Dr. Patient

Heather Johnston

A podcast that examines how today’s healthcare system affects the doctor-patient relationship and impacts how doctors and patients experience it. 

  1. Ep 30 Prevent Illness in the First Place

    2D AGO

    Ep 30 Prevent Illness in the First Place

    Date: 4/15/26 Name of podcast: Dr. Patient Episode title and number: 30 Prevent Illness in the First Place Episode summary:  Preventive healthcare involves trying to keep illness from occurring, and trying to catch diseases early on in their process. It has a long history of success as an overall health approach, but less and less adults in the US are utilizing it and seeing a primary care provider. This episode reviews what preventive healthcare entails and addresses some of the more common reasons why people don't seek it out. References:  Current screening recommendations: Cancers:  - Colorectal cancer screening (variety of methods including colonoscopy) at 45-75 - Breast cancer screening (mammogram, ultrasound most common) at 40-74 - Cervical cancer screening (PAP smear) at 21-65 - Lung cancer screening (low dose CT scan) at 50-80 IF you have a 20 pack-year smoking history, or if you quit within the last 15 years Heart and metabolic conditions: - Hypertension/high blood pressure screening  - every 2 years if blood pressure is 25) - every 3 years if normal BMI - High cholesterol screening (blood test) - lots of caveats on this one - generally, a lipid panel at 40-75  - some sources say every 4-6 years starting at 20 - American Heart Associaion says waist circumference and BMI and lipid panel every 3 years for adults 40-75 with one risk factor Infectious Diseases - Hepatitis C (blood test) once between 18-79 - HIV (blood test) once 15-65 or for anyone pregnant, then regularly only if high risk  Bone health - Osteoporosis screening (bone scan) all women over 65, all post menopausal women even if less than 65 years old if increased risk Other - Abdominal aortic aneurysm screening (ultrasound) for men 65-75 who have ever smoked - Depression screening (questionnaire) for everyone over 19 including pregnant/postpartum - Beyond these, your healthcare provider might also/should ask you questions about safety at home, seat belt use, your diet and exercise Links: USPSTF/US Preventive Services Task Force: https://www.uspreventiveservicestaskforce.org/uspstf/ ACIP/Advisory Committee on Immunization Practices: https://www.cdc.gov/acip/index.html American Heart Association: https://www.heart.org/en/health-topics/consumer-healthcare/what-is-cardiovascular-disease/heart-health-screenings American Diabetes Association: https://diabetes.org/newsroom/latest-ada-annual-standards-of-care-includes-changes-to-diabetes-screening-first-line-therapy-pregnancy-technology American Cancer Society: https://www.cancer.org/cancer/screening/american-cancer-society-guidelines-for-the-early-detection-of-cancer.html Podcast website: www.drpatientpodcast.com Podcast email, become a guest: drpatientpodcast@gmail.com

    20 min
  2. Ep 24 The Disadvantage of Medicare Advantage, Part 1

    07/16/2024

    Ep 24 The Disadvantage of Medicare Advantage, Part 1

    Date: 6/16/24 Name of podcast: Dr. Patient Episode title and number: 24 The Disadvantage of Medicare Advantage, Part 1 Episode summary: Wow, I knew Medicare was complicated but didn't realize just how complicated. I've spent the last few weeks diving deep and was most curious about Medicare Advantage, Part C of Medicare, where beneficiaries can sign up for private health insurance. This week I'll be talking about how bad this is for our federal budget, and how the model simply doesn't work fiscally. Next week, in Part 2, I'll be talking with Al (Alexandra) Eidenberg about why it's also bad for the beneficiaries themselves. Guest(s): none Key Terms: CMS - Center for Medicare and Medicaid Services HMO - Healthcare Maintenance Organization Beneficiary or Enrollee - the person signing up for a health plan Fee-for-service - a model of healthcare where a doctor or hospital gives a service and is then paid for it Capitation - a monthly payment Advantage plans get per patient that are signed up on their plan References: Video by Congresspeople Mark Pocan, Jan Schakowsky and Ro Khanna Center for Medicare and Medicaid Services How the Government Updates Payment Rates for Medicare Advantage Plans Understanding Medicare Advantage Payment Medicare Advantage Risk Adjustment US Sues Cigna for fraudulent diagnostic codes Advantage plans overpaid by about $140 billion over last 12 years Video: How to Sign up for Medicare MedicareFAQ: Why Advantage Plans are Bad Understanding Medicare Advantage Payment Other podcasts on this topic: Arm and A Leg The Real Investment Show Podcast website: www.drpatientpodcast.com Podcast email, become a guest: drpatientpodcast@gmail.com

    22 min

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4.9
out of 5
19 Ratings

About

A podcast that examines how today’s healthcare system affects the doctor-patient relationship and impacts how doctors and patients experience it. 

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