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The new RSS feed is https://anchor.fm/s/1f4e2d4c/podcast/rss.
Suicide
A Right-to-Die (or Physician-Assisted Suicide) bill sits on the California Governor’s desk as an LA doctor is on trial for murder.
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Starting Practice
How does one start a medical practice? This question and more from Periscope are answered in this episode. See medicallyspeakingradio.com
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Electronic Medical Records
Electronic Medical Records (EMR, sometimes EHR) are now used by most doctors in the United States. We discuss the impact of the change to electronic medical records and specifically discuss Dr. Vaughan’s current change from one system to another.
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Will Wait
The “female Viagra” fibanserin is discussed along with Periscope viewer comments and questions.
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Parenting
Parenting questions from Periscope are answered and Dr. Vaughan speaks about Overcoming Emotional Trauma by Travis Lloyd.
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The Resistance
Antibiotic resistance is continually increasing. Hear how you can be a part of the solution. Listener questions about subarachnoid hemorrhage and federal medical record rules are also discussed. Comments from live listening viewers come through Periscope.
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Zombie Brain-Eating Amoeba
We discuss the brain-eating amoeba (Naeglaria fowleri) which killed two people in Louisiana this month. The amoeba is almost uniformly fatal and infects victims when contaminated fresh water enters their nose.
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Door Knob Medicine
Good medical care is more than just correctly diagnosing and prescribing medical treatment. We discuss the need for medical care providers to adequately connect and communicate with patients in the process of diagnosing and treating. Dr. Vaughan speaks about his new role as the Chairperson for the Sutter Independent Physicians Service Excellence Physician Advisory Council. Live audience participation is provided through Periscope.
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Lyme
The Centers for Disease Control and Prevention published a study this week about the increase and spread of Lyme disease from 1993 – 2012. Dr. Vaughan explains Lyme disease, how it is contracted, its natural disease course, its prevention, and the controversy regarding ongoing symptoms following treatment.
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SB 277
California passed SB277 requiring school children to be vaccinated. It is dangerously close to violating patient autonomy and will probably be ruled unconstitutional for similar reasoning. SB 538, which would expand the scope of Naturopathic Doctors, is also discussed. Please notify your California Assembly Member to vote “No” on SB 538. You may use the following language:
Please be sure to vote “No” against SB538 which would expand the scope of “Naturopathic Doctors” in California. It is bad enough to have the state condone their practice with a licensing board. Let’s not further endanger patients by adding even more semblance of legitimacy to practices not supported by scientific evidence.
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Up Periscope
Dr. Mark Vaughan and Larry answer questions from followers on periscope @doctorvaughan on the 100th show of Medically Speaking Radio.
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Doctor Floch
Dr. Neil Floch speaks about doctors in the media and bariatric surgery. You can follow Dr. Floch on Twitter and Periscope @NeilFlochMD. Dr. Vaughan is found @doctorvaughan.
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Opiates
Dennis Bueler shares his very personal account of getting better by stopping the use of opiates for chronic pain.
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Gout: This Joint Rocks
Dr. Elaine Lambert of SOAR joins us to discuss Gout.
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MERS
Middle East Respiratory Syndrome (MERS) is a viral disease with a high mortality rate and low human transmission rate which is thought to come from camels. We explain why people would consume camel urine.
Vote for Medically Speaking Radio for best Health/Fitness Podcast in the Podcast Awards daily (when voting is open in early 2016 and following years).
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Wait for it… Encopresis
Encopresis is defecating in inappropriate locations. It is usually manifested as the repeated soiling of clothing in children over the age of toilet training, often with concomitant constipation. Traditionally it is associated with the psychological concept of being “anal retentive.” We discuss the natural history, cause, treatment, and continuing adult symptoms. Our only regret is that it took so long for us to finally release the podcast on this topic.
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MediChanges
Dr. Vaughan and Larry discuss changes in medicine including Meaningful Use payments to doctors for using Electronic Medical Records (EMR/EHR) and Chronic Care Management (CCM) payments.
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MediCost
Dr. Mark Vaughan and Larry Finney discuss the expense of prescription medicines.
You can check the cost of drugs at local pharmacies at GoodRx.com.
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Teenajuana
Larry and Dr. Vaughan address topics including teenage marijuana use, links between brain cancer and cell phone use, and the seminal truth about Ebola.
Ladies Night Out with Sutter Health at the State Theater in Auburn, California.
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Genetically Modified Organisms
Dr. Mark Vaughan and Larry Finney discuss genetically modified organisms. They mention the possible link between statements Dr. Oz made about genetically modified organisms and a group of doctors asking for Columbia University to reconsider his faculty appointment.
The Institute for Responsible Technology refers to the American Academy of Environmental Medicine for their strongest argument for GMO health risks.
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Irritable Bowel Syndrome
Dr. Kevin Hill of Sierra Endoscopy Center speaks about Irritable Bowel Syndrome.
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Humility
Dr. Daniel Binus of Beautiful Minds Medical speaks on humility, and conversely, on narcissism. Listen as he conducts a narcissism inventory on Dr. Vaughan. Comment or ask questions below.
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Hematology
Dr. Brian Kim of the Sutter Medical Group joined us to speak about his specialty of Hematology and Oncology. Topics discussed include: breast cancer screening guidelines, BRCA, 3D mammography and tomosythesis, custom chemotherapy. The US Preventive Services Task Force makes recommendations for routine screening for breast cancer.
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Mac D Generation
No, we are not talking about kids who listen to rap. This week we discussed macular degeneration with Dr. David Norcott of Auburn Eye Care. 
Dr. Norcott mentioned a commercial genetic test for macular degeneration called Macula Risk. He also mentioned studies by Bausch and Lomb which evaluated vitamins for use in age-related macular degeneration which can be purchased using the link found below.
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Urology
Dr. Matthew Janiga of the Sutter Medical Group discusses the field of Urology with our hosts. They discuss prostate cancer and kidney stones. You can make an appointment with Dr. Janiga by calling (530) 889-7488.
American Urological Association guidelines for detection of prostate cancer
United States Preventive Services Task Force guidelines for prostate cancer screening
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Oregon Meningococcemia
In this episode we speak about the outbreak of meningococcemia at the University of Oregon and discuss long-term care and skilled nursing facilities with Nima Pourfathi of Auburn Oaks Care Center.
This week a sixth student at the University of Oregon was diagnosed meningococcemia. One of the six students died from the infection in February. The bacteria commonly causes outbreaks of meningitis and meningococcemia, a deadly blood infection of the bacteria. There are approximately 4,900 California students at the University, some of whom will be traveling to California this week for Spring break. Students with flu-like symptoms (fever, fatigue, headache, or mental status changes) should seek medical attention immediately. Symptoms can progress from onset to death within hours. Mortality (death) from infection occurs in 10 – 20 % of those infected. Known close contacts with an infected individual should also immediately seek medical attention for prophylactic (preventive) treatment with oral antibiotics.
CDC page on meningitis vaccine
Story about University of Oregon outbreak
Nima is available for questions by phone at 916-770-7352.
Trusts and advanced health care directives can be prepared through Robert Vaughan at 530-885-6400.
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Hot Flash
Dr. James Dunn, Urogynecologist speaks with our live audience on menopause and other issues affecting women’s health. Treatments discussed include hormone replacement therapy with estrogens alone, estrogen with progesterone, Effexor (venlafaxine), Prozac(fluoxetine) and other SSRI anti-depressants, and natural remedies like black cohosh and soy isoflavins.
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Eye Herpes
Herpes Ophthalmicus or eye herpes was the main topic of our talk with David Norcott, OD, Optometrist at Auburn Eye Care. Herpes Ophthalmicus is one possible complication of shingles or chicken pox which are both caused by the herpes varicella-zoster virus.
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Rain Puddles
On a rainy day in February Dr. Vaughan and Larry looked out on a school playground and recorded a podcast. Dr. Vaughan explains how the weather does not cause illness during “cold and flu” season. We mentioned the United States Preventive Services Task Force which publishes recommendations for medical screening tests. We also review typical daily activities of Dr. Vaughan at the Auburn Medical Group.
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Exercise Treadmill Test
Dr. Daniel Tsoi, Auburn Cardiologist, puts Medically Speaking Radio to the test by having Dr. Vaughan perform an exercise treadmill test. In addition to the exercise treadmill test, we also discuss other ways that a Cardiologist evaluates a patient for heart disease and the resulting treatments.
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Vaccines
Vaccines are discussed in the news right now because of our current measles outbreak, pertussis epidemic, and widespread influenza activity. We review these vaccines and the new pneumonia vaccine recommendations. This show was pre-recorded on January 29, 2015 for release on February 14, 2015.
LINKS:
California Department of Public Health Pages on:
United States Centers for Disease Control and Prevention (CDC) pages on:
Warning: The two videos below contain STRONG LANGUAGE.
Dr. Vaughan thanks Penn Jillette for his excellent demonstration of the benefit of vaccination.
Penn and Teller’s demonstration of the benefit of vaccination.
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Hepatitis C
Dr. Kevin Hill of Sierra Endoscopy Center joins us to talk about Hepatitis C. He graduated from the New York College of Osteopathic Medicine in 1996 before completing Internal Medicine residency and Gastroenterology fellowship at Loma Linda University in 2003. Other topics which impacted the show include rectal foreign bodies and fatty liver disease. Larry coined the term “MedHeads” for the listeners of the show and the request was made for listeners to submit logos for use by the show. Enjoy a good laugh with us in this first show produced in over four years as Dr. Vaughan and Larry come back with a great live show with calls from their live audience.
The textbook referenced in this show was an early edition of Roberts and Hedges’ Procedures in Emergency Medicine.
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Listen to our First Show
We will be having Kevin Hill, D.O., of Sierra Endoscopy Center speak on Hepatitis C on this week’s show. Listen to find out why you should know about Hep. C if you were born between 1945 and 1965. Dr. Hill practiced in Auburn as a member of the Sutter Medical Group from 2003 to 2008, before taking a position with Sierra Endoscopy of Grass Valley. Go to the “Live” page at medicallyspeakingradio.com at 10 AM on Saturday, February 7, 2015, to catch the show. Be sure to sign up for our Newsletter to be notified of future show topics and guests.
One lucky caller this week will win a gift certificate for breakfast for two at Tofanelli’s Gold Country Bistro valued at $25. To call in with a question you must use Skype to contact “auburnmedicalgroup” during the show.
Medically Speaking Radio Returns!
We are back! Tell your cousin, Zola, in Nevada City. Tell your old principal, Mr. Covich. Medically Speaking Radio will be webcast at medicallyspeakingradio.com on Saturday mornings at 10 AM (Pacific), beginning in February. We will keep the show familiar to our local audience and still be entertaining to world wide English-speaking listeners. You can still call in with questions if you have Skype. Comment below to let us know of your excitement about the return of this Auburn area favorite.
Ancient Treasure
I looked through my brother’s old Placer High School yearbook (known to alumni as the Potpourri). I found this picture. I believe it to be image of a future medical talk show radio co-host. Medically Speaking Radio could come back. It is up to you. Comment, Share, and Like to help bring the show back. Write about your favorite joke or a bit of valuable medical information you learned. Direct friends to the archive of old shows so they can get caught up before a new season begins. With enough requests we may even put together a boxed set compilation of the old shows on eight-track tapes or Beta format and charge a ridiculous price. I prefer just downloading them for free from iTunes.
Medically Speaking Radio Returns?
It has been four years since we signed-off from KAHI at the end of our last Medically Speaking Radio show. I have been asked regularly about the show ever since then by patients and people I meet in Auburn. The archived shows continue to be downloaded from iTunes and the podcast feed at an increasing rate, now hundreds of downloads monthly. Larry and I have spent the last four years making the Airsoft Medicine Podcast monthly with release to an international online audience, never matching the number of monthly downloads of Medically Speaking Radio. Is it time to bring back Medically Speaking Radio? We could start with monthly podcast episodes which would be posted to iTunes and on this website. Our listeners will let us know if they want us back. Please comment below if you would like us to start the show again. Tell your friends if you think they would enjoy the show, and have them comment. We’re not asking for money or using kickstarter. We just want to get back to talking about medicine and connecting the lay public with the medical community in an entertaining format.
Prostate Cancer
Dr. Vaughan and Larry Finney speak with Dr. Suhag about prostate cancer. This was originally aired December 18, 2010.
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Social Disease
Dr. Vaughan and Larry Finney speak with Dr. Kintner about sexually transmitted diseases. This was originally aired December 11, 2010.
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Goldilocks Anesthesia
Dr. Vaughan and Larry Finney speak with Dr. Friedberg about Goldilocks Anesthesia. This was originally aired December 04, 2010.
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Critical Care
Dr. Vaughan and Larry Finney speak with Dr. Miranda about Critical Care Medicine and end-of-life decisions. This was originally aired November 27, 2010.
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Specialty Credentialing
Dr. Vaughan and Larry Finney speak with Dr. Willis about medical specialty credentialing. This was originally aired November 20, 2010.
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Cardiac Arrhythmia
Dr. Vaughan and Larry Finney speak with Dr. Tsoi about heart arrhythmias. This was originally aired November 13, 2010.
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Spine Surgery
Dr. Vaughan and Larry Finney speak with Dr. Tyler Smith about Spine Surgery. This was originally aired November 06, 2010.
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I Didn’t Inhale
Dr. Vaughan and Larry Finney speak with Dr. Miranda about inhaled substances. This was originally aired October 30, 2010.
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Psychiatric Neurology
Dr. Vaughan and Larry Finney speak with Dr. Baumbach about the overlap of Neurology and Psychiatry. This was originally aired October 23, 2010.
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Calcium Controversy
Dr. Vaughan and Larry Finney speak with Dr. Diane Sobkowicz regarding calcium supplementation. This was originally aired October 16, 2010. An anti-McDonald’s video was discussed.
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Modern Chemotherapy
Dr. Vaughan and Larry Finney discuss new chemotherapy techniques with Dr. Shaheed. This was originally aired October 09, 2010.
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October Medical News
Dr. Vaughan and Larry Finney take calls related to medical news. This was originally aired October 02, 2010.
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COPD again
Dr. Vaughan and Larry Finney speak with Dr. Miranda about COPD. This was originally aired September 25, 2010.
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Medical News and Ambien
Dr. Vaughan and Larry Finney discuss medical news and callers share Ambien stories. This was originally aired September 18, 2010.
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Pre-Conception Counselling
Dr. Vaughan and Larry Finney discuss pre-conception counselling with Dr. Dunn. This was originally aired September 11, 2010.
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Quackery
Dr. Vaughan and Larry Finney discuss quackery with Dr. Stephen Barrett. This was originally aired September 04, 2010.
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COPD
Dr. Vaughan and Larry Finney speak with Dr. Miranda about COPD.
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GERD with Dr. Jenkins
Dr. Vaughan and Larry Finney speak with Dr. Jenkins about GERD. This was originally aired August 21, 2010.
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Wound Healing
Dr. Vaughan and Larry Finney speak with Dr. Bayati about Wound Healing. This was originally aired August 14, 2010.
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Sleep Medicine
Dr. Vaughan and Larry Finney speak with Dr. Miranda about Sleep Medicine. This was originally aired August 7, 2010.
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Listener Questions August 2010
Dr. Vaughan and Larry Finney speak with listeners about their questions.
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Colon Cancer
Dr. Vaughan and Larry Finney speak with Dr. Bradshaw about colon cancer.
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Sleep Apnea
Dr. Vaughan and Larry Finney speak with Dr. Miranda about Sleep Apnea.
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Chocolate and Cocaine
Dr. Vaughan and Larry Finney speak with Dr. Tsoi about Cardiology news and health care changes.
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Drug Diversion
Dr. Vaughan and Larry Finney speak with Dr. Willis about drug diversion.
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Urinary Tract Infection
Dr. Vaughan and Larry Finney speak with Dr. Dunn about Urinary Tract Infections.
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Dr. Bill McCoy Live
Dr. Vaughan and Larry Finney speak with Dr. Bill McCoy about medicine in Papua New Guinea.
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Feet
Dr. Vaughan and Larry Finney discuss feet with Dr. Gilbrech.
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Headache
Dr. Vaughan and Larry Finney discuss headaches with Dr. Neal Baumbach.
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Century of Health
Dr. Vaughan and Larry Finney discuss century old medical advice.
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Medical Culture with Dr. Willis
Dr. Vaughan and Larry Finney discuss the culture of medicine with Dr. Willis.
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ACCORD with Dr. Tsoi
Dr. Vaughan and Larry Finney discuss the ACCORD Trial with Dr. Tsoi. We also spoke about a recent article by Atul Gawande on medical costs.
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PEACE for Families
Dr. Vaughan and Larry Finney speak with PEACE for Families.
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Healthcare Reform
Dr. Vaughan and Larry Finney speak with Dr. Willis about Healthcare Reform.
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Cancer Scare
Dr. Vaughan and Larry Finney speak with Dr. Shaheed about his cancer scare.
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General Surgery
Dr. Vaughan and Larry Finney discuss General Surgery with Dr. Bradshaw.
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Pregnancy
Dr. Vaughan and Larry Finney discuss Pregnancy with Dr. Kintner.
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Heart Attack
Dr. Vaughan and Larry Finney discuss Heart Attack with Dr. Tsoi.
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Obstetrics
Dr. Vaughan and Larry Finney discuss Obstetrics with Dr. Kintner.
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Wilderness Medicine
Dr. Vaughan and Larry Finney discuss Wilderness Medicine with Dr. Gerry Lee.
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Stroke
Dr. Vaughan and Larry Finney discuss Stroke with Dr. Baumbach.
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Movie Medicine
Dr. Vaughan and Larry Finney discuss feature films with medical themes.
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Endometriosis with Dr. Lindeken
Dr. Vaughan and Larry Finney discuss endometriosis with Dr. Lindeken.
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GERD with Dr. Skeehan
Dr. Vaughan and Larry Finney discuss gastroesophageal reflux disease with Dr. Skeehan.
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Medical News for February
Dr. Vaughan and Larry Finney discuss recent medical news with listeners.
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Arms
Dr. Vaughan and Larry Finney speak with Dr. Bergeson about shoulders and the upper extremity.
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A Woman’s Heart with Dr. Diane
Dr. Vaughan and Larry Finney speak with Dr. Diane Sobkowicz about “Go Red for Women.”
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Alternative Medicine with Dr. Ernst
Dr. Vaughan and Larry Finney discuss the book Trick or Treatment with author, Dr. Ernst.
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Medical Tips
Dr. Vaughan and Larry Finney discuss “Medical Tips from the Inside…”
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Listener Questions January 2010
Dr. Vaughan and Larry Finney answer listener questions. Questions include topics including:
Diet Coke and Mentos, Pop Rocks and Coke, and others.
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Becoming a Doctor
Dr. Vaughan and Larry Finney discuss the process of becoming a Medical Doctor with Dr. Gawayne Vaughan.
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Lonlines with Anne Lyons
Dr. Vaughan and Larry Finney discuss lonliness with Anne Lyons.
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Cholesterol Medicines with Dr. Tsoi
Dr. Vaughan and Larry Finney discuss cholesterol medicines with Dr. Tsoi.
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Papua New Guinea with Dr. McCoy and Dr. Kerr
Dr. Vaughan and Larry Finney discuss medicine in Papua New Guinea with Dr. McCoy and Dr. Kerr.
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Mammography recommendations with Dr. Antonini
Dr. Vaughan and Larry Finney discuss mammography recommendations with Dr. Antonini.
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Army Psychology and PTSD with Lt. Col. Dr. Holcombe
Dr. Vaughan and Larry Finney discuss treatment of PTSD in the US Army with Dr. Holcombe.
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Hospitalist Medicine with Dr. Hantman
Dr. Vaughan and Larry Finney discuss Hospitalist Medicine with Dr. Hantman.
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Pre-Hospital Care, CPR, and AED’s with Krista Duval and Erik Wenz
Dr. Vaughan and Larry Finney discuss Pre-Hospital Care, CPR, and AED’s with Krista Duval and Erik Wenz of Smart Heart CPR.
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Army Psychological Treatment with Lt. Col. Dr. Philip Holcombe
Dr. Vaughan and Larry Finney discuss the Fort Hood shooting and Army Psychological treatment with Dr. Holcombe.
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Kidney Disease with Dr. Spin
Dr. Vaughan and Larry Finney discuss Kidney Disease with Dr. Spin.
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Indigent Medical Care with Dr. Mulligan
Dr. Vaughan and Larry Finney discuss Indigent Medical Care with Dr. Mulligan.
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Pain Treatment with Dr. Willis
Dr. Vaughan and Larry Finney discuss Pain Treatment with Dr. Willis.
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Eye Disease with Dr. Cooper
Dr. Vaughan and Larry Finney discuss Eye Disease with Dr. Cooper. Portions of this recording may be difficult to hear.
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