The Checkup

A health podcast produced by WBUR in partnership with Slate. Subscribe on iTunes here.

RECENT POSTS

Latest Checkup Podcast: Teen Zombies, From Sleep To Porn To Impulsive Choices

(Photo: Hypnotica Studios Infinite, Flickr Creative Commons)

(Photo: Hypnotica Studios Infinite, Flickr Creative Commons)

News bulletin: Teens are … different. They’re caught betwixt childhood and adulthood, but they’re no simple hybrid of the two — they can sometimes seem more like a separate species.

In the latest episode of The Checkup podcast, we explore three important aspects of the adolescent mind:

• Do you beg your teenager to go to sleep earlier so he or she can function? Well, it turns out they physically can’t do that, explains Dr. Marvin Wang, a pediatrician at Massachusetts General Hospital on a mission to make school start times later.

• Also, why adolescent brain development is the culprit behind so much bad (and sometimes law-breaking) decision-making and reckless behavior.

• And, a sex therapist talks about how Internet porn can sabotage a teenager’s ability to have a normal romantic relationship.

In case you missed other recent episodes: “Power to the Patient” looked at ways we can all feel in more control of our health care; “High Anxiety” explored hormones, parenting and fear of flying; and “Sexual Reality Checks” examined penis size, female desire and aging.

But lists get tedious — why not just subscribe?

Each week, The Checkup features a different topic — previous episodes focused on college mental health, sex problems, the Insanity workout and vaccine issues.

If you listen and like it, won’t you please let our podcasting partner, Slate, know? You can email them at podcasts@slate.com.

The Checkup: How Patients Can Try To Take The Power Back

It doesn’t help, of course, to be half-naked or in a bottom-baring johnny. But even when fully clothed, we patients — and we’re pretty much all patients at some point — often feel powerless or uncharacteristically passive in our encounters with the health care system.

In the latest episode of our WBUR/Slate podcast, The Checkup, we explore three strategies to help you take charge of your medical experience:

• How to be a better medical shopper in terms of both cost and quality: Tips and insights from Dr. Don Goldmann of the Institute for Healthcare Improvement.

• Telling your own medical story can help you heal, say Dr. Annie Brewster and Prof. Jonathan Adler of Health Story Collaborative.

• Also, medical informatics whiz Dr. Isaac Kohane talks about pushing the “blue button” to gain real control of your own medical data.

In case you missed other recent episodes: “High Anxiety” looked at hormones, parenting and fear of flying; “Sexual Reality Checks” examined penis size, female desire and aging;  and “Grossology” included a look at the first stool bank in the nation and research on the benefits of “bacterial schmears” from a mother’s birth canal. )

But lists get tedious — why not just subscribe?

Each week, The Checkup features a different topic — previous episodes focused on college mental health, sex problems, the Insanity workout and vaccine issues.

If you listen and like it, won’t you please let our podcasting partner, Slate, know? You can email them at podcasts@slate.com.

‘The Checkup’ Podcast On Aspects Of Anxiety: High, Parental And Hormonal

Screen shot 2013-08-01 at 9.39.48 AM

Extra, extra, get your hot-off-the-presses new episode of The Checkup, the health podcast that WBUR produces in partnership with Slate, here! It explores three different aspects of that incredibly common (especially among CommonHealth co-hosts) psychiatric disorder: anxiety.

First, we get into Rachel’s fear of flying and how she (sort of) overcame it. For a fuller story, she wrote about it here, but the saga continues.

Then, we speak with Harvard Medical School’s Mohammed Milad about his research on an intriguing hormone-based hypothesis that might help explain why so many more women suffer from fear and anxiety disorders than men. For more, see Rachel’s full interview with him: “Why Do So Many Women Have Anxiety Disorders? A Hormone Hypothesis“.

And finally, we talk about parental anxiety and how we can try to manage it better through mindfulness techniques, featuring a recent book on the topic — “The Mindful Way Through Anxiety” — by Suffolk University professor Sue Orsillo. For more, the book’s website is here, a sample chapter is here, and please stay tuned for a post with the full interview.

Each episode, The Checkup features a different topic — previous episodes focused on college mental health, sex problems, the Insanity workout and vaccine issues.

And in case you missed our most recent episodes: “Grossology” included a look at the first stool bank in the nation and research on the benefits of “bacterial schmears” from a mother’s birth canal — you can listen here. And “Sexual Reality Checks” busted myths about penis size, aging and female sexuality — it’s here.

If you listen and like it, won’t you please let our podcasting partner, Slate, know? You can email them at podcasts@slate.com.

Sexual Reality: The Checkup Podcast Debunks A Few Myths (Like Size And Age Matter…)

Possibly our juiciest segment yet, the latest installment of The Checkup podcast, our joint venture with Slate, takes on some sexual myths and offers a bit of reality.

We bring you surprises about penis size, stories of great sex over 70 and new insights on how both men and women are lied to about their sexuality. As we have in past segments, Carey and I offer our fresh take on research-based news that could brighten up your life below the waist. Check it out here:

And in case you missed our last episode, “Grossology” (including a look at the first stool bank in the nation and research on the benefits of “bacterial schmears” from a mother’s birth canal) — you can listen now.

And if you want to hear earlier episodes: “Scary Food Stories” includes the tale of a recovering sugar addict and offers sobering news to kale devotees. And “On The Brain” includes fascinating research on dyslexia, depression and how playing music may affect our minds.

Make sure to tune in next time, when we present: “High Anxiety,” an episode on the (arguably) most prevalent of mental health disorders.

Each week, The Checkup features a different topic — previous episodes focused on college mental health, sex problems, the Insanity workout and vaccine issues. If you listen and like it, won’t you please let our podcasting partner, Slate, know? You can email them at podcasts@slate.com.

The Checkup: ‘The Grossology’ Episode — Or, How Disgusting Can Be Healthy

Bottles of frozen human stool for fecal transplants at the nation's first stool bank, OpenBiome. (Photo: Gabrielle Emanuel/WBUR)

Bottles of frozen human stool for fecal transplants at the nation’s first stool bank, OpenBiome. (Photo: Gabrielle Emanuel/WBUR)

Warning: Things get a little messy — well, maybe even slightly disgusting — in the latest episode of our CommonHealth podcast, The Checkup.

We call this episode “Grossology,™” and it’s rife with bacteria and dirt and even, to convey the smelly reality in elegant French, merde.

But it’s actually quite a heartening look at how yuck-factor stuff may be good for you, whether you’re a baby or a patient with a resistant infection. Or at least, not as bad as you might think.

“Grossology” begins with Rachel’s look at the first stool bank in the nation, launched by an MIT microbiologist. (Did you know that the great bacterial world inside your body is kind of like a rainforest?)

It also describes research into what we call the “bacterial schmear” — whether babies born by Cesarean sections might benefit from being wiped with some of the bacteria they would have picked up in their mothers’ birth canals. And it will offer some solace to parents who feel guilty about “cleaning” their babies’ pacifiers by popping the binkies into their own mouths. You know who you are.

And in case you missed our recent episodes: “Scary Food Stories” includes the tale of a recovering sugar addict and offers sobering news to kale devotees. And “On The Brain” includes fascinating research on dyslexia, depression and how playing music may affect our minds.

Make sure to tune in next time, when we present: “High Anxiety,” an episode on the (arguably) most prevalent of mental health disorders.

Each week, The Checkup features a different topic — previous episodes focused on college mental health, sex problems, the Insanity workout and vaccine issues. If you listen and like it, won’t you please let our podcasting partner, Slate, know? You can email them at podcasts@slate.com.

Note: Grossology is a registered trademark of Penguin Group.

A Podcast For Your Brain: The Checkup, Episode 8

It’s the only organ in the human body that tries to understand itself (though not always successfully).

Still, the brain is on our brains in the latest episode of The Checkup, our recently relaunched health news podcast, a joint venture between WBUR and Slate.

Can you enhance your brain through music? Detect dyslexia even before kids learn to read? Alleviate the symptoms of deep depression with a brain implant?

Carey and I explore these and other questions as we delve into some of the latest advances in brain research.

And in case you missed our last episode, “Scary Food Stories,” where we tell the tale of a recovering sugar addict and offer sobering news to kale devotees, you can listen now, or download it anytime.

Make sure to tune in next week, when we present: “Grossology,” an episode on how the dirty corners of your life might benefit your health.

Each week, The Checkup features a different topic — previous episodes focused on college mental health, sex problems, the Insanity workout and vaccine issues.

We’re Baaack! CommonHealth Podcast ‘The Checkup’ Relaunches With Slate

(From Panoply.fm)

(From Panoply.fm)

“Refreshing.” “Science-based.” Free of “whiney snotty affectedness.” These are some of the glowing terms iTunes reviewers used to describe our first six episodes of “The Checkup,” a 2013 health podcast WBUR produced in partnership with Slate. (Oh, come on, yes we are hip enough to work with Slate.) The Checkup even won a prize from the Society for Professional Journalists.

Now, we’re thrilled to announce that The Checkup is back, still produced in partnership with Slate but now part of the new podcast network Panoply. To subscribe, you can use iTunes or go to Panoply.fm, where you can scroll down and click on the image circled above.

What do you get for your money? Well, it’s no money. It’s free. And you get typical CommonHealth style — what we call “solidly reported and somewhat opinionated” — in audio form. Our first episode of the relaunch is titled “Scary Food Stories,” and includes tales you may have missed of how food can mess you up. It features our most viral post ever — Rachel’s “The Dark Side Of Kale (And How To Eat Around It)” — along with a cautionary tale of chia choking and far more frightening exploration of sugar addiction and its effects.

Update: “Scary Food Stories” is now available. Listen below:

Coming up soon in future episodes: “Grossology” — from stool banks to C-section bacteria; “On The Brain,” including new science on dyslexia and depression; and a different look at pain.

And in case you missed the previous episodes, they’ve got shelf life and are still worth a listen, on topics that include college mental health and “below the waist” disorders. Listen at your leisure but we hope you’ll subscribe now — at Panoply.fm or via iTunes.

The Checkup: Talking Back To Your Doctor

Welcome to the The Checkup. Our sixth episode “Talking Back to Your Doctor,” opens with a question: Why do so many of us find it so hellishly hard to speak freely with our doctors? What is it about a white coat that makes even normally assertive people clam up?

(To listen to The Checkup now, click on the arrow above; to download and listen later, press Download; and to get it through iTunes click here.)

We begin with the dramatic story of Alicair Peltonen, an administrative assistant diagnosed with a rare cancer who had to have a chunk the size of a baseball removed from her thigh. Throughout her medical saga, she found that she often had urgent questions echoing in her mind, but felt too inhibited to voice them. She set out to find out why. The Checkup

We speak with Dr. Jo Shapiro of Brigham and Women’s Hospital in Boston about what she calls “Conversation Deficit Disorder” among doctors. And we hear from Dr. Annie Brewster, who has special insight into doctor-patient communication because she’s both a practicing doctor and a multiple sclerosis patient who decided not to follow her doctor’s recommendations about taking a particular medication.

Each episode of the Checkup features a different topic—previous topics included college mental health, sex problems, the Insanity workout and vaccine issues.

This is the closing episode of our first season of The Checkup. Please tell us what you liked and disliked and what you want more of. Like CommonHealth on Facebook or drop a note to podcasts@slate.com.

We’ll keep you posted here on all our plans for future podcasts.

The Checkup On Shots: Vaccine Updates, Facts And Fictions

Somehow, over the last few years, one of modern medicine’s greatest achievements has turned into one of modern American parents’ most fraught subjects.

In this episode of The Checkup, our podcast on Slate, we offer Shots: Vaccine Facts And Fictions, in which we attempt to have a rational, fact-based discussion about some of the vaccines you may encounter in the immediate future: the flu vaccine and, if you have pre-adolescent children, the HPV vaccine.

(To listen to The Checkup now, click on the arrow above; to download and listen later, press Download; and to get it through iTunes click here.)

This year’s flu vaccines offer consumers more choices than ever: there’s a nasal version, a quadrivalent (four-strain) option, a “short-needle” option and an egg-free vaccine for people with allergies, among others. And even though it still feels like summer in some parts of the country, doctors are urging people to get their flu shots early.

The HPV vaccine was introduced seven years ago but, according to the CDC, only about half of girls are getting one or more doses, and only about one-third are getting the full three-dose course. This despite word from public health officials that it’s highly effective for preventing HPV — the most common sexually transmitted infection in the U.S. and a principal cause of cervical cancer — and so far, pretty safe. (It’s recommended for boys as well as girls, both because boys can spread HPV and because there’s a notable rise in HPV-related cancers in older men. See: Michael Douglas and oral sex. )

Doctors say a variety of obstacles stand in the way of more widespread use of the HPV vaccine. There remains the stigma of a vaccine for a sexually transmitted infection.  Also, when you’re talking about an 11-year-old,  preventing cervical cancer may seem less urgent than, say, preventing measles. Finally, there’s a general sense of “vaccine fatigue” among parents bombarded with so many official recommendations and competing agendas.

 

For more info, check out this HPV fact sheet created by our intern, Rachel Bloom:

gardasil-fact-sheet-image

Readers, please let us know how you’re handling vaccines for your family this year. Anything we can learn from your experience?

The Checkup: Flunking The Insanity Workout But Coming Away Wiser

It’s getting embarrassing. Week after week, month after month, this post — Flunking The Insanity Workout But Coming Away Wiser — tends to top the WBUR Web traffic stats.

It’s no mystery why: The inescapable Insanity infomercials continue to populate the late-night TV airwaves, and viewers tantalized by their amazing before-and-after photos, and the charismatic energy of trainer Shaun T., proceed to google “Insanity workout” to try to discern whether the set of DVDs is really worth more than $140. And there, on the first Google search page, is our CommonHealth post, and the lively, long, occasionally rough exchange of pro-and-con comments that follow.

The CheckupThis week, The Checkup, our podcast on Slate, revisits the Insanity workout, with a brief recap of Carey’s sad tale of flunking it and additional wisdom from experts. In particular, we spoke with Dr. John Richmond, chair of orthopedics at New England Baptist Hospital, which specializes in orthopedics. The original post mentions fear of injury, but Dr. Richmond delves into the nitty-gritty of which particular moves are most dangerous, particularly for older exercisers.

And for an added dose of sanity, the podcast also features Dr. Eddie Phillips, director of the Institute of Lifestyle Medicine, and his data-driven depiction of the overwhelming health benefits of exercise — even in far lower doses than you might expect.

(To listen to The Checkup now, click on the arrow above; to download and listen later, press Download; and to get it through iTunes click here.)

Below, a full transcript of Dr. Richmond, lightly edited:

CG: So I hear that orthopedic specialists are often very grateful to workouts like Insanity because they send you a lot of customers. Is that true?

JR: It definitely drives business. There’s no question that there are a number of people that end up in offices and actually, ultimately in operating rooms because they’ve torn things or worn things out by doing over-aggressive exercise.

So what would be your top tips of what to avoid?

There’s a couple. One that we see a lot of is lunges, or deep-knee bends, deep squats . . . Continue reading