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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Posted in Tips from Healthy Matters radio broadcast | Tagged , , , | Leave a comment

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

Continue reading

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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 . . .

Continue reading

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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

A “Decade with Dave” – Mark your calendars

Hennepin Healthcare’s Clinic and Specialty Center

Wow.  Healthy Matters is in the midst of our 10th year on the air on WCCO Radio.  I am celebrating 10 years of joining many of you – over the airwaves – for breakfast, coffee, and some fun health and wellness chat.

To celebrate this “Decade with Dave” my Hennepin Healthcare crew and I are planning a really special event – a LIVE broadcast of Healthy Matters from our Clinic and Specialty Center in downtown Minneapolis.

We have never done anything like this before!

The show will be at its usual 7:30 am time on Sunday, June 10.  What I hope for is to fill the atrium of the Hennepin Healthcare Clinic and Specialty Center with Healthy Matters listeners.   I’ll have some of our favorite expert guests attending so you can meet them.  We’ll do a Q&A, check out the new building, and have coffee together. So mark your calendars for Sunday, June 10, and register for this free event by going to www.hennepinhealthcare.org/here4health to RSVP for the “Decade with Dave” celebration – seats will be limited!

Until then, I have a request . . .

Over the past “Decade with Dave” I have heard countless stories of listeners.   Among them:

  • Several of you come to the Minnesota State Fair every summer to hear the show live.
  • There was the person who listened to the live stream of the show from South Africa.
  • One patient at HCMC specifically informed the paramedics that he wanted to go only to HCMC because he was a loyal Healthy Matters listener.
  • Loads of you have told me that you listen to the show while getting ready for church.

So I want to hear your Healthy Matters story. To do so, please leave me a comment in the “Reply” section below.  Tell me where you listen from, or what church you attend when listening, or if you listen online, or the strangest place you have listened from, or anything else you want to share.

I’ll talk about some of our stories on the air in the coming months!

Here’s to you, my friends and listeners,

David  (aka host of Healthy Matters, aka the “Dave” part of “Decade with Dave”)

 

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Posted in HCMC | Tagged , | 9 Comments

Women’s heart health: your questions answered

Michelle Carlson, MD & Jill Jordan, PA-C, , MMS, RD

Think men and women are just the same?  No, I didn’t think so.  But when it comes to heart disease, much of what the medical community talks about is focused on men’s heart health.  So on the Healthy Matters radio broadcast last Sunday, we focused on women’s heart health.

I was joined in the WCCO studios by two women whose careers are focused on caring for hearts.  They are Dr. Michelle Carlson, a cardiologist, and Jill Jordan, a Certified Physician Assistant with clinical practice in Cardiology.  Not only are these two really knowledgeable about cardiology in general, they are particularly tuned into the health of women.  Not only that, they do cool work with cancer and heart disease.   And I can personally vouch that they are approachable providers with a good listening ear and wise advice for their patients.

Three things you can do to learn more:

  • Listen to the podcast of the Women’s Heart Health show by clicking the logo here. It is Healthy Mattes Show #482, April 8, 2018

  • Click Dr. Carlson and Jill Jordan’s pictures here for their bio and contact information, or go to the Heart Center at Hennepin Healthcare to learn more and including info on making appointments.

Michelle Carlson, MD

Jill Jordan, MMS, PA-C, RD

 

 

 

 

 

 

 

  • Read on for brief and informative answers to listener questions that we did not have time for on the radio broadcast.  Heart attack, jaw pain, ischemia, family history, varicose veins, valves, exercise, diet, yoga.  It’s all here!  The responses are directly from Dr. Carlson and Jill Jordan.  Don’t miss the last question (scroll down!) about heart disease and cancer.   Pictures and links, too!

Continue reading

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Posted in Cancer, Cardiology, Diet and exercise, Preventive care, Tips from Healthy Matters radio broadcast | Tagged , , , , , , , , , , , | Leave a comment

Quick tips: Shingles and pnuemonia shots, blocked coronaries, antibiotics for dental work, HIV test

Hennepin Healthcare’s Clinic and Specialty Center

Hey, friends!  Here’s another “Quick tips” post in which I answer a few of the questions posed by listeners to a recent Healthy Matters radio broadcast.  As is often the case, I can’t get to all the questions, but this week’s grab bag of topics is a good one.

Read on.  Or if you are aurally inclined, you can listen to the podcast recording at your leisure by clicking the banner below.  The questions here are taken directly from listeners from Healthy Matters show #480, March 25, 2018.

I’m going to scatter pictures of our newly-opened Clinic and Specialty Center, which is a state-of-the-art medical facility in downtown Minneapolis.  Cool to see a new medical facility that still has that “new clinic” smell – ha!

Continue reading

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Posted in Dental, Geriatrics and aging, HCMC, Infections, Physical Therapy, Primary Care, Quick tips, Tips from Healthy Matters radio broadcast, Traumatic Brain Injury | Tagged , , , , , , | Leave a comment

The connection between weight and heart disease

We all know that being overweight is probably not good for our health.  It seems to make intuitive sense and there is ample scientific data that says losing weight is good for you in the long run.  But there are many uncertainties.  One of the unanswered questions is how best to measure body fat and how best to correlate being overweight with long-term disease.

This past week there was a big study published out of Europe that tried to address these issues.  In this post I’m going to break it down for you and see if there is anything we can learn from this study.  As always,  it is important to note that this is just one observational study, which means that it simply looks at a large population of people and attempts to observe a specific medical outcome (in this case, heart disease) with a specific condition (in this case being overweight).  It can’t prove cause and effect!

Consider this post a “mini-Medical School” in which I’ll walk you through a medical research study.  It may get a bit nerdy.  Here we go.

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Posted in Cardiology, Diet and exercise, Medical research | Tagged , , | 1 Comment