Episodes
Physicians Lindsey and Kirsten are back with a new topic. They discuss the concept of life space, the area in which one conducts life activities. Studies have demonstrated that larger life space positively affects health. Lindsey and Kirsten discuss the benefits of a larger life space and explore how to obtain these benefits even when life space is limited.
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Published 01/10/22
In this episode we discuss shoulder pathology including impingement, adhesive capsulitis, arthritis of the shoulder, and rotator cuff injuries with physical therapist Lindsey Sandbeck. We review what to expect from a PT evaluation, as well as non-operative and post-operative physical therapy. Lindsey provides insight into strategies to optimize recovery from shoulder injuries and surgery.
Published 06/16/21
Dizziness
Dizziness can come in different forms: vertigo, lightheadedness, disequilibrium.
Vertigo: False movement, room spinning. Feels as if you are moving when you are not.
Benign Paroxysmal Positional Vertigo: acute, occurs with certain movements, lasts seconds to minutes
Dix-Hallpike to diagnose
Vestibular rehab/physical therapy to treat - Epley Maneuver
Meniere’s Disease: vertigo, with hearing loss and ringing in ears
Labyrinthitis
Central vertigo: can be more...
Published 03/29/21
In this episode we discuss asthma. We review symptoms, diagnosis, and treatment. We also discuss triggers and how to minimize them. We talk about creating a home management plant, or asthma action plan, with your doctor. Finally, we talk about symptoms that indicate an asthma exacerbation and symptoms that might indicate a need for prompt evaluation.
Health pearl: try a low calorie Shrub for a refreshing alcohol free drink.
Published 03/11/21
Episode 37 - COVID-19 Vaccine Q & A
In this episode, we answer questions about the COVID-19 vaccine, including how it works, common side effects and who should get the vaccine.
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Published 01/22/21
Episode 36 - Gut Health
In this episode we discuss a problem commonly encountered in our clinics, chronic diarrhea. We review various causes, and discuss how patients can help us determine the cause. We provide a basic overview of treatment of some types of chronic diarrhea.
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Published 12/19/20
Common Aches and Pains
Tendonitis: Inflammation of the tendons (attachment of muscle to bone). Elbow, ankles, wrist, overuse.
Treatment: rest, ice, NSAIDS. Physical Therapy can be necessary and helpful
Bursitis: fluid filled sacs in areas of friction that can become inflamed.
Common: Trochanteric Bursitis (hip), Anserine bursitis (medial knee), Olecranon Bursitis (elbow)
Treatment: Physical therapy, Steroid injections, Ice, NSAIDS, stretching
Arthritis: Pain in the...
Published 10/17/20
Episode 34: the 4M’s
4M’s to discuss with your physician: Medications, Mobility, Mentation, Matters Most (what Matters Most)
Help shape patient-centered care
Reduce hospitalizations, decrease the need for care
Mobility - evaluate yearly
Measures:
Gait speed is one measure (slower than 1 m/s increased risk of falling, increased risk of hospitalization)
Timed get up and go
Balance evaluation by physical therapy
Getting up from chair without using arms
Next step:
Home exercise...
Published 10/05/20
Everything Doc Show Notes: Genetic Counseling
Special guest: Allison Hutchinson a certified genetic counselor. Has worked at Sanford Imaginetics for the last 2 years. Her focus is working with teams to offer genomic and pharmacogenomics education to providers, patients, and the public. She is part of a research collaborative investigating whether these education interventions have been successful and how to continuously improve. Prior to this Allison was a high school science teacher...
Published 07/29/20
The Dark Side of Isolation During COVID-19
In this episode, we discuss the unintended isolation that results from social distancing and quarantine measures, especially in the elderly. We review complications of isolation, including frailty, sarcopenia, depression, cognitive changes, and increased suicidality. We also review measures to help mitigate these adverse consequences, and discuss how everyone can help.
We explain which outings are safe and whether gathering during the summer can...
Published 06/23/20
Mental Health During the Pandemic
Child and Adolescent Psychiatrist Dr. Stefanie Hanisch joins us to discuss mental health, especially that of youth, during the current pandemic.
Dr. Hanisch was born and raised in South Africa. She attended medical school at the University of Pretoria, South Africa, before obtaining her fellowship in Child and Adolescent Psychiatry at Baylor College of Medicine in Houston, TX. She served as Chief Resident before moving to Fargo, ND. She has been in her...
Published 04/30/20
Episode 30 COVID-19: A Marathon, Not a Sprint
Recorded Sunday April 5, 2020
Today we are joined by Infectious Disease expert Dr. Dubert Guerrero to discuss COVID-19. Dr. Guerrero is a practicing Infectious Disease Physician at Sanford Health. He graduated from the University of the Philippines and completed his training in Internal Medicine at Akron General Medical Center. He went on to complete an Infectious Disease fellowship at Case Western Reserve University in Cleveland, Ohio. Dr....
Published 04/06/20
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Published 03/25/20
Episode 28 - Pharmacogenomics with Dr. Natasha Petry, PharmD, BCACP
Natasha has a bachelor’s degree in Microbiology and graduated with a Doctor of Pharmacy in 2012 from North Dakota State University in Fargo, ND. She completed a post graduate Pharmacy Practice Residency at Trinity Health in Minot, ND and joined the faculty at NDSU as an Assistant Professor with a clinical appointment at Sanford Health. She is a board-certified Ambulatory Care Pharmacist and began working in the area of...
Published 03/09/20
Episode 27: Sugar and Metabolic Syndrome
In this episode we discuss the impact of sugar on metabolism and the adverse effects of sugar loads on various organ systems.
Metabolic syndrome: dysregulation of normal metabolism. It can lead to damage of many organs. Increases risk of diabetes, high blood pressure, excess body fat (especially central obesity), abnormal cholesterol. This increases risk for heart attack and stroke. Can also lead to fatty liver disease.
High fructose loads cause...
Published 02/24/20
Warning Signs of Heart Attack and Stroke
Heart Attack: Occurs with decreased blood supply to the heart muscle.
Symptoms:
Chest pressure, like elephant sitting on chest
Jaw Pain
Pain into left arm
Nausea/indigestion
Breaking into a sweat
Shortness of breath
Other warning signs: change or decrease in exercise tolerance
Stroke: Decreased blood supply to area of the brain
Symptoms:
Facial drooping/drooling
Arm or leg weakness/numbness
Speech difficulty
Acute imbalance...
Published 02/10/20
A Pain in the Back
80% of the population will present to primary care with low back pain. Most of the time low back pain isn’t a signal of a worrisome underlying condition/ dangerous, though it can affect quality of life and become chronic.
Definitions:
Acute back pain: new back pain that has been present less than 4 weeks
Subacute back pain: back pain present for more than 4 and less than 12 weeks
Chronic back pain: back pain present for more than 12 weeks
Most of the time it will...
Published 01/27/20
Episode 7: Living Well with Dementia
Dementia - changes in memory and thinking that are beyond what is normal for age. It is progressive (worsens over time).
Treatment can slow progression of dementia, but there is no cure. It is felt that regular exercise, following a healthy diet such as the Mediterranean diet, and staying socially and cognitively engaged can help prevent dementia. Controlling chronic diseases such as high blood pressure, high cholesterol, and diabetes can also help with...
Published 01/13/20
Episode 23: Resolve to do your Advance Care Plan
We are joined by guest Gail Christopher to discuss Advance Care Planning. Gail is a nurse with over 40 years of experience in clinical nursing, surgery, utilization management, wellness coordination, and long term care among other things. In 2003 she obtained an MSN from UND with a focus on Nursing Administration. She works for Sanford Health in Fargo as the lead with the Advance Care Planning Team. In April 2019 she became a Certified Sacred...
Published 12/29/19
Winter Colds
Most of the time caused by viral infections (no benefit from antibiotics) as opposed to bacterial infections. Symptoms include nasal congestion, headache, sinus pressure, face pain.
Control symptoms with humidifier, nasal washes/rinses, steroid nasal sprays, guaifenesin for thinning of mucous, Tylenol, and time. Often more than 2 weeks to see resolution of symptoms and can be up to 4-6 weeks.
Health Pearl: Try to begin active traditions like a Turkey trot during the...
Published 12/16/19
Exploring Menopause
Today Dr. Jean Marie McGowan joins us to talk about menopause. Jean Marie McGowan, MD NCMP FACP is an Internal Medicine physician with a special interest in Women’s Health. She attended the American University of the Caribbean for medical school and completed Internal Medicine residency, serving as chief resident, at the University of North Dakota in Fargo. Dr. McGowan started working for Sanford Health in the summer of 2016 and focused on improving women’s healthcare. ...
Published 12/02/19
The THYROID episode
Thyroid gland sits low in the neck. Secretes two forms of thyroid hormone - T3 and T4
Symptoms: affects the heart rate, weight, hair, mood, reflexes, bowels, energy
TSH (thyroid stimulating hormone) is measured in the blood to monitor thyroid levels
High TSH means low thyroid
Low TSH means high thyroid
Goiter is enlargement of thyroid tissue. Can be active and secrete thyroid hormone or inactive.
Thyroid cancer: most common is papillary thyroid cancer - highly...
Published 11/18/19
Medications and Deprescribing
Today we discuss medications, polypharmacy, and deprescribing.
We are joined by clinical pharmacist Dr. Douglas Gugel-Bryant, PharmD, BCPS for this week’s conversation. Doug received his bachelor’s degree in chemistry and biochemistry from Capital University in Bexley, OH. He received his Doctorate of Pharmacy in 2017 from the Northeast Ohio Medical University. He went on to do a post-graduate residency program with the Cleveland Clinic Akron General in...
Published 11/04/19
Understanding Your Lab Results
In this episode, Drs. Lindsey and Kirsten provide an overview of the routine labs. We answer the following questions:
- When are routine labs being ordered?
- What does the lab result mean?
- What are some causes of high or low results?
- Which labs, when mildly abnormal, are not worrisome?
Lab tests included are the chemistry panel, the complete blood count, thyroid tests, hemoglobin A1c, and cholesterol.
Health Pearl: diastole is a phase in the...
Published 10/20/19