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.

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.

CDC Global / Flickr

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.

Intel Free Press/Flickr

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.

Council of Accountable Physician Practices / Flickr

An opinion piece published in STAT, a health-centered media group, detailed the paradoxical struggle of physicians spending too much time reporting quality data to actually deliver quality medical care to their patients.

Dr. Jerry Penso, president and chief executive officer at AMGA (formerly the American Medical Group Association), wrote that though there are well-meaning intentions behind mandatory quality reporting, the ultimate result is detrimental both to physicians and their patients. We spoke to him this month for "Take Care," WRVO's health and wellness show.

JasonParis / Flickr

The Arc New York supports people with intellectual and developmental disabilities with programs, services and advocacy work. Their aim is inclusion. By providing guidance to family members and focusing on indepencence and comfort, they believe people with disabilities can have quality of life within their community.

This time on "Take Care," we spoke with Tania Seaburg, chief policy and operations officer for the organization. Our conversation centers on employment efforts, one of The Arc's key approaches to providing a more normal life for a portion of the population that is often at a disadvantage otherwise.

In My Father's Kitchen

Access to health care is important for individuals overall physical, social and mental health. But there are barriers for many Americans according to the Office of Disease Prevention and Health Promotion -- including the high cost of care, inadequate insurance coverage (or no coverage at all), or lack of available services. As Ellen Abbott reports, there are attempts in many communities to remove these barriers.

Removing barriers to health

Aug 13, 2018
eltpics / Flickr

Health and wellness isn't a right for all people. For many of us, it's a privilege. Whether the issue is cost, transportation, resources or red tape -- many things can get in the way of living a long, health life. This time on "Take Care," we speak to people who are trying to remove these barriers.

Alzheimer’s disease currently afflicts 5.7 million Americans, according to the Alzheimer’s Association. That fact has led researchers in Massachusetts to discover non-invasive treatments for it and other neurodegenerative conditions.

Dr. Diane Chan is a neurologist helping to lead research at the Picower Institute for Learning and Memory at the Massachusetts Institute of Technology. Her research focuses on brain rhythms and how they can be studied and stimulated to counteract the effects of neurological diseases.

daisy.images / Flickr

For many years, American society has presented males and females as inherently different, including in the way they think, but a professor of neuroscience said though some differences exist between males and females on a biological level, their brains are largely the same.

Dr. Lise Eliot is a neuroscience professor at the Chicago Medical School at Rosalind Franklin University of Medicine and Science. In her book, “Pink Brain, Blue Brain,” she explored sex differences and how those differences can grow into troublesome gaps.

Penguin Random House

Recent health trends have put a lot of emphasis on consuming healthy diets that are great for our body and overall wellness, but what's good for the body may not always be good for the brain, according to a neuroscientist, nutritionist and author.

Dr. Lisa Mosconi is associate director of the Alzheimer’s Prevention Clinic at Weill Cornell Medical College New York Presbyterian Hospital. Her book, “Brain Food: The Surprising Science of Eating for Cognitive Power,” discusses how one’s diet can significantly affect brain functionality.

Why you're not 'left-brained' or 'right-brained'

Jul 21, 2018
NIH Image Gallery / Flickr CC https://bit.ly/1jNlqZo

It's a well-established scientific fact that each hemisphere of the brain serves different functions in the body. That fact led to the popular belief that some people are more right-brained or left-brained in their personality. However, neuroscientific research proves that this theory is entirely false.

Dr. Jeff Anderson, assistant professor of radiology at the University of Utah’s School of Medicine, discussed his work with “Take Care,” which proves that though each side of the brain serves separate purposes, there is no connection between personality and which side of the brain is more active.

Human brain not built for modern society

Jul 21, 2018
John Medina

Though current American society often demands a monotonous daily routine for both adults and adolescents, a Seattle-based scientist and author argues workplaces and schools operate in a way counter to how the human brain functions best.

John Medina is a developmental molecular biologist and affiliate professor of bioengineering at the University of Washington School of Medicine. In his book, “Brain Rules,” he asserts that everybody’s brain is different, but none are perfectly suited for the life that modern American society presents.

the unnamed / Flickr

When we set out to put together this episode of "Take Care," WRVO's health and wellness show, we were told over and over again that there wasn't a lot known about the topic we wanted to explore -- the brain. The brain is infinitely complex. What we do know about the brain we've learned from neuroscientists, biologists and psychologists -- and they're continuing to make ground-breaking discoveries daily about how the organ works and what that means for our health and wellness. Needless to say, we took a stab at it anyway!

upupa4me / Flickr

Today in our latest in health segment: two recent Centers for Disease Control and Prevention (CDC) studies that reflect different trends in pediatric health.

Payne Horning / WRVO News

For teens facing depression, stress and other mental health problems, suicide can seem like the only way out. It's the third-leading cause of death for Americans between the ages of 10 and 24 according to the Centers for Disease Control and Prevention. New York educators are now trying to alleviate the problems mental health is causing their students by addressing the issue head on.

Michelle Bartholomew Green lost her son Eric to suicide in 2013. The 18-year-old was a freshman at Alfred State College in western New York when he died.

Aaron_anderer / Flickr

Virtual reality, often pictured on the heads of avid gamers in the U.S., is finding a new purpose in an unexpected place: pediatric pain management.

Clinical psychologist Dr. Jeffrey Gold, director of the Pediatric Pain Management Clinic in the Department of Anesthesiology Critical Care Medicine at Children’s Hospital Los Angeles, is the lead of a new study examining the effectiveness of virtual reality for kids undergoing painful procedures. He spoke with “Take Care” about the ways VR can be used to help children through typically painful, high-stress procedures.

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