health

Dr. M’s SPA Audiocast Newsletter Volume 14 Issue 29

Sleep Update for 2024
Sleep has always been a necessary function of everyday life for all mammals. From an evolutionary perspective this cannot be a mistake as during the period of sleep you are vulnerable to predation. Therefore, there has to be a really good reason for mammals to sleep for extended hours. What is that reason? Why are toddlers and frankly all of us more cranky when we do not sleep enough? Why are our genes tied so tightly to circadian rhythms? Why are people so metabolically unwell when they are sleep deprived?
…plus updates on heat exhaustion and covid.
Enjoy,
Dr. M

Dr. M’s SPA Audiocast Newsletter Volume 14 Issue 27

Klotho Part I
Ok, it is time for a potential log step shift in the human understanding of neurological decline with age starting from birth.
Enter the peptide, (C)Klotho, named after the greek goddess of fate who spins the thread of life for all. The Klotho protein was discovered by researchers looking at mice that aged faster than the general mouse population. These mice were noted to have a shortened lifespan, stunted growth, renal disease, blood vessel calcification, cardiac hypertrophy, hypertension, pulmonary disease, cognitive impairment, multi-organ atrophy and fibrosis. (Prud’homme et. al. 2022) When they looked closer, these mice were found to have hypoactive klotho proteins leading to an explosion of research over the past two decades to understand why. The next question was, could the hyperactive state provide an anti aging effect?
The answer was a resounding yes!
and a discussion on fast food.
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 22

What are the main preventable etiologies for childhood death under the age of five years?
According to the data compile by UNICEF, we see the following for the world:
1) Prematurity 18%
2) Pneumonia 14%
3) Birth Asphyxia 12%
4) Malaria 9%
5) Diarrhea 9%
6) Congenital anomolies 8%
7) Injuries 5%
8) Blood infections/sepsis 3%
9) Tuberculosis 3%
10) all others
From a global perspective, we are on the right track as deaths have decreased significantly from 12 million in 1990 to less than 5 million annually in 2022. This is a massive improvement in global childhood health. More work to be done as pneumonia and diarrhea based death should be less than 1%. Access to clean water, clean medicines and adequate medical care could crush these issues….plus a literature review as well as an ode to mothers.
Enjoy,
Dr. M

 

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 14

Allergy Season and School – What is your plan?
Spring is coming and maybe even here already in Carolina. School is in full swing for kids and they are filled with joy and excitement. They are back outside enjoying sports and play. For the parents of allergy suffering kids, this is a time for check ups, medicines and the countless forms required by school. I know! What a pain!
The goal for parents and educators is to limit missed or unproductive school days due to asthma and allergies and to get the most out of the learning environment for all children. My goal is to help children be symptom free or as close as possible while also focusing on reducing mucous development which is a direct precursor to bacterial sinus and ear infections….and more
Enjoy,
Dr. M

Dr. M’s Women and Children First Podcast #64 – Dan Shapiro, Ph.D. – Provider Burnout

Dan Shapiro is a man on a mission to help physicians, other providers and the medical healthcare administrators understand the reality of healthcare provider burnout. He is currently the Director of the Chartis Center for Burnout Solutions, where he and his team assist leaders of multi-hospital systems with efforts to reduce burnout and the turnover of high-value physicians, nurses, advanced practice providers, and other staff.

Dan’s education goes back to my alma mater, Vassar College. He graduated with a BA in Psychology before going to the University of Florida for his doctorate in clinical psychology. He completed a post doctoral degree in Medical Crisis Interventions at Harvard University. He held faculty positions at the University of Arizona as well as at Penn State rising to the Chair and Professor of Humanities at Penn State College of Medicine. In 2017, he developed a systematic method for assessing and addressing burnout leading to consulting services focused on multi-hospital systems. In 2023, he left his role as Vice Dean and Chair to pursue the reduction of burnout full time with colleagues at Chartis.

Dan is a frequent contributor to thought leadership in the physician burnout space. In 2003, Random House published his landmark memoir about one physician’s burnout, titled, “Delivering Doctor Amelia,” which was required reading at some colleges and medical schools. He’s written two other books, also for Random House. Dan’s additional writings have appeared or been featured in, among others, the New York Times, Proceedings of the National Academies of Science, the New England Journal of Medicine, JAMA, Academic Medicine, and NPR’s All Things Considered.

As a hobby, he worked for ten years as a weekly consultant to the hit television shows Grey’s Anatomy, Private Practice, How to Get Away with Murder and on-camera for the Discovery, National Geographic, and FYI channels.

Please enjoy my conversation with Dan Shapiro,

Dr. M