Episode 36 - Gut Health
30m
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Everything Your Doc Wants You To Know
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Episode 36 - Gut Health
In this episode we discuss a problem commonly encountered in our clinics, chronic diarrhea. We review various causes, and discuss how patients can help us determine the cause. We provide a basic overview of treatment of some types of chronic diarrhea.
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The episode Episode 36 - Gut Health from the podcast Everything Your Doc Wants You To Know has a duration of
30:14. It was first published
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Episode 41 - Life Space
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Episode 40 - Physical Therapy for Shoulders
In this episode we discuss shoulder pathology including impingement, adhesive capsulitis, arthritis of the shoulder, and rotator cuff injuries with physical therapist Lindsey Sandbeck. We review what to expect from a PT evaluation, as well as non-operative and post-operative physical therapy. Lindsey provides insight into strategies to optimize recovery from shoulder injuries and surgery.
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Episode 39 - Dizziness
Dizziness
Dizziness can come in different forms: vertigo, lightheadedness, disequilibrium.
Vertigo: False movement, room spinning. Feels as if you are moving when you are not.
Benign Paroxysmal Positional Vertigo: acute, occurs with certain movements, lasts seconds to minutes
Dix-Hallpike to diagnose
Vestibular rehab/physical therapy to treat - Epley Maneuver
Meniere’s Disease: vertigo, with hearing loss and ringing in ears
Labyrinthitis
Central vertigo: can be more worrisome, exam looks for signs of stroke or other pathology. May need brain imaging.
Lightheadedness: feeling like one could pass out, pre-syncope
Cardiac causes: arrhythmias, valve disease
Orthostatic hypotension
Disequilibrium: sense of imbalance
Changes in nerve sensation can contribute: peripheral neuropathy, knee replacements
Vision and auditory impairment can also contribute
Diagnosis: monofilament testing, vibration sensory testing, gait speed, get up and go test, Romberg test all help evaluate
Treatable causes: B12 deficiency, thyroid disease, uncontrolled diabetes, medications that can be stopped (older anti-histamines)
Treatment: Adaptations (change in glasses, hearing aids), practice balance - physical therapy, strengthening
Persistent Postural Perceptual Dizziness (PPPD): persistent dizziness that worsens with motion or upright position, present > 3 months
Often follows BPPV or labyrinthitis
Anxiety, depression often present concomitantly
Treatment: Evaluate medications, consider medication to help with anxiety, depression
Health Pearl: For people who have been fully vaccinated for COVID-19, we discuss CDC guidelines and ways to safely expand activities.
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Episode 38 - All About Asthma
In this episode we discuss asthma. We review symptoms, diagnosis, and treatment. We also discuss triggers and how to minimize them. We talk about creating a home management plant, or asthma action plan, with your doctor. Finally, we talk about symptoms that indicate an asthma exacerbation and symptoms that might indicate a need for prompt evaluation.
Health pearl: try a low calorie Shrub for a refreshing alcohol free drink.
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Episode 37 - COVID-19 Vaccine Q & A
Episode 37 - COVID-19 Vaccine Q & A
In this episode, we answer questions about the COVID-19 vaccine, including how it works, common side effects and who should get the vaccine.
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