to leave with a nutrition plan and a supplement. So when they get that, they are satisfied. But satisfied people rarely refer, rarely come back and rarely write reviews. We want your patients to be ecstatic. In today’s special podcast episode, our founder, Dr. Jordan Robertson shows you 3 ways to stop meeting patient’s expectations, and how to start...
info_outline
Hormone Imbalance. Why this term isn't true (and causes harm).
The Confident Clinician Podcast
Today's podcast episode is broadcast on both of our podcast platforms, Women's Health Unplugged, which is our public-facing podcast. It has over 500,000 downloads and has covered many women's health topics over the last few years. Our clinician-facing podcast, The Confident Clinician Podcast, focuses on clinical topics and studies that are changing our practices in integrative care. Today's topic is for everyone. We're talking about the term "hormone imbalance" and how damaging this term can actually be. We cover concepts such as Why accurate diagnosis is the first step towards...
info_outline
Using Thyroid Hormone Replacement for Migraines. What a 2023 Study Says.
The Confident Clinician Podcast
In today's podcast, we cover a brand new study by Dev (2023) on using low-dose thyroid hormone in patients with subclinical hypothyroidism (TSH between 4.5-10 mIU/L). We've seen the connection between slightly elevated TSH and migraine in a few populations, but this is the first clinical trial that attempts to lower headache frequency, intensity and duration with thyroid hormone replacement. Have a listen to the episode, and be sure to , our new integrative medicine magazine that's free for subscribers. We'll help you stay up to date, without having to do the research...
info_outlineToday’s podcast is a fun cognitive gymnastics opportunity for you to think about the influence of bias in your clinical decision making with Dr. Jordan Robertson ND
Fun. We promise.
Bias is rampant in clinical decision making and it’s important that we break open the conversation by both identifying the types of bias that exist, and thinking about possible examples where this may show up in our clinical lives.
In this episode, we cover anchoring bias, the availability heuristic, the halo effect, confirmation bias, the framing effect, publication bias and a few others.
Clinicians need to rebuild their knowledge on an ongoing basis, which is hard for humans to do in general - and really hard as a clinician. We’ll give you some new ways to think about your clinical decision-making and give you a safe space to deconstruct your own ideas to be better in practice.
Enjoy!
We referred to a few courses that we’ve offered in the Confident Clinician that you can connect with here: www.confidentclinicianclub.com