The Doctor's Art

De: Henry Bair and Tyler Johnson
  • Resumen

  • The practice of medicine–filled with moments of joy, suffering, grace, sorrow, and hope–offers a window into the human condition. Though serving as guides and companions to patients’ illness experiences is profoundly meaningful work, the busy nature of modern medicine can blind its own practitioners to the reasons they entered it in the first place. Join resident physician Henry Bair and oncologist Tyler Johnson as they meet with doctors, patients, leaders, educators, and others in healthcare, to explore stories on finding and nourishing meaning in medicine. This podcast is for anyone striving for a deeper connection with their medical journey. Visit TheDoctorsArt.com for more information.

    © 2024 The Doctor's Art
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Episodios
  • A Dual Struggle of Dementia and Dignity | Dasha Kiper
    Jul 30 2024

    Many people regard dementia as a fate worse than death, in large part because it strikes at the essence of our humanity — our memories, identity, and relationships with others. Unlike diseases that primarily afflict the body, dementia erodes the mind, leading to a gradual fragmentation and loss of self and autonomy.


    The burden of this disease on caregivers also cannot be understated. Not only does dementia require comprehensive, long term care that addresses the afflicted individual’s cognitive, behavioral, and physical issues; witnessing a loved one's slow and irreversible decline often exerts an immense emotional toll on the caregiver. Additionally, the pervasive stigma and isolation associated with dementia can leave caregivers feeling unsupported and alone.


    Our guest on this episode is Dasha Kiper, a clinical psychologist who works with caregivers to people with dementia. She's the author of Travelers to Unimaginable Lands: Stories of Dementia, The Caregiver, and the Human Brain (2023). The book explores the complex relationship between caregivers and dementia patients, which are frequently rife with heartbreak, guilt, frustration, helplessness and shame. Over the course of our conversation, Dasha shares her transformative personal experiences working as a caregiver, why caregivers deserve more empathy and understanding, ethical dilemmas over medical interventions and patient autonomy, navigating the distorted reality in the mind of a dementia patient, coping strategies for caregivers and healthcare professionals, and more.


    In this episode, you’ll hear about:


    3:13 - How Dasha “stumbled” into working as a live-in caregiver for a dementia patient while still in school


    4:44 - How serving as a caregiver for a dementia patient shaped Dasha’s views of neurological illness


    10:23 - Managing the “loss of shared reality” that often occurs between the caregiver and the dementia patient


    23:45 - The added emotional toll that dementia can take on family members


    32:46 - What human dignity means in the context of dementia care


    36:55 - Fostering self-compassion as a clinician or caregiver by connecting with community


    49:16 - Dasha’s advice for finding community support if you are a family caregiver



    Dasha Kiper is the author of Travelers to Unimaginable Lands: Stories of Dementia The Caregiver and the Human Brain (2023).


    Past episodes and works discussed in this episode:

    Episode 62: Navigating my Father’s Alzheimer’s as a Doctor | Sandeep Jauhar, MD

    My Father’s Brain: Life in the Shadow of Alzheimer’s by Sandeep Jauhar, MD


    Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.

    If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.



    Copyright The Doctor’s Art Podcast 2024

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    56 m
  • A Resolve to Save Lives | Tom Frieden, MD, MPH
    Jul 23 2024

    There once was a time when indoor smoking was allowed in workplaces all across the United States, when trans fats were ubiquitous, and when fast food restaurants didn't have to post calorie information on their menus. That wasn't so long ago, and it's in large part thanks to the pioneering efforts of Tom Frieden, MD, MPH, Health Commissioner of New York City from 2002 to 2009, that these changes were made. Dr. Frieden’s city-wide initiatives during this time included steps to reduce tobacco use (by banning indoor smoking, increasing tobacco taxes, and aggressive anti-tobacco ads), to ban trans fats and mandate proper nutrition labeling in restaurants, and to rapidly expand screening for diabetes and HIV. All of these efforts have since been adopted nationwide and have gained practically universal acceptance by the public.

    Prior to this, Dr. Frieden spearheaded tuberculosis control measures in New York City and India, drastically slashing rates of multidrug resistant tuberculosis. He was also director of the Centers for Disease Control and Prevention, during which time he led the CDC's response against the H1N1 influenza pandemic, the Ebola outbreak in West Africa, and the Zika virus epidemic. Most recently, he leads Resolve to Save Lives, an initiative aiming to prevent cardiovascular disease primarily through advocacy of lifestyle interventions.

    Over the course of our conversation, Dr. Frieden shares his personal path to a career in infectious disease and public health, lessons learned from his work on tuberculosis control, striking the balance between curbing personal liberties and protecting community health, key insights into effective public health communication particularly when dealing with incomplete information or data, the evolution of the political and partisan nature of health policy, why preventing heart disease is so critical, and more.


    In this episode, you’ll hear about:

    3:00 - How a conversation with his father drew Dr. Frieden to a career in public health

    5:40 - Dr. Frieden’s early work tackling tuberculous as a “management problem”

    9:05 - Balancing individual rights with the health of the public

    17:55 - The formula Dr. Frieden has used to choose which particular public health issues to focus on

    28:08 - Strategies for effective health communication with the public

    33:08 - The mission of Dr. Frieden's organization Resolve to Save Lives

    39:16 - Dr. Frieden’s thoughts on how to navigate public health communications in the light of changing scientific knowledge

    45:50 - The important lessons that Dr. Frieden learned from his patients about public health during his time as a clinician


    Dr. Tom Frieden is the President and CEO of Resolve to Save Lives.

    Dr. Frieden can be found on Twitter/X at @DrTomFrieden.


    People and Work discussed in this episode:

    Dr. Karel Styblo

    Dr. Nancy Messenior’s February 2020 COVID address


    Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.

    If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts.

    Copyright The Doctor’s Art Podcast 2024

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    51 m
  • Breaking the Cycle of Intergenerational Trauma | Mariel Buqué, PhD
    Jul 16 2024

    It is well documented that descendants of Holocaust survivors exhibit greater levels of anxiety, depression, and vulnerability. The trauma of domestic violence can ripple through generations, with maladaptive coping mechanisms and emotional instability perpetuating subsequent cycles of trauma and dysfunction. The brutal history of slavery in the United States is seen today in the form of persistent economic disparities and ongoing social injustices, affecting mental and physical health across generations. All of this, in various forms, is intergenerational trauma. Extending beyond the individual, the emotional and psychological wounds of this type of trauma embeds itself within the family lineage through behavioral patterns, emotional responses, and even biological alterations.


    Our guest on this episode is Mariel Buqué, PhD, a health psychologist who specializes in helping individuals experiencing intergenerational trauma. Her book Break the Cycle: A Guide to Healing Intergenerational Trauma (2024) reveals the invisible threads that link the past and present and highlights the necessity for healing not just individuals, but entire family systems and communities. Over the course of our conversation, Dr. Buqué shares how she draws on her experiences as an Afro-Latina immigrant from the Dominican Republic in her work, how a health psychologist connects with patients, how intergenerational traumas happen and their devastating effects on individuals, families, friends, and community members, and more.


    In this episode you’ll hear about:


    2:00 - What drew Dr. Buqué to the field of psychology


    5:19 - What health psychology is


    8:40 - What occurs in a course of treatment with a psychologist


    18:30 - An overview of intergenerational trauma


    28:00 - The far-reaching effects of intergenerational trauma in society and how psychology can help unload the burden


    35:50 - Breaking the cycle of intergenerational trauma


    40:30 - The role of stigma in access to mental health care


    45:10 - Dr. Buqué‘s approach to building trust with patients


    48:28 - How all clinicians can better empathize and connect with their patients through trauma-informed care



    Dr. Mariel Buqué is the author of Break the Cycle: A Guide to Healing Intergenerational Trauma (2024).


    Dr. Buqué can be found on Instagram at @dr.marielbuque.



    Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.

    If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.



    Copyright The Doctor’s Art Podcast 2024



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    56 m

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