Take Care

Some Sundays at 7 p.m.

A conversation on health and wellness, Take Care draws upon the expertise of both regional guests and the country's leading authorities on medicine, technology, psychology and human behavior, health care, and public policy. Take Care explores a variety of topics that impact our lives and our choices in treating illness and enhancing wellness.

If you have a comment, question or suggestion for future broadcast - you can email the production team at takecare@wrvo.org any time.

Information on this broadcast is provided for informational purposes and is not meant to substitute for the advice provided by your own physician or other medical professional. WRVO also provides a more detailed disclaimer.

WRVO allows republishing of Take Care web posts at no charge, with the following provisions:  a) no editing of scripts, graphics or audio is allowed;  b) "WRVO Public Media" shall be credited on the republished post; and c) notification of intent to republish a post is emailed to TakeCare@wrvo.org.

Support for Take Care comes from the Health Foundation for Western and Central New York.

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For today's latest in health segment, we look at ways to make services more accessible to seniors both in and out of the home.

CSIRO/Wikimedia Commons

If you look back on your life, you can probably pick out a few major transitions: from high school to college or maybe from one job to another. The transitions experienced as we reach our later years can sometimes be more complex.

Carol Levine joins us today on "Take Care" to discuss common transitions in old age, including Medicare. Levine is the director of the Families and Health Care Project at the United Hospital Fund, called “Next Step in Care.” She is also the author of the recent AARP book, “Navigating Your Later Years for Dummies.” 

qimono/Pixabay

Cellular senescence -- when stress causes cells to change their function in the body -- is common and sometimes harmful in older adults, but scientists are working on medications that can help kill them.

Senolytics drugs can selectively induce death of senescent cells. Dr. Judith Campisi, a researcher and professor of biogerontology at the Buck Institute for Research on Aging, joins us today on “Take Care” to explain this new class of drugs and their potential use. She said senolytic drugs could be one way to combat the aging process.

Ellen Abbott / WRVO News

According to the National Institute of Mental Health, more than 6 million Americans over the age of 65 suffer from depression. A large percentage of those cases, though, are never identified or treated.

One of the problems in diagnosing depression in an individual over 65 is that it does not look the same as depression in a younger person.

Aging today

Nov 29, 2018
Vanilla Ice Cream / Flickr

Aging is inevitable. For many of us, reaching our later years means some more aches and pains -- but hey, retirement isn't that bad! Age related diseases, though -- like dementia and Alzheimer's -- can throw a wrench in retirement plans by putting a strain on loved ones and families as they navigate the new norm. But with the latest advances in technology, maybe we can stave off the effects of some of these diseases or live healthier altogether. This time on "Take Care," we explore what it means to age today.

Helping young mothers one door at a time

Nov 11, 2018
Avery Schneider/WFBO News

How do you help mothers and babies in need? One door at a time. WBFO's Avery Schneider spent an afternoon in an upstate New York neighborhood to see how  a local agency does it.

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For today's latest in health segment, we look at solutions for two different kinds of patients -- one for those with genetic diseases and another for healthy people looking to stay that way.

First, we start with a new algorithm that could improve the diagnosis of rare diseases. Second, we look at a New York City lab that educates patients on making healthy lifestyle changes.

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For some people, their yearly checkup is as easy as heading downstairs on their lunch break, as some companies are moving toward health care methods that put the physicians closer to the workers. That does not necessarily mean, though, that health care has improved at these companies, an author and health director said.

Carolyn Engelhard, director of the Health Policy Program in the Department of Public Health Sciences at the University of Virginia School of Medicine, co-authored the book “Health Care Half-Truths: Too many myths, not enough reality.”

National Cancer Institute/Wikimedia Commons

With seemingly a new fad diet coming out every week, a recent movement has turned to anti-dieting, focusing more on wellness rather than weight. The best approach, though, may be a middle ground individualized to what each person needs, according to a registered dietitian-nutritionist.

Samantha Cassetty is a contributing nutritionist for NBC News Better. In her article “Is the anti-diet movement leading us astray?”, she said there are a lot of good ideas to take away from the anti-diet movement, like the importance of feeling compassion and love toward oneself.

Yuxuan Wang

A growing trend in high-stress, demanding jobs is the “positive stress movement,” when people expose themselves to extreme temperatures, diets and exercise as a way to improve longevity. At Palo Alto Investors, though, the focus is on a far less radical approach to helping us perform better for longer.

Dr. Joon Yun is a physician and the president and managing partner of Palo Alto Investors, LLC. He also created and sponsored the Palo Alto Longevity Prize, launched in 2014, which provides a $1 million prize to anyone that cracks the code on stopping the aging process.

Endurance: Why mind and body matters

Nov 10, 2018
Kerry Landry

When it comes to endurance, do you think it's all in your head? Maybe with a little more mental power the body can achieve anything. Although your brain plays a crucial roll, the relationship between mind and body is what matters most when it comes to endurance, according to our next guest, an author, journalist and runner.

Alex Hutchinson is the author of the book “Endure: Mind, Body and the Curiously Elastic Limits of Human Performance.” He started out as a middle/long-distance runner for the Canadian national team and now continues to write for "Outside" magazine.

Extremes in health and wellness

Nov 9, 2018
Xenja Santarelli / Flickr

Health and wellness is a popular topic these days. It's not just exercising or eating well anymore. With increased interest comes some new ideas – and new research to back them up. Some of those ideas can seem a little extreme. That’s what we’re exploring this time on “Take Care,” tune in for more on health and wellness extremes.

You’ll hear discussions on new algorithms to help diagnose rare disease, the idea of “positive stress” and what it means for our longevity, why the anti-diet movement doesn’t have to be all or nothing, how one organization is literally going door to door to make a difference, and more.

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Where do you get your health and wellness information? If we asked that question a few decades ago, you may have answered with the name of your primary care physician. But things have changed. In the information age, understanding what's best for your health and wellness is not always easy. From the latest fad diet to the most recent study on the effects of drugs, treatment, environmental stressors -- what should you be paying attention to and what should you ignore? We explore these topics on "Take Care," WRVO's health and wellness show.

Ellen Abbott / WRVO News

Electronic medical records have replaced paper records in most health settings, but in the huge and varied medical world, there is room for improvement.

Greg Kenien, cardiologist and chief medical information officer at St. Joseph’s Hospital in Syracuse, has a bird's-eye view of the changing world of medical records.

“Ultimately, the potential is enormously for the good, but we’re having some growing pains now,” Kenien said.

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What’s in the way of achieving the best possible patient outcomes? It’s a question health practitioners ask themselves daily. In some cases, it’s reporting and paperwork, in others accessibility. Today we talk about why your electronic medical records -- where they’re available and how they’re delivered -- could be holding you back from receiving the best care.

Our guest on “Take Care,” WRVO’s health and wellness show, is Arthur Allen. He’s eHealth editor at POLITICO Pro. We drew inspiration for this segment from his article “Connecting your medical data could be the next big payoff,” found in POLITICO.

Pam. Am. Health Organization / Flickr

You may not remember the college days you spent pouring over the latest studies to make a point in that big paper due a lot sooner than you'd hoped. Spring break was far more memorable. But it's worth noting that primary sources, like medical studies and clinical trials, hold the details and caveats that articles written about those same studies often don't.

As someone who's in charge of your own medical care, you probably want the facts. But combing through a clinical trial isn't the easiest thing to do. How do you know if some organization with an agenda funded the study? Or what does it mean if the results of the study have never been replicated? Joining us on "Take Care" with more is Olivia Tsistinas, clinical outreach coordinator at Upstate Medical University's Health Sciences Library in Syracuse -- which is open to the public.

Monash University / Flickr

When it comes to medicine, the understanding of what is best for a patient can change over time due to new advances made in research, clinical trials and the like. Even so, many practices and products are adopted with little testing, leading to what a hematologist-oncologist at Oregon Health & Science University (OHSU) described as a vast amount of medical reversals.

Dr. Vinay Prasad joined us to discuss medical reversal on "Take Care," he's an associate professor of medicine at OHSU and co-author of the book “Ending Medical Reversal: Improving outcomes, saving lives.” In his book, he wrote that there are a lot of practices in medicine that are adopted quickly and used for long periods of time when, in fact, they are ineffective or even harmful.

Rob Bertholf / Flickr

Decades ago, people got their health information from their doctors. Today, information is much more available (thanks, internet). So much so that we're bombarded by it: lose weight forever with this one simple trick; here's the cleanse that will cure your bloat; don't lie awake in bed at night, take this supplement, cure insomnia. Many of these tips, tricks, cures and secrets are misleading and inaccurate, spread by celebrities and laypeople alike.

Timothy Caulfield has spent most of his career trying to find out if there's any evidence behind these wellness trends. He joins us on "Take Care" to dispel some myths and get to the root of the problem. Caulfield is a researcher, author and professor of health law and science policy at the University of Alberta. He's host of the show "A User's Guide to Cheating Death," which is available on Netflix.

Start up Stock Photos via StockSnap io

The widespread use and popularity of the internet means that health information is available 24/7 from a wide array of sites, but it has also lead to the spreading of false health information on a large scale.

Dr. Nilay Kumar is a clinical assistant professor at the University of Wisconsin School of Medicine and Public Health. Today on "Take Care," he shares why the accessibility of health information can help encourage people to make positive health choices, and also lead to a lot of misinformation.

Our understanding of suicide has evolved over the years, as have prevention methods. The Center for the Study and Prevention of Suicide (CSPS) at the University of Rochester is dedicated to better understanding suicide and how to prevent it.

Joining us on "Take Care" to discuss is Kimberly Van Orden, associate professor in the department of psychiatry and principal investigator at the HOPE (Helping Older People Engage) lab.

Mike Lee/flickr

When patients suffer from a mental illness, it can be difficult for their physicians to get an accurate representation of their symptoms because the patients’ self-assessments can vary in accuracy, but one company is out to change that.

Medibio, a mental health technology company with offices in Minneapolis, Minnesota, and Melbourne, Australia, is hoping to bridge the gap with a mission to build tools to objectively measure the link between physiological measures and mental health.

We spoke with Medibio on "Take Care" to get a better idea of their work in this growing field of medicine, which started about 20 years ago.

The National Suicide Prevention Lifeline serves as a resource for all. It’s not just the phone number. With online resources for loved ones and professionals, and services catering to specific populations, it’s an all-encompassing lifeline when it comes to suicide prevention.

We spoke to the associate director of the lifeline, Shari Sinwelski, about the resources available on “Take Care,” WRVO’s health and wellness show.

Recent CDC study shows rise in suicide across much of US

Sep 30, 2018

A recent study from the Centers for Disease Control and Prevention (CDC) showed that suicide rates increased in nearly every state in the United States between 1999 and 2016. It’s a significant rise, one that left many health practitioners and citizens asking “Why?”

Joining us today on “Take Care” is one of the authors of the study. Dr. Alex Crosby is Surveillance Branch chief in the Division of Violence Prevention. Crosby’s work includes research and assistance in the prevention of self-directed violence in the National Center for Injury Prevention and Control at the CDC.

David Woo / Flickr

In an article published in Slate Magazine, author Erica S. Perl advocated for an increase in books available and written for children on suicide and severe mental conditions to spread awareness and help eliminate the stigma that often comes with the subject of mental health.

Perl, author of “All Three Stooges” and other books, wrote “Alone in the Dark: Why we need more children’s books about suicide and severe depression” to explain why mental health education is important at a young age. She joined us to discuss her latest book and the article on "Take Care."

Elaine with Grey Cats / Flickr

Even though it ranks among the lowest suicide rates in the nation and the highest in mental health resources, Connecticut is still seeing significant increases in suicides, but Mental Health Connecticut is one of the nonprofits working to change that.

Luis Perez is president and CEO of Mental Health Connecticut, a statewide nonprofit that, for over a century, has worked to implement resources for Connecticut citizens to use to live mentally healthier lives. He spoke to us this week on "Take Care."

Federica Testani / Flickr

Suicide numbers are up, according to the latest report from the Centers for Disease Control and Prevention (CDC). When the CDC study came out earlier this year, it gained national attention amid some high-profile suicides and struggles with mental illness. With rates of suicide increasing in nearly every state in the U.S. between 1999 and 2016, many were left asking why?

Alex Proimos / flickr

Zero suicide is a concept that is a model for reducing suicide across the country. It essentially integrates questions about suicide for patients at all health care visits. New York State has won a grant to use a Onondaga County as a kind of a test lab to see if it can be successfully integrated into an entire community health system.

"Nearly 50 percent of people who die by suicide had a primary care visit within 30 days of their death," said Dr. Jay Carruthers, New York State Suicide Prevention Director.

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Though obstacles still impede its application, telemedicine -- using technology to remotely connect physicians to patients -- is growing throughout the nation and the world, and a researcher at the Massachusetts Institute of Technology (MIT) believes it's a crucial tool to treating patients in the modern age.

Amar Gupta teaches a popular telemedicine course at MIT, and his work has led to several major technological advancements at MIT and other universities. Gupta said telemedicine has an important practical application that is not being fully utilized due to the nature of health care in the U.S. He shared his thoughts with us on "Take Care."

tr0tt3r / Flickr

This summer, Oklahoma’s Medicaid program was approved for a value-based purchasing program -- a first-in-the-nation drug pricing experiment that hopes to incentivize drug companies to stand behind their product.

Jackie Fortier reports on health policy for StateImpact Oklahoma, a collaboration of NPR member stations in Oklahoma that focuses on how government policy affects people’s lives. Fortier spoke to us this August on "Take Care," right before the new drug-pricing model began. She said though there are plenty of skeptics, the new program might do some good for the state and provide an example for other states to follow.

Kiran Foster/Flickr

Americans who suffer from a severe mental illness, including depression and bipolar disorder, have a life expectancy 15 to 30 years shorter than those without mental illnesses, according to a New York Times article published earlier this year.

Dr. Dhruv Khullar, an attending physician at New York - Presbyterian Hospital and a researcher at the Weill Cornell Department of Healthcare Policy and Research, wrote the article after caring for patients with mental illnesses and watching the effects mental struggles have on physical health.

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