Conversations

Zantac Advisory Notice

You may be asking “how worried do I need to be about this Zantac recall”? The FDA released a notice outlining a concern for a probable carcinogenic chemical found in ranitidine and other similar heartburn medications. There have been manufacturer recalls, patients are switching their medications, and the FDA is currently investigating. We are joined by two VillageMD experts, Prasanga Lokuge and Saba Sayed, to walk us through what is happening, what you need to tell your patients, and what to think about when changing medications.

Thank you to all of our listeners for your comments and feedback. We love hearing from you! We are now available on Apple, Spotify, or wherever you get your podcasts. Don’t forget to subscribe and leave us a rating or comment.

State of the Village

It’s our 20th episode! To celebrate, we have a very special episode for all of our listeners: those returning or new to the Podcast. VillageMD has been busy throughout the year: big transactions, new lines of business, starting a podcast. And there is even more to come next year! In this episode, we sit down with VillageMD Co-Founders, Tim Barry and Paul Martino, to talk about what has changed this year and what they are excited about for next year.
 
Thank you to all of our listeners for your comments and feedback. We love hearing from you! We are now available on Apple, Spotify, or wherever you get your podcasts. Don’t forget to subscribe and leave us a rating or comment.

E-Cigarette Epidemic

If a patient presents complaining of nausea and a severe cough, would you think to ask them about vaping? There appears to be more horrific reports of e-cigarette related pulmonary illness every day, and currently the CDC is unsure the exact etiology. On this episode, we will share what we know about this public health crisis including the most recent CDC guidance for identifying these cases early, taking a detailed history, and managing treatment.

Thank you to all of our listeners for your comments and feedback! We love hearing from you! We are now available on Apple, Spotify, or wherever you get your podcasts.

References:
Vaping unknowns: youtube.com/watch?v=0e-fOM1dx3s&t=33s
Vape at your own risk: youtube.com/watch?v=Xdne28dBirQ&t=131s
Researchers looking for cause of vaping related illnesses: Vape at your own risk: youtube.com/watch?v=Xdne28dBirQ&t=131s
Vaping-related death toll rises to 12: youtube.com/watch?v=BhkZXAaUo54
Death linked to vaping reveal a complex array of inhaled substances: youtube.com/watch?v=0DymNZd1n-0

Executive Order on Advancing American Kidney Health

Did you hear President Trump talking about Kidney Health this summer? A new Executive Order on  “Advancing American Kidney Health” was signed in July and multiple CMS regulations followed. These regulations represent a major change in reimbursement for kidney disease, and introduce three new programs to incentivize changes in disease management. In this episode, we are thrilled to talk with Bobby Sepucha, Chief Administrative Officer of Cricket Health. Cricket Health is a comprehensive kidney care provider, and they are closely following these regulatory changes. Tune in to hear about these important initiatives and how they impact primary care providers.  

If you have a question, comment, if you want one of the samples we reference, or if you want to be a guest on Working Smarter click here: https://bit.ly/2knXLe5 or email us at sharon@villagemd.com

Service Animals

You may remember the movie “Snakes on a Plane”, but last month a video caused a stir featuring a miniature horse on a plane. Questions about service animals have become more common over the last few years, and we occasionally have discussions with physicians about their concerns regarding service animals. In this episode, we answer frequently asked questions including, “Do I have to allow a miniature horse in my clinic?”. We also provide some practical guidance tips for discussing this issue with patients.

If you have a question, comment, if you want one of the samples we reference, or if you want to be a guest on Working Smart click here: https://bit.ly/2knXLe5 or email us at sharon@villagemd.com

Medical Marijuana

In this episode, we talk with Dr. Clive Fields about the clinical and legal issues raised with medical marijuana’s growing popularity and use. We discuss a variety of topics including: the differences between CBD and medical marijuana, how Dr. Fields’ patients are reacting to medical marijuana, and our thoughts about its use for treatment purposes. These conversations are happening more frequently throughout the country, and we hope this discussion will inform your own thoughts and practices.

Vaccine Hesitancy And Your Patients

The “anti-vax” movement is constantly in the news – most recently when the Mayor of NYC declared a state of emergency due to a measles outbreak. Even patients who are not “anti-vax” can have hesitancy about vaccines, and this creates a dilemma for primary care providers. In this episode we talk with Dr. Clive Fields, VillageMD’s Chief Medical Officer, about how to have productive conversations with hesitant patients, how to report contagious diseases, deal with quarantines. We also cover the burning question of if you can terminate an anti-vax patient.

Opioid Update

Regulations and Guidance are constantly changing. Opioid enforcement feels like it changes daily. We want VillageMD Working Smarter views to stay up to date on the latest information. We have provided a brief update to our previous opioid podcasts based on new information from the DEA.