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What Skinny Doctors Don’t Get About Their Obese Patients

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Let’s just keep talking about treating obesity

Fifi Trixiebell (not her real name) wrote to [email protected] asking us to discuss what medical students learn about nutrition, and whether they think the keto diet is just another fad. Luckily, Madeline Slater, Emma Barr, Kyle Kinder, and newbie Sam Palmer–M1s all–just had a unit on nutrition so that’s an easy one. But Fifi Trixiebell had written in before, a message which–despite his policy of answering every listener question–Dave had passed over. Why did he ignore it? He’s not sure; it was a while back, but it may have triggered him (though, to be clear, it wasn’t Fifi’s fault). We also discuss an article from HuffPo about the “unique and persistent trauma” doctors visit upon their obese patients.

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Are physicians hopeless in the face of the obesity epidemic?

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Obesity may not be hopeless, but it is very difficult for physicians and sufferers

Listener Hannah wrote in after shadowing physicians, noting that many of the morbidly obese patients she observed resisted their doctors’ advice to lose weight. Is there any hope that doctors can treat this intractable illness when patients don’t “want” to do the work? Aline Sandouk, Claire Casteneda, Kylie Miller, and newbie Ali Hassan offer their views and what they’ve learned so far about treating this difficult disease.

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A Crucial Health Professions Pipeline Pt. 2

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More great stuff from the SHPEPers at CCOM

Our visit with pre-health students in the Carver College of Medicine’s Summer Health Professions Education Program continues as co-host Teneme Konne talks with SHPEPers Asjah Coleman, Kirsten Grismer, Ahone Koge and Margaret Mungai.  Before the show, Teneme also visited with two of Iowa City’s homeless population, and gained some insight into their lives as well as the reasons they are living on the streets.

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Recess Rehash: Emily Silverman, MD, and The Nocturnists

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the nocturnists

A live stage show featuring the stories of healthcare providers is now a podcast you’ll love.

The day-to-day of internship, residency, and an MD career doesn’t allow much time to process the effect it’s having on the practitioner. Rushing from one patient to the next, putting out the fires even while drinking from the firehose, and being selfless in service to the patients’ needs means that one’s own stories are buried, neglected. More and more, however, medicine is acknowledging the need for practitioners to examine and tell their stories so that they can learn from them, teach their lessons to others, and show colleagues that they are not alone. In 2015 Dr. Emily Silverman was in her second year of her internal medicine residency at UCSF. She found herself with a little more time following her frenetic intern year, and with her own stories that had gone untold and unexamined. She started to write, first in a blog she called The Nocturnists. Then, in 2016 she organized the first live storytelling session with her colleagues.

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SHPEP: A Crucial Healthcare Professions Pipeline

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Mentorship and Examples are critical.

The Summer Health Professions Education Program, SHPEP, has become a summer tradition at the University of Iowa Carver College of Medicine. Students from around the country participate in SHPEP’s goal: “to strengthen the academic proficiency and career development of students underrepresented in the health professions and prepare them for a successful application and matriculation to health professions schools.”

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When The Cat’s Away, The Mice Found Risky Business Ventures

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Executive Producer Jason has kindly let Dave go on vacation, so Aline Sandouk takes over the hot seat, with Irisa Mahaparn, Hillary O’Brien, Elizabeth Shirazi, and Jayden Bowen. Together they unravel the mysteries of the human body and med school.  For instance, why do med students feel guilty about having to take time off to deal with their bed bug infestations?  And what would having many  normal or two overly large testicles do to fertility?  Such brilliant questions!!!

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Interview Prep, Opening Up, and Death.

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And no, that’s not the three stages of your med school application.

’Tis the season to be applying to medical school. Which is why we got so many listener questions to address on this episode (thank you!)  Listener Magnus wanted suggestions for how to prepare for MMI and regular admissions interviews, so we invited our resident experts, Amy A’Hearn (from CCOM med student admissions) and Tom O’Shea (from CCOM physician assistant admissions, for his experience with MMI interviews) to help out.  They, along with Aline Sandouk, Jayden Bowen, Marc Moubarek and new co-host Shakoora Sabree, also answered questions from listeners Cameron and Sarah about whether opening up about personal/political views and sexual orientation is okay on applications and in interviews.  And listener Jake wanted to know how med students learn to cope with death.

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The Secondary Application: Bragging vs. Confidence

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How can you brag about yourself without bragging about yourself?

We are taught from a  young age (most of us, anyway) not to brag. It is better, we may sometimes hear, to show confidence. Listener Rachel wrote in with a question about the secondary application: how does one confidently talk themselves up without coming across as a braggart? Lucky for Rachel, we have Daniel Schnall from our admissions staff on hand to help Mark Moubarek, Kylie Miller, Aline Sandouk, and Gabe Conley with some great advice about how to sell yourself on your application and also back it up.  Don’t want to look like a chump? Dan has your answer, Rachel.

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Hotel Influenza, Confirming Right-to-Try Problems, REM Sleep Revealed

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We love when listeners get in touch, which is why Dave was glad to hear from Adil who, after listening to our discussion of the new national Right-To-Try legislation, sent us a paper he wrote on the subject the year before. It really helped clear some things up that we weren’t sure of. Like the fact that it doesn’t actually do anything to help patients get faster access to experimental drugs, has a kind of informed consent problem, allows patients to further conflate research with therapy, and more.

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Healthcare In Occupied Palestine: The Palestine Children’s Relief Fund

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The challenges of providing healthcare in an occupied territory

Steve Sosebee is the president and CEO of the Palestine Children’s Relief Fund. He’s married to Dr. Zeena Salman, a pediatric oncologist working with the PCRF. For 25 years, PCRF has been leading medical missions to help children in the Middle East, helping children get medical treatment abroad, and delivering humanitarian aid. Their recent visit to the Carver College of Medicine gave Short Coats Reem Khodor, Ethan Craig, and Nico Dimenstein a chance to sit down with them to discuss the challenges and realities of working to provide healthcare within the confines of an occupied territory.

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Routines, Right To Try, and Reviews

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What Routines Do Medical Students Find Helpful When Drinking from the Firehose?

Listener Meghan is about to start med school in the fall, and is thinking about what sort of regular habits medical students like Aline Sandouk, Tony Rosenberg, and new co-host Jayden Bowen use to keep them on track. Not only do we look at some routines they use (and debate whether they’re even helpful), but we also have a suggested routine for the new student.

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Family Strife, Chuck’s Pro-Life, & the Ebola Bureaucracy Knife

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Our own Claire Castaneda won first place in the Carver College of Medicine’s Carol A. Bowman Creative Writing Contest for Medical Students, and her piece caught Dave’s eyes and heart.  She talks with Aline Sandouk, Melissa Chan, and Tony Rosenberg about the dynamics of family strife and the pressure they can exert to follow one career path over another.  Meanwhile, Aline expresses her feelings on being left behind by her original classmates as she continues her MD/PhD studies.

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