The Confident Clinician Podcast

Dr. Jordan Robertson ND
  • 5.0 (1)
  • MEDICINE
  • UPDATED SEMIMONTHLY

The Confident Clinician is an online database, clinical resource and education platform for Naturopathic Doctors and Integrative Practitioners. Our podcast highlights research concepts, clinical concepts and important research developments that are covered in depth inside our membership for clinicians at www.confidentclinician.com

  1. 05/23/2024

    Why Your Graves' Patients Gain Weight

    In this episode, our founder, Dr. Jordan Robertson ND, shares a key paper in the nutritional management of Graves' disease that explains why patients experience rapid weight gain after treatment.  She discusses the metabolic rate changes that happen at diagnosis, 1 and 6 months after treatment, and how patients can be euthyroid but experience weight gain after ADT.  This episode is a snapshot of our full Graves' medical topic that supports clinicians with decision-making around supplementation, exercise and conventional treatments.  The Confident Clinician membership supports hundreds of practitioners every day in practice through our integrative medicine database and standards of care. Our membership opens twice per year, with July 2024 being our next enrolment opportunity for Naturopathic Doctors, Medical Doctors and Nurse Practitioners who practice evidence-based Integrative Medicine.    Hayashi, A. et al. Short-term Change in Resting Energy Expenditure and Body Compositions in Therapeutic Process for Graves’ Disease. Intern. Med. 59, 1827–1833 (2020).

    23 min

  2. 05/02/2024

    Managing Sexual Side Effects of SSRI's - Considerations for Saffron and Probiotics

    In this episode, Dr. Stephanie Bayliss, a Naturopathic Doctor based in British Columbia, reviews how we assess and manage sexual side effects from SSRI’s. Up to 80% of SSRI treated patients can experience sexual side effects. This may include changes to desire, arousal or satisfaction. Dr. Bayliss explores both the conventional care guidelines on managing these sexual side effects, and promising up and coming integrative solutions, including Saffron and Probiotics.    References: Hashemi-Mohammadabad, N., Taghavi, S.-A., Lambert, N., Moshtaghi, R., Bazarganipour, F. & Sharifi, M. (2024). Adjuvant administration of probiotic effects on sexual function in depressant women undergoing SSRIs treatment: a double-blinded randomized controlled trial. BMC Psychiatry, 24(1), 44. https://doi.org/10.1186/s12888-023-05429-w  Izadi, S., Mohammad-Alizadeh-Charandabi, S., Yadollahi, P., & Mirghafourvand, M. (2024). Effect of vitamin E with and without saffron on the sexual function in women of reproductive age with sexual dysfunction: a randomized controlled trial. BMC women's health, 24(1), 143. https://doi.org/10.1186/s12905-024-02980-w  Kashani, L., Raisi, F., Saroukhani, S., Sohrabi, H., Modabbernia, A., Nasehi, A. A., Jamshidi, A., Ashrafi, M., Mansouri, P., Ghaeli, P., & Akhondzadeh, S. (2013). Saffron for treatment of fluoxetine-induced sexual dysfunction in women: randomized double-blind placebo-controlled study. Human psychopharmacology, 28(1), 54–60. https://doi.org/10.1002/hup.2282 Modabbernia, A., Sohrabi, H., Nasehi, A. A., Raisi, F., Saroukhani, S., Jamshidi, A., Tabrizi, M., Ashrafi, M., & Akhondzadeh, S. (2012). Effect of saffron on fluoxetine-induced sexual impairment in men: randomized double-blind placebo-controlled trial. Psychopharmacology, 223(4), 381–388. https://doi.org/10.1007/s00213-012-2729-6  Perlis, R. H., Laje, G., Smoller, J. W., Fava, M., Rush, A. J., & McMahon, F. J. (2009). Genetic and clinical predictors of sexual dysfunction in citalopram-treated depressed patients. Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 34(7), 1819–1828. https://doi.org/10.1038/npp.2009.4

    10 min

  3. 04/12/2024

    Men's Health - Body Image and Eating Disorders

    In this episode, Dr. Sylvi Martin, a naturopathic doctor and registered nurse psychotherapist based in Ontario, delves into the often overlooked realm of body image and eating disorders in men. Despite common misconceptions, a significant portion of individuals affected by eating disorders are men, comprising 10 to 25% of those affected. Dr. Martin highlights the challenges in identifying and addressing eating disorders in men, citing gaps in research and diagnostic tools that fail to capture the unique experiences and concerns of male individuals. Drawing from a qualitative study, Dr. Martin explores themes such as critical self-perception, societal influences, and the impact of media representations on men's body image. She emphasizes the importance of understanding men's experiences with body image and eating disorders to ensure proper assessment and support, calling for greater awareness and research in this often neglected area of healthcare. Dr. Martin will be one of the speakers at The Confident Clinician's Men's Health Grand Rounds happening May 02-May 03. Learn more here.   Be sure to check out Dr. Sylvi Martin, ND Eating Behaviour Workshop, from DSM to Diet Culture here   Reference: Paphiti, A., Newman, E., & Collin, P. (2024). “It’s a Lot Deeper than the Way It Looks”: An Interpretative Phenomenological Analysis of Body Image for Men With Eating Disorders. The Journal of Men’s Studies. doi: 10.1177/10608265231225400

    25 min

  4. 04/04/2024

    How you talk about depression matters: chemical imbalance as causality

    In this podcast, Antonella Aguilera-Ruiz, ND discusses the most evidence based way to talk about depression with our patients. And what can be the implications of attributing causation to the chemical imbalance theory. We take a look at two trials that give insight on why complexity is likely the name of the game and how causal attribution affects patient outcomes.  References:  Kemp, J. J., Lickel, J. J., & Deacon, B. J. (2014). Effects of a chemical imbalance causal explanation on individuals’ perceptions of their depressive symptoms. Behaviour Research and Therapy, 56, 47–52. https://doi.org/10.1016/j.brat.2014.02.009 Nolan, A., & O’Connor, C. (2019). The effect of causal attributions for depression on help-seeking and treatment preferences. Journal of Affective Disorders, 257, 477–485. https://doi.org/10.1016/j.jad.2019.07.017 Zimmermann, M., & Papa, A. (2020). Causal explanations of depression and treatment credibility in adults with untreated depression: Examining attribution theory. Psychology and Psychotherapy: Theory, Research and Practice, 93(3), 537–554. https://doi.org/10.1111/papt.12247

    10 min

  5. 03/19/2024

    Nutrition in standards of care. What does a "high fibre" diet even mean?

    In this episode, our founder, Dr. Jordan Robertson, uses chronic pancreatitis as an example to show why we need to read standards of care with a critical eye, especially when they make nutrition recommendations.  Nutrition recommendations in SOC guidelines are often aged (old studies), small studies or singular studies, or studies that look at an adjacent audience, not the audience in question.  We discuss the single study that has been the reference for not using a "high fibre" diet in patients with chronic pancreatitis and why we need to be critical of this recommendation, given that many patients with CP have a significant diabetes risk.  The study in question is this one:  Dutta, S. & Hlasko, J. Dietary fiber in pancreatic disease: Effect of high fiber diet on fat malabsorption in pancreatic insufficiency and in vitro study of the interaction of dietary fiber with pancreatic enzymes. Am. J. Clin. Nutr. 41, 517–525 (1985).

    19 min

  6. 02/14/2024

    The Evolving Role of Naturopathic Doctors in Menopause Care. The Importance of Comprehensive Support for Women in Midlife

    The episode featuring Dr. Kara Dionisio, ND,faculty member at the Confident Clinician Club and facilitator of the Menopause Fellowship, discusses the role of naturopathic doctors in menopause care and explores potential for interdisciplinary collaboration in treatment. Key discussions included analyzing menopause healthcare delivery through naturopathic and conventional means, the increasing openness of conventional doctors to hormone therapy, and the unique value naturopathic practitioners bring through their holistic approach and time investment in patient education. Emphasis was placed on the importance of lifestyle changes, patient education, and nuanced treatment plans beyond hormone therapy, with the future of menopause care envisioned as systematic and collaborative, akin to pregnancy care models. Acknowledging both the possibilities and the complexities within current and future practices, the podcast encourages clinicians to consider their roles and foster partnerships in menopause management. Action Points  Recognize the role of naturopathic doctors in menopause care and strengthen interdisciplinary collaboration.  Understand the evolving acceptance of hormone therapy among conventional practitioners and leverage it to enhance patient care.  Emphasize the significance of comprehensive patient education on lifestyle changes, health screenings, and non-hormonal treatment options.  Promote the benefits of naturopathic care, such as personalized attention and education, for midlife women.  Encourage collaboration with conventional doctors to facilitate access to a full spectrum of healthcare services, including diagnostics and prescriptions.  Explore innovative approaches and research in menopause management, especially concerning lifestyle interventions and patient-specific care models.  Enhance communication with other healthcare professionals to create a unified, patient-centered approach to menopause care.     After a productive year inside the Confident Clinician Menopause Fellowship, with 14 standout naturopathic doctors, we held rich discussions on menopause, critically appraised research, and also engaged in broader deliberations on menopause healthcare advancement. An upcoming menopause practicum, April 11-13 will feature a comprehensive update on menopausal hormone therapy. Here, we're delving into our ongoing role in menopause care, exploring our impact amid the evolving healthcare landscape.   Interested in the Menopause Practicum? This limited capacity opportunity happening Apirl 11-13, 2024 is for practitioners who have purchased and completed the MHT Advanced Practice Training with Dr. Kara Dionisio, ND with the Confident Clinician. You can learn more about the pre-requisite here, or if you have already completed it, be sure to check you inbox for exclusive invite to the practicum!

    22 min

  7. 01/21/2024

    Have we been testing for SIBO wrong? With Dr. Kim Bretz ND

    In today's podcast, we have Dr. Kim Bretz, ND, our GI fellowship facilitator, joining us to share the significant updates in the field of SIBO testing that will shape how we diagnose patients with this condition in the future.  She calls out one particular paper (referenced below) that calls into question many of the standard SIBO tests that practitioners use and explains where we go from here as practitioners who have relied on these outdated forms of testing in their practices.  Dr. Bretz is running a 1-day Advanced Training, SIBO Demystified, which is an essential training for practitioners who test and treat for SIBO in their practices. You can register for the course here to gain access to the live session, the recordings and the practice resources you need to be an up to date practitioner.  Join here.    Dervin H, Zarate-Lopez N, Sweis R,et al. Low prevalence of positive hydrogen breath tests inpatients with functional gastrointestinal conditions andhypermobile Ehlers–Danlos syndrome. Neurogastroenterology& Motility. 2023;35:e14570. doi:10.1111/nmo.14570

    23 min

  8. 01/17/2024

    You don't want satisfied patients. Here's why.

    We don’t want your patients to be satisfied. What do your patients expect when they see you? Do they expect a diet plan and a supplement? Probably. When people see a Naturopathic Doctor or an Integrative Doctor they expect to leave with a nutrition plan and a supplement. So when they get that, they are satisfied.  But satisfied people rarely refer, rarely come back and rarely write reviews. We want your patients to be ecstatic.  In today’s special podcast episode, our founder, Dr. Jordan Robertson shows you 3 ways to stop meeting patient’s expectations, and how to start exceeding them. We’ve built our entire framework for The Confident Clinician around exceeding expectations.  You can do this too.  By leveraging our resources (which based on our membership rate is about $1 each) you can be exceptional in your work every day.  Join now.

    15 min
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The Confident Clinician is an online database, clinical resource and education platform for Naturopathic Doctors and Integrative Practitioners. Our podcast highlights research concepts, clinical concepts and important research developments that are covered in depth inside our membership for clinicians at www.confidentclinician.com

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