What are the small changes you can make to achieve a longer, healthier life?
Additional Info
- Segment Number 2
- Audio File health_radio/1524ml5b.mp3
- Featured Speaker Gabrielle Francis, DC, ND, LAc
- Organization The Rockstar Remedy
- Book Title The Rockstar Remedy: A Rock & Roll Doctor's Prescription for Living a Long, Healthy Life
- Guest Website The Herban Alchemist
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Guest Bio
Dr. Gabrielle Francis has been practicing natural medicine for more than thirty years, She is a Naturopathic Doctor, Chiropractor, Acupuncturist, and Licensed Massage therapist. Dr. Francis currently practices in New York City as THE HERBAN ALCHEMIST. She also operates BACKSTAGE ALTERNATIVE, which is her natural medicine road show that provides chiropractic, massage, acupuncture, nutrition and herbal remedies to performing artists on tour.
Dr. Francis received her formal medical training at National College of Chiropractic and at Bastyr University. She has extensive training in Alternative Cancer Therapies, Environmental Medicine, Functional Medicine, Mind-Body medicine, and Bio-Identical Hormone therapies. Following her formal medical education, Dr. Francis traveled extensively to various parts of the world studying medicine with indigenous healers in countries such as China, India, Thailand, Bali, Brazil, Morocco, Peru, Guatemala, Ecuador, Belize, Mexico, Egypt, and Mali. - Length (mins) 10
- Waiver Received No
- Host Melanie Cole, MS
What happens to a muscle when you consistently work it out, day after day?
Additional Info
- Segment Number 1
- Audio File health_radio/1524ml5a.mp3
- Featured Speaker Joey Thurman, Health Expert
- Guest Website The Lifestyle Renovation
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Guest Bio
Joey Thurman is a health, fitness, and nutrition expert and the creator of The Lifestyle Renovation, a website dedicated to helping people achieve their health and fitness goals. He has appeared on CBS, FOX, ABC, and WCIU, sharing his insights as a celebrity fitness trainer and published author.
Joey's work has been featured in publications such as BodyBuilding.com, Racked, TimeOut Chicago, RedEye, and American Global Traveler. Joey is a fashion model represented by Chosen Model Management where he works with brands including Neiman Marcus, Abercrombie, Jockey, and Carson Pirie Scott.
He has also appeared on the covers of Healthy for Men and TimeOut Chicago. Joey is a Certified Personal Trainer (CPT) with the American Council on Exercise, a Fitness Nutrition Specialist (FNS) and a FITchef. - Length (mins) 10
- Waiver Received No
- Host Melanie Cole, MS
What are some of the most common injuries, and why do they happen?
Additional Info
- Segment Number 4
- Audio File health_radio/1524ml4d.mp3
- Featured Speaker John Gallucci, Jr., MS, ATC, DPT
- Organization JAG Physical Therapy
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Guest Bio
The dynamic president of JAG Physical Therapy, John Gallucci, Jr., MS, ATC, DPT, is in demand for his expertise in injury prevention, rehabilitation, sports medicine and athletic training. He has appeared often on radio and television, including ESPN's award-winning Outside the Lines, Fox 5, PIX 11, MSG Varsity, NJ News 12, WFAN and is a popular public speaker.
Gallucci has made a major impact in his fields throughout the New York/New Jersey area, and holds a national presence in the sports medicine community. JAG Physical Therapy now offers comprehensive orthopedic outpatient centers in New York City, West Orange, Warren, Cedar Knolls, Union, Hackensack, Woodbridge, Princeton, Fairfield, and Old Bridge New Jersey. - Length (mins) 10
- Waiver Received No
- Host Melanie Cole, MS
A whopping 61 percent of your calories are coming from processed foods.
Additional Info
- Segment Number 3
- Audio File health_radio/1524ml4c.mp3
- Featured Speaker Jennifer Poti, PhD
- Organization University of North Carolina at Chapel Hill Food Research Program
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Guest Bio
Dr. Jennifer Poti is a Research Assistant Professor at the University of North Carolina at Chapel Hill in the Department of Nutrition and a member of the UNC Food Research Program.
She is a nutritional epidemiologist interested in understanding the complexities of the U.S. food supply, purchasing patterns, and dietary intake. She earned her PhD in Nutritional Epidemiology from UNC Chapel Hill. Her primary research goal is to determine how more refined measures of diet can enhance our ability to identify dietary factors associated with obesity and related chronic disease.
Her research has addressed whether consumption of ready-prepared food, including both fast food and highly processed food, is associated with dietary quality and obesity. Her current projects study sources of sodium, saturated fat, and trans fat in household food and beverage purchases and evaluate changes in nutrient content of purchases and dietary intake that may occur as a result of manufacturers' efforts to reformulate packaged foods and introduce new products.
This work is particularly focused on understanding long-term food purchasing behaviors and diets within critical sub-populations, such as non-Hispanic blacks, Hispanics, and low-income individuals. - Length (mins) 10
- Waiver Received No
- Host Melanie Cole, MS
There are many myths surrounding eating disorders. It's time to learn the truths.
Additional Info
- Segment Number 2
- Audio File health_radio/1524ml4b.mp3
- Featured Speaker Lauren Muhlheim, PsyD
- Guest Website Eating Disorder Therapy
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Guest Bio
Lauren Muhlheim, Psy.D., CEDS, is a clinical psychologist who, during graduate school, trained in the Rutgers Eating Disorder Clinic. In this research clinic Dr. Muhlheim was trained in cognitive behavioral therapy for bulimia, and eating disorders have remained a primary focus and interest of study. Since leaving the research clinic, Dr. Muhlheim has continued to employ evidence-based cognitive behavioral psychotherapy for eating disorders in outpatient practice, most recently in Shanghai and Los Angeles.
- Length (mins) 10
- Waiver Received No
- Host Melanie Cole, MS
Why is there a pull to be in control?
Additional Info
- Segment Number 1
- Audio File health_radio/1524ml4a.mp3
- Featured Speaker Lauren Stahl, Founder of SPARKITE
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Guest Bio
Lauren Stahl is a New York based Accountability Coach and the founder of SPARKITE. Here, users SPARK what they want to be held accountable to and she helps them to make the changes they desire.
- Waiver Received No
What needs to change to make digitalized healthcare work better for both patients and doctors?
Additional Info
- Segment Number 4
- Audio File health_radio/1524ml3d.mp3
- Featured Speaker Robert M. Wachter, MD
- Book Title The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age
- Guest Website Watcher's World
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Guest Bio
Robert M. Wachter, M.D., is Professor and Associate Chairman of the Department of Medicine at the University of California, San Francisco and is Chief of the Division of Hospital Medicine UCSF Medical Center. He is the author of The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age.
- Length (mins) 10
- Waiver Received No
- Host Melanie Cole, MS
What do circumcision, men's virility, and staying safe in today's sexual environment have in common?
Additional Info
- Segment Number 3
- Audio File health_radio/1524ml3c.mp3
- Featured Speaker Dudley Danoff, MD, FACS
- Book Title Penis Power: The Ultimate Guide to Male Sexual Health
- Guest Website Tower Urology
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Guest Bio
An author and requested guest on national radio and television shows, Dr. Dudley Danoff is a graduate of Princeton University and Yale University Medical School.
He has taught on the clinical faculty of the UCLA School of Medicine for more than 25 years and is the founder and president of the prestigious Cedars-Sinai Tower Urology Medical Group in Los Angeles. Urologist to many Hollywood stars and the recipient of national and international honors, Dr. Danoff is also senior attending urologist at the Saban Los Angeles Free Clinic. - Length (mins) 10
- Waiver Received Yes
- Host Melanie Cole, MS
Why is Botox now available at the dentist and with your primary care physician? What are the dangers of getting Botox at these locations?
Additional Info
- Segment Number 4
- Audio File health_radio/1524ml2d.mp3
- Featured Speaker Greg Wiener, MD, FACS
- Guest Website The Art of Plastic Surgery
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Guest Bio
Dr. Greg Wiener MD, FACS, is a board certified plastic and reconstructive surgeon who has been practicing at Resurrection Hospital for the past nine years.
He was named a Consumer Reports "Top Surgeon" and completed his residency at the University of Illinois at Chicago. Dr. Wiener has been featured in several media outlets such as E! News Live, WFLD-TV, WMAQ-TV, Univision Online, Oxygen Magazine, Healthy and Fit Magazine, Forbes, US Weekly, Life & Style Weekly, Globe, Daily Herald, Chicago Sun Times and the Today Show Website. -
Transcription
RadioMD Presents: Melanie Cole's Health Radio | Original Air Date: June 9, 2015
Host: Melanie Cole, MS
Guest: Greg Wiener, MD, FACS
It’s time for Health Radio with Melanie Cole.
MELANIE: Many dentists and primary care physicians now offer Botox to their patients. However, it’s important to realize that not all Botox providers are created equal. In fact, it may be convenient or less expensive to get Botox from a doctor that you frequent but it doesn’t always mean that it’s a good idea and that they really, truly know what they are doing.
My guest is Dr. Greg Weiner. He’s a Board Certified Plastic and Reconstructive Surgeon who’s been practicing at Resurrection Hospital for the past nine years.
Dr. Weiner, welcome to the show. So, Botox. It sounds like we are going to be seeing this over the counter soon. How come is it being offered at your dentist’s and physicians?
DR. WEINER: Hi, Melanie. Thanks for having me. It’s unbelievable. One of the issues is that anybody, any licensed practitioner can get Botox whether its primary care, whether it’s a dentist, is with a prescription they can get Botox directly from the company.
MELANIE: Wow. So are they charging more or less? Is there no difference for us in the charge factor?
DR. WEINER: It’s all across the board. In most cases those practitioners, dentists, primary care, at worst, salons and things like that, are probably charging lower than what you are going to see in a plastic surgeons office, in a board certified dermatologist’s office, facial plastic surgeon. They are a wide range of doctors that should be doing this. And you’re right, they will be charging a little bit more.
MELANIE: Okay. So they will be charging a little bit more. How do we know who’s doing it knows what they’re doing? You’re a plastic surgeon, you’re a reconstructive surgeon. Do they have to know, I mean, is there room for a margin of error, Dr. Weiner, in these little shots, the little tiny needles? How do we know that they know what they are doing?
DR. WEINER: In my mind, there’s a subset of doctors who should be doing this. That’s your general plastic surgeons, number one; your board certified plastic surgeons, your facial plastic surgeons who are usually ear, nose and throat trained. They’ve got a lot of training. They’ve got really good residency programs and they’re doing aesthetic and cosmetic surgery on the head and neck area. And then, your dermatologists. Most dermatologists--not all dermatologists, but a majority of them--have training on some kind of surgical level. They do minor surgeries on the face and, in some cases, they will do major surgeries on the face as well. So, those three – your facial plastic surgeon, your plastic surgeons and your dermatologists-- especially your surgical dermatologists – they’ve got the training, they know the anatomy. What’s more is, they are doing cosmetic procedures; they’re doing aesthetic procedures so they have an artistic vision as well. It’s not that you might suffer some kind of catastrophic problem. It’s still possible if you go to somebody who’s not qualified but more than likely, you are just going to get a sub-standard result.
MELANIE: So, that’s for sure. Our dermatologists may or may not be pretty well qualified. Certainly plastic surgeons. You guys are the ones that started this.
DR. WEINER: I do think that most dermatologists probably are, too.
MELANIE: So, you and maybe our dermatologists are the ones who brought it to the forefront. You know what to do if something goes wrong. You’re right there. So people are trying this as all kinds of….Now, they are looking at Botox for so many different things. Are there any of those other things we should worry about now?
DR. WEINER: What I’m concerned with is mainly the cosmetic issues. There are a lot of other applications for Botox. Even neurologists will use Botox for migraine headaches and its FDA approved for that as well. Remember, Botox has been around for 30 years plus. It really wasn’t approved for the cosmetic uses until the last 15 years or so. It’s been used to treat muscle spasms and things like that for a long time, so there are other practitioners who are qualified to use it as far as the cosmetic applications go. Really try to limit it to your plastic surgeons and your facial plastic surgeons and your dermatologist. The big issue is that number one, anyone can get his, anybody with a medical license. It could be a primary care, it could be a dentist, and it could be all manner of doctors. They can take a couple of weekend courses and feel that they are comfortable to do this. You have a lot of people with a lot of different backgrounds; what you are going to see as far as downside is usually pretty limited. Even if somebody does make a major mistake, it’s usually a sub-par cosmetic result not necessarily something…
MELANIE: That’s what I was going to ask you. What’s the complication factor? What’s the problem if somebody does mess it up a little bit?
DR. WEINER: If somebody messes it up a little bit it, it could be anything from a sub-standard result, which is what you are usually going to see. That means maybe the wrinkles aren’t adequately corrected, maybe there’s some asymmetry but then you start getting into major things like if somebody has a droopy eyebrow or, even worse, a droopy eyelid for three months. Then you’ve got some major issues. You’ve also, as far as complications go, you’ve got the practitioners that are on the fringe as far as maybe some of the salons or maybe some of these people who give the Botox parties and where are they getting their Botox? Are they getting an online Botox equivalent of some type that may not be pure? It may not be Botox. Or even worse, there was a case in Florida a couple of years ago where they got research grade Botox by mistake via an online company of some kind and it put several people in the hospital. Basically, the Botox was so powerful that even with small injections, the medication spreads through the body and paralyzed muscles completely. People were unable to breathe, they were placed on ventilators. It was just terrible.
MELANIE: So, those complications notwithstanding, give us your best advice for Botox itself. Where do you think it’s going in the future? I have these little lines around my eyes, Dr. Weiner, that I look at and I’ve tried a lot of creams and things. I’m nervous for someone to shoot a needle by my eye.
DR. WEINER: Sure. It’s definitely here to stay. It’s a great treatment. It’s easy to do. You come in two or three times a year and it’s going to work if it’s done by somebody who’s qualified to do it. In reality, it’s really safe. The medication, if it’s used correctly has a very, very low chance of causing a problem or paralyzing a muscle that it shouldn’t paralyze. Again, it’s not a substitute for a facelift. You’re just kind of freshening yourself up. It should be done in a fashion that doesn’t freeze that whole top of your face. People tend to do that, too, sometimes. It should be done in a careful, thoughtful manner. That’s another thing that you’re getting, by the way, with a facial plastic surgeon or a plastic surgeon or a cosmetic dermatologist is, you’re getting an evaluation and some really thoughtful treatment on how you’re going to look better without looking frozen, without looking unusual.
MELANIE: See and I think that’s the secret, right there. We are out of time but you are such a great, fantastic guest. It’s Dr. Greg Weiner. He’s a Plastic and Reconstructive Surgeon at Resurrection Hospital in Illinois. You can visit him because this is the kind of person who knows what they are doing. So, be careful of those Botox injectors out there. Get it from somebody who is board certified and knows what they are doing and can help you with the situation.
This is Melanie Cole. You’re listening to Health Radio right here on Radio M.D. Stay well. - Length (mins) 10
- Waiver Received No
- Host Melanie Cole, MS
What can you do to quiet your inner judge and achieve emotional freedom?
Additional Info
- Segment Number 3
- Audio File health_radio/1524ml2c.mp3
- Featured Speaker Jeff Schneider, Clinical Social Worker
- Guest Website Healing Wellness Counseling
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Guest Bio
Jeff Schneider is a clinical social worker practicing holistic counseling. It is his mission to guide patients toward greater ease, confidence and joy and toward a more caring, understanding, supportive and passionate relationship.
For nearly 30 years, he has successfully helped hundreds of people from very diverse backgrounds recover from the effects of depression, anxiety, and trauma, while incorporating a profoundly enriching and effective spiritual component into their counseling. His practice is based in New Paultz, NY. - Length (mins) 10
- Waiver Received No
- Host Melanie Cole, MS
