Alicia’s incredible story. Read this post, save a life.

Alicia Bravo, BAN RN CEN TCRN CPEN
Brad Bart, MD

Be brave.  That is Alicia’s message.

This is undoubtedly the most powerful story we’ve yet told in 10 years of Healthy Matters broadcasts.

If you missed last week’s show, you missed a doozy of a personal story.  Alicia Bravo is a nurse at Hennepin’s Emergency Department and just one year ago this healthy triathlete experienced a sudden cardiac arrest while swimming.  Her dad and husband saved her life with CPR and now she is spreading the word about it.  You’re going to want to listen to her tell the story on the podcast by clicking Listen to Podcasts at the right of this page.

To give us additional expertise, we were joined in the studio by Dr. Brad Bart, Director of Cardiology at Hennepin Healthcare.    As a follow-up to the show, I asked each of them to respond to some written questions.   What follows is from Alicia and Dr. Bart.  There are powerful and wise words in this post, some links to helpful sites, a way you can donate to CPR education, and even an event that involves drinking beer.

I encourage you to read it through.  You may save a life someday.

Please share this post on Facebook, Instagram, and with your friends by clicking the icons above.  This is a message we need to get out!  

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Posted in Cardiology, Tips from Healthy Matters radio broadcast, Trauma and emergency | Tagged , , , | Leave a comment

Diabetes Part 2 with Dr. Laura LaFave

By www.Pixel.la, public domain photo

Hi, everybody and thanks for stopping by.  This is Part 2 of our look at diabetes, aided by my colleague, endocrinologist Dr. Laura LaFave.  Click on Part 1 here if you missed it from last week.

 

 

 

In this part, I’ll cover:

  • Risk factors for developing diabetes.  (Includes a BMI calculator that you should try).
  • Complications of diabetes.
  • Tips for reducing your chance of getting diabetes.

Here we go!

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Diabetes Part 1 with Dr. Laura LaFave

Endocrinologist Dr. Laura LaFave

This week we did a Healthy Matters show about diabetes and I wanted to write a post about that topic while it is fresh in my head.  So I sat down to write but quickly realized that diabetes is probably the most wide-ranging medical condition of them all.  It has complex causes, different types, multiple risk factors, numerous complications, and lots of treatments.  It is a chronic illness that requires a team of health care professionals and dedicated patients to manage.  So I really can’t cover diabetes in a blog post.

At least one that isn’t of Tolstoy-like length.

Then I remembered a comment from a caller to last Sunday’s show.  Betty had called in with a question about diabetes, and she noted on the air that she had learned more in the previous 15 minutes of our broadcast than in all the years she had been living with diabetes.  (I love our listeners!)

So I thought, hey, I don’t have to cover all of diabetes, I’ll just summarize what we talked about in those 15 minutes, putting it in progressive levels of detail.  Sort of like college.  Except without the tuition.

Of course, those first 15 minutes of diabetes discussion didn’t come from me.  It was my guest, Dr. Laura LaFave, who skillfully broke it down for us.  That’s Laura in the photo above, taken just before we went on the air from the WCCO studios in downtown Minneapolis.  Dr. LaFave is an friend and colleague with whom I did my training at Hennepin County Medical Center many years ago.  Recently, she re-joined our clinical and teaching faculty at Hennepin.  (Hint:  you, too, can see Dr. LaFave as a patient if you need an Endocrinologist by clicking this link).

For the aurally-inclined among you, I really encourage you to listen to the podcast of the broadcast by clicking the banner here.  For those drawn to the written word, I’ll summarize the key learning points in the the following paragraphs.  Your choice!

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MRI: a (hi-def) glimpse inside the human body

Five MRI images of the brain, all obtained in under 13 minutes. Photo courtesy Dr. Chip Truwit

CT, PET, MRI, IR, X-ray . . .  the world of radiology!  Perhaps you’ve encountered some of these tests, maybe had some of them yourself, maybe you even know what these letters mean.   For those of us in medicine, imaging studies are a critical and daily part of our work.  I order these tests all the time, and when the images show up on my computer screen, I take a look at them and marvel at them.  But then I call my radiology colleagues to tell me what I’m really looking at.

At Hennepin Healthcare in downtown Minneapolis the department of Radiology just installed the most advanced MRI machine in the country.  Before we launched the new magnet into public use – and “launch” seems the right word since the thing looks like something from NASA – the staff needed to warm the thing up.  So I volunteered to have an MRI done.

I had an MRI once before.  It was a couple decades ago for a running knee injury.  I remember it being cold, loud, lengthy, and rather claustrophobia-inducing.

Not anymore.

By Tobias from Wikimedia Commons

The new 3-Tesla MRI scanner at Hennepin’s Clinic and Specialty Center is awesome.   First of all, I was welcomed by the staff, then I changed into nice cloth gowns.  I got to pick the environment I wanted to be in from a touch screen on the wall.  Let’s see, do I want to be on a tropical island, in a forest with pandas, or maybe in an undersea fish scene?  I touched “Seychelle Islands” then entered the scanner.  The technicians put a visor-like thingie on my face, covered me with a blanket, then the woman with the British accent talked me through the scan while I watched the sea gently roll on the sand of the Seychelles on the screen in front of me.

I never even realized that my body was inside a huge magnet tube.  If fact, I fell asleep during my scan.

Three sections in this post if you read on:

  • Building the best radiology department right here in downtown Minneapolis.  What being patient-centered really means.
  • Like wheat in a field.  A short physics lesson.
  • The role of imaging in a public safety net hospital.  Something to get you thinking about healthcare for all people.

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Posted in HCMC, Radiology | Tagged , , | 2 Comments

The intersection of physical and mental health

“Despair” (public domain art)

A good part of my medical practice at Hennepin Healthcare is in mental health.  Although I’m a general internist, meaning I specialize in chronic diseases of adults, I have a special interest in the intersection of medical and mental illness.  Consequently, I spend a hefty portion of my days on the inpatient psychiatry units.  So when a piece came out in the New York Times this week, I was immediately drawn to it.  Written by Dr. Dhruv Khullar from New York-Presbyterian Hospital, it is entitled The Largest Health Care Disparity We Don’t Talk About.  I strongly encourage you to read it.

This is particularly of interest to me since I have also been part of a group of five medical systems across the country who have recently published our own experience in caring for people with mental illness. You can read our very brief paper at the Annals of Internal Medicine.

In this post I’ll talk a bit about my own experience in caring for patients with mental health conditions.  I’ll end with a few suggestions. Continue reading

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Posted in Dr. Hilden's reflections, Ethics and philosophy, Health in the News, Mental Health, Psychiatry | Tagged , , , , , | 5 Comments

Register here for live audience show “Decade with Dave”

Meet me and WCCO personality Denny Long at our live show on June 10!

It’s coming fast and seats are almost full!  But, dear friends, you still can RSVP for our live audience Healthy Matters radio broadcast on June 10, 2018 at 7:30 am.  The show will be done “on location” at Hennepin Healthcare’s Clinic and Specialty Center, right in the atrium.

Plan to arrive around 7:00 to get a coffee and a seat, listen in to the show from the audience, then stick around for brief tours of Minnesota’s most modern and patient-friendly clinical facility.

I’d love to meet you!

 

 

The show and on-site parking are FREE!  Register by clicking the logo here:

We’ll have coffee and snacks for you, plenty of seats, and a live show featuring three special physician guests:

  • Dr. Laura LaFave, Hennepin endocrinologist, will chat with us about diabetes.
  • Dr. Rawad Nasr, Hennepin’s Director of Rheumatology, will talk arthritis.
  • Rounding out the program will be Dr. Ranji Varghese, sleep doctor, who will share his expertise about sleep problems.

But mostly, it will be a fun chance to see a live radio show and share a cup of coffee.

Event and underground on-site parking are FREE but you need to RSVP by clicking the picture above. 

While you are there, sign up for the Here 4 Health public education series.  We have fun, informational, and hands-on sessions for all you inquisitive folks out there.  There is one session each in July, August, and September.  These are also free and held at the Clinic and Specialty Center in downtown Minneapolis.  Lot’s more information and registration links by clicking the Here4Health graphic above.

And see those coffee mugs Denny and I are holding . . . come to the show and get one for yourself!  Sure to be a collector’s item, eh?

See you on June 10!

Dr. H

 

 

 

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Menopause

Our Healthy Matters show last week focused on menopause. We billed the show as being about “Women’s Health” and as we all know, women’s health is more than menopause.  But I had an expert in the studio and there is so much interest in menopause!  So we focused on that specific topic.  This post recaps a few learning points from the show.

If you are looking to register to be an audience member for our Decade with Dave live radio broadcast on June 10, or for the Here 4 Health community education series, click here.

If you missed the show (Healthy Matters show #488, May 20, 2018), listen to the abbreviated podcast by clicking the banner:

In this post, you’ll read about:

  • Basics of menopause
  • What’s a hot flash and what can be done about it
  • Acupuncture in the treatment of menopause symptoms

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Posted in Diet and exercise, Geriatrics and aging, Tips from Healthy Matters radio broadcast | Tagged , , , , | Leave a comment

Quick tips: shingles, dementia & depression, high blood pressure medications

Since you asked . . . here’s another “Quick tips” post from last week’s Healthy Matters broadcast.    I have included links to point you toward reliable information if you want to learn more.  The Internet is full of not-so-reliable information so I try to include sources that I think you can trust.  That’s assuming you trust me.  As my texting daughter would say “hahahaha”!

 

To listen to the podcast of this recent “Open Lines” show, click this banner and look for April 29, 2018 show (Healthy Matters show #485)

On to the questions from listeners . . .

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Posted in Cardiology, Dermatology, Geriatrics and aging, Infections, Kidney disease, Medications, Mental Health, Primary Care, Psychiatry, Quick tips, Tips from Healthy Matters radio broadcast | Tagged , , , , , , | Leave a comment

Kidney disease and transplant

Credit: Sheldahl

First, if you are looking for information and registration info for our LIVE “Decade with Dave” Healthy Matters broadcast and the Here 4 Life health education series, click here.

April is Donate Life month.  It is a time to reflect on the gift so many people have given by donating their organs to a person in need.  At Hennepin Healthcare, we have a tremendous kidney donation program so I asked two key people from the transplant program to join me in the WCCO studio to talk about kidney disease and kidney transplant.  I found much to learn!  I hope to share some of what we learned here.

At the very end of this post I have a link to a story that should inspire you – the story of a brother and sister whose lives changed forever in 1975 through transplant.  And who are still going strong today.  Click on the link to read that story when you get to it.

To listen to the audio podcast of any Healthy Matters broadcast (free of commercials!) click on the banner here.  The kidney show is Healthy Matters show #484, April 22,2018.

A few facts of kidney transplant in the United States (from Donate Life America):

  • There are 100,000 people in the United States waiting for a kidney transplant
  • The average wait time for a deceased donor kidney is 3-5 years
  • People want to help: 95% of people are in favor of being a donor but only 56% are registered to be a donor Continue reading
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“Decade with Dave” and Here 4 Health series

Hi, friends!  See that sign in the picture?  Those signs are all over the campus at Hennepin Healthcare.  Let’s just say my co-workers have shown no mercy in teasing me about them.

But hey – we have something to celebrate!  I’m super pumped to be launching “Decade with Dave”  – our celebration of 10 years of our Healthy Matters broadcast!

We’re starting with a live broadcast of Healthy Matters from the atrium at Hennepin Healthcare’s Clinic and Specialty Center complete with a LIVE audience.  That’s where you come in.  I’m inviting you –  my Healthy Matters listening friends – to be that live audience on Sunday, June 10.   Denny Long will be there, I’ll be there, and I hope YOU will be there.

Here’s what we’re planning for the live broadcast of Decade with Dave . . .

Diabetes and the Sweet Life.  I’ve invited an old friend from my medical training, Dr. Laura LaFave, to introduce her to Healthy Matters listeners.  Dr. LaFave recently rejoined the Hennepin Healthcare faculty in Endocrinology – in fact I don’t even have a link to her picture yet!  She’s a friend, a smart doctor, and a genuinely good person.  She’s been practicing for over a decade but only been back to Hennepin for a few months, so to welcome her back to our family I’m putting her in front of a live audience.  She’s a good friend, eh?  We’ll talk about diabetes and other hormone-y topics.

Arthritis Treatment Options:  Moving from Pain to Gain. Dr. Rawad Nasr is Hennepin’s Director of Rheumatology and another colleague with whom I go way back.  We dragged him back from his practice in Bemidji to join our Hennepin faculty.  His recent show about arthritis was a huge hit with listeners so he’s coming back to chat with me about arthritis and joint questions.  You’ll love this guy.

 

Sleep Health:  What Keeps You Up at Night. Another really popular topic – in fact, perhaps the most popular topic – is sleep.  We all need it, we all want it.  Many of us struggle to get the best sleep we can.  Another Healthy Matters veteran, Dr. Ranji Varghese, will be at the broadcast to meet you, to help us understand sleep, and to answer a few questions.

 

Following the broadcast, we’ll have a bit of Q&A and show you around the place a bit.  We’ll have coffee and munchies (donuts, anyone?).

Let’s fill the place!  The broadcast is free to attend, but we need you to RSVP if you plan on attending.  Click here to RSVP for our special “Decade with Dave” LIVE broadcast.

But that’s not all . . .

Announcing . . . Here 4 Health

Hennepin Healthcare’s Clinic and Specialty Center

After kicking off the summer with “Decade with Dave” we are launching an exciting new health education program for the curious and inquisitive among you.  “Here 4 Health” is a series of three educational sessions on a variety of health topics sort of like a mini Medical School.   Except more fun.  And not nearly as grueling.  Come to learn about health topics from cool experts from Hennepin.

You can attend 1, 2, or all 3 sessions.  They’re all free of charge, but you do need to send your RSVP by clicking here.  All events are at the Hennepin Healthcare Clinic and Specialty Center.

Here’s what we have planned for “Here 4 Health” (subject to change if any of these colleagues chicken out):

Session 1:  Thursday, July 12, 5-7 p.m

How to live to 100 or die trying.  Dr. David Hilden (that’s me) will be updating a popular session I’ve been giving for years.  I’ll take you behind the scenes at a state-of-the-art working clinic with insider tips on staying healthy.

The Ins and Outs of GI Health.  OK, some smart aleck (probably the same guy who decided to make a career of doing colonoscopies) made up the name for this informative session about colon cancer.  Learn from Hennepin gastroenterologist Dr. Jake Matlock  about colon cancer and colonoscopies!  I know Jake.  Great guy.  Ask him to show you a colonoscope.  Then ask him why the heck he thought it would be cool to look at people’s intestines all day.  You’ll also get the special chance to tour a colonoscopy suite – when you’re NOT on the cart getting your own colonoscopy


Session 2:  Saturday, August 11, 9-11 a.m

Dermatology – your skin questions answered.  Hennepin dermatologists Dr. Sara Hylwa and Dr. Jenny Liu will be on hand.  You’ll never get a better chance to tap into a skin doctor’s expertise.  They are smart and they know skin like the back of your hand – literally.  Just don’t ask them if you can skip wearing sunscreen.   (Spoiler alert. . . you can’t .  . these two are so stingy on that point).

 

The Ancient Art and Modern Practices of Integrative Medicine – Acupuncture and Chiropractic.  A certified acupuncturist and chiropractor will show you around the world of integrative medicine.  Maybe you’ll come away just a little less mystified at these ancient practices.  Ask to see an acupuncture needle.   Dr. Richard Printon and acupuncturist Jessica Brown will be on hand!


Session 3:  Saturday, September 15, 9-11 a.m.

You Gotta Have Heart.  Recent Healthy Matters guest and cardiologist Dr. Michelle Carlson will show you around the world of heart health.   You’ll learn from her particular expertise in women’s heart health and the link between heart health and cancer.  You may want to check out the recent post I did with Dr. Carlson here.

 

Best Practices in Breast Health.  Leah Hahn is the supervisor of the mammography program at Hennepin.  See a mammogram machine for yourself.  Men, you too should attend this session.  It will give you a new appreciation for the women in your life.  And men get breast cancer too!  Check out this post I did with Leah Hahn from a few months ago.

 

A Little Help for your Friends.  Hennepin has the best Physical Therapists AND therapy facilities in the region.  Come see a PT gym and look at the amazing possibilities for therapy.  This is state-of-the-art stuff which you can learn from Senior Physical Therapist Beth Stegora.

 

 

Attend all three sessions or pick and choose the ones you want.  They’re all free and all at the Hennepin Healthcare Clinic and Specialty Center in downtown Minneapolis  Probably the most important part of all .  . . the parking is right there underground.  Could not be simpler.

Why should I go learn something?

Here’s why I think you should attend the LIVE Decade with Dave broadcast and why you should attend the Here 4 Health series . . .

You could sit home and watch TV.  Or stare at the grass and watch it grow.  Or sit on your couch and get bad health information from the Internet.

Or you could get out of the house, come to the Here 4 Health series, and learn from fun, smart, and reliable doctors and health professionals.  All while taking in the art-filled and warm setting of a state-of-the-art health facility.  

RSVP here.

Looking forward to meeting lots of you!

David

 

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Posted in Cardiology, Dermatology, Diabetes, Gastroenterology, Getting medical information, Joint and Muscle issues, Medical Education, Physical Therapy, Tips from Healthy Matters radio broadcast | Tagged , | Leave a comment