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Fighting for anti-aging doesn't have to burn a hole in your wallet.
Additional Info
- Segment Number 1
- Audio File health_radio/1534ml1a.mp3
- Featured Speaker Firouze Zeroual & Michele Periquet, Co-Founders of Reset Yourself
- Guest Website Reset Yourself
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Guest Bio
Firouze Zeroual is the Co-Founder of Reset Yourself; a revolutionary new tool that delivers personalized tailored nutrition plans. Firouze is a Holistic Nutrition and Health Coach, having completed her certification at the Institute of Integrative Nutrition. Firouze is passionate about empowering others with information to make the best nutritional choices for their lifestyle, and is certified in Hair Mineral Analysis and Nutritional Balancing Counseling.
Michele Periquet is the Co-Founder of Reset Yourself, an empowering nutrition and lifestyle tool based on Hair Mineral Analysis. Inspired by her close friend and business partner, Firouze Zeroual's renewed health, Michele underwent Hair Mineral Analysis herself. A healthy and fit individual already, after following her personalized program Michele experienced a dramatic boost in energy levels and visible improvements to her skin and hair. - Length (mins) 10
- Waiver Received No
- Host Melanie Cole, MS
Dermatologist and founder of the Baby Pibu Products skincare line, Dr. Amy Kim, shares advice on how to keep your skin healthy and glowing.
Additional Info
- Segment Number 2
- Audio File sharecare/1534sc2c.mp3
- Featured Speaker Amy Kim, MD
- Guest Website Baby Pibu
- Guest Facebook Account https://www.facebook.com/BabyPibu
- Guest Twitter Account @BabyPibuProduct
-
Guest Bio
Dr. Amy Kim is a board-certified dermatologist and Mohs surgeon practicing in Atlanta for the past 10 years. She specializes in skin cancer detection, management and surgery. Dr. Kim received her B.A. degree from Boston University College of Liberal Arts and M.D. degree from Boston University School of Medicine. She underwent her dermatologic training at Emory University Department of Dermatology and her Mohs surgery fellowship training at University of Michigan Department of Dermatology. As a dermatologist-mom of 2 young children, Dr. Kim developed and launched a baby skin care line, Baby Pibu™, in 2014. This unique skin care line consists of products tailored towards daily skin care as well as common baby skin conditions.
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Transcription
RadioMD Presents: Sharecare Radio | Original Air Date: August 18, 2015
Host: Darria Long Gillespie, MD
Guest: Amy Kim, MD
Sharecare. Helping you get younger, get guidance, get better care, get smart, get fit. RadioMD presents Sharecare Radio with Darria Long Gillespie, MD.
DR. DARRIA: Hi, it's Dr. Darria and I am back with Dr. Amy Kim. We are going to be talking about more things for anti-aging, keeping your skin looking young and beautiful and what to look for in products. So, we left off talking about some of the in-office treatments that you can have when you go to your dermatologist. Amy, you were saying there are a couple of questions to ask?
DR. KIM: Right. I think when you see your dermatologist, and it's kind of cute, I will have a visit with a patient and they will say, “Oh, I've got a quick question,” and their quick question is like, “What can I do?” I'm so used to the question and I'll say, “Well, here's what it comes down to in terms of in-office procedures. One is how much time do you have, meaning what's the frequency that you can end up in a dermatologist's office? Then, number two, is the price point.” So I'm going to kind of give you two examples, kind of on the extreme ends that actually will give you results. The first one is like chemical peels. Even sticking with a superficial chemical peel, and those are the type of chemical peels that tend to make you look pretty red or they should try to make you look like you're red like a sunburn. They'll have you, basically, peel. You usually want to do those chemical peels when you're already using the topical prescription-graded Retin-A or tretinoin. But the superficial chemical peels, you can plan on doing those quarterly, at least. If you are one of those people who just wants to make sure that you are doing the best thing for your skin and doing something pro-active, do a superficial chemical peel quarterly. Those can range from a price point of like $100-$200. The other thing is, be cautious on who's giving you the chemical peels.
DR. DARRIA: Yes. Definitely.
DR. KIM: I mean, in our office the doctors do it at MetroDerm and the reason why is there can be risks. So, the one that we like using, and it can be used on any skin type from a white skin type to a darker skin type, there's one that's called a Jessner's Peel. What's nice about that is, that peel has several ingredients in there and it does not have to be neutralized. What dermatologists see are issues with superficial chemical peels, but particularly the ones like glycolic. It may sound easy to use--glycolic chemical peels--but those actually have to be timed and neutralized with water. So, if somebody is not doing it appropriately, or, let's say, if it's not a doctor's who is doing it, you can have a chemical burn from that type of chemical peel.
DR. DARRIA: Wow.
DR. KIM: So, you have to be careful and just as long as somebody thinking about what they are using on your skin. There’s always a benefit reward/risk reward. So, it's one of those things where when you're doing it, you need to ask, “What are the risks?”
DR. DARRIA: Okay.
DR. KIM: So, the second thing you can do in the office that's on the other end of the spectrum is resurfacing lasers. The technology with lasers has really changed and two that I particularly like are ones that are called Fraxel and Fractional CO2 Lasers. Those don't have to be done as often. The way those lasers work is basically those lasers shoot out a laser beam and they target your collagen. So, kind of a simple cool concept with the lasers is that it targets the collagen, actually kind of damages the collagen and as your collagen is repairing, it produces a tighter collagen and, therefore, results in the fine lines and wrinkles looking better. So, initially, because now these lasers can have a price point anywhere from $1000-2000 a pop.
DR. DARRIA: Wow.
DR. KIM: So, initially what I tell patients is that you probably need two of those. You do one round. It usually takes about a couple of months to really see how the tightening of the collagen helps the fine lines, so you wouldn't do your second one until about two or three months after.
DR. DARRIA: Okay.
DR. KIM: And then, it's one of those things you can maintain annually. So, I kind of joke with patients and say, “This is probably what the celebrities and stars are doing regularly to maintain things.” But that's something you can then decide for yourself as maybe doing these regular more frequent chemical peels throughout the year and then once you get to a point, you can just maintain an annual resurfacing laser.
DR. DARRIA: Is there a certain age when somebody should consider using peels and then lasers?
DR. KIM: That's a great question. You can start the peels starting in your twenties. Most people really don't need to start spending the money on the resurfacing lasers until you are in your mid-thirties or so. Again, you can get results but is also being somewhat proactive. Just like if you're using a topical Retin-A, it's being proactive to just tighten up the collagen that you have.
DR. DARRIA: Okay. Fantastic. Really helpful. Go talk to your dermatologist. Yes. I agree. It's really important to go to somebody who knows what they are doing because these are medical procedures.
DR. KIM: Yes. Yes.
DR. KIM: You can have chemical burns. You can have other injuries if not taken proper care.
DR. DARRIA: Yes, be cautious out there.
DR. KIM: Okay. Now moving on to sort of some daily issues and lifestyle. Adult acne. What can you do to prevent adult acne? So, somebody is worried about acne and wrinkles at the same time. What do you do?
DR. KIM: You know, here are the things that we see, practically speaking, is that acne is sexist. We see a different acne in men and then we see a different acne in women. Unfortunately, we are seeing more hormonal acne in women and that can be a tougher thing to really treat because sometimes it may take the management of using even birth control pills and try to get it under control. And there is actually a blood pressure medicine that I commonly use, it's called Spironolactone and it can help with the hormonal acne. Guys are different. Guys can just sometimes have a bad flare up and they can just take a round of the traditional acne antibiotics and that can be their reset point. They just have to take a round and it can reset them. So, that's the big difference that I’ll see. What are the lifestyle things that we will see in the summertime is especially in Atlanta, it can be hot and humid. So, yes. People ask, “Can sweating make my acne worse?” Well, yes, it can because sweating can be one of those things that just helps to clog up the pores and as you're clogging up pores you're allowing those bacteria that helps promote acne and other acne-like things called folliculitis--it can make those things worse. I see that happening even with teenagers because—it’s amazing—the same thing. Teenager boys and teenager girls, if they're playing sports, that's another example of how sweating and kind of a lifestyle thing can happen or can affect that. So, the best thing you can do is after you do something sweaty and things like that is to take a good shower.
DR. DARRIA: Okay.
DR. KIM: One little trick you can do--because it is sold just in the pharmacies--particularly guys and men and who are out in their gyms and they are sweating and that type of thing, if they get kind of the body acne, that's called folliculitis and they're having a flare up, there's something called Hibiclens. We actually use it for surgical preps but it is like an all anti-bacterial thing that you can use and it's a quick little fix to basically help try to clear a breakout, especially for having that body acne.
DR. DARRIA: Okay. Would you use it on your face, too, or just body?
DR. KIM: You can but I see it more effective not with a chronic acne but it's better for the acute flare upset that you get.
DR. DARRIA: Acute flare-ups. Okay. So, should you also wash your face before you work out? Would that help? Or, not worth the effort?
DR. KIM: No. Not really.
DR. DARRIA: Okay.
DR. KIM: Good question. But usually before, not so much but after, yes. Definitely after.
DR. DARRIA: Very helpful. Okay. When we're looking at products are there any chemicals in particular that we should avoid?
DR. KIM: There are not too many to avoid. I think one thing that sparks some interest and there's a lot written about it are the preservatives that are in skin products and one that is out there is called methylparaben which is basically a paraben and why paraben has got bad press is because it is a chemical that basically has a similar molecular formation to estrogen. So, the thought was that are we applying all this stuff on our skin that contains parabens and is contributing to breast cancer.
DR. DARRIA: Okay.
DR. KIM: The data out there has not been shown in humans. It has been somewhat shown that parabens can affect hormonally animals in the animal model but there's no proof on humans. But it's one of those things I do think it's a good thing to avoid in a product because there are choices now and products do contain paraben-free.
DR. DARRIA: Okay, what can you find with paraben? Just in our last 20 seconds--to avoid?
DR. KIM: What do you mean? Like what do you look for on the product?
DR. DARRIA: Yes.
DR. KIM: If you are reading the ingredient list, you don't want to see “methylparaben”.
DR. DARRIA: Okay.
DR. KIM: So, that's what you're looking to avoid if we're going to look to avoid something.
DR. DARRIA: Okay.
DR. KIM: And then one final tip you can do as you get older is that just avoid kind of soap products that can be further irritating to your skin.
DR. DARRIA: Further drying. Okay. So, lessons today: sun protection, sun protection. Everybody needs to be using a Retin-A, and you don't need to shower before you work out. You're listening to Sharecare Radio. This is Dr. Amy Kim founder of the Baby Pibu skincare line and a dermatologist at MetroDerm Atlanta. Find her @BabyPibuProduct on Twitter.
You're listening to Dr. Darria on Sharecare Radio. Thanks for listening and stay well. - Length (mins) 10
- Waiver Received No
- Host Darria Long Gillespie, MD, MBA
Dermatologist and founder of the Baby Pibu Products skincare line, Dr. Amy Kim, shares advice on how to keep your skin healthy and glowing.
Additional Info
- Segment Number 2
- Audio File sharecare/1534sc2b.mp3
- Featured Speaker Amy Kim, MD
- Guest Website Baby Pibu
- Guest Facebook Account https://www.facebook.com/BabyPibu
- Guest Twitter Account @BabyPibuProduct
-
Guest Bio
Dr. Amy Kim is a board-certified dermatologist and Mohs surgeon practicing in Atlanta for the past 10 years. She specializes in skin cancer detection, management and surgery. Dr. Kim received her B.A. degree from Boston University College of Liberal Arts and M.D. degree from Boston University School of Medicine. She underwent her dermatologic training at Emory University Department of Dermatology and her Mohs surgery fellowship training at University of Michigan Department of Dermatology. As a dermatologist-mom of 2 young children, Dr. Kim developed and launched a baby skin care line, Baby Pibu™, in 2014. This unique skin care line consists of products tailored towards daily skin care as well as common baby skin conditions.
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Transcription
RadioMD Presents: Sharecare Radio | Original Air Date: August 18, 2015
Host: Darria Long Gillespie, MD
Guest: Amy Kim, MD
Sharecare is the leading online health and wellness engagement platform providing millions of consumers with a personal, results oriented experience by connecting them to the most qualified health resources and programs they need to improve their health. It’s time now for Sharecare Radio on RadioMD.com. Here’s your host, Dr. Darria.
DR. DARRIA: Hello, it's Dr. Darria. I am back with Dr. Amy Kim and I want to know, what is your skincare concern? I know as a lot of us get into twenties, thirties and forties, we start to think about anti-aging and how do we keep our skin looking young and beautiful as we go through life? So, there are a lot of different treatments out there. It can be confusing so I brought in an expert, Dr. Amy Kim. She's a dermatologist and founder of the Baby Pibu products skincare line. She's also here in Atlanta at MetroDerm. Amy, thank you so much for joining us.
DR. KIM: Oh, I appreciate you for having me. Thanks.
DR. DARRIA: I want to just dive kind of in for anti-aging. What are some preventive measures that we can take and things in our twenties and thirties?
DR. KIM: Right. That's one of the most common questions that patients will ask me and one of the things I tell patients and educate them about is, there are three ways our skin ages. Things that we get as our skin ages are one, is we get more red spots; two, we get more brown spots, and three, of course, we get more wrinkles. So, there are two good preventative measures you can do to help slow all three of those things down. The first is sun protection. The easiest way to do this is to use a daily sunscreen, particularly on your face to kind of ward off those brown spots and the wrinkles. Sun, as we know, emits these damaging ultraviolet rays. They work by breaking down the collagen and they also act to promote the brown spots to form. So, if you use a daily sunscreen that will help slow down those two things that we start seeing, actually, even in our twenties and we particularly see them happening in our thirties and onward. The second preventative measure you can do is use a prescription-graded topical tretinoin cream. So, tretinoin is a vitamin A derivative and there is a lot of great science out there. So, topical tretinoin, it was found in the 1980s that when it was used for acne that was actually doing some good things. So, it was helping with the acne scarring and with acne scarring, you usually get the red stuff that stays behind and then it forms brown spots.
DR. DARRIA: Yes.
DR. KIM: They've realized that topical tretinoin helped with that and also, coincidentally, they saw that it helped the fine lines and wrinkles. So, that all started back in the 1980s. So topical Tretinoin, it is a vitamin A derivative, it really works by preventing your collagen from breaking down. It also helps with skin turnover, which, basically, helps with skin renewal. So, when my patients use tropical tretinoin, they'll complain and say that their skin looks dry and I say, “It is not making your skin dry. It looks dry because it's helping to turnover or literally sluff off that top dead layer of skin that promotes the skin renewal.” So, those two things if you do and you, actually, can start in your mid- or early twenties, it will slow down the aging process.
DR. DARRIA: Okay. So, I want to dive deeply on each of those.
DR. KIM: Yes.
DR. DARRIA: So, when you said topical tretinoin, for our listeners, the brand we often hear is Retin-A.
DR. KIM: Exactly.
DR. DARRIA: There are a lot of different ones but so people exactly know what that is.
DR. KIM: Right.
DR. DARRIA: And that is what you're saying. A lot of people say, “It made my skin flake.” So, they stop using it. Tell people some instructions for kind of how to start using it.
DR. KIM: Great. Most people these days, they want to actually take the package insert out and read it. So, the practical thing is to prevent the irritancy of using these products, just make sure your face is dry. I think on the insert it will say wait 10 or 15 minutes. You have just got to make sure you don't feel any wetness to your skin. Wetness or the water on the skin can lead to the irritation of the Retin-A or the tretinoin.
DR. DARRIA: I did not know that.
DR. KIM: Yes. So, I mean, as a mom the first thing I do when I get home, I just like to wash my face. So I've done that and I feel like by the time I go to bed--that's just me; that's just a daily habit I do. But, the way you use it is, more is not better. That's what I tell my patients all the time. Don't put more on thinking that it's going to anti-age you faster. You just want to, literally, put a pea-sized amount in your hand and that pea-sized amount will cover your whole face. You do not put it on your upper or lower eyelids but you can put it around where crow's feet are. So, one pea-sized amount. Then, the trick is, start off doing it every other night and the data out there shows that you at least have to do it three times a week to get the benefits which, ultimately, comes down to using it Monday, Wednesday, Friday or doing it every other night. So, I tell patients, start off every other night and maybe after a couple of weeks, they can go forward to every night, even better.
DR. DARRIA: Okay. Now and then for people to buy it. Don't bother with the stuff in the drugstore for the tretinoins, right? Go with prescription?
DR. KIM: Prescription is the best and the other thing is, when you talk to your dermatologist of your needs, of how you are going to use it, I usually recommend that you use a low-strength, prescription-graded strength so that you can tolerate it and use it more often versus doing a higher strength and you're only able to use it once or twice a week. It's not going to give you any benefit. The benefit has been shown, even at the lower strength, that more often is actually a better way to use it.
DR. DARRIA: Okay.
DR. KIM: And over-the-counter—I don't know if we're talking more about it--but if you're going to choose a product over-the-counter, it's fine. The inactive version of Retin-A, what you'll see on the shelf, is Retinol. I think most dermatologists will feel like an inactive version is better than nothing. It's not going to reap all the great rewards of it but it's better than nothing. But just know that it's the inactive version. Retinol products are fine to use. You just aren't going to see the bigger benefits as you will with the prescription-graded.
DR. DARRIA: Okay. So for the biggest bang for your buck get a prescription form.
DR. KIM: Yes. Exactly. Yes.
DR. DARRIA: Then, going back to sun protection really quickly, any specific brands that you like for that?
DR. KIM: You know, I think what's so cool with cosmetic products is that cosmetic products get better all the time. I like to pull information from my patients. So, a lot of women have liked the tinted moisturizers because there is a lot of good choices and a variety to choose from. What's nice about the tinted moisturizers is a lot of them will match any skin type and color. So, there's one that me and my office like, it's called Revision.
DR. DARRIA: Yes.
DR. KIM: Revision tinted moisturizer. We like the matte one. It's worked for my employees that have white skin to even my yellow Asian skin to someone who's got a darker, brownish undertone.
DR. DARRIA: What are all these other miracle anti-aging topical products out there? Tell everybody what you can tell me.
DR. KIM: The skincare industry is a billion dollar plus industry and a lot of it is marketing.
DR. DARRIA: Yes.
DR. KIM: And so it's not just--
DR. DARRIA: If you tell me it will make my skin look pretty, I'll buy anything.
DR. KIM: Yes, exactly. So, I think if you're going to spend money, spend the money on the Retin-A.
DR. DARRIA: Okay.
DR. KIM: On the prescription stuff. A lot of the other stuff is fluff. So, people will ask me. I am fine with over-the-counter moisturizers. If you want to buy department store stuff, you are going to pay more for the packaging, for the marketing, the way it smells, the way it feels. It may make it feel better but it may not necessarily make you younger. I will tell you, if I had photos--I should have more photos of this. I have some women who are like 65 to 70 years old and they have used Retin-A for like 30 years or so. Their skin looks great. Like they look their age in a way but they just--I mean it's pretty amazing. So, if you start early.
DR. DARRIA: And when do you want people to start using that?
DR. KIM: I mean, most people inquire right when they hit their thirties but you can start even mid-twenties.
DR. DARRIA: Okay. Alright. And then, any specific eye creams? Same thing? Just buy it over-the-counter at the drugstore?
DR. KIM: Yes. With eye cream there is, unfortunately, no proof in science to eye cream. So, really, I just tell people to buy over-the-counter brands like Oil of Olay. Regeneres has an eye cream, and L’Oréal has a good one, too. The ones that you're going to buy at the department store, again, I remember I played with that stuff, too. It's just, you're going to pay at least $100+ but there's no real added benefit.
DR. DARRIA: I know. And to all our listeners she lives by this. Whenever I call her I say, “I have this really cool cream. It's going to make me look like I'm ten,” and she says, “Put it away. Go buy your Oil of Olay.”
DR. KIM: Yes.
DR. DARRIA: Okay, so key points here: sunscreen and Retin-A.
DR. KIM: Yes.
DR. DARRIA: Focusing on those.
DR. KIM: Exactly. Exactly.
DR. DARRIA: Alright. And I know we are running out of time but we are going to be wanting to come back and talking about some of your favorite procedures at the dermatologist's. We have 20 seconds.
DR. KIM: Sure. Sure. A couple of procedures you can look for—You know, two things to keep in mind when you're at your dermatologist's is ask, “How often do I have to do this procedure or treatment?” and “How much?” And I think those two questions will tailor you to where the dermatologist will point out the treatments.
DR. DARRIA: Okay. We'll come back and talk about that because I know a lot of our listeners want to hear more about it. Again, you're listening to Dr. Amy Kim from MetroDerm Dermatologists in Atlanta and the founder of the Baby Pibu skincare products line. And this is Dr. Darria on Sharecare Radio. - Length (mins) 10
- Waiver Received No
- Host Darria Long Gillespie, MD, MBA
Dr. Darria answers questions submitted by Sharecare users on school health as kids across the country are headed back to school.
Additional Info
- Segment Number 5
- Audio File sharecare/1534sc2a.mp3
- Featured Speaker Darria Long Gillespie, MD
- Length (mins) 10
- Waiver Received No
- Host Darria Long Gillespie, MD, MBA
Children starting school this fall will need to make sure their vaccinations are up to date.
Additional Info
- Segment Number 5
- Audio File ER_101/1533er5e.mp3
- Featured Speaker Chadd K. Kraus, DO, DrPH, MPH
- Guest Website American College of Emergency Physicians
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Guest Bio
Chadd K. Kraus, DO, DrPH, MPH, is an emergency physician for Emergency Resource Management, Inc. (ERMI), an affiliate of the University of Pittsburgh Medical Center in Western Pennsylvania. He is an ACEP Spokesperson, serves on the ACEP Clinical Data Registry Committee, and was a member of the Cost-Effective Care Taskforce that developed ACEP's Choosing Wisely® recommendations.
- Length (mins) 10
- Waiver Received No
- Host Leigh Vinocur, MD
How does healthcare design impact and increase the speed of the healing process for patients?
Additional Info
- Segment Number 4
- Audio File ER_101/1533er5d.mp3
- Featured Speaker Mitra Pakdaman, Founder and CEO of LA Healthcare Design
- Guest Website LA Healthcare Design
-
Guest Bio
Mitra Pakdaman started her career as an Interior Designer at an award-winning firm, HLW Company. She has involved in the design development projects for Walt Disney®, ESPN®, HBO®, Intuit®, and Equinox®, which laid the foundation to her current expertise.
She's had a successful career in interior design since graduation with multiple opportunities to showcase her skills. Pakdaman, being an enthusiastic and curious woman, has signed up for various projects as an independent designer since her graduation.
She had successfully designed several upscale residential, commercial, hospitality ventures and state-of-the-art healthcare facilities in locations such as Beverly Hills, Santa Monica, West Hollywood, Brentwood, West Los Angeles, and Palm Springs. - Length (mins) 10
- Waiver Received No
- Host Leigh Vinocur, MD
Why would oncologists treat patients so late when life expectancy is very limited?
Additional Info
- Segment Number 3
- Audio File ER_101/1533er5c.mp3
- Featured Speaker Charles D. Blanke, MD
- Guest Website SWOG
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Guest Bio
Charles D. Blanke, MD, is professor of medicine at the Knight Cancer Institute at the Oregon Health and Science University. Until recently, he was vice-president of systemic therapy for the British Columbia Cancer Agency in Vancouver, and professor and chief of medical oncology at the University of British Columbia.
A member of SWOG since 1999, he served as chair of the group's Gastrointestinal Committee from 2003 to 2013. He also chairs the Gastrointestinal Stromal Tumor (GIST) Task Force for the National Cancer Institute's (NCI's) Gastrointestinal Steering Committee.
He has a particular interest in pathway-driven oncology research, having been instrumental in the development of imatinib mesylate for use in patients with locally advanced and metastatic gastrointestinal stromal tumors.
Blanke earned an M.D. with distinction from Northwestern University, completed residency training at the Gundersen Medical Foundation, where he served as chief resident, and was a hematology/medical oncology fellow at Indiana University, where he also served as chief fellow.
He has had positions on the faculty of Vanderbilt University.Blanke is a fellow of the American College of Physicians and of the American Society of Clinical Oncology (ASCO), an honor formerly known as the ASCO Statesman Award. - Length (mins) 10
- Waiver Received No
- Host Leigh Vinocur, MD
What can women learn about cancer prevention from Angelina Jolie's surgeries?
Additional Info
- Segment Number 2
- Audio File ER_101/1533er5b.mp3
- Featured Speaker Christine Horner, MD, FACS
- Book Title Waking The Warrior Goddess: Dr. Christine Horner's Program to Protect Against and Fight Breast Cancer
- Guest Website Dr. Christine Horner
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Guest Bio
Christine Horner, M.D., FACS, is a nationally known surgeon, author and professional speaker and holds two board certifications: the National Board of Surgery and the National Board of Plastic Surgery.
Horner was recognized as a leader in her field shortly after starting her plastic and reconstructive surgery practice because she successfully ran a national campaign to pass laws requiring insurance companies to pay for breast reconstruction following mastectomy.
Her five-year crusade with the Breast Reconstruction Advocacy Project (BRA Project) led to the passage of an unprecedented federal law that was signed by President Bill Clinton in 1998, requiring insurance companies to pay for a specific surgical procedure. - Length (mins) 10
- Waiver Received No
- Host Leigh Vinocur, MD
Does always having access to a drug, even though it's for medicinal purposes, increase the risk of addiction?
Additional Info
- Segment Number 1
- Audio File ER_101/1533er5a.mp3
- Featured Speaker Carol J. Boyd, PhD, MSN, FAAN
- Guest Website University of Michigan
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Guest Bio
Carol J. Boyd, PhD, MSN, RN, FAAN is the Deborah J. Oakley professor of Nursing and a Research Professor at the Addiction Research Center in the Department of Psychiatry at the University of Michigan. Boyd is an internationally recognized substance abuse scholar whose career started when she studied female heroin and "T and Blue" users in Detroit.
Her mid-career research centered on African American women's abuse of crack cocaine, but her more recent NIH funded studies focus on adolescent and young adult populations and their abuse of alcohol and controlled medications.
Boyd currently studies the use, misuse and abuse of controlled medications (e.g., opioid analgesics) among youth and emerging adults. Her research draws attention to the variety of behaviors associated this form of substance abuse; indeed, she was one of the first to articulate the importance of "motivations" in determining adolescent risk for prescription drug abuse.
Boyd publishes extensively in interdisciplinary journals; her most recent work centers on this nonmedical use of benzodiazepines and sedatives among adolescents (Psychology of Addictive Behaviors, November 2014). Other recent studies have been published in the Journal of Adolescent Health, Substance Abuse, Archives of Adolescent and Pediatric Medicine and Pain, to name a few. - Length (mins) 10
- Waiver Received No
- Host Leigh Vinocur, MD
Home dialysis is gaining popularity as more people are made aware of its advantages.
Additional Info
- Segment Number 2
- Audio File health_radio/1533ml5b.mp3
- Featured Speaker Elias Arciniega
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Guest Bio
Elias Arciniega, 39, has been fighting chronic kidney disease (CKD) for nearly half his life. Happily married for 13 years, Elias has never missed any of his five children’s field trips, and works full-time as an Estimating and Project Manager for a Morgan Hill-based construction company. His remarkably full and meaningful life, he says, is due to his ability to administer dialysis at home. Six days a week he finds 2-3 hours in his schedule to clean his blood. Elias can simultaneously help his children with their homework, or read to them as his wife cooks dinner. “I see my family all the time,” says Elias, whose daughter no longer cries herself to sleep because he’s away from home at a dialysis facility receiving strictly scheduled treatments. “It’s a game-changer.”
- Length (mins) 10
- Waiver Received No
- Host Deborah Howell
