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Everything Your Doc Wants You To Know

Lindsey Dahl & Kirsten Juhl

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Everything Your Doc Wants You To Know
Everything Your Doc Wants You To Know

Everything Your Doc Wants You To Know

Lindsey Dahl & Kirsten Juhl

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The mission of this podcast is to educate and inform about health matters affecting adults, from latest research updates to tips on navigating the health system and everything in between.

Latest Episodes

Exploring Menopause

Exploring Menopause Today Dr. Jean Marie McGowan joins us to talk about menopause. Jean Marie McGowan, MD NCMP FACP is an Internal Medicine physician with a special interest in Women’s Health. She attended the American University of the Caribbean for medical school and completed Internal Medicine residency, serving as chief resident, at the University of North Dakota in Fargo. Dr. McGowan started working for Sanford Health in the summer of 2016 and focused on improving women’s healthcare. She became a certified provider for menopause management by the North American Menopause Society and became Fellow of the American College of Physicians. She is director of the Pelvic Floor Clinic and co-director of the Preconception Clinic. In addition to seeing consults for menopause, polycystic ovarian syndrome and post-breast cancer treatment, she is a primary care physician. Dr. McGowan is associate faculty for the UND School of Medicine and clinical director for the Women’s Health rotation for medical students, residents, and fellows. She’s dedicated to educating the future generations of healthcare providers as well as the community to improve care for women. Dr. McGowan is also involved in research and won the inaugural Faculty Research Mentor of the Year in 2019 from UND Internal Medicine residents. Dr. McGowan grew up in Brooklyn, NY and currently lives in Fargo, North Dakota. Outside of work, she enjoys singing, running, and playing with her maltipoo, Minnie. Definitions: Menopause - occurs after the last menstrual period; a women has formally been through menopause when she has been free of periods for 12 months. Average age is 51. Perimenopause - the time preceding menopause, lasting about 2-4 years. Postmenopause - time following menopause. Surgical menopause - menopause that occurs after surgical intervention (removal of both ovaries). May have more severe symptoms. Premature ovarian insufficiency - when menopause occurs prior to age 40. Symptoms - can vary among women, starting 2-4 years prior to last menstrual period and often lasting 2-4 years after menopause (can be up to 10 years or longer) Perimenopausal: most common are vasomotor symptoms - hot flashes/flushes. Mood can also be impacted by progesterone and estrogen. This tends to be transient during the menopausal time frame. Decreased estrogen can cause changes in sleep, memory, vision, hearing, skin; vaginal dryness, urinary tract issues. Postmenopausal: vaginal dryness and urinary tract issues tend to continue. Avoid hot baths, certain wipes, irritating pads. Decreased estrogen also affects bone health, cholesterol, heart disease risk. These effects tend to be seen 10-15 years after menopause. Exercise, diet, smoking cessation, limiting alcohol consumption can help mitigate these. Diagnosis of menopause - hormone testing is not needed in most cases and is made based on cessation of periods, age. If considering premature ovarian insufficiency, hormone testing is indicated. Patients often note decreased sexual desire in the perimenopausal period. This is not related to age or menopause itself. Treatment: Vaginal dryness Vaginal moisturizers & lubricants can help with painful intercourse. Good Clean Love & UberLube are some well balanced options. The only treatment is estrogen. Pelvic floor therapy can be effective for pelvic weakness, painful intercourse, and urinary symptoms. Beyond Kegels is a helpful book for pelvic weakness. Hormone replacement therapy (HRT) is indicated for severe hot flashes and genitourinary syndrome of menopause (vaginal dryness / urinary symptoms). Start within 5-10 years of last menstrual period. Can benefit cholesterol, heart health, ovarian cancer risk. Should be avoided in women who have had a stroke, blood clot, or pulmonary embolism. Evaluate carefully in women who already have heart disease. Combination therapy: estrogen + progesterone, used for women who still have a uterus. Estrogen only therapy - lower risk of breast cancer

59 MIN1 w ago
Comments
Exploring Menopause

The Thyroid Episode

The THYROID episode Thyroid gland sits low in the neck. Secretes two forms of thyroid hormone - T3 and T4 Symptoms: affects the heart rate, weight, hair, mood, reflexes, bowels, energy TSH (thyroid stimulating hormone) is measured in the blood to monitor thyroid levels High TSH means low thyroid Low TSH means high thyroid Goiter is enlargement of thyroid tissue. Can be active and secrete thyroid hormone or inactive. Thyroid cancer: most common is papillary thyroid cancer - highly treatable. Medullary thyroid cancer is rare. Graves disease: autoimmune disease that causes hyperthyroidism, goiters, and eye disease Hyperthyroidism is TOO MUCH thyroid hormone. Treated with radioactive iodine ablation or thyroid resection. Often end up needing thyroid replacement. Hashimoto’s thyroiditis: most common cause of hypothyroidism or LOW thyroid Levothyroxine is used for thyroid replacement. Dose is weight-based and then monitored with TSH. Replacement levothyroxine must be taken first thing in the morning at least 30 minutes apart from other medications and foods to absorb. Health Pearl: Toenail fungus (thick, yellow nails) is a common problem. It can be treated with applying Vicks VapoRub to the nails at night. Follow us on Facebook and Twitter: www.facebook.com/everythingdoc www.twitter.com/everythingdoc1

27 MIN3 w ago
Comments
The Thyroid Episode

Medications and Deprescribing

Medications and Deprescribing Today we discuss medications, polypharmacy, and deprescribing. We are joined by clinical pharmacist Dr. Douglas Gugel-Bryant, PharmD, BCPS for this week’s conversation. Doug received his bachelor’s degree in chemistry and biochemistry from Capital University in Bexley, OH. He received his Doctorate of Pharmacy in 2017 from the Northeast Ohio Medical University. He went on to do a post-graduate residency program with the Cleveland Clinic Akron General in Pharmacotherapy. Doug moved to Fargo after finishing residency and has been a part of our clinic for over one year. His current role is Medical Home Pharmacist for the Sanford Internal Medicine Clinic. A majority of his work is on diabetes patient management and transitions of care. He is also a pharmacy resource for the clinic. Outside of work, Doug plays tennis and solo-acoustic fingerstyle guitar. We discuss the following: What is polypharmacy and why does it need to be evaluated? What is deprescribing? Why is it important? How do clinicians balance the benefits of medication versus potential interactions and side effects? How do age and health impact the benefits of medications? Which medications should be evaluated for deprescribing? What potential side effects do these medications have as individuals age? What is the process of deprescribing? Can medications be stopped abruptly? What are barriers to stopping medication? Resources: www.deprescribing.org https://www.healthinaging.org/medications-older-adults Health pearl: Schedule an appointment with your clinician to discuss your medications, goals, and deprescribing. Follow us on Facebook and Twitter: www.facebook.com/everythingdoc www.twitter.com/everythingdoc1

26 MINNOV 4
Comments
Medications and Deprescribing

Understanding Your Lab Results

Understanding Your Lab Results In this episode, Drs. Lindsey and Kirsten provide an overview of the routine labs. We answer the following questions: - When are routine labs being ordered? - What does the lab result mean? - What are some causes of high or low results? - Which labs, when mildly abnormal, are not worrisome? Lab tests included are the chemistry panel, the complete blood count, thyroid tests, hemoglobin A1c, and cholesterol. Health Pearl: diastole is a phase in the heart cycle during which the heart relaxes and fills up. People need to spend time in diastole, too, in order to refresh and renew! It’s important to take your vacation time, or find ways to incorporate rest and relaxation into your life. Follow us on Facebook and Twitter: www.facebook.com/everythingdoc www.twitter.com/everythingdoc1

42 MINOCT 21
Comments
Understanding Your Lab Results

Bone Health

Bone Health Osteoporosis diagnosis: DEXA scan T score of <-2.5 or diagnosed clinically - a fall from standing height resulting in fracture or evidence of spinal compression fractures Risk factors: age, female sex, previous fracture, family history of osteoporosis, medication like prednisone, smoking, excess alcohol intake, small frame... There are no symptoms of osteoporosis- can see loss of height or forward hunched posture “kyphosis” People with osteoporosis break their hip and that is what generally causes the fall- not the fall that causes the fracture Prevention: weight bearing exercise, getting adequate calcium and vitamin D Treatment: Bisphosphonates, RANKL inhibitors or parathyroid hormone analogs Health Pearl: Alton Brown’s Chocolate Chia Breakfast Pudding https://www.foodnetwork.com/recipes/alton-brown/chocolate-chia-pudding-7288417 Follow us on Facebook and Twitter: www.facebook.com/everythingdoc www.twitter.com/everythingdoc1

27 MINOCT 7
Comments
Bone Health

Depression and Prevention of Suicide

Episode 16: Depression & Prevention of Suicide Emily Gard, LICSW, joins us to talk about depression and suicide. Emily is a Licensed Individual Clinical Social Worker and nationally certified mental health first aid trainer with over ten years of experience in the field of social work. Emily earned her undergraduate degree from Concordia College and a master’s degree in Social Work from the University of North Dakota. She initially worked as a chemical dependency social worker before pursuing graduate education. Currently Emily is employed by Sanford Health as an Integrated Health Therapist. She was named Sanford Health Employee of the Year in 2017. When Emily is not working, she enjoys spending time at the lake with her husband and five children. Depression - feeling down, depressed, hopeless, helpless. May come out of nowhere or be triggered by stressors. Symptoms include tearfulness, loss of interest, appetite and sleep changes, irritability, stomach aches, headaches. Symptoms c...

39 MINSEP 23
Comments
Depression and Prevention of Suicide

Congestive Heart Failure

Congestive Heart Failure 2 types: Systolic heart failure: pump weakens, ejection fraction (EF) less than 55% Causes: heart attack, valvular heart disease, obstructive sleep apnea, viral, high blood pressure, excessive alcohol use Symptoms: shortness of breath with activity, difficulty breathing when lying flat at night, swelling in the legs and fluid retention Evaluation: clinical exam, stress test, echocardiogram, blood tests, chest xray Treatment: medications include ACEi/ARB’s, beta-blockers, diuretics Lifestyle changes: exercise, low salt diet, daily weights Heart failure with preserved ejection fraction or diastolic dysfunction (poor relaxation): Causes: age, hypertension, obstructive sleep apnea Symptoms: swelling in legs, shortness of breath Treatment: similar to above with focus on diuretics Health Pearl: Rainbow Stir Fry from Run Fast, Cook Fast, Eat Slow https://runfasteatslow.com/pages/books Ingredients: Two 8 or 12 oz packs of Extra Firm Tofu 2 Tbs Soy Sauce 1 Tbs Lime ...

19 MINSEP 9
Comments
Congestive Heart Failure

What To Expect When You're Aging

What to expect when you’re… aging! Consider yourself warned! We talk about normal aging and how to minimize the impact of age on the body. From head to toe: Hair thinning - occurs in women as well as men. Additionally, patterns of hair growth change with age. Vision changes - decreased visual acuity, cataracts, and reading glasses are common Dental - false teeth, dentures. Oral hygiene becomes more difficult due to decreased dexterity of the hands. Hearing - hearing loss. Treatment is important due to potential for decreased cognition, changes in relationships due to hearing loss. General physical appearance - change in distribution and appearance of fat distribution, decreased muscle mass. Metabolism slows, making it more difficult to lose weight. More protein is required to maintain and build muscle. Cognition - some changes in thinking are normal, such as forgetting why you entered a room, forgetting names of people you haven’t seen in a long time. Bowels - constipation can be...

19 MINAUG 26
Comments
What To Expect When You're Aging

Aging Well

Episode 13 - Aging Well Aging - the sum of all changes that occur with the passage of time that lead to functional impairment and eventually death Factors affecting age: genetics, environment (stressors, habits such as smoking, alcohol consumption, diet) It’s important to thing about death in order to help decide what living and aging well means for you. Take time to have conversations with your loved ones about what matters to you (quality of life versus quantity of life, what activities are important to you). Answer the following: “How long do you think you’ll live?” and “How long would you like to live if given a fountain of youth?” “What three things do you do to promote longevity?” “How well do you do at each of those (rate 1-5)?” We all want to function as well as possible until death. Most of us will require help with at least one activity of daily living (dressing, bathing, toileting, food preparation) for the last 4 years of our lives. Only 25% of longevity is due...

25 MINAUG 12
Comments
Aging Well

The Waterworks for Men

The Waterworks for Men Guest: Dr. Darin Lang, Internist and Geriatrician at Sanford Health. Trained at Virginia Mason in Seattle and Emory University for Geriatrics in Atlanta. Darin was born and raised in North Dakota. He’s been in his current practice at Sanford Health for 15 years working in outpatient Internal Medicine, nursing home care, and as a hospitalist. He is also the Internal Medicine Department Chair and an associate professor of medicine at the University of North Dakota School of Medicine and Geriatrics program. Dr. Lang is married and has 3 sons. BPH = Benign Prostatic Hyperplasia. Affects older males and is an increase in the number of cells of the prostate, resulting in an enlarged prostate Symptoms are urinary frequency, urgency, nocturia (waking at night to urinate), hesitancy, straining, slowed stream force, dribbling or obstruction Alcohol, caffeine, and some over the counter medications can worsen symptoms (especially cold medicines) Treatment: Lifestyle chan...

32 MINJUL 30
Comments
The Waterworks for Men

Latest Episodes

Exploring Menopause

Exploring Menopause Today Dr. Jean Marie McGowan joins us to talk about menopause. Jean Marie McGowan, MD NCMP FACP is an Internal Medicine physician with a special interest in Women’s Health. She attended the American University of the Caribbean for medical school and completed Internal Medicine residency, serving as chief resident, at the University of North Dakota in Fargo. Dr. McGowan started working for Sanford Health in the summer of 2016 and focused on improving women’s healthcare. She became a certified provider for menopause management by the North American Menopause Society and became Fellow of the American College of Physicians. She is director of the Pelvic Floor Clinic and co-director of the Preconception Clinic. In addition to seeing consults for menopause, polycystic ovarian syndrome and post-breast cancer treatment, she is a primary care physician. Dr. McGowan is associate faculty for the UND School of Medicine and clinical director for the Women’s Health rotation for medical students, residents, and fellows. She’s dedicated to educating the future generations of healthcare providers as well as the community to improve care for women. Dr. McGowan is also involved in research and won the inaugural Faculty Research Mentor of the Year in 2019 from UND Internal Medicine residents. Dr. McGowan grew up in Brooklyn, NY and currently lives in Fargo, North Dakota. Outside of work, she enjoys singing, running, and playing with her maltipoo, Minnie. Definitions: Menopause - occurs after the last menstrual period; a women has formally been through menopause when she has been free of periods for 12 months. Average age is 51. Perimenopause - the time preceding menopause, lasting about 2-4 years. Postmenopause - time following menopause. Surgical menopause - menopause that occurs after surgical intervention (removal of both ovaries). May have more severe symptoms. Premature ovarian insufficiency - when menopause occurs prior to age 40. Symptoms - can vary among women, starting 2-4 years prior to last menstrual period and often lasting 2-4 years after menopause (can be up to 10 years or longer) Perimenopausal: most common are vasomotor symptoms - hot flashes/flushes. Mood can also be impacted by progesterone and estrogen. This tends to be transient during the menopausal time frame. Decreased estrogen can cause changes in sleep, memory, vision, hearing, skin; vaginal dryness, urinary tract issues. Postmenopausal: vaginal dryness and urinary tract issues tend to continue. Avoid hot baths, certain wipes, irritating pads. Decreased estrogen also affects bone health, cholesterol, heart disease risk. These effects tend to be seen 10-15 years after menopause. Exercise, diet, smoking cessation, limiting alcohol consumption can help mitigate these. Diagnosis of menopause - hormone testing is not needed in most cases and is made based on cessation of periods, age. If considering premature ovarian insufficiency, hormone testing is indicated. Patients often note decreased sexual desire in the perimenopausal period. This is not related to age or menopause itself. Treatment: Vaginal dryness Vaginal moisturizers & lubricants can help with painful intercourse. Good Clean Love & UberLube are some well balanced options. The only treatment is estrogen. Pelvic floor therapy can be effective for pelvic weakness, painful intercourse, and urinary symptoms. Beyond Kegels is a helpful book for pelvic weakness. Hormone replacement therapy (HRT) is indicated for severe hot flashes and genitourinary syndrome of menopause (vaginal dryness / urinary symptoms). Start within 5-10 years of last menstrual period. Can benefit cholesterol, heart health, ovarian cancer risk. Should be avoided in women who have had a stroke, blood clot, or pulmonary embolism. Evaluate carefully in women who already have heart disease. Combination therapy: estrogen + progesterone, used for women who still have a uterus. Estrogen only therapy - lower risk of breast cancer

59 MIN1 w ago
Comments
Exploring Menopause

The Thyroid Episode

The THYROID episode Thyroid gland sits low in the neck. Secretes two forms of thyroid hormone - T3 and T4 Symptoms: affects the heart rate, weight, hair, mood, reflexes, bowels, energy TSH (thyroid stimulating hormone) is measured in the blood to monitor thyroid levels High TSH means low thyroid Low TSH means high thyroid Goiter is enlargement of thyroid tissue. Can be active and secrete thyroid hormone or inactive. Thyroid cancer: most common is papillary thyroid cancer - highly treatable. Medullary thyroid cancer is rare. Graves disease: autoimmune disease that causes hyperthyroidism, goiters, and eye disease Hyperthyroidism is TOO MUCH thyroid hormone. Treated with radioactive iodine ablation or thyroid resection. Often end up needing thyroid replacement. Hashimoto’s thyroiditis: most common cause of hypothyroidism or LOW thyroid Levothyroxine is used for thyroid replacement. Dose is weight-based and then monitored with TSH. Replacement levothyroxine must be taken first thing in the morning at least 30 minutes apart from other medications and foods to absorb. Health Pearl: Toenail fungus (thick, yellow nails) is a common problem. It can be treated with applying Vicks VapoRub to the nails at night. Follow us on Facebook and Twitter: www.facebook.com/everythingdoc www.twitter.com/everythingdoc1

27 MIN3 w ago
Comments
The Thyroid Episode

Medications and Deprescribing

Medications and Deprescribing Today we discuss medications, polypharmacy, and deprescribing. We are joined by clinical pharmacist Dr. Douglas Gugel-Bryant, PharmD, BCPS for this week’s conversation. Doug received his bachelor’s degree in chemistry and biochemistry from Capital University in Bexley, OH. He received his Doctorate of Pharmacy in 2017 from the Northeast Ohio Medical University. He went on to do a post-graduate residency program with the Cleveland Clinic Akron General in Pharmacotherapy. Doug moved to Fargo after finishing residency and has been a part of our clinic for over one year. His current role is Medical Home Pharmacist for the Sanford Internal Medicine Clinic. A majority of his work is on diabetes patient management and transitions of care. He is also a pharmacy resource for the clinic. Outside of work, Doug plays tennis and solo-acoustic fingerstyle guitar. We discuss the following: What is polypharmacy and why does it need to be evaluated? What is deprescribing? Why is it important? How do clinicians balance the benefits of medication versus potential interactions and side effects? How do age and health impact the benefits of medications? Which medications should be evaluated for deprescribing? What potential side effects do these medications have as individuals age? What is the process of deprescribing? Can medications be stopped abruptly? What are barriers to stopping medication? Resources: www.deprescribing.org https://www.healthinaging.org/medications-older-adults Health pearl: Schedule an appointment with your clinician to discuss your medications, goals, and deprescribing. Follow us on Facebook and Twitter: www.facebook.com/everythingdoc www.twitter.com/everythingdoc1

26 MINNOV 4
Comments
Medications and Deprescribing

Understanding Your Lab Results

Understanding Your Lab Results In this episode, Drs. Lindsey and Kirsten provide an overview of the routine labs. We answer the following questions: - When are routine labs being ordered? - What does the lab result mean? - What are some causes of high or low results? - Which labs, when mildly abnormal, are not worrisome? Lab tests included are the chemistry panel, the complete blood count, thyroid tests, hemoglobin A1c, and cholesterol. Health Pearl: diastole is a phase in the heart cycle during which the heart relaxes and fills up. People need to spend time in diastole, too, in order to refresh and renew! It’s important to take your vacation time, or find ways to incorporate rest and relaxation into your life. Follow us on Facebook and Twitter: www.facebook.com/everythingdoc www.twitter.com/everythingdoc1

42 MINOCT 21
Comments
Understanding Your Lab Results

Bone Health

Bone Health Osteoporosis diagnosis: DEXA scan T score of <-2.5 or diagnosed clinically - a fall from standing height resulting in fracture or evidence of spinal compression fractures Risk factors: age, female sex, previous fracture, family history of osteoporosis, medication like prednisone, smoking, excess alcohol intake, small frame... There are no symptoms of osteoporosis- can see loss of height or forward hunched posture “kyphosis” People with osteoporosis break their hip and that is what generally causes the fall- not the fall that causes the fracture Prevention: weight bearing exercise, getting adequate calcium and vitamin D Treatment: Bisphosphonates, RANKL inhibitors or parathyroid hormone analogs Health Pearl: Alton Brown’s Chocolate Chia Breakfast Pudding https://www.foodnetwork.com/recipes/alton-brown/chocolate-chia-pudding-7288417 Follow us on Facebook and Twitter: www.facebook.com/everythingdoc www.twitter.com/everythingdoc1

27 MINOCT 7
Comments
Bone Health

Depression and Prevention of Suicide

Episode 16: Depression & Prevention of Suicide Emily Gard, LICSW, joins us to talk about depression and suicide. Emily is a Licensed Individual Clinical Social Worker and nationally certified mental health first aid trainer with over ten years of experience in the field of social work. Emily earned her undergraduate degree from Concordia College and a master’s degree in Social Work from the University of North Dakota. She initially worked as a chemical dependency social worker before pursuing graduate education. Currently Emily is employed by Sanford Health as an Integrated Health Therapist. She was named Sanford Health Employee of the Year in 2017. When Emily is not working, she enjoys spending time at the lake with her husband and five children. Depression - feeling down, depressed, hopeless, helpless. May come out of nowhere or be triggered by stressors. Symptoms include tearfulness, loss of interest, appetite and sleep changes, irritability, stomach aches, headaches. Symptoms c...

39 MINSEP 23
Comments
Depression and Prevention of Suicide

Congestive Heart Failure

Congestive Heart Failure 2 types: Systolic heart failure: pump weakens, ejection fraction (EF) less than 55% Causes: heart attack, valvular heart disease, obstructive sleep apnea, viral, high blood pressure, excessive alcohol use Symptoms: shortness of breath with activity, difficulty breathing when lying flat at night, swelling in the legs and fluid retention Evaluation: clinical exam, stress test, echocardiogram, blood tests, chest xray Treatment: medications include ACEi/ARB’s, beta-blockers, diuretics Lifestyle changes: exercise, low salt diet, daily weights Heart failure with preserved ejection fraction or diastolic dysfunction (poor relaxation): Causes: age, hypertension, obstructive sleep apnea Symptoms: swelling in legs, shortness of breath Treatment: similar to above with focus on diuretics Health Pearl: Rainbow Stir Fry from Run Fast, Cook Fast, Eat Slow https://runfasteatslow.com/pages/books Ingredients: Two 8 or 12 oz packs of Extra Firm Tofu 2 Tbs Soy Sauce 1 Tbs Lime ...

19 MINSEP 9
Comments
Congestive Heart Failure

What To Expect When You're Aging

What to expect when you’re… aging! Consider yourself warned! We talk about normal aging and how to minimize the impact of age on the body. From head to toe: Hair thinning - occurs in women as well as men. Additionally, patterns of hair growth change with age. Vision changes - decreased visual acuity, cataracts, and reading glasses are common Dental - false teeth, dentures. Oral hygiene becomes more difficult due to decreased dexterity of the hands. Hearing - hearing loss. Treatment is important due to potential for decreased cognition, changes in relationships due to hearing loss. General physical appearance - change in distribution and appearance of fat distribution, decreased muscle mass. Metabolism slows, making it more difficult to lose weight. More protein is required to maintain and build muscle. Cognition - some changes in thinking are normal, such as forgetting why you entered a room, forgetting names of people you haven’t seen in a long time. Bowels - constipation can be...

19 MINAUG 26
Comments
What To Expect When You're Aging

Aging Well

Episode 13 - Aging Well Aging - the sum of all changes that occur with the passage of time that lead to functional impairment and eventually death Factors affecting age: genetics, environment (stressors, habits such as smoking, alcohol consumption, diet) It’s important to thing about death in order to help decide what living and aging well means for you. Take time to have conversations with your loved ones about what matters to you (quality of life versus quantity of life, what activities are important to you). Answer the following: “How long do you think you’ll live?” and “How long would you like to live if given a fountain of youth?” “What three things do you do to promote longevity?” “How well do you do at each of those (rate 1-5)?” We all want to function as well as possible until death. Most of us will require help with at least one activity of daily living (dressing, bathing, toileting, food preparation) for the last 4 years of our lives. Only 25% of longevity is due...

25 MINAUG 12
Comments
Aging Well

The Waterworks for Men

The Waterworks for Men Guest: Dr. Darin Lang, Internist and Geriatrician at Sanford Health. Trained at Virginia Mason in Seattle and Emory University for Geriatrics in Atlanta. Darin was born and raised in North Dakota. He’s been in his current practice at Sanford Health for 15 years working in outpatient Internal Medicine, nursing home care, and as a hospitalist. He is also the Internal Medicine Department Chair and an associate professor of medicine at the University of North Dakota School of Medicine and Geriatrics program. Dr. Lang is married and has 3 sons. BPH = Benign Prostatic Hyperplasia. Affects older males and is an increase in the number of cells of the prostate, resulting in an enlarged prostate Symptoms are urinary frequency, urgency, nocturia (waking at night to urinate), hesitancy, straining, slowed stream force, dribbling or obstruction Alcohol, caffeine, and some over the counter medications can worsen symptoms (especially cold medicines) Treatment: Lifestyle chan...

32 MINJUL 30
Comments
The Waterworks for Men
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