Are you getting the medical care you hoped for? Perhaps you really like your doctor and feel listened to and well treated. Or maybe you’re frustrated with the lack of coordinated medical care, unconscious bias, and medical systems that don’t keep patients well-being at the center of their decisions. Most people agree that the US health care system is broken, but there is also a less talked about problem to address— “physician culture.” My guest, Dr. Robert Pearl, says, “Doctors are not heroes or villains. They produce remarkable successes and abysmal failures.” We’ll discuss what doctors do well, and how some miss the mark on compassionate, science based, high quality, and effective medicine for all.
**Listen now to About Health on KPFA.org—94.1FM, (7/12/21)**
ROBERT PEARL, M.D. is the former CEO of The Permanente Medical Group (1999-2017), the nation’s largest medical group, and former president of The Mid-Atlantic Permanente Medical Group (2009-2017). In these roles he led 10,000 physicians, 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members. Named one of Modern Healthcare’s 50 most influential physician leaders, he is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery. He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership, and lectures on information technology and health care policy. Board certified in plastic and reconstructive surgery, Dr. Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University.
Dr. Pearl hosts the podcasts Fixing Healthcareand Coronavirus: The Truth and he publishes a newsletter, Monthly Musings on American Healthcare. He has published more than 100 articles in medical journals and contributed to numerous books. From 2012 to 2017, Dr. Pearl served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation’s largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, D.C. Connect with Dr. Robert Pearl on Twitter @RobertPearlMD, LinkedIn, and at his website robertpearlmd.com.
Alzheimer’s, which is a neurological disorder, affects 6.2 million Americans. “Worldwide, around 50 million people have dementia, and there are nearly 10 million new cases every year. Alzheimer’s disease is the most common form of dementia and may contribute to 60–70% of cases.” —World Health Organization.
There is no cure for Alzheimer’s, but there is extensive clinical research being done. The pathological changes in a person’s brain start ten to twenty years before there is cognitive impairment…and so it’s vital that life style changes begin before typical symptoms show up. My guest, Dr. Daniel Gibbs, has been devoting his time to raising awareness about early-stage Alzheimer’s, and what people can do about it, in order to live a meaningful life for a longer time.
Dr. Daniel Gibbs is a retired neurologist in Portland Oregon, with early-stage Alzheimer’s disease. Having spent twenty-five years caring for patients, many with dementia themselves, he is now an active advocate for the early recognition and management of Alzheimer’s. He is the author, along with Teresa H. Barker, of the recently released book “A Tattoo on my Brain. A Neurologist’s Personal Battle against Alzheimer’s Disease”
We discussed the research and best practices in psilocybin-assisted psychotherapy. This is being explored as a promising treatment for people with depression, OCD, anxiety, addiction and other mental health challenges. “Magic Mushrooms” have been used by many cultures since ancient times for medicinal and spiritual purposes. It is believed by some that taking psilocybin in a therapeutic setting can result in neuroplastic changes that can lead to improvement in mental health.
Epigenetics is the study of how our lifestyle, behaviors, and the environment we live in can cause changes that affect the way our genes work. It used to be thought that our DNA rigidly determines our health, but scientists have confirmed that the vast majority of our genes are actually fluid and dynamic. Our gene expression is a powerful part of our overall health, and the more you understand this complex topic the more empowered you will be to influence your health and longevity.
Dr. Kenneth R. Pelletier, PhD, MD is a clinical professor of medicine at the UCSF School of Medicine and former clinical professor of medicine at the Stanford School of Medicine. He is also Chairman of the American Health Association and is a vice president with American Specialty Health. At the UCSF School of Medicine, he is the Director of the Corporate Health Improvement Program (CHIP), a research program between CHIP and fifteen Fortune 500 corporations. Dr. Pelletier has authored numerous books (over 13) including international bestseller, Mind as Healer, Mind as Slayer, and his 2018 book, Change Your Genes Change Your Life. He is a peer reviewer for several medical journals including the Journal of Occupational and Environmental Medicine and serves on a number of corporate boards. He has published over 300 professional articles and has appeared on ABC, CBS, CNN, NBC, and the BBC to discuss his research.
When it comes to parenting approaches, one size does not fit all. There are many factors that influence how you raise your child based on things like temperament, parenting style, culture, and family and social influences. There are many different styles and methods of parenting, and if you get confused about what your child or grandchild needs, you’re not alone.
My guest on About Health, Dr. David Rettew, will join me to discuss topics such as screen time, eating habits, discipline, and the benefits and challenges of different parenting styles such as “helicopter” versus “old school” parenting. There are a lot of questions facing parents of young children, but understanding more about your child’s temperament and yours will guide you through the different stages of childhood.
Guest: DavidRettew, MD is an Associate Professor of Psychiatry and Pediatrics at the University of Vermont Larner College of Medicine. Dr. Rettew has over 100 published journal articles, chapters, and scientific abstracts on a variety of child mental health topics, including a 2013 book entitled Child Temperament: New Thinking About the Boundary Between Traits and Illness. He also writes a blog for Psychology Today called, “The ABCs of Child Psychiatry.” His newest book is called Parenting Made Complicated: What Science Really Knows about the Greatest Debates of Early Parenting. You can follow him on Twitter and Facebook @PediPsych.
I'm thrilled to offer my book to parents, teachers, therapists, and anyone who cares for and about children. If you would like to set up a presentation or training for your child's school, or your work place, contact me at firstname.lastname@example.org.
Is That Me Yelling? is available in most bookstores and at Amazon
"Engaging and practical, humorous and evidence-based, prescriptive but not preachy, authoritative yet never stuffy, Is That Me Yelling? quickly rises to the top of the many parenting books I've ever read. Rona Renner provides thoughtful and achievable solutions. If you're a parent who has ever yelled at your kid and wished you hadn't, this book is for you." —Stephen P. Hinshaw, PhD, professor in the department of psychology at the University of California, Berkeley; and vice-chair of psychology at the University of California, S.F.
"Is That Me Yelling? is a complete and compassionate companion for every parent and educator. With excellent examples from her extensive professional and personal experience, nurse Rona illustrates fundamental psychological principles and functional parenting practices with empathy and enthusiasm." —Marisol Muñoz-Kiehne, PhD, clinical psychologist, parent educator, radio host, and author.