Saturday, February 2, 2019

Wellness: One Way to Clean Your Dirty Genes


Breakfast Chat with Dr. Pat, “ Wellness:  One Way to Clean Your Dirty Genes”

Guest Presenter:  Doug Newton, MS  former WSU Wellness Program Director

February 6, 2019 at 9:15 AM Hosted by The BellHOP Cafe

With increasing knowledge about epigenetics and moment by moment genomic “adjustments”, Ben Lynch, ND has authored a book titled, Dirty Genes.  In it he explains how to use our daily and leisure activities and food to improve the functioning of our genes.  It comes down to Wellness, which does have many definitions and approaches. 
Doug Newton who most recently was Program Director for Wellness at WSU will provide a definition and expound on wellness for individuals, colleges, businesses and communities.
Dr. Jonas, your host on the Dr. Synonymous Show and Blog,  will comment on the book by Dr. Lynch and some genomic, nutrigenomic and epigenetic concepts that reaffirm what Doug is saying about Wellness.  #Wellomics might be coming next!


This will be broadcast on Dr. Jonas internet radio show live and stored as a podcast on BlogTalk Radio at The Dr Synonymous Show.  www.BlogTalkRadio.com/DrSynonymous and reachable via Dr. Jonas Blog www.DrSynonymous.blogspot.com

Thursday, December 6, 2018

DPC: 20 Practices, 40 Doctors for the Miami Valley in 3 Years

Direct Primary Care, the movement, is energized, enthusiastic and expanding.  About 1000 practices currently exist in the United States.  There are two DPC practices in the 13 counties that constitute the Miami Valley around Dayton, Ohio.
I predict that we can have twenty practices including 40 physicians within three years.  Yes, by the end of 2021, we'll have twenty DPC practices.

There are hundreds of disaffected physicians in the area looking for an alternative to the grind that leads to burnout.  Many are already burned out.  Many intend to retire early or at the earliest realistic point in their life to escape and survive.  Many newer physicians and physicians in training are trying to avoid the misery that they notice in their faculty and mentors.
Medical students are avoiding primary care specialties and many are becoming hospitalists instead of pursuing a primary care career.  Less than ten percent of students actually enter into a primary care career.

Its time to reconstitute primary care into a career path that is fun again.  Direct Primary Care is one business model that seems to allow that.  Direct pay practices are here again.

Further definitions and information about Direct Primary Care can be found at www.dpcare.org and www.dpcfrontier.

More later.

Sunday, December 2, 2018

Nutrition and Health Interview: Healthy Brains and Bodies

Nutrition is a huge factor in our health.  Our genome and microbiome are other
huge factors. The environment and toxins are others.
The interview with Robert Lovegren on my 12/3/2018 Dr. Synonymous Blogtalk Radio Show
may address all of them. Bob is a retired physicist and electrical engineer.
He is a scholar in health and education.

Some questions that we may discuss include:
How did you get interested in nutrition, Bob?
What would an ideal state of health be?
What factors might lead to an ideal state of health?
What do you mean by “Bio-exhuberance?”
What role might be played by heat therapy?  Cold therapy? Red light therapy?
What are your thoughts about mitochondria in cells?
What toxic diet components are “poisoning” us?  What should we not eat?
What about fasting?
How about exercise strategies?
How do you get people to listen to your strategies for health, especially considering
our addictions to sugar, grains and high fructose corn syrup?

Are you finding like-minded people in the area of cellular and brain health?



Saturday, November 10, 2018

We Have Stories to Tell

As a holistic minded Family Physician, I notice a lot about the human condition in the context of health care, mostly in the office practice of Family Medicine.  The plight of humanity is still a fascinating work in progress.  We have an infinite array of response repertoires to our lives, many of which are unpredictable.  We have stories to tell.

I love to hear the stories and listen for the health related components that are misaligned with the dreams of the patients.  

I also enjoy reading blog posts and often have reviewed them on my Blog Talk Radio Show of the same name as this blog.  Medical Mojave, who used to call her blog Pissed Off Patient, is one I've followed for a few years.  She has been off line for a while and just reappeared with a couple blog posts and a comment on my last blog post.  Here is my response to her comment with more:

Thanks for your comment. Your blog, Medical Mojave is a Blog that I always read and used to comment about on my Blog Talk Radio Show. It points out the tensions between patient and physician from the patient side of a rare condition. A good book about thinking limitations in scientific and medical professionals that reaffirms the patient perspective that the physician could reflect a bit deeper on the patient story/ plight is The Limits of Scientific Reasoning by Faust 1984 U of Minnesota. From the preface: "human judgment is far more limited than we have typically believed and that all individuals, scientists included, have a surprisingly restricted capacity to manage or interpret complex information."
We have to work to process the complex information/situations better. The current Electronic Medical Record seems to have set back decision making considerably for physicians due to excessive administrivia and less time for patient care and clinical decision making.

I still believe that the patient's story is the most important part of the patient-physician encounter, in the context of an effective relationship between patient and physician.  It tells us us who the patient is and where they have been and where they are headed and more.  At the same time it resonates with who the physician is and where they have been and where they are headed.  The patient-physician dyad is powerful if allowed to be powerful.

Wednesday, October 3, 2018

Breakfast Chat with Dr. Pat: Talking with Doctors

Dr. Jonas, your host for the Dr. Synonymous Show will discuss strategies that may enable patients to be better heard by their physicians.  Physicians seem to have less and less time to engage patients.  This may be detrimental to quality in healthcare.  How might we get around this?  Dr. Jonas will engage those present about ways to get their story heard.  This will include some information about how doctors think and make decisions. 
We will talk about some common problems and at least one rare disease- Ehlers Danlos Syndrome.  The EDS patients get rejected a lot by physicians before they finally get a diagnosis.  How can we get beyond these rejections in this era of opiate abuse and dependency in which patients with pain struggle to get it treated adequately?  The EDS patients might be the poster children for this quandary between pain and opiates.
Click below to listen to the podcast on Blog Talk Radio.