Type 2 Diabetes is one of the most common diseases in the Western world. Much of the emphasis in the medical community is based on medications for ‘treating’ Diabetes and oftentimes the discussion of diet and lifestyle gets left behind. In this episode, I speak with Dr. Janel Gordon about using a plant-based diet to improve and reverse your Type 2 Diabetes. Yes, reversing your Type 2 Diabetes is possible contrary to what we were taught in medical school. I hope you find this discussion beneficial.

We discuss:

- Her background starting in Lifestyle Medicine and how that translates into practice. 

- What is the role of diet in type 2 diabetes?

- What she recommends to patients when she talks to them about type 2 diabetes management. 

- What aspects of diet do we get wrong when talking about Type 2 Diabetes 

- A few case studies of patients with Type 2 Diabetes that have benefited from diet changes. 

Guest Bio:

Dr. Janel Gordon, M.D., DipABOM, DipABLM, is a Board Certified Family, Obesity & Lifestyle Medicine Physician. Dr. Gordon is certified in Plant-based Nutrition by the T. Colin Campbell Center for Nutrition Studies and Cornell University. She is certified in Culinary Coaching by Harvard Medical School, The Institute of Lifestyle Medicine, and Spaulding Rehabilitation Hospital. Dr. Gordon was recently selected as a Leading Physician Well-being Fellow with the American Academy of Family Physicians, through which she is receiving further training in leadership development, program development, and quality improvement.

Dr. Gordon has special interests in culinary medicine, food security, community development, and sustainable efforts. She enjoys spending time with loved ones, traveling, and discovering delicious and nutritious foods near and far.

Connect with Dr. Gordon

https://www.linkedin.com/in/janel-gordon-md-dipabom-dipablm-18ba339b/

https://www.instagram.com/janelgordonmd/

Connect with Dr. Akhter

Website: www.madinamedicine.com

Email: info@madinamedicine.com

Instagram: www.instagram.com/dromarakhter 

LinkedIn: https://www.linkedin.com/in/dromarakhter/ 

Millions of Americans suffer from Obstructive Sleep Apnea or another Sleep-related breathing disorder. Risk factors such as obesity, high blood pressure, Diabetes, smoking, etc. have all led to a higher incidence of sleep apnea. The diagnosis and treatment of this condition are essential to improving health and preventing unwanted complications such as heart failure, worsening high blood pressure, lower androgen levels, strokes, heart attacks, and even a shorter lifespan! Furthermore, those patients who are already getting treated with a CPAP still struggle and the causes of that are often not discussed. In this podcast episode, I speak with Dr. Audrey Wells, a sleep medicine physician, and expert in this area. You won’t want to miss this.

We discuss:

• What are the different stages of sleep and their importance?

• What is considered good sleep?

• What are the main things we can do to improve sleep hygiene?

• What are the different types of sleep-related breathing disorders?

• What are the best diagnostic tests for Obstructive Sleep Apnea? 

• What about the Validity of WatchPat, night owl, etc.?

• What to do if sleep isn't good despite using a CPAP?

• Efficacy of sleep tracking devices such as Oura Ring etc. 

Guest Bio

Dr. Audrey Wells is a seasoned sleep medicine physician and professional mindset coach. She is on a mission to help people with sleep apnea get fully treated without sacrificing comfort. She offers a comprehensive library of self-directed courses, a group coaching program, and a private Facebook community. There are free educational resources and more on her website SuperSleepMD.com. 

Connect with Dr. Wells

Website: www.supersleepmd.com

Connect with Dr. Akhter

Website: www.madinamedicine.com

Email: info@madinamedicine.com

Instagram: www.instagram.com/dromarakhter 

LinkedIn: https://www.linkedin.com/in/dromarakhter/ 

Chronic pain affects so many people in this country and now those numbers are rising due to symptoms from Long COVID. Pain is extremely common after COVID and many patients suffer continued symptoms without effective relief. My guest today deals with this on a daily basis and aims to help patients overcome their chronic pain. We had a fascinating discussion about all things related to pain and what the best strategies are to tackle these complex issues.

We discuss:

1. Pain symptoms after COVID - are they real?

2. The truth about steroids, i.e. cortisone and their use.

3. Back pain - the many causes and what can be done about it?

4. What is an epidural injection?

5. Some common causes of hip pain and how best to manage them.

Guest Bio:

Ramesh M. Singa, MD, is a board-certified anesthesiologist and pain management physician with the team at Republic Spine and Pain in Georgetown, Leander, and Austin, Texas.  After completing his undergrad and graduate studies at Johns Hopkins University, anesthesiology residency at RWJ Barnabas, and pain medicine fellowship at Rush University Medical Center, Dr. Singa practiced interventional pain management and anesthesiology in California for four years. He and his wife then moved to Texas in 2021.

Connect with Dr. Singa

Website: https://www.treatpainnow.com/provider/ramesh-singa-md

Instagram: www.instagram.com/doc.singa

Youtube: www.youtube.com/@docsinga

Connect with Dr. Akhter

Website: www.madinamedicine.com

Email: info@madinamedicine.com

Instagram: www.instagram.com/dromarakhter

LinkedIn: https://www.linkedin.com/in/dromarakhter/

With our rates of chronic disease rising and particularly affecting our youth, it’s now more important than ever to discuss preconception health. Not only among women but also among MEN too. Men rarely get included in the conversation when it comes to preconception health and it’s really the health of the couple combined that should be looked at. This episode talks about epigenetics - what it is and why it is important, as well as the main tips to improve your preconception health and by extension, the health of your children. You definitely want to hear Abby giving her expertise on this topic!

We discuss:

• Abby’s background in nursing and journey to Preconception health.
• Why is Preconception health important?
• What are epigenetics and why is it important for preconception?
• What are some tips to improve your health before conception?
• Why is it important for men to consider their health as well before conception?
• What genetics tests can be done to further evaluate health before conception?

Guest Bio:

Abby Hand, MSN, RN is a Preconception Health Coach and soon-to-be published author.

She specializes in helping women and couples get healthy, before getting pregnant. Abby

supports clients using current research, traditional medicine, and natural philosophies. Additionally, she incorporates positive psychology, biometric tracking, epigenetics, and other valuable tools into her complex systems approach to coaching. She also draws on her own autoimmune disease and pregnancy experiences to empower folks and help them navigate the quagmire of perinatal and chronic disease care. Abby believes optimizing the health of both parents prior to conception helps build strong families and communities, creating a healthier, more resilient world.

Connect with Dr. Akhter

Website: www.madinamedicine.com

Email: info@madinamedicine.com

Instagram: www.instagram.com/dromarakhter

LinkedIn: https://www.linkedin.com/in/dromarakhter/

Medical students don't get taught about breast implant illness. I certainly didn't. The number of women suffering from breast implant illness has really surprised me and came to my attention after I saw a few patients with this illness. It’s something that does not get talked about often and it's difficult for women suffering to bring this up with their physicians because of a lack of knowledge and awareness around this issue. The last few years have seen a large number of studies published around breast implant illness so the awareness is increasing, but more needs to be done. The women going through this illness can find help and healing. I hope this discussion today sheds some more light and education on this issue of breast implant illness.

We discuss:

• Sarah’s journey with Breast Implant Illness (BII).
• What is Breast Implant Illness and its main mechanisms?
• How do genetics affect the chances of getting this illness?
• Is there a way to diagnose BII?
• Why is there no disclosure of the toxic ingredients in implants?
• What role does explant have in treatment?
• What does the journey after the explant look like?
• What is the emotional impact of this illness
• Message to those suffering from BII

Guest Bio:

Sarah has a passion for restoring health that has taken her along a path from RN, to becoming a certified Functional Diagnostic Nutrition® Practitioner, Board Certified Holistic Health Practitioner, and Breast Implant Illness and Detox Expert. She believes the solution to Reversing Breast Implant illness is about more than just the explant and that we all need to take personal responsibility for restoring our health by addressing all of the root causes that contribute to chronic illness. It is Sarah’s belief that the body has an innate desire to heal if given what it needs, and she focuses on teaching women how to unlock that innate intelligence and heal themselves.

Connect with Sarah Phillipe

Website: https://reversingbreastimplantillness.com

FB Page: https://www.facebook.com/reversingbreastimplantillness

Private FB Support Group: https://www.facebook.com/groups/reversingbreastimplantillness

Instagram: https://www.instagram.com/reversingbreastimplantillness/

Pinterest: https://www.pinterest.com/reversingbreastimplantillness/

Connect with Dr. Akhter

Website: www.madinamedicine.com

Email: info@madinamedicine.com

Instagram: www.instagram.com/dromarakhter

LinkedIn: https://www.linkedin.com/in/dromarakhter/

There are two types of tendon dysfunction - tendonitis (reactive inflammation due to overloading) and tendinopathy (chronic tissue deformation due to chronic overload and no remodeling program). Recovery from these are not always straightforward. Generally, people tend to do  “too much too soon after doing too little for too long”. That results in delayed healing time and continued inflammation. The inflammatory phase in a tissue injury is typically 10 days and during that time we can take some steps to improve our recovery. The acronym RICE which stands for Rest, Ice, Compression, Elevation is no longer applicable and instead, a new acronym called PEACE & LOVE is being applied with greater results. We discuss all that and more today!

We discuss:

• The most common regions of injury including the Achilles, patellar tendon, plantar fascia, rotator cuff (supraspinatus), and wrist extensors (tennis elbow).
• Generally how people do “too much too soon after doing too little for too long”, and how that can be more harmful than beneficial.
• Two types of tendon dysfunction – tendonitis (reactive inflammation due to overloading) and tendinopathy (chronic tissue deformation due to chronic overload and no remodeling program)
• How the acronym PEACE & LOVE has superseded RICE in the preferred way to heal these injuries.
• What are Isometric, Eccentric, and Concentric contractions, and what are examples of each?

Guest Bio:

Dr. Courtney Clark has a doctorate in Physical therapy and she is a board-certified orthopedic clinical specialist. She is also the clinic director at East riverside results PT. She has a great passion for orthopedic care and in-depth knowledge of the science of pain and pain management. She uses an individualized approach to each patient. She lives in south Austin and enjoys a variety of outdoor activities.

Connect with Dr. Clark

Website: https://www.resultspt.com/east-riverside-austin-texas

LinkedIn: https://www.linkedin.com/in/dr-courtney-clark-692577a1/

Connect with Dr. Akhter

Website: www.madinamedicine.com

Email: info@madinamedicine.com

Instagram: www.instagram.com/dromarakhter

LinkedIn: https://www.linkedin.com/in/dromarakhter/

Health coaching. What is it? Why is it important? And what are its components? As some of you may know, I have a practice in Austin, TX where I see patients and practice Integrative or Functional Medicine. One key thing I’m excited to now add is health coaching. And Robyn Bergesen, who I speak to on the podcast, has joined my team for that! This gives me a greater ability to affect change in my patients when it comes to making diet and lifestyle changes and I’m very excited to be able to offer it. More information on pricing and scheduling is available on my website at www.madinamedicine.com.

We discuss:

• What is a health coach? Why are they important?
• What kinds of things do you focus on in a session? How do you structure the sessions for the best success?
• How diet and lifestyle play such an important role in improving chronic disease.
• Our plans for introducing Health Coaching in our practice with details on pricing and scheduling.

Guest Bio:

Robyn’s passion for functional health and wellness began over 10 years ago when she was diagnosed with an autoimmune disease.  At only 18 years old, she was determined that there had to be another way to live the rest of her life than on countless rounds of steroids and antibiotics. She was lucky enough to find a functional practitioner who helped rebuild her health and educate her on how to maintain this level of wellness throughout her life.

Since then she completed her degree at UT Austin, starting first as a dance major and then switching into sports management with a minor in business. She got her Health Coaching degree through the Institute for Functional Medicine and has spent the last year developing meaningful relationships with clients and working together toward a positive outcome. She has a strong passion for meeting people where they are and working towards their goals together.

Connect with Robyn Bergesen

Website: https://madinamedicine.com/healthcoaching/

Email: robyn@madinamedicine.com

Connect with Dr. Akhter

Website: www.madinamedicine.com

Email: info@madinamedicine.com

Instagram: www.instagram.com/dromarakhter

LinkedIn: https://www.linkedin.com/in/dromarakhter/

Chronic pain is a significant burden for so many patients and to our healthcare system. It’s even led to major public health issues such as the opioid crisis. For many patients and providers, the default approach is to use medications in a stepwise manner, gradually building up to some of the strongest medications available as well as trying different surgical approaches. These approaches do work for many patients, but what if a different approach could be tried?

This discussion with Dr. Brityn Jowers revolves around pain reprocessing therapy and how we can try to address chronic pain at its root; the way we process the pain. We go deeper into the neuroscience of pain and how this alternative approach can be extremely effective, and limit the use of medications or procedures. If you or someone you know is suffering from pain, you definitely want to hear this discussion!

We discuss:

• Her journey into Physical therapy and Pain Neuroscience.
• What is pain and the mechanism/science behind it?
• Where do our current approaches to pain fall short?
• What role do medications have in pain relief and the problems that arise by using them too much i.e. the opioid crisis?
• What is pain reprocessing therapy and why is it potentially superior to our current modalities?
• Some clinical cases she can share where this approach has been successfully implemented.

Guest Bio:

Dr. Brityn Jowers is a Doctor of Physical Therapy and a Therapeutic Pain Specialist. She is certified in Pain Reprocessing Therapy and Certified as a Health & Life Coach. She is currently working in an outpatient orthopedic clinic in Silverdale, WA where she moved from Austin, Texas to pursue her growth in the field of Pain Neuroscience.

Brityn is always studying materials regarding the human experience, societal/cultural patterns, the nervous system, neuroscience, trauma, development, spiritual teachings, meditation, healing, and the mind-body connection. She lives with her husband and 2 big dogs.

Connect with Dr. Jowers

Website: ​​https://www.painreprocessingtherapy.com/

Connect with Dr. Akhter

Website: www.madinamedicine.com

Email: info@madinamedicine.com

Instagram: www.instagram.com/dromarakhter

LinkedIn: https://www.linkedin.com/in/dromarakhter/