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Discrimination in Health Care

PodcastDX

Release Date: 07/21/2020

Black Box Pharmacy Warnings show art Black Box Pharmacy Warnings

PodcastDX

This week we will discuss the warnings some medications carry due to the dangerous side effects they may cause.  In the past these were called "Black-Box" now the term used is simply "boxed". Boxed warnings apply to certain medications that carry serious risks for the person taking them. The FDA decides which medications require boxed warnings. A doctor must review the risks and benefits of a medication with a boxed warning before prescribing it. They will decide whether a medication is safe to prescribe based on a person’s health conditions, any medications they take, and other...

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Our topic this week is Lupus and how doctors are frequently considered to be gaslighting the patients in their care.   Our guest knows from first-hand experience that when you’re relatively healthy, you tend not to think much about ‘wellness.’ But when this slips away and lupus comes barreling in… your world gets rocked. That’s why she wrote the book, The Girlfriend’s Guide to Lupus, to help other women struggling with this chronic disease feel less alone and more empowered to take control of their health and manage their lupus. Amanda holds an Master’s degree in...

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This week we will discuss Multi-Organ transplants with Zachary Colton.  Zach is 35 years old and recently underwent a successful 5 organ multivisceral intestinal transplant surgery at the Toronto General Hospital in his home country of Canada. The organs he received were: stomach, small intestine, colon, liver, and pancreas.   In 1954, . Liver, heart and pancreas transplants were successfully performed by the late 1960s, while lung and intestinal organ transplant procedures were begun in the 1980s. ​From the mid-1950s through the early 1970s, individual transplant hospitals...

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Over 200 years ago Louis Pasteur was born in Dole, France. Among Pasteur's major contributions and their benefit to society, the most important is the heat treatment of foods and beverages to reduce spoilage and eliminate pathogens for consumers. Probably the greatest achievement of Pasteur was the process that bears the name of this famous scientist who perfected the technique: pasteurization. For liquids, this process does not involve boiling the product to sterility but simply applying just enough heat (ie, par-boiling) to 50–60°C for a specified period to reduce spoilage microbes and...

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In this episode we are talking again with our audio editor Jack Scaro.  The topic again is: spontaneous pneumothorax, or collapsed lung. Spontaneous pneumothorax is an abnormal condition of the lung characterized by the collection of gas in the pleural space between the lungs and the chest wall. This condition occurs without an obvious etiology and can be classified as either primary or secondary. Patients may present with symptoms such as tachycardia and dyspnea. The diagnosis is based on clinical suspicion and can be confirmed with imaging.  Jack had this condition which surprised...

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This week we will continue our coverage of Bile acid malabsorption (BAM),  a . It’s a common cause of . When bile acids aren’t properly absorbed in your intestines, they build up, upsetting the chemical balance inside. Excess bile acids trigger your  to secrete extra water, leading to watery stools. This week we will continue our coverage of Bile acid malabsorption (BAM),  a . It’s a common cause of . When bile acids aren’t properly absorbed in your intestines, they build up, upsetting the chemical balance inside. Excess bile acids trigger...

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Bile Acid Malabsorption show art Bile Acid Malabsorption

PodcastDX

This week we will discuss Bile acid malabsorption (BAM),  a . It’s a common cause of . When bile acids aren’t properly absorbed in your intestines, they build up, upsetting the chemical balance inside. Excess bile acids trigger your  to secrete extra water, leading to watery stools. ​ What are bile acids? Bile is a substance your  makes while filtering your blood. Your liver sorts waste products, such as toxins, dead blood cells and excess cholesterol into bile. Bile acids come from synthesizing these products together. The different acids in bile help...

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This week we will discuss a Veteran's hesitancy to receive healthcare at the government hospital system known as Veterans Administration or "VA".  Although many veterans may share the concern over receiving care through a government agency due to the medical care they got while in training or active duty; i.e. sucrettes and tylenol being the standard of care when Jean Marie and I were in training. Our guest, Mark Frerichs, has different reasons to question the quality of care. Mark, a Navy veteran who continued working as a contractor post-war in Afghanistan.  It was during his work...

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In this episode we discuss adrenal insufficiency  You can have either primary, secondary, or tertiary adrenal insufficiency. Primary adrenal insufficiency is also called Addison’s disease. When you have this type, your adrenal glands are damaged and can’t make the cortisol you need. They also might not make enough aldosterone. Secondary adrenal insufficiency is more common than Addison’s disease. The condition happens because of a problem with your pituitary gland, a pea-sized bulge at the base of your . It makes a hormone called adrenocorticotropin (ACTH). This is the...

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This week we are talking with Doctor Kat Ogle on discrimination in healthcare.  From medical students to doctors and naturally the patients in between, how common is racism in the medical community and what can be done to end it?  Dr. Ogle doesn't hold back on this important topic!  

Kat Ogle M.D.

Dr. Kat Ogle| Washington DC

Emergency Medicine Physician

Author

Dr. Ogle is a board-certified Emergency Medicine physician, currently practicing at The George Washington University Hospital, Washington VA Medical Center and United Medical Center in Washington, DC. She is a first-generation college graduate and physician and began her career with seven years as a registered nurse, nearly six of which were spent in critical care. She attended the George Washington University School of Medicine & Health Sciences for medical school, Emergency Medicine residency and finally an Emergency Ultrasound fellowship. In 2014, she furthered her passion for medical education by completing Master Teacher Leadership Development Program at GW. She has been on the faculty since 2013.

 

As an Assistant Professor of Emergency Medicine at the George Washington University School of Medicine & Health Sciences and is actively engaged in medical student, resident and fellow education. She is the Emergency Ultrasound Fellowship Director, Executive Chair of the Clinical Competency Committee for the residency. She directs the Medical Education and Leadership Scholarly Concentration at the medical school level and leads Teaching and Learning Knowledge and Skills, a senior elective during which students learn concepts and tools which will facilitate their growth as clinician educators. She has fostered engagement with the women faculty within her department and co-founded their professional development group, GW Emergency Medicine Females or GWEMFEM. Through this group, she encourages and inspires amplification and promotion of her women physician peers.

 

On a national level, she has served in several leadership roles: as the Didactics committee chair for the Academy for Women in Academic Emergency Medicine for the last three years and has been elected as the Vice President of Education for AWAEM in the summer. She is also an elected counselor, serving on the Society of Clinical Ultrasound Fellowships Board. Within AWAEM, she served co-chair of the Task Force on Starting a Women’s Group within AWAEM, a group embarking upon the development of the AWAEM Toolkit 2020 Edition, released early this year. She has been engaged in education and speaking at both national and international levels and she incredibly proud being selected as one of the speakers for FIX19 in which she shared a very personal story about the intersection of alcoholism, intimate partner violence and child abuse. Dr. Ogle's professional interests include point of care ultrasound, both undergraduate and graduate medical education, mentorship, female leadership and promotion as well as wellness. She balances her academic and professional responsibilities with her role as a single mother and co-parent.