Sunday, March 1, 2015

Interview with Mark Clasen, MD, PhD Retired FM Chair Wright State University

The next Dr Synonymous Show features an interview with Mark Clasen, MD, PhD who has a distinguished career in Academic Family Medicine, peaking with two decades of service as Chair of the Department of Family Medicine for Wright State University.

We'll go back to his days in Minnesota to Louisiana to Mississippi, Ohio State, Kansas, Texas, and so forth before the WSU stability and retirement.  Mention of his wife Carla being on Jeopardy and Mark's experience in prison health, college health, research, Arthur Guyton, etc will add to the story.  This will be fun.

March 3 9:30 PM Interview with Mark Clasen, MD, PhD

Click on the link at 9:40 for the interview.  I'll start the show, mention my coffee and give a disclaimer or two at 9:30 PM.  Don't worry if you can't listen live, it's a podcast that is available on and on iTunes (forever?).

Thanks for listening.

p.s. The first Tuesday in April, tune in for  my interview of Therese Zink, MD Chair of Family Medicine, WSU

Family Medicine: Sharing Our Humanity with Patients More than Pride in our Clinical Skills

As a Family Physician with over 180,000 patient encounters of experience, I'm still learning and appreciating patients and my specialty and uncertainty.  Yes, I appreciate uncertainty. It helps us to honor the "fog" in the human condition.  It helps us with our spiritual practices, too.

Should Family Medicine be more aggressive and prideful at our place in the health care of America?  Should we push back a bit at the system?

Many may consider pride in one's skills to be "sinful", but our specialty, possibly because of our humility- misguided or not, is indeed "complicit" in medicalizing American life, as Allen Perkins, MD, MPH notes, and, as I believe, helping to bankrupt America by co-dependence with a mis-aligned Medical Industrial Complex. 

We have moved beyond McWhinney,  who wrote and spoke of the clinical methods and skills of Family Physicians, but forgot to integrate his message in many of our teachings. We now understand in a different way that "all our patients will die". That fact dampens clinical pride a bit and enhances our relational connections with patients for the long haul.
Intense celebration of diagnostic wizardry and "high fives" for clinical acumen give way to quests for better understanding of the human condition. Patients teach us that allowing them to be human and protecting them from medical misadventures is part of our job. Another part is validating their humanity and their sufferings. The heartfelt quietness of the slow dance with the human condition is instructive.  Family Physicians Dance well, but we may dance slow.
We love the dance. BUT, it doesn't do much for the quarterly return on the investment of Wall Street or help the budget of the local hospital that may own our practice and expect us to feed it. Many questions face Family Medicine.

The Dr Synonymous Show Update February 2015

Here's some information about my recent Dr Synonymous Shows:

Measles, NAC and Health

Comments from my experience and the CDC website about measles and the measles immunization. The MMR is one of the great immunizations.

N AcetylCysteine (NAC) is a wonder-chemical that may help people with a multitude of different problems.  It helps the liver even helping with Fatty Liver and tylenol toxicity.  It has a stabilizing effect on the pancreas which improves the glucose-insulin curve, similar to metformin.  It has a helpful effect on Polycystic Ovary Syndrome (PCOS), too.
It's a mucolytic- thins the mucous in lungs and sinuses and increases glutathione- the strongest anti-oxidant in the body.  Multiple studies in the "brain health" area prove it's potential for helping with addictions and obsessive thoughts and behaviors.  It enhances treatment for almost all mental health diagnoses and is used for mild cognitive impairment., etc. etc.  And it's at the health food store.

Chronic Fatigue Syndrome and other Family Medicine Challenges

I review a great article from the Journal of Family Practice about CFS (Myalgic Encephalomyelitis) and other items in the journal.

Click on the links above to listen to the shows at

More later.  Thanks for listening.