Patient Power - Medical Information and Resources - Topic: Nutrition

Preventing a Heart Attack: What You Need to Know

Tue, 9 Feb 2010 10:00:00 PDT

In this podcast, Dr. Stone will discuss the "Four Horsemen," which cause 85 percent of all heart attacks: cholesterol, blood pressure, cigarettes and diabetes. He also will highlight how lifestyle changes are important in cardiac prevention for both those who have previously suffered a heart attack and for those who have never had a heart attack.

Lowering High Cholesterol: Taking Charge of Your Health

Wed, 16 Jan 2008 10:00:00 PDT

One of the leading causes of death in the United States is heart disease. Over 600,000 people die from heart disease each year. What conditions lead to heart problems? Many Americans have high cholesterol, or hypercholesterolemia, which, if untreated, can lead to more heart problems in the future. Such an important topic demands our attention. In this Patient Power program, Andrew speaks with Dr. Jeffrey Johnson, a cardiologist at the University of Tennessee Medical Center. Dr. Johnson is the medical director for the "4 Your Heart" program, a program that offers comprehensive cardiovascular screening to the local community. Also joining the program is Ms. Jane Kelly, a Cardiac Nurse Specialist who assists with the administration of screenings performed under the "4 Your Heart" program. Ms. Kelly shares her knowledge of how a healthy diet can make all the difference.

With numerous deaths and studies confirming high cholesterol eventually leads to other heart problems, such as cardiovascular disease and arteriosclerosis, it was no wonder guest Debra Winston decided it was time to change her lifestyle. After her mother's death, and test results showing her own cholesterol count at slightly elevated levels, Debra and her husband made the decision to take control of their health. They immediately became more proactive about their habits and lifestyle and that of their two children.

While there are medications for hypercholesterolemia, physicians and cardiologists alike encourage their patients to avoid behavior that could lead to these health problems in the future. Dr. Johnson discusses strategies for persons who are genetically predisposed to hypercholesterolemia and stresses the importance of proper diet and exercise to maintain a healthy cholesterol level. If you're looking for information on reducing cholesterol, this program provides insight from a doctor, nurse and inspiring patient who made a change for the better.

Carrier Screening: Prenatal Diagnosis for Genetic Conditions

Wed, 29 Jul 2009 10:00:00 PDT

While most women give birth to healthy babies, it's estimated that about 3 percent give birth to a baby who has a birth defect that is clinically significant, and in many cases these birth defects are caused by a genetic or chromosomal disorder. The UCSF Prenatal Diagnosis Center offers comprehensive genetic counseling, screening and diagnostic testing for genetic conditions. Dr. Ellen Simpson, a genetic counselor at UCSF Medical Center, joins Andrew for this Patient Power program to discuss the importance of carrier screening.

Dr. Simpson begins by explaining the risks for certain conditions and why some populations, such as those of Ashkenazic Jewish descent, tend be at a higher risk. From there she explains carrier screening, and how this can help people, even before pregnancy, to head off complications. Dr. Simpson speaks about the pre and post-pregnancy diagnostic options for detecting these genetic abnormalities, some of the most prevalent of which are cystic fibrosis and down syndrome.

UCSF provides support services through social workers, genetic counselors and resources in the community. Dr. Simpson speaks highly of the team at the UCSF Prenatal diagnosis Center. To quote her "…it's important for patients to realize that they do have the power, and our job is to guide and advise but that the decisions are made by the patient and the couple, and our role is to be as supportive and as informative as we possibly can be for them at every step in that process."

Adolescent Cystic Fibrosis

Tue, 18 Sep 2007 10:00:00 PDT

Cystic fibrosis (CF) is a very serious diagnosis, one that is especially concerning in young children. This multifarious inherited disease causes respiratory and digestive problems that result in nutrition deficiencies. This disease is accompanied by physiological and psychological issues that vary from patient to patient. On this episode of Patient Power, Andrew is joined by Dr. John Colombo, professor and chief of the University of Nebraska Medical Center pediatric pulmonology section. With diet being a troubling part of this illness, we are also joined by Brigid Mordeson, a nutritionist and registered dietician. Both experts break down various issues surrounding care for adolescent patients with cystic fibrosis, challenges of the disease, and unique approaches that allow the patient to live near normal lives.

The University of Nebraska's top-ranking cystic fibrosis program uses a unique team approach, including patient outreach, research and education. Two of doctor Colombo's patients, Lindsey Melcher and Erin Keitges, are prime examples of this type of approach in care.

Lindsey Melcher joins this program to share her story of being diagnosed with cystic fibrosis when she was just three years old. As an only child, this was especially difficult for Lindsey's parents. Hear Lindsey talk about how she deals with CF on a day-to-day basis, her diet and how a close group of family and friends have made all the difference with her illness. CF patient, Erin Keitges, also shares how having cystic fibrosis hasn't slowed her down. As a cross country, indoor and outdoor track runner, Erin helps us understand how exercise is her key to maintaining good health.

In this program, you'll hear why diets for cystic fibrosis patients differ, the status of ongoing research, new treatments available and pregnancy issues for families at risk. Don't miss the chance to hear a roundtable discussion with leading experts and optimistic adolescent patients living with CF. Is it possible to lead a normal life with cystic fibrosis? Can this disease be outgrown in adulthood? Hear the answers to these questions and more answeredIf you have family member who has been affected with this illness or medical issues as a result of cystic fibrosis, read the transcript or listen to this highly resourceful program.

Taking Care of Diabetes and Avoiding Complications

Mon, 2 Nov 2009 10:00:00 PDT

According to the American Diabetes Association there are 23.6 million people in America with diabetes. That's 8% of the population and, unfortunately, that number is growing. In this Patient Power program, you'll hear Dr. Neeti Choudhury and her patient, Richard, share their perspective and tips on the management of diabetes and most importantly tips for prevention. Dr. Choudhury is an Internal Medicine Specialist at UW Medicine Neighborhood Clinics.

The program beings with Richard "Rick" Roberts as he shares his story about being diagnosed with type 2 diabetes about 10 years ago. When Rick's wife found out she was pre-diabetic, they made some big changes. Rick connected with Dr. Choudhury and began his journey. Both he and his wife have lost weight through a healthy lifestyle of diet and exercise. Listen to this program to hear how Rick gained control of his diabetes, and his life.

Dr. Choudhury helps listeners to understand type 1 and 2 diabetes and the complications of the condition. She discusses the various treatment options, stressing the importance of close monitoring of your blood sugar, diet and exercise. The doctor-patient relationship is key. To quote Rick "So you've got to watch your nutrition, you've got to get some exercise, you've got to monitor your glucose, and work very closely with your doctor." If you're searching for information about diabetes, this program is a great resource.

Watch Rick's Powerful Patient video, here.

Diabetes: The Epidemic

Mon, 2 Nov 2009 10:00:00 PDT

A Focus on Diabetic Retinopathy

Thu, 21 May 2009 10:00:00 PDT

Many patients don't realize that complications from diabetes can lead to possible blindness. With nearly 24 million Americans living with diabetes, this is an issue that touches a wide range of people. Join us for a live program, featuring two leading retina specialists, as well as a patient who has been living well with diabetic retinopathy for over 20 years, to get the latest information and your questions answered.

Preparing for Dialysis: A Vascular Surgeon's Advice

Thu, 14 May 2009 10:00:00 PDT

Most people with failed kidneys undergo dialysis, an artificial blood-cleaning process. The management of dialysis is a challenge for many patients. There are important questions to ask your doctor to make sure you're getting the most durable procedures that give you the best chance at long-term health. During this Patient Power program, listen to advice from a leading UW Medicine vascular surgeon regarding prevention, as well as what many patients do not know, but should, about preparing for dialysis.

Dr. Benjamin Starnes, Chief of Vascular Surgery and Associate Professor at the University of Washington Medical Center and Harborview Medical Center, explains that, due to various factors including diabetes, high blood pressure, polycystic kidney disease and hardened arteries, about one in six adult Americans will have failing kidneys. Hear about ateriovenous fistula, otherwise known as a graft or catheter that's implanted centrally into a patient's large blood vessels to allow for dialysis. Learn about how vascular surgeons choose where to place the fistulas, and what techniques give dialysis patients the best chance at success in creating a durable fistula the first time around. Dr. Starnes explains the two different types of dialysis: hemodialysis and peritoneal dialysis.

Many patients who face dialysis are elderly, and it can be difficult to coordinate all the necessary appointments. Dr. Starnes explains what they're doing at Harborview Medical Center in Seattle to try and combat this problem. The real goal is to identify patients whose kidneys are failing but have not failed yet. Dr. Starnes briefly discusses other causes of renal failure, including ischemic nephropathy and what can be done in those cases to prevent patients from having to go on dialysis. Watch Dr. Starnes in our P2TV section, as he discusses the importance of patient empowerment.

As with most other illnesses, the key with kidney disease is to catch it early. Don't miss this Patient Power program to learn why it's important for you to go see your doctor and get a baseline for your kidney health.

Caring for Diabetes: Today & Tomorrow

Tue, 28 Apr 2009 10:00:00 PDT

Diabetes is ever present and most everyone has a family member who is touched by this disease. Recent estimates are that a child born this century has a 1 in 3 chance of developing diabetes during his or her lifetime - and that is a conservative estimate. On this episode of Patient Power, sponsored by Vanderbilt Medical Center, Dr. Tom Elasy, Medical Director of the Vanderbilt Eskind Diabetes Center, explains just how diverse this condition is and how important it is to tailor care for each patient. One of Dr. Elasys' patients, Beth Gorham also joins the hour to share her experience with type I diabetes.

Beth, a 36-year-old mother of two, was diagnosed with type 1 diabetes at just 6-years-old. As an avid triathalon runner, Beth is quite active, but does admit life requires a lot of planning as a result of the disease, particularly now that she has children. Today, Beth does not remember ever living without diabetes, having lived with it for so long. She talks about some of the common misconceptions of the disease and how she is managing her diabetes daily with insulin injections. Learn how Beth is living well with her condition and how Dr. Elasy helped her manage her diabetes during pregnancy.

Dr. Elasy draws on both his clinical experience as well as his national and international connection to ongoing research. He emphasizes that diabetes is not uniform, either in its type or management. He also touches on the causes of diabetes and the importance of creating an individualized treatment plan. In addition, Dr. Elasy comments on upcoming advances that may improve the lives of those that have diabetes. Listen now and learn how you or someone you love can manage and live well with diabetes.

Surgical Weight Loss Options in 2009

Tue, 13 Jan 2009 10:00:00 PDT

It is well known that obesity is an epidemic in the United States. But did you know that those who are overweight or obese are at risk for many diseases and conditions such as heart disease, high blood pressure, type 2 diabetes, gallstones, breathing problems and certain cancers? If you are very overweight and haven't been able to shed pounds through a healthy diet and regular exercise, bariatric surgery might be an option for you. In this Patient Power webcast on ihealth, sponsored by Northwestern Memorial Hospital, Dr. Alex Nagle joins Andrew to review the indications for surgery, surgical options, process and potential outcomes. Verlina Ammon, Dr. Nagle's patient, also joins to share her experience with Roux-en-Y laparoscopic gastric bypass surgery.

The program begins with Verlina, she speaks candidly about her struggles with weight throughout her life, including emotional eating and various fad diets. Verlina talks about making the decision to go through with weight loss surgery, her first experiences and preparation at Northwestern, and her recovery. She also shares her inspiration and how she's doing now.

Dr. Nagle helps listeners to understand the various procedures available, including the importance of partnering with your physician and their multidisciplinary team to decide if and which surgery is right for you. He talks about the necessary preparations for surgery and the importance of preparing for lifestyle changes post-surgery. Dr. Nagle also focuses on diabetes and how, often, the surgery can be a cure for diabetes - as was the case for Verlina. Both Verlina and Dr. Nagle share their hopes for the future. If you are struggling with your weight and want to make an informed decision about weight loss surgery, listen to this very informative program.

Peripheral Artery Disease and Diabetes

Fri, 9 Jan 2009 10:00:00 PDT

Diabetes patients tend to develop vascular disease, especially in the peripheral arteries in the feet and legs. Joining Andrew to discuss the connection between peripheral artery disease (PAD) and diabetes is Dr. Michael Conte. Dr. Conte is Chief of Vascular Surgery at UCSF Medical Center and helped lead the largest clinical trial conducted on peripheral artery disease, which is resulting in new guidelines and performance standards for treatment.

Dr. Conte believes peripheral artery disease is under-diagnosed and under-treated in diabetics and often not well treated when it is identified. He begins by talking about the risk factors associated with PAD and the signs and symptoms that lead to a PAD diagnosis. Early diagnosis is key to saving limbs from amputation. He goes on to discuss the various approaches to treatment for PAD and the advantages to seeking care from a specialist and multidisciplinary team.

Dr. Conte closes by speaking about the latest research and encouraging words. To quote Dr. Conte, "I think I would like to leave off with that message that this is a disease whose complications can often be prevented by early recognition and the appropriate use of aggressive strategies in a timely fashion. Many patients do not require aggressive or invasive procedures, but when they do cross that threshold then picking the right procedure and doing it early is the best way to avoid the endpoints that we don't want to see." Listen to this program to learn more about preventing and treating peripheral artery disease.

Diabetes: The Latest in Medical Management

Tue, 11 Nov 2008 10:00:00 PDT

Diabetes is an epidemic in the United States, greatly due to the rise in childhood obesity. Altogether almost 24 million children and adults in the United States, or eight percent of our population, have diabetes according to the American Diabetes Association. Type II diabetes, referred to in the past as adult onset diabetes, is the focus of this Patient Power program sponsored by Northwestern Memorial Hospital. Dr. Gregory Clarke and his patient, Theodus Leonard, join Andrew on this program to discuss the medical management of diabetes. Dr. Clarke has been practicing for about 21 years, and he is an internist on the medical staff at Northwestern Memorial Hospital and an instructor in clinical medicine at Northwestern University's Feinberg School of Medicine.

Mr. Leonard starts the program by talking about his diagnosis in 1993, when he was in his late 50s. He shares how he manages his diabetes through diet, exercise and medication. He talks about the importance of monitoring his blood glucose several times per day and the importance of communication with his doctor.

Dr. Clarke begins by helping the audience understand exactly what diabetes is, and the complications associated with this condition. He talks about the obesity epidemic and how it is affects diabetes, as well as hypertension and heart disease. Dr. Clarke details the various screening and evaluations used in diagnosis. He also discusses the various treatment options including, most importantly, the behavioral and lifestyle modifications. Dr. Clarke contends that through these changes, the disease can sometimes be reversed.

He goes on to stress the importance of self-monitoring and staying in tune with one's body. Dr. Clarke addresses foot care in diabetics and answers a variety of listener questions ranging from supplementation and how to prevent diabetes. Both Mr. Leonard and Dr. Clarke close the program by encouraging advice for others. If you are prediabetic, or just need tips on prevention and treatment, this program can be a useful tool in your research.

Gestational Diabetes: A closer look into pregnancy complications

Tue, 15 Jan 2008 10:00:00 PDT

Gestational diabetes occurs in about four percent of expecting women, in all about 135,000 cases in the United States each year. This condition can cause harm to both mother and unborn child, so it is important to have it monitored by a physician. In this very important Patient Power program, Dr. Michelle Russell joins Andrew to discuss prevention, regulation and treatment for gestational diabetes. Dr. Russell is a Maternal-Fetal medicine specialist at Dartmouth-Hitchcock Medical Center.

Treatment for gestational diabetes includes diet regulation, regular physical activity and most importantly, keeping blood glucose levels equal to those of a normal pregnant women. Dr. Russell stresses the need to test glucose levels and maintain regular doctor visits. She talks about the potential complications of gestational diabetes for both mother and baby. Dr. Russell goes into detail discussing risk factors and tips for preventing this condition during pregnancy.

In the latter part of the program, Dr. Russell addresses listener questions. You'll hear about insulin resistance, glucose tolerance, diabetes after pregnancy, the benefits of a nutritional consultation and tips for maintaining blood glucose control through diet. If you are looking to learn more about gestational diabetes or educate yourself as you prepare for pregnancy, this program can provide you with a great deal of insight.

Islet Cell Transplantation: Breakthroughs in treatment for patients with type 1 diabetes

Wed, 5 Dec 2007 10:00:00 PDT

It is shocking when you think about the 21 million people in the United States who have diabetes and have anticipated a cure for so long that has yet to come. Research breakthroughs in diabetes show that a procedure called the islet cell transplantation could give diabetics hope. Those suffering with type 1diabetes do not produce any insulin, which causes extremely high or low blood sugar levels.

The Islet transplantation depends on the removal of insulin-secreting islet cells from a deceased donor's pancreas then injecting the cells into the liver of a patient with type 1 diabetes. Islet cell transplants are not a cure for type 1 diabetes but have shown significant potential to control the disease.

In this inspiring Patient Power program, Host Andrew Schorr and Dr. Fouad Kandeel, director of the Department of Diabetes, Endocrinology and Metabolism at City of Hope National Medical Center, speak directly to patients with diabetes and offer inspiring words of hope that a cure is not far off in the future.

Dr. Kandeel says "I believe that there is significant progress being made almost every week in the field of diabetes research both for type 1 diabetes and type 2. Certainly in the case of trying to generate the islets and trying to improve the efficiency of islet transplantation, and expand the islets within the body of the individual who receives them after you give them a single islet transplant, are all very promising approaches."

Dr. Kandeel explains how exciting the progress in islet transplantation research is in helping to control the complications of this diabetes. He goes on to explain what stem cell transplantation is doing for patients with type 2 diabetes, and how insulin pumps and the artificial pancreas are changing conventional thinking in the world of diabetes.

Managing Diabetes: Exploring approaches to a healthy lifestyle

Thu, 8 Nov 2007 10:00:00 PDT

Type 2 diabetes is the most common diabetes diagnosis. According to the American Diabetes Association there are 20.8 million children and adults with diabetes in the United States, with an estimated 14.6 million diagnosed and 6.2 million undiagnosed. Risk factors include age, obesity, high blood pressure, physical activity and poor diet. After a type 2 diabetes diagnosis, its imperative to make lifestyle changes. Diabetes occurs when the body fails to properly use or produce insulin. Some complications include cardiovascular disease (CVD), kidney damage, nerve damage and even vision loss.

Diabetes treatment focuses on keeping blood sugar and cholesterol at safe levels. A daily balanced diet and regular exercise are effective for many people, but some patients may need multiple medications such as metformin, ACE inhibitors and insulin to assist in controlling their blood sugar levels.

Andrew and Donna Kay, author and diabetes lifestyle coach discuss Donna's new book The Complete Diabetes Lifestyle. Donna shares her story about the journey from diagnosis to where she is today in managing her type 2 diabetes. Upon being diagnosed in the spring of 2003, Kay's personal crusade was to educate herself about the disease. The book sheds light on how we can create a diabetes management plan while empowering ourselves to create lasting changes for a better life. She describes how her team of health care providers combined with incremental changes in lifestyle and medications have put her in control of her blood sugars. Her family has also seen the health benefits as she models good exercise and diet management. Donna shares personal stories about the importance of finding a good team of doctors and how small changes in diet and exercise can add up to big positives!

Managing Juvenile Diabetes

Sun, 16 Jul 2006 10:00:00 PDT

Type 1 diabetes, often referred to as juvenile diabetes, is a disease in which a person's blood sugar is too high because their body does not produce the hormone insulin, which helps glucose be absorbed into the body. Without insulin, a person cannot survive. On this Patient Power program, host Andrew Schorr is joined by two leading medical experts from the Benaroya Research Institute at Virginia Mason Medical Center in Seattle, as well as Clark, a 17-year-old with type 1 diabetes. Together they help listeners understand the key differences between type 1 and type 2 diabetes, how to manage the disease and the latest progress in diabetes research.

Dr. Paul Mystkowski is an endocrinologist at Virginia Mason Medical Center and Dr. Carla Greenbaum is Director of Clinical Research at the Benaroya Research Institute. Both doctors are heavily involved in cutting-edge research, much of which has been focused on why people get diabetes and how to stop this immune process from destroying the cells in the pancreas. Learn how Islet cells, the cells within the pancreas that actually make insulin, can now be infused or transplanted into people to give them back their ability to make their own insulin.

Also touched on are the many new ways for diabetes patients to help take care of themselves: new ways to deliver insulin, long-acting insulin, insulin pumps, and new ways to measure blood sugars at home. However, this is still a very difficult disease to manage, especially as a child, and Clark, a 17-year-old diabetes patient, speaks to these difficulties. He shares with listeners how he manages the disease day-to-day, and his mother joins the program to discuss the challenges of raising a child with type 1 diabetes.

Included in the discussion are the benefits of early intervention and who is at risk for type 1 diabetes. Both doctors encourage parents to identify particular symptoms in their children to get them tested. There are simple tests to monitor the level of glucose in the urine or in the blood that can be done at the doctor's office to determine if a child has type 1 diabetes.

Controlling Diabetes: News and Updates

Sun, 16 Apr 2006 10:00:00 PDT

Nearly 21 million Americans suffer from diabetes, a chronic condition caused by the inability of the body to create insulin. In this episode of Patient Power, host Andrew Schorr speaks with several diabetes experts and patients. During this round-table discussion, you will hear about the causes of diabetes, how to prevent and control diabetes, and new technologies that are making it easier for diabetics to live normal, happy lives. Andrew also takes calls from listeners about this common yet preventable condition.

Andrew's first guest is Charlie, a 17-year old who was diagnosed with type 1 diabetes as an infant and yet lives a completely normal life. By controlling the disease with medicines and lifestyle habits, Charlie is able play sports and go to summer camp just like any other teenager. Andrew also speaks with Dr. Ken Gross from the diabetes center at Virginia Mason Medical Center in Seattle. Dr. Gross tells us how to deal with diabetes once you've been diagnosed, highlighting lifestyle changes and new technologies and medicines available. Another guest on this show is Ethlyn Gibson, a nurse and Community Outreach Coordinator with MultiCare in Tacoma, who talks about prevention outreach with minority populations. The last guest to join Andrew for this special episode is Andy Willmer, Executive Director of the American Diabetes Association chapter for Washington State. Andy suggests resources for those suffering from or at risk for diabetes, and what the ADA is doing to help. Find out if you're at risk and what you can do to avoid getting diabetes.

Right now is an exciting time in diabetes research. Whether you have type 1 or type 2, and whether it is caused by obesity or genetics, diabetes patients are now able to lead normal lives as long as they are able to keep good control over the disease. Listen now to hear stories from patients and solutions from doctors.

Best of 2005: Celebrating Progress in Medicine

Sun, 1 Jan 2006 10:00:00 PDT

Best of 2005: Celebrating Progress in Medicine

An expert's perspective on how to control your diabetes

Sat, 6 Aug 2005 10:00:00 PDT

An expert's perspective on how to control your diabetes

The Latest on Diabetes

Sun, 24 Jul 2005 10:00:00 PDT

Diabetes is an epidemic in the United States, with approximately 18 million people in the country affected. Joining host Andrew Schorr for a discussion about the latest information on diabetes is Dr. Dace Trence. Dr. Trence is the director of the University of Washington Medical Center diabetes care center, and has had thousands of diabetes patients over the years.

It's estimated that 50 percent of diabetes sufferers don't even know that they have it. Dr. Trence describes symptoms to look for, the difference between type 1 and type 2 diabetes, and how diabetes occurs in the first place. She also explains how diabetes can lead to other complications, such as heart disease, and what you can do to lower these risks. Furthermore, Dr. Trence stresses that diabetes doesn't have to lead to complications anymore. She talks about all the ways you can control diabetes - through activity, diet and medication - so that you can live a long, healthy life.

Exercising, taking medication, and managing diet daily can be a difficult life adjustment for some. Dr. Trence talks about the frustrations of managing a chronic condition, but stresses how important it is. She also answers listener questions about Syndrome X, prediabetes, low blood sugar, and more. Listen to this webcast to find out what you need to do if you've just been diagnosed. If you have had diabetes for years, learn more about different available medications, how to maintain your health, and hear questions and inspiring stories from callers.

The latest on diabetes

Sun, 6 Mar 2005 10:00:00 PDT

The latest on diabetes

Nutrition & Cancer

Tue, 26 Jan 2010 10:00:00 PDT

Maintaining your nutrition is especially important when receiving cancer treatment. Proper nutrition can help the body heal, fight infection and make you feel better overall while fighting cancer.

Lung Cancer: Detection and Early Intervention

Mon, 30 Nov 2009 10:00:00 PDT

Lung cancer statistics can be startling. When it's detected early, your chances of survival are much greater. Fortunately, experts like Dr. Jason Chien and Dr. Douglas Wood from UW Medicine, are making strides in the fight against lung cancer, and advancing treatments. In this program you'll hear how lung cancer is detected and the importance of early intervention.

The program begins with Dr. Wood's patient, Barbara, as she discusses her diagnosis. Barbara had a persistent "heaviness" in her chest that felt like bronchitis. When antibiotics didn't do the trick her doctor took an x-ray of her lungs and found a tiny spot on her left lung. Her physician wanted to "keep an eye on it" and see her again in six months. Barbara was not comfortable with waiting and was referred to Dr. Douglas Wood at UW Medicine. Hear her whole story, through treatment and surgery, and how Barbara is doing today. You can watch her Powerful Patient story, here.

Drs. Wood and Chien then join the discussion to talk about Barbara's specific situation and the importance of prevention and early detection of lung cancer. The doctors talk about determining treatment through both drug therapy and surgical treatment. Both doctors speak highly of the Lung Cancer Early Detection and Prevention Clinic at UW and the multidisciplinary team that is available. To quote Dr. Wood, "…the benefit of this evaluation is a very systematic and thoughtful evaluation of a lung abnormality that's in a multidisciplinary fashion that is a coordinated effort of our pulmonary specialists, our thoracic surgeons, and our thoracic radiologists, and we really look at each patient individually together and in a multidisciplinary fashion try to come up with the best advice for an individual patient." Listen to this program to learn more about early detection and prevention of lung cancer.

Early Intervention for Lung Cancer

Mon, 30 Nov 2009 10:00:00 PDT

Stroke Prevention with Carotid Surgery or Stenting

Tue, 22 Sep 2009 10:00:00 PDT

Carotid artery disease can lead to stroke, which is the third leading cause of death in the United States. It's a major cause of disability. How do you limit your risk? What are the warning signs? In this program, sponsored by Northwestern Memorial Hospital, Dr. Mark Eskandari discusses the diagnosis and treatment of carotid disease as well as how to prevention stroke. He also helps listeners to understand the indications for surgical treatment and the goals of therapy.

Dr. Eskandari begins by explaining the symptoms and risk factors for stroke, and what to do if you or someone you know is experiencing these symptoms. He goes on to discuss the evaluation and testing for a stroke and helps listeners to understand the different types of stroke. There are a range of treatments for stroke and Dr. Eskandari goes into a detailed explanation of the medical therapies and surgical treatments available. He speaks in detail of the various surgical procedures, such as endarterectomy and stenting, and addresses the recovery and benefits of these procedures.

Research and clinical trials are evolving the way that stroke is treated and Dr. Eskandari speaks highly of the advances in technology. Most importantly, Dr. Eskandari stresses the need for early intervention and knowing your risk factors for stroke. If you are at risk for stroke or simply want to learn more, listen to this program to learn about medical therapies available and how to get the best care for you or a loved one.

Merkel Cell Carcinoma: Who is at risk?

Wed, 24 Dec 2008 10:00:00 PDT

On the episode of Patient Power, sponsored by the Seattle Cancer Care Alliance (SCCA), the discussion focuses on a relatively unheard of cancer called merkel cell carcinoma (MCC). About 1,500 people will develop MCC within a year according to noted MCC expert, Dr. Paul Nghiem. Dr. Nghiem is associate professor of medicine and dermatology at the Seattle Cancer Care Alliance. He joins Andrew to discuss why this particular cancer is often overlooked and misdiagnosed. Still, some patients are fortunate to catch it early, like Dr. Nghiem's patient Keith Boyer, who joins the hour to share how what he thought was a pimple was actually a life-threatening cancer.

In 2006, Keith noticed a small growth on his eyebrow which never went away. His wife urged him to visit his primary care doctor, and that he did. At first glance, the doctor thought it was a cyst, but after a biopsy, it was ruled to be merkel cell carcinoma. Hear more of Keith's story and learn how you can know when to seek expert care.

Hear Dr. Paul Nghiem, an expert on merkel cell carcinoma (MCC), talk about the tell tale signs of this cancer, how the sun factors in and who is at risk. In Dr. Ngheim's own words, "One of the things that we're excited about that I think people will be able to relate to immediately is a staging system for merkel cell carcinoma. And right now there are five staging systems that are out there, and if you say you have stage III merkel cell carcinoma depending on that staging system you might mean that you have local disease, lymph node disease or metastatic disease."

There Has Never Been a Better Time to Quit Smoking

Tue, 25 Nov 2008 10:00:00 PDT

If you ask any doctor what the worst thing is for your health, the response will probably be smoking. If you are currently a smoker, you know you should quit. The Northwestern Memorial Wellness Institute offers a comprehensive, highly successful smoking cessation program led by Carol Southard, R.N., M.S.N. Ms. Southard joins Andrew on this ihealth program sponsored by Northwestern Memorial Hospital to discuss strategies and lifestyle changes that will help you quit. Under Ms. Southard's direction and care, 46 to 53 percent of patients are still smoke-free one year after attending the program, which is four times higher than the national average.

Ms. Southard begins by talking about the program at Northwestern and how it differs from other programs. She then takes us through the reasons people fail when attempting to quit. Ms. Southard stresses the importance of developing a step-by-step plan to quit and how to apply behavioral approaches such as relaxation methods, assertiveness skills, lifestyle change awareness and social situation preparation.

Ms. Southard also goes into detail about the various stop-smoking aids available. She explains how each one works, how quickly the nicotine is delivered and how each product works differently for everyone. Prescription medications such as Chantix and Zyban are also part of the conversation. Ms. Southard helps to dispel myths about weight gain, stressing that those who exercise when quitting have a higher success rate.

Success in smoking cessation is certainly achievable, but you must first make the decision to quit. A tagline often used by Ms. Southard is "learn how even if you don't want to." If you are considering quitting smoking -- and you should - this program can be a useful resource in helping you kick the habit.

Skin Cancer: Signs, Symptoms and Therapy

Tue, 10 Jun 2008 10:00:00 PDT

Skin cancer is the most common of all cancers, and the incidence is rising yearly in the U.S. The most frequently diagnosed form of skin cancer is basal cell carcinoma, which affects 1 million Americans each year. The most serious form of skin cancer is melanoma. In this ihealth program sponsored by Northwestern Memorial Hospital, Dr. Mary Martini and her patient, Annie, join host Andrew Schorr to discuss skin cancer symptoms, diagnosis and treatment. Dr. Martini is a dermatologist on the medical staff at Northwestern Memorial Hospital and chief of the Division of General Dermatology and assistant professor of Dermatology at Northwestern University's Feinberg School of Medicine.

Annie, a former heavy tanning booth user, shares her story of when she was first diagnosed with melanoma, what led her to Dr. Martini and how she's doing today. Hear what she's learned about prevention, early detection and why she feels so strongly about her relationship with her physician.

Dr. Martini details the importance of screening and early detection. She talks about the various ways to prevent damage from the sun, including which sunscreens are best for protecting yourself, times of day to avoid and protective clothing to lessen exposure. Dr. Martini explains how skin cancer is most often treated, including topical chemotherapies and surgery. When detected early, skin cancer can be successfully treated with surgery. Dr. Martini speaks about the importance of raising awareness and why early detection is important to prevent the cancer from spreading to the lymph nodes. If you are searching for information on sun protection or if you or someone you know is affected by skin cancer, this program provides a wealth of information on this all-too-important topic.

Lifesaving Screening and Treatment for Aortic Aneurysm

Sun, 2 Mar 2008 10:00:00 PDT

The rupture of an aortic aneurysm is catastrophic for most patients, with only 25 percent of people making it to the hospital in time. Most patients are asymptomatic, which means it is critical for people to undergo screening and be aware of the preventative measures that exist. On this episode of Patient Power, host Andrew Schorr and Dr. Benjamin Starnes, chief of the Division of Vascular Surgery both at the University of Washington Medical Center and at Harborview Medical Center in Seattle, discuss the latest screening recommendations and, when intervention is necessary, minimally-invasive approaches for preventing an aortic aneurysm.

Jim Fulcher, a patient and emergency room doctor, joins the program to tell his story of being diagnosed with an abdominal aortic aneurysm through a CT scan. He shares his perspective and helps listeners understand what is involved in endovascular repair. Dr. Starnes details the procedure for implanting an aortic stent graft, which allows an aneurysm to be excluded from a patient's circulation and gradually shrink. Although abdominal aneurysms are far more common, Dr. Starnes also touches on what defines a thoracic aneurysm and who is at risk for suffering from one. Besides family history and rare conditions, such as Marfan's Syndrome, there are certain risk factors that people need to consider. Dr. Starnes explains why smoking increases the risk of a patient developing an aneurysm.

Not only does this program clearly define an aneurysm, but it allows patients to understand how the rate of expansion and size of an aneurysm help to determine when intervention is necessary. With the proper care and attention, aortic aneurysms can most certainly be prevented. According to Dr. Starnes, "There is no reason that anybody in the United States or in the western world really should die of a ruptured aneurysm. The screening method that we have to screen patients for abdominal aortic aneurysms is so simple. It's non-invasive, and all it involves is a simple ultrasound examination." This Patient Power program will educate you about the signs, symptoms and latest minimally-invasive ways to prevent an aortic aneurysm, and, quite possibly, save your life.

Lung Cancer Prevention and Early Detection

Sun, 27 Jan 2008 10:00:00 PDT

Lung cancer is the leading cause of all cancer deaths in the United States. It is one of the only common cancers without a standardized method of early detection, which means most lung cancer patients are diagnosed at a later stage when the disease is more advanced. At the Seattle Cancer Care Alliance's Lung Cancer Early Detection and Prevention Clinic, which is directed by Dr. Jason Chien, they are working to address these sobering statistics. On this episode of Patient Power, Dr. Chien joins host Andrew Schorr to give listeners an idea of the earliest signs and symptoms to be aware of with lung cancer, as well as to reiterate the devastating effects of smoking tobacco.

Lung cancer patient Cecilia Izzo, a former light-smoker, joins the conversation to share her journey of being diagnosed with the cancer and the results, which included having her right lung removed. Cecilia was not only instrumental in helping to get Washington State's smoke-free legislation, Initiative 901, passed, but she works hard to combat the stigma associated with lung cancer. She shares her thoughts about the importance of at-risk patients having a base-line chest x-ray.

Dr. Chien goes on to discuss the controversy surrounding lung cancer screening, particularly with spiral CT scans. This includes a reference to the current guidelines for screening and the newly-proposed ones. Dr. Chien encourages patients, particularly smokers and former smokers, to take an active role in their health. Many physicians in primary care facilities are not familiar with the symptoms of lung cancer and patients need to make their doctors aware of these red flags. Early detection and prevention are the name of the game in lung cancer. Dr. Chien discusses some classic symptoms, such as a chronic cough or shoulder pain that patients need to be aware of. Also learn about the Smoke-Free Life Program developed by the SCCA to help smokers quit.

Many people believe if you quit smoking, your lungs will eventually return to normal. Learn why this is not true and how age factors into our risk of developing lung cancer. When lung cancer is caught early, doctors are very optimistic. The key is to be educated and aware—this program is a great place to start.

Pediatric & Adolescent HIV/AIDS

Mon, 1 Oct 2007 10:00:00 PDT

Children with HIV/AIDS face a number of issues. Unlike adults, children have no choice about disclosing their HIV status to others. Dr. Mark Kline from Texas Children's Hospital and Dr. Bret Rudy from Children's Hospital of Philadelphia will discuss the impact of HIV and AIDS on children. These include pregnancy difficulties, immunization recommendations, women's transmission referral, testing and diagnosis.

The Importance of Back to School Immunizations: Are your children ready?

Tue, 4 Sep 2007 10:00:00 PDT

Early on in life, children have to receive many immunizations. Some immunizations are given as infants, and some prior to starting school or the school year. The question is: Why are these so important? Dr. Paul Offit joins Andrew for this Patient Power program to discuss exactly why these immunizations are needed. Dr. Offit is Chief of Infectious Diseases and Director of the Vaccine Education Center at the Children's Hospital of Philadelphia.

Dr. Offit begins the discussion with three reasons why immunizations are important. He talks about bacterias, measles, mumps and even older diseases like polio that have been eradicated. Dr. Offit goes on to address myths and facts surrounding vaccinations, in addition to side effects and possible negative effects of vaccination. He also explains what the HPV vaccine is and the benefits and risks associated with this new vaccine. As the interview progresses, Dr. Offit speaks about recommendations for scheduling immunizations and what is required.

Hear about the future of vaccines, vaccine research and what the chances are of eliminating disease completely. If you are curious about the necessity of immunization and what exactly all of those shots are for, this program is a comprehensive look at just that.

News from the AIDS Vaccine Conference 2007

Tue, 21 Aug 2007 10:00:00 PDT

UPDATE 9/24/2009: There is news from Thailand that, for the first time, a vaccine has protected a significant number of people from developing AIDS. Scientists are excited about the results but still have a lot of work to do to understand how it was achieved and to extend the benefit to much wider populations worldwide. Putting the hope of vaccines in perspective with other treatments and research was the focus of our interview in the following program with leading experts.

Seattle was the host of a very important medical conference in 2007. Over 900 experts and researchers in the field of AIDS and HIV came to discuss an AIDS vaccine. While the conference was taking place, Patient Power host, Andrew Schorr interviewed two renowned experts about the latest news in vaccine research and development. Joining Andrew is Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health in Washington D.C. and Dr. Lawrence Corey, Head of the Infectious Disease Program at the Fred Hutchinson Cancer Research Center and conference Chair.

Dr. Fauci begins with a discussion of both good and "sobering" news being reported at the conference. He's very encouraged by developments in treatment that are helping those with HIV live longer and better. In his own words, "From the standpoint of treatment, particularly in the developed world, we have drugs that have now transformed the life of HIV infected individuals in the sense of what was formally invariably a death sentence. Now with proper treatment appropriately delivered and accessible, one can really lead a life free of disease; not every patient but many, many patients; and in some instances approaching normality."

Dr. Corey speaks about vaccine development and challenges behind in developing a vaccine. He provides an in-depth explanation of what a vaccine is, how it can be created to both prevent and fight the disease. Included in this hot topic interview is also a discussion of AIDS in America today and how raising awareness is affecting the rate of infection in the U.S. If you're searching for the latest information on AIDS research and hope for a vaccine, this program is sure to provide a wealth of insight.

Summer is Here: Learning More about Skin Cancer

Wed, 13 Jun 2007 10:00:00 PDT

Nonmelanoma skin cancers are the most common types of cancer worldwide. On this episode of Patient Power, host Andrew Schorr is joined by Dr. Jill Weinstein, a board-certified dermatologist at The Polyclinic in Seattle, WA, help listeners understand the difference between certain types of skin cancer, tips on prevention and when you should be concerned.

There are three different types of skin cancer, and they are usually divided into the category of nonmelanoma skin cancer or melanoma skin cancer. Melanoma, the more serious of the two classifications, can actually have a hereditary link, which is explained by Dr. Weinstein. Hear how different cancer types are related to cumulative sun exposure over time. Although for most people, sun exposure before the age of 18 is 80 percent of it.

Learn how to spot nonmelanoma skin cancers, which usually occur on the most sun exposed areas. Melanomas, on the other hand, are black and brown in color and can occur anywhere on the body. Dr. Weinstein explains how to monitor moles or spots on the body with the ABCD rule--Asymmetry, Border Irregularity, Color, and Diameter. Dr. Weinstein also offers advice from the American Cancer Society about the recommendations for a skin exam, which differ for people 20 to 40 and those over age 40.

The conversation then moves into diagnosing skin cancer and different treatment options. Dr. Weinstein details surgical options, as well as chemotherapy if necessary. Prevention is the best option if possible. When it comes to sunscreen, learn why it is important to not only look at the SPF level but also the ingredients. It is important to know what UVB and UVA rays are responsible for and how to protect yourself against both. Dr. Weinstein discusses sunscreen application and offers advice about what to do if you do get sunburned. This program is an excellent overview of skin cancer and informative for everyone, whether affected by skin cancer or not.

Minorities and Cancer Risk: Raising Awareness

Mon, 21 May 2007 10:00:00 PDT

Risk for health issues can be related to many factors such as genetics, family history and lifestyle choices. One of the biggest health disparities in America is observed with race. Why is awareness so low in minorities? Why is prevention and screening not a priority? Joining Andrew for this fruitful Patient Power discussion is Dr. Lovell Jones from The University of Texas M. D. Anderson Cancer Center. Dr. Jones is the director of the Center for Research on Minority Health at M. D. Anderson.

The program begins with a discussion of why healthcare disparities are so prevalent in minority populations. Dr. Jones speaks about the need to change awareness, come up with new and better ways to communicate with the public and make it easier to access healthcare. He stresses the need for health information: not only cancer, but hypertension, heart disease and diabetes.

Clinical trial participation is also low among minorities. Dr. Jones postulates on the reasons, and talks about how this negatively affects research for minorities. He also addresses racial disparities in mortality in breast cancer and prostate cancer. Overall health, screening and prevention should be a priority and Dr. Jones expresses concerns about the ability to effectively reach the minority population with this message. Listen to this program to gain more insight, and learn how you can protect yourself and your loved ones.

Quit Smoking: Reduce Heart Disease

Tue, 17 Apr 2007 10:00:00 PDT

Quit Smoking: Reduce Heart Disease

Integrative Medicine: The Importance of Partnering with Your Doctor

Thu, 5 Apr 2007 10:00:00 PDT

In the area of integrative and complementary medicine, there are many differing opinions in the medical community, both positive and negative, about patients using alternative therapies. There are certainly several valid and research-supported alternative approaches, but the key for patients is to facilitate communication among all their doctors and for a patient to participate in complete disclosure of all the different treatments they are using. On this episode of Patient Power, host Andrew Schorr is joined by Dr. Russell Greenfield, medical advisor to the website Pogohealth.com, which gives users science-based information on integrative medicine.

Dr. Greenfield stresses the need for greater communication among all doctors in the area of integrative medicine and the importance of a patient having a healthcare team. Often there are certain vitamins, which normally would be beneficial, but in combination with other treatments, like chemotherapy, may be detrimental to a patient's health. Learn why eating soy may have a negative impact in treating breast cancer or why particular vitamins like fish oil should sometimes be avoided. Dr. Greenfield walks listeners through certain vitamins or drugs that should actually be taken in combination with another to facilitate better absorption.

Dr. Greenfield addresses doctor concerns about the vast range of therapies that can be called alternative or complementary and can often be extremely difficult for patients to decipher what level of scrutiny these treatments are held to and how they perform regarding safety and efficacy. This is where research plays an important role, and Dr.Greenfield points listeners to Pogohealth.com as a resource. During this Patient Power listeners will hear tips on the kinds of questions to ask their doctors, as well as become aware of the many valid, and potentially beneficial, alternative treatments out there. The message is clear, however, to keep all your doctors informed about anything that you are putting into or having done to your body in order to ensure you receive the best treatment possible.

How Staying Healthy Enriches Your Life

Wed, 4 Apr 2007 10:00:00 PDT

How Staying Healthy Enriches Your Life

Why You Should Keep Accurate Medical Records: Tips for Keeping Track

Tue, 3 Apr 2007 10:00:00 PDT

Having your medical records and medical history organized can not only save you stress and money; it can also save your life. On this programs, school teachers Lillian Shah and Laura Messinger talk to host Andrew Schorr about why having your medical information and your loved ones' information organized and accessible is essential. Ms. Shah and Ms. Messinger have authored the book Keeping Healthy by Keeping Track: A Complete Guide to Maintaining Your Own Medical Records, and they discuss their strategies on this Patient Power program.

We all have a mountain of medical information to keep track of: insurance records, doctors' names, what medicines and over-the-counter drugs, including supplements you are taking, drug allergies, records of past tests, and more. You might think you can easily remember these things. The truth is, our specialists and primary care doctors often don't communicate with each other, and in an emergency situation your records might not be as accessible as you think they are. Ms. Shah and Ms. Messenger explain step-by-step how to store your personal information and other bits of information, such as waiting room pamphlets and newspaper articles. They talk about ways to keep everything up to date and compact enough to carry with you on vacation or to the doctor. They also share poignant stories about why it's so important to stay on top of these things.

Ultimately, you are the best person to organize your medical information. People often have several tests repeated unnecessarily, or are given drugs that are toxic when combined with your current medications. In some instances, such as during Hurricane Katrina, people left town and didn't have access to prescriptions they needed filled or their medical records, and now they're starting over. The good news is these problems can be avoided if you are keeping track of your own medical history. Listen to this Patient Power episode to become empowered about keeping you and your loved ones organized.

The parallels between healthy diet & exercise, quality of life, and athletic performance

Sun, 1 Apr 2007 10:00:00 PDT

The Importance of Colon Cancer Screening

Tue, 27 Mar 2007 10:00:00 PDT

Colon cancer, also called colorectal cancer, is the second leading cause of cancer death in America, but it is also the most preventable cancer out there. This episode of Patient Power discusses the ways to prevent colorectal cancer, as well as treatments for more advanced stages. Joining host Andrew Schorr for the discussion is Dr. Dan Geisler, a colorectal surgeon from the Cleveland Clinic.

The majority of colon cancers can be prevented by getting regular colonoscopies after the age of 50. Dr. Geisler and Andrew tell us what to expect when you go in for a colonoscopy, as well as why it's so important to get one. Dr. Geisler discusses the role family history can play, and when you should start getting colonoscopies if you had a family member who suffered from colorectal cancer. Dr. Geisler describes each stage of colon cancer - from stage I to IV - and what treatments are generally used in each, depending on which stage it is discovered. He also explains what symptoms can occur and when, as well as the role that diet and exercise can play. He talks about why minimally-invasive surgery using a laparoscope has become the surgery method of choice and what this involves. In more advanced stages, chemotherapy and medication may be used.

Colon cancer has been brought to the attention of the national media by former presidential press secretary Tony Snow, who was diagnosed in a later stage of the disease. Newswoman Katie Couric helped to show the importance of prevention after her husband died of colon cancer by getting a colonoscopy on television. The most important thing is to encourage your family to be tested early, since pre-cancerous polyps can be quickly and easily removed if discovered early. Early stages of colon cancer are also not only treatable but beatable. Listen to this show to learn more about prevention and screening, as well as treatment for more advanced stages of colorectal cancer.

Making Life Changes to Prevent Stroke

Tue, 27 Mar 2007 10:00:00 PDT

Making Life Changes to Prevent Stroke

Increasing Your Lifespan: Living Life to the Fullest

Mon, 26 Mar 2007 10:00:00 PDT

Increasing Your Lifespan: Living Life to the Fullest

Mindful Eating

Wed, 21 Mar 2007 10:00:00 PDT

For many people, their relationship with food involves far more than just the biological need for it. Particularly in cultures where food is in abundance, eating has become tied with emotional, psychological and cultural experiences. For many, this has led to unhealthy eating habits, and in some extreme cases, an eating disorder. On this Patient Power program, host Andrew Schorr is joined by Donald Altman, a professional counselor and author of several books that address the topic of "Mindful Eating." Together, they explore ways for you to get to the root of your unhealthy eating patterns and steps you can take to form a more healthful relationship with food.

It was in Mr. Altman's experience of becoming Buddhist that he was finally able to overcome the compulsive eating habits that had marked most of his life. He shares how learning to embrace the voice in his head allows him to experience a different way of approaching food and find a different relationship with it. During the program, Mr. Altman details steps from his book, "12 Weeks to Mindful Eating." There are certain key principles associated with it, which all come together to give people a more positive approach to eating. People learn to become more attune to their bodies and the connection they feel when they are eating.

Mr. Altman addresses the mental "battle of war" many people experience when it comes to diets and eating habits. The approach he presents during the program acknowledges the fact that there is no right or wrong when it comes to eating. Each person's eating experience is unique—it should be a non-blame, non-shame approach. The key lies in a person's ability to change their perspective.

On his website, www.mindfulpractices.com, Mr. Altman offers tips. From learning how to sense your hunger to enjoying the food you eat to knowing when you're full, these are all important elements in developing a new, healthy relationship with food. Mindful eating layers on top of this, and requires one to be aware of their emotions before a meal and maintain rituals after a meal to signify to their brain and body when they're done eating. If you are trying to change your eating habits and lead a more healthy lifestyle, this Patient Power program is an ideal place to begin.

Reduce Cancer Risks through Healthy Living & Nutrition

Tue, 20 Mar 2007 10:00:00 PDT

While many think that cancer is inevitable, up to two thirds of all cancers might be prevented with healthy nutrition and lifestyle habits. These healthy habits can not only decrease your cancer risk, they also lower your risk of developing heart disease, diabetes and many other conditions. In this episode of Patient Power, Registered Dietician Sally Scroggs and Dr. Elise Cook, a family practitioner in the Cancer Prevention Center at The University of Texas M. D. Anderson Cancer Center talk about simple changes to your everyday life that can make a healthy difference.

Dr. Cook speaks about the importance of getting regular screenings and check-ups for early detection of cancer, when it can be treated most effectively. Cancer prevention strategies such as stopping smoking and the use of sunscreen to prevent skin cancer are also discussed. She details the current screening recommendations for different cancers as well as addresses vitamin and supplement usage.

Many understand that proper nutrition is vital to health, but are surprised to realize how much eating foods rich in vitamins, nutrients and fiber can lessen your cancer risk. Sally Scroggs discusses the benefits and preventative properties associated with increasing the amount of fruits and vegetables that you consume. She also addresses why being obese can put you at an increased risk for cancer. Ms. Scroggs stresses the simple steps to take to lead a healthier lifestyle and reduce your threat of cancer. Hear more about what you can do to prevent cancer in this very informative program.

Mary, a breast cancer survivor, tells her story. You'll hear how Sally worked with Mary to recommend changes to her lifestyle with diet and exercise. Mary learned the importance of maintaining her ideal body weight and talks about how she used the resources available at M. D. Anderson to achieve her healthy living goals.

Building a Heart Healthy Lifestyle

Mon, 19 Mar 2007 10:00:00 PDT

It is no secret that heart disease is the number one killer in the United States. However, many of the biometrics associated with this condition - high cholesterol, high blood pressure, and obesity - can be addressed by making healthier lifestyle choices. On this episode of Patient Power, host Andrew Schorr is joined by author and patient Joe Piscatella of Gig Harbor, Washington, to discuss how heart disease is in many ways a culturally induced problem. Mr. Piscatella, whose latest book is titled The Road to a Healthy Heart Runs Through the Kitchen, offers suggestions on how to alter your diet, include more exercise and manage stress to help ward-off heart disease.

Joe Piscatella began writing books, the number of which has reached ten, on the subject of heart disease after he had to undergo bypass surgery at the age of 32. Joe was given a grim prognosis after the surgery, and he and his family decided to do a complete overhaul of their lifestyle to give him the best chance at survival—that was in 1977. As his health continued to improve, Joe's doctor encouraged him to write down what he was doing. Dr. Denton Cooley, a world famous heart surgeon, ended up writing the forward to Joe's first book. Joe now travels the country—a walking example of the impact of healthy lifestyle choices on a person even given bad genetics—spreading his mission to health professionals and the public.

During the program, Joe shares his opinions on how to eat healthful and still enjoy the taste of food. He explains why integrating even a few healthy recipes into your cooking routine can have a profound effect on your health. There are tips on how to eat on the run and how to order in a restaurant. Learn about the FIT criterion as it applies to exercise and heart health. Joe explains, "There is a vast difference between creating habits that people can use for a lifetime and buying pills and portions and gimmicks and quick weight-loss diets that people will use for three weeks." This Patient Power program is an excellent place to start if you are looking for ideas on how to make different lifestyle choices and be on your way to better health.

Vitamin Validation

Thu, 8 Mar 2007 10:00:00 PDT

Vitamins are substances that your body needs to grow and develop normally. Should you take a supplement? What about vitamin deficiency in countries outside of the U.S.? In this unique episode of Patient Power, Howard Schiffer joins Andrew to discuss the need for vitamins both in the United States and in other countries. Howard Schiffer is the President and Founder of Vitamin Angel Alliance, which seeks to eradicate less opportune areas of nutrition deficiency by delivering basic nutrition and vitamins to those in need.

The interview begins with Andrew asking about the importance of daily vitamins as part of a balanced diet. Mr. Schiffer explains the essentiality of vitamins, addresses the need for folic acid and the benefits of a fish oil supplement. Also touched on is the obesity epidemic in America and how most people are overfed but still vitamin deficient. You'll learn what lycopene is and how vitamin A deficiency can even cause blindness.

Mr. Schiffer goes on to report on malnutrition in other countries, such as the Dominican Republic, where children often only consume about 450 calories per day, which is equivalent to the caloric content of your morning bagel. He's making it his mission with the Vitamin Angel Alliance to eliminate vitamin deficiency in other countries. Mr. Schiffer says that the "complete cost to prevent one child from going blind from vitamin A deficiency is 25 cents per year." Learn about nutrition for yourself and become inspired to help others in this informative Patient Power program.

The Connection Between Sexual Health and Overall Health

Wed, 7 Mar 2007 10:00:00 PDT

Sexual health is an innate part of being human and is intimately related to a person's overall health. On this episode of Patient Power, host Andrew Schorr is joined by Dr. Ridwan Shabsigh, Director of Urology at Maimonides Medical Center in Brooklyn, New York, to discuss several steps men can take to improve their sex lives, as well as their overall health.

We don't often think of the sexual function in terms of requiring attention to a multiple organ system, which includes the nervous system, vascular system, hormonal system, mental health and physical health. Listen as Dr. Shabsigh addresses how these systems work together to help a man achieve his optimal sexual health. He offers advices from his book, Sensational Sex in Seven Easy Steps: The Proven Plan for Enhancing Your Sexual Function and Achieving Optimal Health. Dr. Shabsigh addresses the barriers that stand in the way of many men seeking out help for sexual dysfunction. Also learn why quitting smoking and weight loss causes an actual biological change to enhance a man's overall sexual health.

Dr. Shabsigh contends it is what you do with your life more than how long a life you live that influences your sexual health, as illustrated by his story of a 94-year-old male patient who is still enjoying his sexuality. Sexual health requires much more than medicine and this program details many of the different personal health areas a man needs to attune to.

As Dr. Shabsigh says, "It is never too late, whether you are young, whether you are middle aged or you are a senior. Actually, one of the themes of my book is that every man can improve his sex life, and the majority can do so without significant medical intervention." Overall, this Patient Power program is a wonderful way to begin to understand the comprehensive approach that needs to be taken for a man to attain optimal sexual and overall health.

Simple Steps to Prevent Cancer

Tue, 6 Mar 2007 10:00:00 PDT

Simple Steps to Prevent Cancer

The Latest Approaches to Preventing and Treating a Stroke

Sun, 18 Feb 2007 10:00:00 PDT

Stroke is the third leading cause of death in the United States, as well as a major source of disability. It is caused by blockage of blood flow to the brain, or in some cases bleeding in the brain. Joining host Andrew Schorr to discuss prevention and treatment of stroke is Dr. David Robinson, an interventional radiologist at the stroke center at Virginia Mason Medical Center. Also joining the program is Heidi McKenna, who experienced stroke-like symptoms due to a blocked artery. Heidi's symptoms went away after doctors inserted a stent into her carotid artery.

Stroke is something doctors can do something about, both in the acute phase of the stroke and through preventative measures. Dr. Robinson describes what they can now do with minimally-invasive surgery, both preventatively or to reduce damage in patients experiencing a stroke. He tells listeners when and how to seek medical help. Dr. Robinson also describes signs and symptoms of stroke, including trouble with speech, weakness or numbness in the body, and clouded vision. He also talks about the seriousness of Transient Ischemic Attack (TIA), the relationship between heart disease and stroke, and other risk factors. Finally, Dr. Robinson offers ways to lower your risk of stroke, including weight management and quitting smoking.

Listen now to hear answers to listener questions about specific symptoms, carotid dissection and Horner's syndrome. Find out what signals to look for, and how to prevent this dangerous and common condition.

Heart Failure

Tue, 13 Feb 2007 10:00:00 PDT

Heart failure, also known as congestive heart failure, affects about 5 million Americans. It happens when the heart does not pump blood efficiently and it limits quality of life and can shorten life. The term refers to a number of conditions that fit under this general syndrome. Often patients will experience fatigue, shortness of breath, trouble sleeping, and swelling in the legs. For some, even simple activities of daily living like climbing a few stairs can be difficult or impossible. There can also be heart rhythm problems leading to lightheadedness and fainting.

In spite of these symptoms many people can live well with heart failure. Some may have heart failure and have no symptoms and do many of their normal activities. However, there are several medications that can help. These include ACE inhibitors, betablockers, and angiotensin inhibitors Other treatments include left ventricular assist pumps, bi-ventricular pacemakers, and sometime implanted defibrillators. Early and aggressive treatment is important. Heart failure can be prevented with good diet, not smoking, exercise, and managing blood pressure, cholesterol, and, if you have it, diabetes. For people who need treatment the good news is treatments, sometimes complex, can save lives and even help the hearts of some patients return to almost normal shape and function.

In this Patient Power program on HealthNet, we meet 56-year-old Judy Stromek of Chicago. She received a pacemaker after several episodes of passing out. Often they would happen whenever she took a hot shower or bath. The pacemaker stopped the fainting but she still felt weak. Finally she connected with a heart failure specialist, Dr. John O'Connell from Northwestern Memorial Hospital. She was given prescription medicines that greatly improved her life, allowing her to be active with her grandchildren and to safely take showers and baths and climb steps in her home.

Gene Chapoton from Fairhaven, Michigan, with heart disease running in his family, developed such severe heart problems that he had problems functioning at all. He took medications and had a series of pacemakers. But the improvement didn't last. Eventually he needed more aggressive treatment, a heart transplant, and today he says he is living a full life. Hear their stories and more about heart failure in this Patient Power program sponsored by Northwestern Memorial Hospital.

Resources: American Heart Association, Center for Heart Failure at Northwestern Memorial Hospital.

Preparing for the Flu: The Importance of Protecting Yourself

Sun, 6 Nov 2005 10:00:00 PDT

How can we be prepared for the ordinary flu that comes every winter? Should you get a flu shot? What are the side effects? Joining host and leukemia survivor Andrew Schorr to answer these questions is Dr. Joyce Lammert, an immunologist and head of the asthma and allergy section at Virginia Mason Medical Center. Dr. Lammert explains what influenza and bird flu are and talks about the importance of prevention.

Influenza kills as many as 40,000 people each year and can be devastating to both young and old. Dr. Lammert describes the dangers of getting the flu and identifies who should get the flu shot. She responds to concerns and myths about flu vaccine side effects, and explains how and why the flu vaccine works. Dr. Lammert gives listeners an idea of what to expect with the vaccine, what your chances are of getting the flu with and without the vaccine, and where you can get a vaccine. She touches on other ways to prevent flu and what to do if you, your child or your parents do get the flu.

Dr. Lammert also discusses bird flu and the 1918 influenza epidemic. She explains what bird flu is and why people are concerned about it. In addition, she takes questions from listeners about influenza, flu vaccine side effects, and who should get the vaccine. While influenza can be very serious, it's also preventable. The flu shot not only drastically reduces your chance of getting the flu virus; it also helps to prevent other respiratory viral infections. Join Dr. Lammert to learn more about this virus and why she recommends the flu shot for everyone, young and old.

Fighting infectious diseases and epidemics

Sat, 10 Sep 2005 10:00:00 PDT

Fighting infectious diseases and epidemics

Eating Disorders: A revealing look at binge eating

Mon, 12 Jan 2009 10:00:00 PDT

Eating disorders are part of an unsettling reality in our society. From binge eating to anorexia and bohemia, these disorders plague many and require special assistance for the best outcome. How can something like this happen? With the start of each year, new health resolutions are made and often broken. But a desire to loose 10 pounds or eating emotionally can spiral out of control. On this episode of Patient Power, eating disorder specialist Dr. Patricia Pitts helps us understand who is more likely to have an eating disorder, what the types of eating disorders are, and how you can we identify if a family or friend has an eating disorder. You'll also hear from a patient who struggled with compulsive binge eating. Don't miss out; call in with your questions live!

Overcoming Childhood Obesity

Thu, 31 Jul 2008 10:00:00 PDT

Childhood obesity is one of the most alarming health epidemics facing Americans. However, with a few lifestyle changes, most children can reverse the effects of their obesity and be on their way to living a full and healthy life. On this Patient Power program, host Andrew Schorr is joined by Dr. Wendy Slusser, an assistant clinical professor of pediatrics and director of the UCLA "Fit for Healthy Weight" program at the Mattel Children's Hospital, part of the UCLA Health System. Dr. Slusser shares key strategies and the latest research done to help combat this problem and give children the tools they need to live healthier lives.

A more sedentary lifestyle due to internet and television, a lack of opportunities for physical education in schools and processed foods packed with calories have been a few of the contributors to this obesity epidemic. Listen as Dr. Slusser discusses the Fit for Healthy Weight Program, and the approach taken not only to balance intake and output but also to address some of the emotional issues that arise for overweight children. This includes looking at children's friendships, family dynamics and sleep patterns.

A multidisciplinary team that includes a physical therapist, dietician, endocrinologist, gastroenterologist, psychologist and even a bariatric surgeon at times, work together to help develop personal strategies for children to incorporate more exercise and healthy eating into their lives. Learn how keeping a daily log, setting attainable goals, and above all, making it fun has helped numerous children gain control of their lives. Dr. Slusser discusses the "5-2-1-0 Blastoff" approach that gives both kids and parents an easy mechanism to remember keys to maintaining a healthy lifestyle. It's not about finding a quick fix—it's about helping children adopt a lifestyle they can maintain.

Stress, Self-Control and Emotional Eating

Tue, 11 Dec 2007 10:00:00 PDT

Obesity is a primary risk factor for diabetes, heart disease, and stroke, and is among the leading causes of preventable death in the United States. Unfortunately, overeating is also one of the most difficult behaviors to permanently change. Popular diets emphasize immediate weight loss, not lasting behavior change, leading to short-term results but almost inevitable failure. The main problem with diets is that they focus only on the eating behavior, which is the effect, and not on the emotional factors, such as stress, which are the cause.

In this Patient Power program featured on ihealth, Dr. Howard Farkas joins host Andrew Schorr to discuss an innovative approach to help patients identify the most common patterns of thinking and behavior that lead to emotional eating and then learning how to change them. Dr. Farkas speaks about the importance of maintaining balance and emphasizes issues of self-restraint, self-indulgence and self-control. He goes into detail about the behavioral factors associated with overeating and the effects of stress. Overeating is an addiction, just like drugs or alcohol, and sometimes in the process of regaining control, one addiction is replaced with another.

You'll hear about how to deal with cravings, how to combat your triggers and why seeking a psychological counselor is key to changing your life permanently. Dr. Farkas speaks candidly about his methods and the best way to change behaviors associated with emotional eating. You can download slides to follow along during the broadcast here.

Body Image: Is the Media Creating Eating Disorders?

Fri, 15 Jun 2007 10:00:00 PDT

Eating disorders such as anorexia nervosa, bulimia and binge eating are extremely prevalent in the United States, specifically among teenage females. Not only are eating disorders prevalent, the incidence appears to be on the rise. In this Patient Power program, Dr. Trisha Gura joins Andrew Schorr to discuss eating disorders and how the media affects those with eating disorders. Dr. Gura is a former science writer and author of the book Lying in Weight; the Hidden Epidemic of Eating Disorder.

Dr. Gura begins by telling her experience with anorexia starting at the age of 14, but she was officially diagnosed and began treatment at age 19. She talks about her own struggles with relapse and triggers she is now aware of. Dr. Gura goes on to discuss the influences of the media on body image and just how much this affects culture and society.

You'll hear about the psychological effects of eating disorders, including the guilt and shame often associated with this type of behavior and the emotional effects. Dr. Gura talks about her struggles with teaching her own daughter healthy habits. In addition to a wealth of guidance, Dr. Gura provides the audience with a variety of support and resources available to teens, adults and elderly with eating disorders.

Mindful Eating

Wed, 21 Mar 2007 10:00:00 PDT

What You Should Know About Eating Disorders

Sun, 10 Dec 2006 10:00:00 PDT

Eating disorders are a big problem, but they are often misunderstood. Joining Andrew on Patient Power to help disprove the myths about eating disorders is Dr. Cynthia Bulik, director or the eating disorders program at the University of North Carolina Chapel Hill. Michele Crisafulli also joins the program to share her story. Michele is a senior at University of North Carolina Chapel Hill who suffered from anorexia as an adolescent.

Anorexia doesn't just affect teenager girls, but children, women and men, as well. Dr. Bulik helps us to understand that eating disorders are not a choice. She discusses symptoms to look for, ways to help your loved ones get healthy, and how to be sensitive to someone's condition. She reports on her own research, as well as international research that now shows there are genetic factors associated with anorexia. Finally Dr. Bulik discusses the media, which serves as a trigger to the genetic component. She explains how the media has contributed to the increase in anorexia in older women, in addition to the widely affected teens and young women.

At the age of 13, Michele was diagnosed with anorexia. Michele shares her story to show that those suffering from this disorder are not alone. She is now a healthy and active student, and she offers advice about the importance of managing stress and seeking help. Both Dr. Bulik and Michele stress that early intervention is the key to stopping this deadly disease. They offer insights into how to talk to a loved one who might be affected.

Listen to this webcast to learn how to help you or those close to you with an eating disorder. Hear terms like anorexia nervosa and bulimia nervosa defined by experts, so that you know when and how to start a discussion that could save a life.

Overcoming eating disorders

Sun, 9 Jul 2006 10:00:00 PDT

Overcoming eating disorders

Fighting life threatening eating disorders

Sat, 7 Jan 2006 10:00:00 PDT

From Heartburn to Esophageal Cancer

Tue, 12 May 2009 10:00:00 PDT

Five percent of Americans will be diagnosed with something called Barrett's esophagus, where acid reflux damages the lining of the esophageal tissue, and it sets up the risk for potentially deadly esophageal cancer. Dr. Sri Komanduri from Northwestern Memorial Hospital in Chicago joins Andrew for this program to provide answers about acid reflux, esophageal lining changes, Barrett's esophagus and the latest treatment approaches. Steve, Dr. Komanduri's patient, also joins to share his story.

The program begins with Steve telling his story of having persistent heartburn for many years. He would often just have a teaspoon of baking soda with a glass of water to neutralize the acid. It wasn't until he went to see a gastroenterologist for an unrelated reason that he was diagnosed with Barrett's esophagus. Steve was immediately referred to Dr. Komanduri. He has since received treatment for the dysplasia with radiofrequency ablation and careful monitoring from Dr. Komanduri. Hear Steve talk about how he watches his diet, and pays closer attention to his lifestyle to avoid heartburn.

Dr. Komanduri talks about the causes of heartburn, or acid reflux, how it leads to Barrett's esophagus and sometimes even esophageal cancer. He discusses the risk factors, diagnostic tests and the latest treatment options for Barrett's esophagus with the hope of avoiding esophageal cancer. Dr. Komanduri also explains the role of radio frequency ablation in the treatment of Barrett's esophagus, how it works and hope for treatment options in the future. If you have frequent and persistent heartburn, listen to this program to learn more about this all-too-common condition that can sometimes lead to much more serious problems.

Understanding Esophageal Motility Disorders

Fri, 20 Mar 2009 10:00:00 PDT

Achalasia, one of several types of esophageal conditions, is a rare disease of the muscle of the esophagus. On this episode of Patient Power, the focus is on understanding esophageal motility disorders and the role of laparoscopic procedures. Joining the discussion is the renowned surgeon, Dr. Santiago Horgan, director of Minimally Invasive Surgery at UC San Diego Medical Center. As the director of UCSD's Center of the Future of Surgery, Dr. Horgan is working with colleagues to advance these scarless techniques by investigating, developing, testing, and teaching procedures that will revolutionize the field of surgery. Arline Horwitz, one of Dr. Horgans' patients, considers herself fortunate to have undergone the Robotic Heller Myotomy - she is living proof of its benefit.

Arline underwent a Robotic Heller Myotomy in August of 2008. At 82 years old, Arline was convinced this was something she would always live with. She could not swallow food because her sphincter muscle was dead and as a result, had to regurgitate every time she ate. With this new procedure, Dr. Horgan and the UCSD team took part of her upper stomach and made valves. Today, Arline is doing well, has frequent follow-ups with Dr. Horgan and does not have to take medicine. Hear more about how the procedure has allowed her eat more foods she had not been able to eat previously, like steak and salad.

Dr. Horgan talks about 3-D imaging, robotic surgery and how both are eliminating many complications of conventional methods. He also talks about the underlying goals of the Heller Myotomy, which are to improve the function of the lower esophageal sphincter (LES) and relieve symptoms for the patient. Listen to this program to hear more about how safer methods, procedures and technology are making patients with various conditions, able to return to their normal and active lives.

Surgical Weight Loss Options in 2009

Tue, 13 Jan 2009 10:00:00 PDT

Long Term Success with Weight Loss Surgery

Fri, 1 Aug 2008 10:00:00 PDT

Current estimates put two-thirds of the United States population in the category of overweight or obese. As people search for answers to their weight issues, many people have questions about weight-loss surgery. Am I a candidate? What is involved? How do I pay for it? On this Patient Power program, host Andrew Schorr is joined by Dr. Amir Mehran, director of the Bariatric Surgery Program at UCLA Health System, and together they work to answer patients' questions.

The UCLA Bariatric Surgery program has an extremely high track record for success with patients, but much of that can be attributed to the high standards required from both the doctors and potential patients. During the program, Dr. Mehran details required lifestyle changes that patients must commitment to prior to surgery, including required preoperative education classes. Dr. Mehran stresses that weight-loss surgery is a powerful tool, but it is not a quick fix. Without personal responsibility, the tool will break.

However, when obese patients choose to make the commitment, Dr. Mehran sites published studies that say bariatric surgery reduces mortality in patients by about 95 percent. There are many types of weight-loss surgery, including the Roux-en-Y gastric bypass and staged gastric bypass. Listen as Dr. Mehran discusses what is involved in each surgery and why the doctors at UCLA suggest some surgeries over others. If you or a loved one is considering weight-loss surgery, this program may offer some of the answers you are looking for.

Overcoming Childhood Obesity

Thu, 31 Jul 2008 10:00:00 PDT

Bariatric Surgery: The Latest from a Renowned Expert

Tue, 24 Jun 2008 10:00:00 PDT

Interest in bariatric surgery has grown tremendously over the past few years, but many questions still remain. Am I a candidate? What are my weight loss surgery options? Will I need cosmetic surgery after this procedure? These are just a few of the questions you will hear answered in this Patient Power program as Dr. Alan Geiss, a national leader in Lap-Band surgery, joins host Andrew Schorr to explore these issues. Dr. Geiss is Director of the Laparoscopy Center and Laparoscopic Bariatric Center at the Center for Surgical Specialties at Syosset Hospital, which is part of the North Shore-Long Island Jewish Health System. He recently performed his 2,000th Lap-Band surgery—more than any other U.S. Surgeon.

The program begins with Dr. Geiss discussing what he observes as a general lack of sensitivity for morbidly obese patients in our culture. He explains many people do not understand these patients have a chronic debilitating medical disease that is further complicated by their environment. For those patients who have exhausted all other options, Dr. Geiss offers hope as he speaks to the growing number of treatment options for morbidly obese patients. During the program, he discusses gastric bypass surgery (or Roux-en-Y gastric bypass), laparoscopic adjustable gastric band operations (with both the Lap-Band and REALIZE™ band), and the gastric sleeve resection.

Listen as Dr. Geiss details the initial evaluation, the procedure and the aftercare involved in any bariatric surgery. He answers listener questions, particularly related to what doctors know about the long-term effects of these surgeries and how they impact patients as they get older. For many patients, their success is, in-part, connected with the support group they surround themselves with. Dr. Geiss explains what it means to be a Center for Excellence and the importance of having a multidisciplinary team in place to help you throughout the process. There is tremendous research and progress into the management of obesity right now. The most important thing for patients to remember is that each situation is distinctly different, but there is hope for everyone. If you or a loved one is exploring the possibility of undergoing bariatric surgery, this Patient Power program gives you the opportunity to hear the latest from a leading medical expert in the field.

America's No.1 Killer: Heart Disease

Mon, 3 Dec 2007 10:00:00 PDT

The last thing we want to think about during the holidays or family gatherings is watching our diet. But even during these special moments with family, it is essential for our good health to watch what we eat. The truth is, America's number one killer is still heart disease, and maintaining a healthy diet and weight could decrease your risks. As a result of diet choices, Americans are consuming more sugar and fatty foods, causing a striking epidemic among adults, and often times these same eating habits are adapted by children. This is a growing concern for pediatric obesity specialists as obesity rates among children continue to rise. Heart disease is no longer a disease for 'other folks.' It will likely affect someone close to you.

Joining Andrew Schorr on this Patient Power program is Dr. Kathy Hebert, director of disease management and outcomes research and associate professor of medicine at the University of Miami Miller School of Medicine. Dr. Hebert puts the role of diet and heart disease in perspective, explaining how America's diet 50 years ago was radically different because it did not contain many of the processed foods we eat today. Instead of discussing what we should do and what we could do to decrease risks for heart disease, Dr. Hebert tells listeners what must be done. Andrew Schorr asks pressing questions about how this epidemic is impacting healthcare cost, the economy and the country. Ultimately, Andrew asks the most important question of all, "How can we compete if we are doing this to ourselves?" With many questions and concerns such as these, Dr. Hebert puts or minds at ease by describing small steps that can get us all on track to a healthy lifestyle. Listen to Andrew and Dr. Hebert break down the key practices for keeping yourself heart healthy.

In conclusion, Dr. Hebert explains how an epidemic has turned into an emergency, but she still has words of encouragement for those who are struggling. Listen to Dr. Hebert talk about simple strategies for healthy eating during the holidays and how we can set a good example for our children. This discussion is sure to make you think twice, not just about diet choices during the holidays but all year round.

Gastric Bypass: Examining options in weight loss surgery

Fri, 9 Nov 2007 10:00:00 PDT

With obesity numbers on the rise, weight loss surgery procedures remain a hot topic. Celebrities like Star Jones - who has been reluctant to reveal weight loss surgery secrets, and Carnie Wilson - who is outspoken on the matter, are bringing more attention to procedures such as LapBand, Vertical Sleeve Gastrectomy, and Biliopancreatic Diversion. In this webcast, Dr. Peter LePort, a bariatric surgeon and medical director at Orange Coast Memorial Medical Center, joins Andrew Schorr to discuss the latest procedures in weight loss surgery. Dr. LePort has performed thousands of procedures and is a leading expert in his field. You'll hear Dr. LePort discuss success rates for medical weight loss programs, complications in weight loss surgery, and the best candidates for these procedures. Often these operations are not from a place of vanity, but rather an intervention that could potentially be life-saving, as it was for Bobbie Ridge, who joins the program to share her story of battling obesity.

Mrs. Ridge had gastric bypass, going from a size twenty to a size four. With health issues prior to surgery, including a brain tumor that was affected by her weight gain, the surgery allowed Bobbie to be healthy and most of all happy. Hear how Bobbie remained positive and adjusted to life after surgery, including becoming a mother to a healthy little girl.

Listen to Dr. LePort discuss how research continues to help us understand the successes and complications that can accompany such procedures. You also will not want to miss the discussion about the trend in cosmetic procedures after weight loss surgery. If you have been searching for information on weight loss procedures like Vertical Banded Gastroplasty, Roux-en-Y Gastric Bypass, Duodenal Switch or have interest in knowing what impact of these surgeries can have, you wont want to miss this program.

Childhood Obesity: Winning the battle against the epidemic

Tue, 6 Nov 2007 10:00:00 PDT

Childhood obesity is an extraordinarily widespread problem. According to the Centers for Disease Control , 16 percent, or 9 million, children between the ages of 6-19 are obese - and that number is triple what it was in the 1980s. Childhood obesity may lead to health issues including diabetes, heart disease, hyperlipidemia, and early puberty. We need to be careful not to point the finger at our children or close relatives but to instead create a non-judgmental, encouraging environment for them.

In this Patient Power program, Andrew speaks with Dr. Phil Wu, a pediatric obesity expert at Kaiser Permanente, whose special interests include obesity prevention in children and promoting healthy living for families. Also joining the discussion is Anthony Melo and Ashley Melo, both part of a family determined to make healthy lifestyle changes. Mr. Melo and his daughter discuss their struggles with weight as well as, their new goals to be proactive about becoming healthy by changing their eating habits. Ashley and her parents are active participants in the Kaiser Permanente's SHINE program, attending once-a-week meetings to teach girls and their families about healthy eating, nutrition and exercise. Ashley says she started the program because she wanted to lose weight and boost her self-esteem. So far she's lost 7 pounds, and is trying to lose 15 more. Ashley now packs her own lunch and makes a sandwich with healthy meats and no mayo. Most importantly, the Melo's explain how making lifestyle changes as a family has been the key to success.

"When you're trying to become healthy, the effort has to be a family thing. It can't just involve one person, and it has to be a lifestyle change, not just a short term gimmick."

Dr. Phil Wu talks about the problem with obesity as a societal and cultural problem. The discussion focuses on diet frustrations, fast-food temptations, and how to increase the amount of daily physical activity. Dr. Wu also discusses with Andrew the issues of childhood obesity as an epidemic in America, how it impacts Hispanics and African Americans, the role of genetics. The doctor offers five recommendations, as a place to start, for a healthier lifestyle for ourselves and especially our children.

Weight Loss Surgery: An Expert Opinion

Sun, 28 Oct 2007 10:00:00 PDT

Bariatric surgery has undergone tremendous growth over the past few years due to the rapid rise in obesity rates in the United States. This Patient Power program, hosted by Andrew Schorr, focuses on two specific types of bariatric surgery: Roux-en-Y Gastric Bypass and Lap-Band Surgery. Dr. Ross McMahon joins Andrew in this very thoughtful discussion about the Weight Loss Surgery Program program at Swedish Medical Center in Seattle. As medical director of the program, Dr. McMahon discusses the comprehensiveness and importance of the hospital-based program in providing services during all stages of the surgery process. From the initial mental preparation six months prior to surgery through post-operative follow-up and counseling, the hospital-based Weight Loss Surgery Program works to address it all.

You'll hear from Robin Arnold, a recent lap-band surgery patient, as she talks about her decision to have surgery and why she chose the lap-band procedure. Robin shares her experiences in battling weight gain after having children, her medical complications with obesity and why she feels strongly that she made the right decision to have the surgery. You'll hear about Robin's struggles both before and after surgery as well as her optimism about the future.

Dr. McMahon provides information about who qualifies for surgery and how Body Mass Index (BMI) factors in, as well as the difference between lap-band versus gastric bypass and the pros and cons associated with each procedure. Dr. McMahon goes into detail about the risks with surgery, what one can expect after surgery and how Swedish is working to combine their Weight Management program with the new Weight Loss Surgery program. If you or someone you know is considering weight loss surgery, this program will provide you with a wealth of information.

How Food Affects Your Health: What's Good and Bad

Thu, 31 May 2007 10:00:00 PDT

When it comes to overall health, feeling good is not just about weight-control but is also about how your body digests what you eat and drink. On this Patient Power program, host Andrew Schorr is joined by leading nutritionist, Joy Bauer, a frequent guest on the "Today Show" and author of the book, "Joy Bauer's Food Cures: Treat Common Health Concerns, Look Younger & Live Longer." Learn about the most common 'trigger' foods and beverages when it comes to body sensitivities and intolerances, and how to approach the grocery store - from the physical layout to reading food labels.

Using Irritable Bowel Syndrome as an example, Ms. Bauer walks through several common irritants, including sorbitol, lactose, soy, coffee, and fiber, that can be hidden in foods. She gives listeners a simple plan to follow that may help identify what is causing certain digestion problems. Ms. Bauer also discusses the connection between migraines and caffeine. Depending on when caffeine is absorbed, it can have very different effects on a person. This leads into a discussion about memory and how caffeine and Omega-3 fatty acids may play a key role. Also, learn which fruits and vegetables have been shown to increase memory.

Ms. Bauer shares her 90/10 food philosophy, which is designed to promote healthy eating among children. She gives listeners a guided tour through the grocery store and offers strategies for finding the most healthful foods. She explains how to read food labels, including guidelines for suggested fat, sodium and fiber content. In essences, she walks through all the major food groups - meats, dairy, oils, produce and grains—and explains what to look for. If you have ever been confused by food labels, the content of particular food products, or wonder why certain foods cause you discomfort, this is the program for you.

Obesity in Children: The Epidemic

Mon, 12 Mar 2007 10:00:00 PDT

As a teacher Rob Wes witnessed first-hand what happens when kids have no place to go and enjoy physical activity. He observed the growing waste lines, read about the childhood obesity epidemic and began to study the connection between physical and mental development. It was from this perspective he decided to begin The Little Gym. On this Patient Power program, host Andrew Schorr is joined by Mr. Wes to discuss the importance of children adopting and maintaining a healthy pattern of eating and exercise at an early age, as well as how parents can help foster this in their kids.

The fact remains - overweight children are much more likely to become overweight adults. It is easier to maintain a pattern formed during your early years than it is to undo one and retrain yourself later in life. Mr. Wes explains how to make exercise fun for your kids and offers tips about how to limit their video games and television, and help them develop a positive relationship with food. Learn how you can help your kids make healthier choices and take more personal responsibility in making these choices. At the Little Gym, they have classes for even the youngest children, just four to ten months old.

Exercise is about far more than just physical health. Mr. Wes discusses the role of exercise in relieving stress and anxiety. He also touches on the connection, for many children, between exercise and self-esteem. Calling on the achievement factor is essential to keep children engaged in their exercise routine. The sense of accomplishment that comes from the personal successes many children with exercises can be carried over into many other facets of their life.

Mr. Wes offer parents this piece of advice, "Enjoy your little people. Tap into their spirit. I think reduce their stress levels; they won't want to eat so much maybe. Get them active. Unplug them from the technology stuff. Set limits on that. Get them into exercise programs that are fun. The competitive angle is not for everybody. Some kids thrive on it, but make sure that when they're in a competitive situation their self esteems aren't getting hammered and beaten to a pulp." For more on the importance of incorporating exercise into your children's everyday lives, listen to this informative Patient Power program.

Sleep Apnea: Addressing Sleep Issues

Fri, 9 Mar 2007 10:00:00 PDT

America is a sleep disordered nation. Problems with sleep shortages and sleep apnea negatively affect people's moods and quality of life. On this program, the Director of the Baylor Sleep Wellness Clinic at Baylor College of Medicine in Houston, Dr. Shyam Subramanian, discusses the effects of sleep deprivation, how much sleep is needed, sleep apnea and treatments available.

According to the National Sleep Foundation, Americans sleep an average of six hours per day, which is grossly insufficient. Long, demanding hours at work and the stress of receiving hundreds of phone calls and e-mails per day contribute to this collective unrest. Dr. Subramanian says adults need between seven and eight hours of sleep per night, whereas children under five years need nine to ten hours, and adults 60 years or over require only seven. There is a genetic component, as well. A minority of people can function on six or less hours of sleep. People accumulate sleep debt every day that they don't sleep the required amount. This lack of sleep builds up each day, eventually affecting a person's mood, personality, immune system, cardiovascular system and more.

In addition to quantity of sleep, quality of sleep can also cause exhaustion. One third of Americans suffer from insomnia at some point in life, and most cases go untreated. Most primary care doctors prescribe sleeping pills, which can dangerously cause chemical dependence and addiction in the long run. Arthritis, chronic pain, acid reflux, sleep apnea, and caffeine intake are all possible sources of sleep disruption. Patients need to insist that their doctors treat the source of the problems, and it is often necessary for them to obtain a referral to a sleep center.

If you snore, there's a high chance that you have sleep apnea. Sleep apnea, or temporary loss of breath during sleep, is one leading cause of sleep disruption. It often goes untreated, and is more common among the overweight. Approximately forty percent of obese individuals suffer from sleep apnea. Children with ear infections and obesity have a greater chance of snoring and apnea. It can affect their schoolwork, and they're often incorrectly diagnosed with ADHD.

Dr. Subramanian also discusses ways to treat and avoid sleep loss and sleep apnea. If you or someone you know if having trouble with sleeping, listen to this program to find out how best to address your individual needs.

Eating Healthy to Prevent Illness: Focus on Heart Health

Sun, 11 Feb 2007 10:00:00 PDT

Extra weight on a person puts a tremendous amount of strain on his or her heart, and with nearly two-thirds of the American population being overweight, this is no small matter. Dr. Molly Gee, a registered dietician at the Baylor College of Medicine, joins host Andrew Schorr on this Patient Power program to offer simple strategies people can use to lead a healthier lifestyle. Ms. Gee encourages listeners that it is never too late to get started - it can begin with making one simple change at a time.

Whether it is using a pedometer, parking far way, choosing fruit as a side or replacing whole milk with skim milk, there are numerous small changes to incorporate into your day-to-day life. The key is to find a program or set of strategies that fit into your lifestyle. Ms. Gee points out that many people have trouble sticking to a program because they choose one that may not work with their lifestyle, or they try to make too many changes at once. For many people, their weight is a product of their environment, with increased portion size and sedentary lifestyles. However, diet and exercise are two risk factors that we can control. Learn about reading food labels, key food groups, and how to incorporate them into your everyday life.

Ms. Gee offers this advice: "A caveat that I tell my patients is if it sounds too good to be true, it usually is. There's no magic potion. There's no magic pill. There's no magic food. I think that losing weight is just very simply making sure you balance that energy equation, the amount of calories you take in through the foods you choose and the amount of calories you burn through physical activity….I think a lot of times when people start a program, they look for instant results. I challenge my patients and say, well, did you just wake up overnight and have that additional 10, 15, 20, 30 pounds? No. It was a process."

If you or a loved one is looking to lose weight and lead a more healthy lifestyle, this is the program for you.

Obesity: Is bariatric surgery the right approach for you?

Sun, 4 Jun 2006 10:00:00 PDT

Obesity: Is bariatric surgery the right approach for you?

Preventing childhood obesity

Sun, 5 Mar 2006 10:00:00 PDT

Women and heart disease

Sun, 26 Feb 2006 10:00:00 PDT

Heart disease is the biggest health risk for women, with an even higher incidence than cancer. Joining host Andrew Schorr for a discussion on how to prevent heart disease is Dr. Terry Block, a cardiologist at Southlake Clinic and Valley Medical Center in Renton, Washington. Also joining the show is Deana Pacholek, Dr. Block's patient who had an unexpected heart attack at the age of 33. Deanna and Dr. Block talk about why women of all ages must be aware of their risk for heart disease.

Dr. Block explains how heart disease develops and why you need to start prevention at a young age. He describes how to know when you might be having a heart attack and when to go to the emergency room. He also discusses optimal cholesterol and blood pressure levels; a women's risk after menopause; and the role of cigarette smoking, family history and obesity.

One evening Deana started to experience chest pain that wouldn't go away. It went on for days, and then her arm went numb. At the ER she discovered her artery was completely blocked and underwent open heart surgery. At 33 years old, this was a shock. Deanna talks about what she could have done to prevent heart damage and what she's doing differently now.

Deana's heart attack was a wake-up call for her family and friends, who now all get regular physicals and pay attention to their health. Both Deanna and Dr. Block describe what all women should do to prevent heart disease. It's never too early to start caring for your health.

How Can You Be a Powerful PKU Patient & Advocate for Yourself or a Loved One?

Thu, 13 Aug 2009 10:00:00 PDT

Click to here to view and print the Take Action Guide

Getting the best care for PKU, or any condition for that matter, requires you to be a proactive participant in your healthcare…to be a strong, but respectful advocate. Working closely with your metabolic team to manage your PKU yields the best results. Joining this discussion is an adult with PKU, a metabolic dietician, a social worker, and a medical doctor - all have devoted their lives to the care and management of PKU patients. Finding ways to successfully master the complexities of this specialized diet for you or a loved one is the goal of this Patient Power program.

Tim Kelly is 31-year-old with PKU. As a child he adhered to a strict low-protein diet, but as he entered adolescence, he slipped away from managing his Phe levels on a regular basis. As he came to grips with the seriousness of his condition, Tim sought care at Children's Memorial Hospital where he met Lauren Leviton, a social worker who assisted him and other patients find their way back to good management of their Phe levels and most importantly, helped to maximize their potential for good health and productive lives. Dr. Gerard Vockley, Chief of Medical Genetics at the Children's Hospital of Pittsburgh of UPMC, also joins the program to discuss the challenges for adults transitioning back to a PKU diet and the innovations in medications and low-protein foods to help patients like Tim keep their Phe levels low. Shideh Mofidi, a metabolic dietitian and clinical coordinator at the Maria Fareri Children's Hospital at the Westchester Medical Center, joins the discussion to share her insight and offers a glimpse into the world of her PKU patients. She describes how difficult life can be when off diet, and strategies for positioning PKU management in positive ways for parents and children.

In this special edition program on Patient Power, each guest adds their voice to the message of self-advocacy. There are many ways a PKU patient can manage their condition effectively including honest communication with their healthcare providers, connecting with others with PKU, becoming involved in research, and finding the diet and medication strategies that work best. This program is packed with tips, ideas, and personal stories to help illuminate the roadmap to proactively getting on and staying on track with PKU.

Cómo puedes ser un paciente con PKU asertivo y defender tus derechos o los de un ser querido?

Thu, 13 Aug 2009 10:00:00 PDT

How Does PKU Affect You and Your Relationships? A Look at Managing PKU from Many Perspectives.

Tue, 7 Jul 2009 10:00:00 PDT

Click to here to view and print the Take Action Guide from this program.

Most people don't know what PKU is. This can make it difficult to deal with in social situations, at school, or on the job. What is the best way to explain PKU to new people in your life? Whether it is with teachers, other parents hosting a birthday party, or, in later years, with dating or in the workplace, this Special Edition program will give you guidance and answer your questions. A psychologist and a dietitian join Andrew for a full interactive discussion on how to manage PKU and your relationships. From these experts, you'll learn how to deal with the moods and emotions of your everyday life, while not letting PKU get in the way.

The program begins with Michelle Brandon, a 21-year-old college student living with PKU. She talks about her relationships, and how she explains PKU when she meets new people. Michelle has never really let her PKU bother her, and she really likes to think of it as being health conscious. Michelle's advice to others, "It's just you're eating healthy, and it's something positive. It's definitely not something negative by any means. So my advice to them is just think as though the glass is half full at all times, it's not empty, and that's just the right attitude to take on it, and that's it."

Mary Niewinski, a nutrition specialist from the University of Illinois Medical Center and Dr. Jennifer Gentile, a psychologist from Children's Hospital Boston, share their expertise with the audience. Ms. Niewinski provides comments and tips for addressing food issues in social situations such as birthday parties and sleepovers. Dr. Gentile speaks about how social support, manageability and attitude are keys to success with PKU. Both experts address the mental and emotional effects of Phe levels that are not well-controlled, and answer questions from listeners. Support from family and friends is one of the most important aspects of managing PKU and your relationships, each guest can attest to this. This program is information-packed and loaded with strategies for success when dealing with PKU.

Cómo la PKU te afecta a ti y a tus relaciones? Una mirada del manejo de la PKU desde muchas perspectivas.

Tue, 7 Jul 2009 10:00:00 PDT

Strategies for A Tastier PKU Diet

Mon, 6 Jul 2009 10:00:00 PDT

On location at The Children's Hospital in Aurora, Colorado, Patient Power host, Andrew Schorr, sat down with leading dietitian Laurie Bernstein, Director of Inherited Metabolic Disease Nutrition. Laurie is dedicated, along with other prominent colleagues, to helping people with PKU follow "A Diet for Life" that is healthy, safe, and, most important, palatable. She founded the event "Network PKU" that brings patients and their families together to discover delicious ways to prepare foods naturally low in protein, connect with each other, and even compete in their own "Iron Chef" competition creating low-protein, PKU-friendly recipes with the secret ingredient.

During the interview, Laurie explains the latest activities of Network PKU. She describes surprising new recipes for people with PKU that are tasty and fun, and proves that, even for those who need to follow an extremely low protein diet, food can be enjoyable. You can view recipes from the event, here.

Andrew and Laurie discuss how important it is to connect with experts for access to all the latest information and keeping up with what's new in the realm of PKU management and diet. Laurie provides listeners with strategies to ensure that if you are currently off diet you can return and be successful. If you are on diet, she helps to find new and tasty ways to support a healthy lifestyle for you or your child. If you are interested in learning more about improving your PKU diet, listen to this information-packed program.

What Are the Problems When PKU is Not Treated Effectively?

Thu, 11 Jun 2009 10:00:00 PDT

Click to here to view and print the Take Action Guide from this program.

So you think your Phe is under control, but how can you tell when it's not? Do high Phe levels affect your ability to recognize changes in behavior? Is it harmful for Phe levels to be too low? In this program you will hear from a dietitian, a geneticist, a neuropsychologist, and a woman living with PKU who is also a dietitian. The guests will share tips for treating PKU effectively and with consistency and discuss the challenges of staying on diet, advice for recognizing changes and what can be done about them.

Mary Brown is a dietitian at Intermountain Healthcare in Cedar City, Utah. She was born with PKU in the 1970s, and has been on diet since she was four days old. Mary shares her feelings on Phe levels and notes that she is better at managing stress when her Phe is lower. You'll also hear about her family history with PKU, and how her two sisters, born in the 1950s, received a late diagnosis. Watch Mary's Powerful Patient video, here.

Dr. Georgianne Arnold then joins the program. Dr. Arnold is Director of the Metabolic Clinic at the Golisano Children's Hospital of the University of Rochester Medical Center. She discusses the genetic aspects of PKU and provides an explanation for why some siblings have PKU, while others do not. Dr. Arnold also helps to explain the consequences of high Phe levels, as well as too low Phe levels.

You'll also hear from Dr. Virdette Brumm, a neuropsychologist from Monterey, California. She helps listeners to understand the cognitive effects of elevated Phe levels. Dr. Brumm explains the effects on "executive functioning" as well as the effects on mood and emotions.

Early in the program, Bridget Reineking, a dietitian at the Children's Hospital of Wisconsin, speaks about the need for tight Phe control and how lack of control can affect many aspects of your life. She provides examples of people who have returned to diet and the positive effects of this that have changed their lives. All of these experts provide a unique perspective and help to piece together this sometimes puzzling condition. Listen now to learn more about how to treat PKU effectively.

Qué problemas pueden surgir si no se trata la PKU de manera eficaz?

Thu, 11 Jun 2009 10:00:00 PDT

Digamos que usted piensa que su fenilalanina está bajo control. Sin embargo, ¿có mo puede saber si no lo está? Y si sus niveles de fenilalanina están altos, ¿se afecta su capacidad de reconocer cambios en su comportamiento? En el programa de hoy hablaremos con un grupo formado por una dietista acreditada, una genetista, una neuropsicó loga y una mujer que vive con fenilcetonuria y quien también es dietista. Ellas compartirán con nosotros sus puntos de vista sobre los problemas que pueden presentarse cuando la fenilcetonuria no se trata eficazmente. Hablaremos de todo esto hoy en Patient Power.

How Confident Can You Be with Your PKU Treatment Plan?

Tue, 19 May 2009 10:00:00 PDT

Click to here to view and print the Take Action Guide from this program.

Even when you or your loved one is following your PKU diet properly and getting regular checkups, don't you still wonder am I doing enough? Is my PKU treatment plan on target right now? Could I feel better by making a small change? In this Patient Power program, you'll learn about all of this and more from a leading dietitian, a genetic expert in metabolic conditions, and Karen, the mom of a 7-year-old PKU patient. Laurie Sprietsma is a Metabolic Dietitian in the Department of Pediatrics, Division of Genetics and Genomic Medicine at Washington University School of Medicine in St. Louis, Missouri, and Dr. Darius Adams is a Clinical and Biochemical Geneticist at Albany Medical Center in New York.

The program begins with Karen, mother of 7-year-old Patrick. She discusses Patrick's diagnosis shortly after he was born. She speaks to the emotional challenges she faced and how she has worked with her dietitian, Laurie Sprietsma, and other members of the metabolic team to learn how to manage his diet. Ms. Sprietsma steps in to share how she instills confidence in new parents, providing them with resources and tools to learn more about PKU, and to take away the fear and overwhelming feelings that are often experienced when a child is first diagnosed. They both talk about Patrick, the PKU treatment plan and the importance of connecting with other parents and children for support.

Dr. Adams goes on to explain the critical components to developing a treatment plan. He addresses the social aspects of PKU, the importance of regular testing and new treatment options that are available. Dr. Adams also talks about the various behaviors associated with "out-of-control" phe levels, and stresses the need for those who have gone off of diet to work hard at getting back on. Both Dr. Adams and Ms. Sprietsma stress the need for tighter phe control and the difference it can make it one's life both cognitively and socially.

¿Qué tanta confianza se puede tener en el plan de tratamiento para la PKU?

Tue, 19 May 2009 10:00:00 PDT

How Do You Pay for New PKU Medicines? What Resources are Available?

Thu, 30 Apr 2009 10:00:00 PDT

Click to here to view and print the Take Action Guide from this program.

Most everyone in America, if they have PKU or not, deals with insurance or sometimes lack of insurance and reimbursement issues. In this Patient Power program experts from various organizations answer your questions about reimbursement for medical foods, medication, and other needs for PKU. Joining Andrew is Karl Mason, a Reimbursement Specialist at BioMarin Patient and Physician Support (BPPS); Ms. Elaina Jurecki, a nutrition specialist at BioMarin Pharmaceutical, Inc.; and Jane Keane, Director of Patient Services at the National Organization for Rare Disorders (NORD).

The program begins with Corinna Vonderwell, a Mother of three, two of which have PKU. Corinna is also a Board Member of the Indiana PKU and Allied Disorders Association. She shares her experience in working with BPPS and NORD to get assistance with the "hefty co-pay" needed to pay for PKU medication for her two children. Corinna speaks highly of how both her nutritionist and physician at Riley Hospital in Indianapolis helped facilitate the process.

Each expert weighs in on the discussion from their perspective, talking about the resources that are available to help pay for medical foods, and in some cases, medicines through programs like NORD and BPPS. The experts outline how each of these programs work, what services they provide and the procedures that are involved in obtaining assistance. If you or a loved one are searching for help with insurance and reimbursement issues for PKU, this program is a valuable resource for getting your questions answered.

Cómo pagar los nuevos medicamentos para la PKU: Recursos disponibles

Thu, 30 Apr 2009 10:00:00 PDT

En los Estados Unidos de hoy, prâ cticamente todas las personas —tengan o no fenilcetonuria— tienen que lidiar con problemas de seguro o de falta de seguro, y, por supuesto, con el reembolso de las compañ í as de seguro. Nuestros expertos de hoy contestarâ n sus preguntas sobre el reembolso para alimentos médicos, medicamentos y otras necesidades para la PKU. También oiremos a una mamâ que nos hablarâ de su experiencia en lidiar con el sistema. Todo esto y mucho mâ s en esta edició n especial de Patient Power.

What is Quality PKU Care Today? And How Do You Get It for You or a Loved One?

Tue, 7 Apr 2009 10:00:00 PDT

Click to here to view and print the Take Action Guide from this program.

In this first program in Patient Power's 2009 PKU series, guests discuss how to get access to the best care for you or a loved one. Joining Andrew for this program is Heather Bausell and Dr. Kevin Antshel. Ms. Bausell is a metabolic dietitian at Children's Memorial Hospital in Chicago and Dr. Kevin Antshel is Assistant Professor of Psychiatry and Director of the Adult ADHD Treatment Program at SUNY - Upstate Medical University. Julie Kelly is a 27-year-old interior designer - she shares her story of growing up and transitioning to adulthood with PKU.

The program begins with Julie talking about what it was like to grow up with PKU in a time where the internet was not available as a resource. She speaks highly of the way her parents took proactive steps to access information and care for Julie and her brother, who also has PKU. Julie talks about the care she receives today, how she's adjusted her lifestyle and why she thinks having PKU has benefitted her life as an adult - her story is truly inspiring.

Heather Bausell shares her knowledge on integrating a healthy diet into your life and tips for taking charge of your health. Dr. Kevin Antshel discusses the challenges of moving from parental care to self-care and other psychological factors associated with PKU. He expands on signs and symptoms of poor phe management and how this can affect social life. Listen to the program to understand the best treatment options, what "access to care" should mean to you and how you can find a provider that's right for you.

Cuidado moderno de calidad para la PKU: PKU040709spEn qué consiste? ¿ Dó nde se consigue?

Tue, 7 Apr 2009 10:00:00 PDT

Managing PKU at Any Age

Tue, 28 Oct 2008 10:00:00 PDT

The PKU diet can be difficult to follow at any age. For children, and those going through adolescence, "fitting in" becomes a factor. PKU patients who are pregnant deal with constant changes and extra special care for a growing fetus. Older patients are still relatively new to PKU care, as adult clinics are scarce. In this Patient Power program, hear from experts on treating this disease at any age and how you can be prepared for your future. You'll hear from Dr. Richard Koch, sometimes called "The Grandfather of PKU" and his patient, Vivianne. Dr. Koch is currently monitoring Vivianne through her first pregnancy. Also joining the program is Dr. Laura Pickler, a board certified family physician with special expertise in the transition of those with PKU from teens into adulthood. Monica Giovanni, a genetic counselor at Brigham and Women's Hospital, shares her expert advice on the challenges that adults face living with PKU.

The program begins with Vivianne's story of living with PKU, and deciding to have her first child. Because Vivianne has always been meticulous about her phe intake, she has never had much of a problem with her levels. Prior to her pregnancy, she tried Kuvan but little response. However, at the suggestion of Dr. Koch, she began taking Kuvan during her pregnancy and it has helped her to safely maintain her phe levels while eating more to accommodate her developing baby. Hear about the emotional changes Vivianne noticed in her feeling and cognitive thinking.

Dr. Koch then joins the discussion to share information about his history with PKU and what it has been like follow Vivianne. He talks about the great benefits in maintaining phe levels and how he feels about the new ways of managing PKU. Dr. Laura Pickler speaks about her experiences in the clinic at the University of Colorado at Denver Health Sciences Center. She also talks about her research, including the workbook she developed "It's Time To Transition!" that helps young adults transition into adulthood while managing their condition effectively.

Monica Giovanni provides her perspective on the differences in managing PKU as a child and an adult. She shares examples such as making dinner for children without PKU, and addressing what it means to be an adult with PKU. In her own words "…there are some serious challenges but adults with PKU who then are able to regain control always report to us that they are physically and mentally better and also those around them report those changes as well, so it leads to kind of a better family life and better life with friends." Listen to this program to learn about the daily challenges of those living with PKU and how to best protect your health as you age.

El manejo de la PKU a cualquier edad

Tue, 28 Oct 2008 10:00:00 PDT

Protecting Your Brain from Phe Build-up

Tue, 7 Oct 2008 10:00:00 PDT

For those living with PKU, unsafe levels of phenylalanine can affect brain development, cognitive function and in some cases, lead to mental retardation. What's a safe level for you or your loved one, since phe targets vary for each person? You'll hear the answers from expert Dr. Susan Waisbren from Harvard University and Children's Hospital Boston as she joins Andrew to put into perspective the importance of protecting your brain from phe build up. Also joining the program are a 14-year-old and a 30-year-old with PKU, both with very different, but inspiring stories.

The program begins with Lauren's story. She talks about growing up with PKU and how she maintained her phe levels at a good, not great, number. These levels reflected in her attitude and overall mood. When she started taking Kuvan, her levels smoothed out and her mother notes that she is noticeably less irritable and grumpy. You'll also hear about Lauren's Science Fair project that she based on her experience with PKU and Kuvan.

Another interesting patient, Gregg Schlosberg, shares his experience with being on diet for the first 3 years of his life, then going off until the age of 26. When Gregg was diagnosed, it was thought that just staying on diet at an early age was effective. Looking back, Gregg - who trains as a body builder - notes the anxiety and headaches he often suffered, especially after consuming large amounts of protein. Watch Gregg's Powerful Patient video in the community section, here.

Dr. Susan Waisbren helps us to comprehend exactly what phe is and how it affects those with PKU. You'll hear about the psychological effects of phenylalanine and strategies for maintaining ideal levels. Dr. Waisbren provides information on how the paradigm has shifted for treating PKU in recent years, what the future holds for treatments and research and why she is optimistic. If you are looking for a better understanding of PKU and how phe works, this program is for you.

Cómo proteger el cerebro contra la acumulación de fenilalanina

Tue, 7 Oct 2008 10:00:00 PDT

Long Term Safety of Medications for PKU

Tue, 23 Sep 2008 10:00:00 PDT

Thu, 19 Jun 2008 10:00:00 PDT

In this Patient Power Special Edition PKU program, Debra Hook, a metabolic dietician, joins host Andrew Schorr to discuss strategies to live well with the rare genetic condition, phenylketonuria (PKU). John Adams and his 21-year-old son, John Jr. who has PKU, share their story with Andrew as well. You'll also hear from Sarah Foster, a 37-year-old living with PKU. This program helps us to understand how planning, preparation and some simple strategies make it easy to stay on a Phe-restricted diet.

The program begins with Sarah's story. She speaks candidly about the trials and tribulations of growing up with PKU. Over time, Sarah developed ways of dealing with PKU to make her life easier, and today she provides that same support and encouragement to others with PKU through a website, www.PKUworldlink.org.

John Adams, Jr. shares his story and the challenges he faced as a teen, active in sports. He often had trouble obtaining enough calories to maintain his energy level. Learn how he managed his PKU while continuing with his active lifestyle. John and his father talk about how he's doing now, especially with the addition of KUVAN.

Debra Hook provides valuable insight to listeners as she stresses the importance of communicating with your healthcare team. She answers a variety of listener questions about PKU, ranging from how to test your phe-level and the phe-content in certain foods to how PKU affects one during pregnancy/conception. If you are looking for credible information on PKU, and tips for living well with this condition, this program is a must-listen.

Vivir con la PKU: enfoques de los pacientes para el manejo de la PKU

Thu, 19 Jun 2008 10:00:00 PDT

Access to Care: Insurance and Reimbursement Support Programs for New PKU Treatments

Tue, 27 May 2008 10:00:00 PDT

Medication for PKU is costly, but there are resources available to help you work with your insurer as well as assistance programs to supplement the cost. In this second program of our "Living with PKU" Special Edition Series, host Andrew Schorr is joined by support experts from two major organizations that assist families touched by PKU in gaining access to care and help with reimbursement and insurance needs. Experts like Maria Hardin, Vice President of Patient Services for the National Organization for Rare Disorders (NORD) and Tony Wicks, a BioMarin Patient and Physician Support program (BPPS) expert, explain their supportive roles and answer listener questions. You also hear from Belkys Prado, a metabolic dietitian discussing her experiences in helping patients with insurance and support programs.

The program begins with AnneMarie DeGeorgio, mother of a child with PKU and President of the Inherited Metabolic Disorders Support Group of Suffolk County. AnneMarie tells her story of being faced with insurance woes and how, with the help of BPPS, her son now gets the treatment needed. Learn how AnneMarie stepped up to advocate for her child and how she's helping others with PKU in her area.

Tony Wicks and Maria Hardin provide an in-depth look at the role of each of their organizations. The BioMarin Patient and Physician Support program works with providers and patients to make sure you are getting the most out of your insurance coverage. To quote Mr. Wicks "Our job is really to be the single point of contact for that family and to really manage all the different activities that need to happen in order to get them on therapy." The National Organization for Rare Disorders works closely with BPPS on many cases and helps to arrange for payment of health insurance premiums, deductibles, co-payments to pay for medication, among others, and is funded by the organization through donations from corporate donations, grants from concerned companies, foundation grants, public contributions, and membership dues. If you're searching for information on how to obtain financial assistance, medical care or simply have questions about what resources are available to PKU patients, this program can provide all the answers you need and, if not, certainly point you in the right direction.

Acceso a la atención médica: Programas de apoyo para obtener la cobertura del seguro médico y reembolsos para los nuevos tratamientos de la fenilcetonuria

Tue, 27 May 2008 10:00:00 PDT

Understanding PKU and New Treatment Options

Thu, 8 May 2008 10:00:00 PDT

Phenylketonuria (PKU) is a serious, lifelong, inherited condition that requires constant attention from patients and families. The good news is, now more than ever, PKU is a treatable condition. In this Special Edition Patient Power series "Living with PKU" experts from around the country join Andrew to help listeners understand PKU and discuss treatment options available. You'll hear from guests like, Gregory Enns, M.D., a pediatrician from Stanford University and the Lucille Packard Children's Hospital who is an expert in genetic metabolic disorders; Susan Waisbren, Ph.D., a researcher and clinician from Harvard University and Children's Hospital Boston; and Corinna Vonderwell, a savvy parent of two children with PKU from southern Indiana.

The program begins with Corinna by describing her life as a caregiver of two children with PKU. Corinna has 3 children, ages 9, 11 and 13, the 9-year-old and 13-year old have PKU. She talks about the initial diagnosis and discusses the challenges associated with PKU on a daily basis. Corinna stresses the importance of advocating for your children and how she feels about the tremendous breakthroughs in therapy.

According to the experts, this is an exciting time for families affected by PKU. In addition to managing diet, there's an FDA approved medication to help lower Phe levels and it's making a big difference for many. Dr. Enns provides a detailed clinical explanation of what PKU is. He also helps us understand the treatment options available including diet and the new FDA approved medication, Kuvan. Dr. Enns goes into detail about the different classifications of PKU and the importance of monitoring Phe levels.

Dr. Susan Waisbren offers her input from the perspective of a psychologist, with 30 years of experience. She provides insight on the outcomes associated with a strict diet, social support available and the importance of transitioning to adult care. Dr. Waisbren talks about the long-term impact of metabolic control and how it affects neurological development as PKU patients age.

In this very informative program, both doctors provide intelligent and thoughtful responses to listener questions. Both Dr. Waisbren and Dr. Enns provide a hopeful look into the future. Corinna closes the program with advice to others and hope for the future of those living with PKU. This program is a must-listen if you or someone you know is affected by PKU.

Comprendamos la fenilcetonuria y las nuevas opciones de tratamiento

Thu, 8 May 2008 10:00:00 PDT

Nutrition & Cancer

Tue, 26 Jan 2010 10:00:00 PDT

Maintaining your nutrition is especially important when receiving cancer treatment. Proper nutrition can help the body heal, fight infection and make you feel better overall while fighting cancer.

Strategies for A Tastier PKU Diet

Mon, 6 Jul 2009 10:00:00 PDT

Cosmetic Surgery After Weight Loss Surgery: Dealing with What's Left

Tue, 27 Jan 2009 10:00:00 PDT

Of the many people that lose a substantial amount of weight through weight loss surgery, they are often left with excess skin and fatty tissue that requires plastic surgery. In this Patient Power webcast on ihealth, Dr. Victor Lewis reviews when it is time to see a plastic surgeon and discusses the most common surgical procedures performed including, abdominoplasty, tummy tuck and circumferential body lift. Dr. Lewis is a plastic surgeon at Northwestern Memorial Hospital and also a professor of clinical surgery at Northwestern University's Feinberg School of Medicine.

Dr. Lewis begins by talking about the initial consultation, assessing what type of surgery is necessary. He details the procedures, including what must be done before and after to complete the process. The recovery and follow up from plastic surgery is important to ensure that proper healing is taking place in order to prevent infection. Dr. Lewis discusses the benefits to patients, including the increase in the quality of life. Also touched on is the issue of health insurance. Some plans pay for only part of the necessary surgeries so this is something patients must consider when choosing reconstructive surgery.

Dr. Lewis answers several listener questions ranging from the necessity of plastic surgery to laser treatments. He also addresses recovery times for different ages and ranges of health. If you or someone you know is considering cosmetic surgery, this program can provide a wealth of detailed information.

Surgical Weight Loss Options in 2009

Tue, 13 Jan 2009 10:00:00 PDT

Eating Disorders: A revealing look at binge eating

Mon, 12 Jan 2009 10:00:00 PDT

Long Term Success with Weight Loss Surgery

Fri, 1 Aug 2008 10:00:00 PDT

Overcoming Childhood Obesity

Thu, 31 Jul 2008 10:00:00 PDT

Bariatric Surgery: The Latest from a Renowned Expert

Tue, 24 Jun 2008 10:00:00 PDT

Managing Your Weight During the Holidays

Sun, 16 Dec 2007 10:00:00 PDT

If you've been losing weight or are trying to maintain your current weight, the holidays make it difficult. In this program, you'll hear from Dr. Beverly Green from the Weight Management Program at Group Health Cooperative in Seattle. You'll hear tips on controlling your appetite around the temptations at holiday parties and how to fit exercise in too your busy schedule.

Stress, Self-Control and Emotional Eating

Tue, 11 Dec 2007 10:00:00 PDT

America's No.1 Killer: Heart Disease

Mon, 3 Dec 2007 10:00:00 PDT

Gastric Bypass: Examining options in weight loss surgery

Fri, 9 Nov 2007 10:00:00 PDT

Weight Loss Surgery: An Expert Opinion

Sun, 28 Oct 2007 10:00:00 PDT

Body Image: Is the Media Creating Eating Disorders?

Fri, 15 Jun 2007 10:00:00 PDT

Sleep Disorders: Causes and Treatments

Sun, 3 Jun 2007 10:00:00 PDT

How did you sleep last night? Did you toss and turn? Does your partner complain about your snoring? You may want to see a sleep medicine specialist like Dr. Arthur Knodel, who joins Andrew on this program to address your most pressing sleep-related questions. Dr. Knodel is the medical director for Franciscan Health System's sleep-therapy programs. You'll also hear from Greg, Dr. Knodel's patient, as he tells his story of being diagnosed and treated for sleep apnea.

When others began to notice Greg's snoring, he sought help from his primary care physician but to no avail. Greg was referred to a sleep center and was monitored overnight in a sleep study. He was diagnosed with sleep apnea and doctors were able to get the treatment he needed. Now Greg sleeps with a C-PAP machine and is feeling much more rested after a night's sleep.

Dr. Knodel provides insight into what sleep apnea is, including why it happens and what the risk factors are for developing a sleep disorder. He talks about the importance of seeking a sleep specialist to treat the condition and why a sleep center is best when diagnosing the most taxing sleep problems. You'll hear what happens when you visit a sleep center and how the results are assessed. Dr. Knodel also speaks in depth about insomnia and the various treatments available, including the sometime controversial prescription medications. This program is a must listen if you are looking for answers to your sleep problems.

How Food Affects Your Health: What's Good and Bad

Thu, 31 May 2007 10:00:00 PDT

How Staying Healthy Enriches Your Life

Wed, 4 Apr 2007 10:00:00 PDT

How Staying Healthy Enriches Your Life

The parallels between healthy diet & exercise, quality of life, and athletic performance

Sun, 1 Apr 2007 10:00:00 PDT

Life-Saving Medical Tests for Women

Thu, 15 Mar 2007 10:00:00 PDT

Women are the natural caregivers for family and loved ones and many times end up being the "health managers" in the family. Dr. Marie Savard is a medical doctor and author dedicated to giving women the self-assurance and information they need to make the best healthcare decisions for them and their families. Dr. Savard joins Andrew on this edition of Patient Power to discuss a variety of factors that influence your overall health, including weight, diet and test results.

Dr. Savard begins by explaining how obesity and body shape can affect one's risk for diabetes, cancer, sexual health and heart disease, among others. The waist-to-hip ratio is an important tool for determining these risks. She talks about how belly fat can cause a pre-diabetic condition and is often an indicator for problems down the road. Dr. Savard goes on to help you understand how to best prepare for a doctor's visit. She tells us what blood tests are needed--why you should ask for a copy, and an explanation, or your test results--and why second opinions are important.

When it comes to wellbeing, diet is a key factor in maintaining good health. Dr. Savard speaks about what she calls "the four Fs," fiber, fat, fitness and fluids, and the role that these "Fs" play in maintaining weight and physical condition. Dr. Savard closes with a take-charge message, "I would remind everyone when it comes to their health and their family's health, no one, no physician even, can possibly care more, know more or even do more than you can…Do everything you can to be in charge of the one thing that truly is the most precious thing we have. It's your right, and you just need to learn how to take charge." This program is certainly worth a listen if you're looking for information on how to live and maintain a healthier lifestyle.

Sleep Apnea: Addressing Sleep Issues

Fri, 9 Mar 2007 10:00:00 PDT

Vitamin Validation

Thu, 8 Mar 2007 10:00:00 PDT

The Benefits of Weight Loss Surgery

Mon, 5 Feb 2007 10:00:00 PDT

The Benefits of Weight Loss Surgery

The Latest Surgical Approaches to Weight Loss

Sun, 21 Jan 2007 10:00:00 PDT

Are you a candidate for weight loss surgery? Is it safe? How do you find the right doctor? Joining host Andrew Schorr to answer all these questions and more is Dr. Brant Oelschlager, Director of Bariatric Surgery at the University of Washington Medical Center. Dr. Oelschlager helps listeners understand the various surgical approaches for weight control, including Roux-en-Y gastric bypass and adjustable gastric bypass surgery (also known as Laparoscopic Adjustable Gastric Band or Lap-Band). Also joining the program is Wendy Reiner, a nurse who underwent gastric bypass surgery in 2004. She shares why she had the surgery and how it has impacted her life.

Dr. Oelschlager explains the difference between gastric bypass and Lap-Band surgery, as well as the pros and cons of each operation. He talks about who might be a good candidate for surgery, and what factors people should consider in making a decision. Dr. Oelschlager describes complications that can occur and the likelihood of these risks. He also explains what kinds of things must be done following the surgery to ensure success. Ultimately, he says, the choice comes down to individual needs and personal preference.

Before her surgery, Wendy suffered from gastric reflux, knee problems, and was at a high risk for diabetes. She has now lost close to 100 pounds, eats less and exercises daily. Wendy talks about why she chose to have gastric bypass and things to consider when making a choice. Wendy also shares side effects that her friends and family who have had weight loss surgery have experienced. She discusses importance of exercising and taking care of your health following the surgery, as well.

Weight control surgery is more than just surgery; it's a life change. Listen to this webcast to hear the perspective of a medical expert and a patient. You will learn more about what these procedures entail and how to determine whether they are right for you in a smart, informative discussion.

What You Should Know About Eating Disorders

Sun, 10 Dec 2006 10:00:00 PDT

Childhood Nutrition: The Importance of Diet and Exercise

Sun, 17 Sep 2006 10:00:00 PDT

In 1965 about four percent of kids in the U.S. were obese. This number increased to 16 percent by the year 2000, and experts predict by 2010 we'll have twenty-one percent of our childhood population obese. Joining host Andrew Schorr for a discussion on how to prevent and treat obesity is Dr. Kimberly Schrier, a pediatrician at Virginia Mason Medical Center. Jared Fogle, famous for being "The Subway Guy," also joins the program. Jared lost weight by eating Subway sandwiches and talks about the importance of preventing obesity at a young age.

Jared says his bad eating and exercise habits began as early as third grade, and led him to weigh 425 pounds by the age of 20. He describes how he was able to drop 245 pounds in one year. Jared talks about bad habits that led to the weight gain and other ways in which obesity negatively affected his life. He explains the "Fresh Start Program" in Seattle, which is an easy way to get kids involved in their own healthy nutrition and exercise habits.

Dr. Schrier stresses how we can model good nutrition behavior for our kids, and why it's so important that we do so. There are little things you can do every day that can make huge differences. She talks about the direct and indirect effects of television on nutrition, how to avoid buying junk food at the supermarket, and how to eat in moderation. Dr. Schrier also discusses the myriad of other health problems obesity can cause, including type 2 diabetes, heart problems and high blood pressure.

Jared and Dr. Schrier both share what they tell kids about nutrition. They give tips for both parents and children to make healthier choices. Listen to this program to learn how to create a healthier household for you and your family.

The Latest Treatment and Research for Acid Reflux Disease

Sun, 17 Sep 2006 10:00:00 PDT

Acid reflux disease, also called Gastroesophageal Reflux Disease (GERD), affects between 30 and 50 million people in the U.S., making it the most common digestive problem facing Americans today. GERD hurts nearly every aspect of sufferers' lives, from eating to sleeping to social activities. One main contributing factor to acid reflux is obesity, an epidemic that carries many more health risks as well.

Acid reflux occurs when stomach acid drips into the esophagus. Mechanisms to clear the acid break down in some individuals, and excessive amounts of acid build up in their esophagus. This can lead to heartburn, indigestion, regurgitation, chest pain, painful swallowing and dysphagia (difficulty swallowing), as well as the serious condition Barrett's Esophagus, which is believed to be the main cause of esophageal cancer.

Dr. Hashem El-Serag, a gastroenterologist at Baylor College of Medicine in Houston, explains some of the risk factors, symptoms and treatment options for acid reflux disease. Jared Fogle of the Subway sandwich commercials also joins the show to discuss how to avoid obesity, which is the main contributor to acid reflux. Instead of simply taking an antacid every day, you can change lifestyle factors to lessen the severity of GERD and to avoid serious, and entirely preventable, conditions like esophageal cancer.

Obesity: Is bariatric surgery the right approach for you?

Sun, 4 Jun 2006 10:00:00 PDT

Obesity: Is bariatric surgery the right approach for you?

How to Lose Weight and Keep It Off

Sun, 2 Apr 2006 10:00:00 PDT

Most everyone knows that weight loss is difficult. Even harder is trying to maintain the weight loss. Joining Andrew for this Patient Power program is someone who knows a great deal about this subject: Jared Fogle, the Subway spokesperson, who lost a great deal of weight and has maintained his weight for over 7 years. Dr. Brent Wisse also joins to share his medical expertise on this sometimes tricky topic. Dr. Wisse is co-director of the Weight Disorders Clinic at Harborview Medical Center.

The program begins with Jared discussing how he was able to lose over 200 pounds. He talks about what made him decide to lose weight and how it's affected his health. Jared shares tips and strategies for weight-loss maintenance and the importance of incorporating exercise into your lifestyle.

Dr. Wisse speaks about the difficulty people have losing weight and why keeping it off is so hard. He details the health complications associated with obesity, including the growing epidemic of type II diabetes. Also discussed is childhood obesity - why it's on the rise and how prevention can lessen complications later in life. Finally, Dr. Wisse gives an expert's take on weight loss surgery. He talks about the risks, benefits and who is a good candidate for the surgery.

Dr. Wisse and Jared both share advice on encouraging others to begin a weight loss journey and stay on track. Both guests contend that behavioral and lifestyle modifications are critical to success. To quote Jared, "The key is you can't look at it as a diet. You have to look at it as truly a lifestyle change. That's the only way you will keep it off." If you are beginning a weight loss journey, or have already been down that road, this program can provide support and tools for maintaining your goals.

Expert medical advice on how to lose weight and keep it off

Sun, 8 May 2005 10:00:00 PDT

Expert medical advice on how to lose weight and keep it off