ARME Radio
Methodology matters, diabetes, and more with Dr. Deidre Tobias

Methodology matters, diabetes, and more with Dr. Deidre Tobias

October 11, 2021

For episode 38, Dave and Mike are joined by Dr. Deirdre Tobias, an obesity and nutritional epidemiologist at the Brigham and Women's Hospital and Harvard Medical School in Boston. She received her doctorate and postdoctoral training at the Harvard T.H. Chan School of Public Health. Her research focuses on the role of diet and lifestyle for obesity and its major chronic diseases, including gestational diabetes and type 2 diabetes, and has been published in leading peer-reviewed journals including the New England Journal of Medicine and Journal of the American Medical Association. She contributes to the development and analyses of healthful dietary patterns, metabolomics, and nutrition epidemiologic methods, and is co-Instructor of Nutritional Epidemiology at the Harvard.. Dr. Tobias was appointed the Academic Editor for the American Journal of Clinical Nutrition in 2019.

The discussion in today’s episode revolves around Dr. Tobias’ work as an epidemiologist. We discuss the difficulties that can arise in nutritional epidemiology, and what makes a good epidemiological study. From there, we discuss further how to appraise studies as a clinician. She also brings forth her wealth of knowledge on risk reduction and management for diabetes, her thoughts on the GI Index and other confounding variables, and the role of ultra-processed foods in diet induced weight gain. We finish the discussion by talking about physical activity as an intervention to reduce the risk of developing gestational diabetes in pregnant populations.

Find Dr. Tobias here:

https://twitter.com/deirdre_tobias?lang=en

https://www.hsph.harvard.edu/deirdre-tobias/

As per usual, for all other information and resources, be sure to visit us at www.thearme.ca , give our instagram page a follow @thearme.ca and we hope you enjoy today’s episode!

More Bees, More Knees with Erik Meira DPT

More Bees, More Knees with Erik Meira DPT

September 28, 2021

We are excited to be joined by Dr. Erik Meira, DPT. Erik is a consultant physical therapist in Portland, Oregon. He is a Board Certified Sports Clinical Specialist and an NSCA Certified Strength and Conditioning Specialist with extensive experience in the management of sports injuries at many different levels. He also created and oversees the PT Podcast Network.

In today’s episode, Elliott and Ben sat down with Dr. Meira for a lengthy session. Topics include incorporating evidence into practice, understanding patient values and how this sits in the evidence based funnel, and then dives into some pragmatic information on ACL and patellofemoral pain management, including conditioning and testing methods. Finally, we hear a great take on how economics and incentives may be barriers when it comes to offering high quality and ethical therapy.

Evidence Based Funnel Pre-Print: https://osf.io/preprints/sportrxiv/kr6aq/

Website: https://thesciencept.com/

For more information and resources, be sure to visit us at www.thearme.ca 

Intro and outro music "Overjoyed" by Lakey Inspired: https://soundcloud.com/LAKEYINSPIRED 

The muscle episode with Dr. Stuart Phillips

The muscle episode with Dr. Stuart Phillips

August 8, 2021

For today’s episode, Ben and Mike are joined by Dr. Stuart Phillips, a Professor in the Department of Kinesiology at McMaster University and a Tier 1 Canada Research Chair in Skeletal Muscle Health. He is Director of the Physical Activity Centre of Excellence (PACE) and the McMaster Centre for Nutrition, Exercise, and Health Research, and Lab Lead for the Exercise Metabolism Research Group. Stuart's research is focused on the impact of nutrition and exercise on human skeletal muscle protein turnover. He is keenly interested in diet- and exercise-induced changes in body composition. Stuart believes that a little bit of exercise is better than no exercise, and aims to encourage more physical activity in older adults. He has more than 24,000 career citations, and 220 original scientific research and review papers.  

 

The theme of this discussion is skeletal muscle. You’ll be hearing about building muscle mass, physical activity, some myths involved in the realm of muscle hypertrophy, and the show finishes off with a big discussion on sarcopenia. No matter the populations you may be working with in a clinical or strength setting, you’ll learn something useful from this episode.

 

Intro song credit: Warm Nights by Lakey Inspired

Mike goes to medical school - An ARME Radio special episode

Mike goes to medical school - An ARME Radio special episode

July 25, 2021

Today’s episode is a little different, and special for the ARME crew. This episode was shot a few months back, shortly after our very own Mike Edgar was accepted to the University of Illinois College of Medicine. As we speak now, Mike is already settled in Chicago preparing for his first year of medical school.

In the following minutes, we take this opportunity to discuss the trials and tribulations of applying to medical school for a mature student. Mike gives all his advice to those interested in following a similar path, going over his preparation process, the mental stress involved, as well as the financial considerations. Even for those who may not have an interest in going back for another decade of education, it is an interesting discussion shedding light on the commitment it takes to get accepted to medical school. 

As for our usual content, we will be returning with more great interviews on our typical biweekly schedule, with some big names and interesting topics coming your way.

As per usual, For all other information and resources, be sure to visit us at www.thearme.ca , give our Instagram page a follow @thearme.ca and we hope you learn lots and enjoy today’s episode.

The not so tragically hip with Dr. Mike Reiman

The not so tragically hip with Dr. Mike Reiman

June 25, 2021

In this episode, Ben and Elliott sit down with Dr. Mike Reiman. Mike is an active clinical researcher, educator and physiotherapist. He completed his doctor of physical therapy at Massachusetts general hospital institute of health professions in 2008, and completed his PhD at Copenhagen University in Denmark, in 2018. He is a co-author of the textbook Functional testing in human performance, and has written 8 chapters on orthopedic examination, intervention and strength training. His current research focuses on performance enhancement, low back and hip pain and evidence-based examination and intervention of the hip joint. He is currently a professor at Duke University.

This episode brings a pragmatic discussion on hip pathologies and pain. Mike starts by giving his thoughts on continuing education after finishing school, and then transitions to topics on the hip including overmedicalization and special tests, determining who might be good surgical candidate, differentiating hip pathologies from developmental and sport specific adaptations, and finishes things off by sharing his approach at rehabbing individuals dealing with hip pain. The discussion turned into a great resource for those wanting to know more about assessing and managing hip pain.

Building the next generation with Derek Miles

Building the next generation with Derek Miles

June 13, 2021

In this episode, we sit down with Derek Miles. Derek is a residency trained physical therapist currently out of Cincinnati, Ohio, and is on Barbell Medicine’s pain and rehab team. He has worked at Stanford Children’s Hospital as the Advanced Clinical Specialist in the rehabilitation department and at the University of Florida for 10 years in sports medicine, treating a variety of athletic injuries from overuse to post-operative. He is involved in the peer reviewed process for academic journals and has spoken at national level conferences within the physical therapy profession on topics from utilization of resistance training in the rehabilitation of endurance athletes to post operative hip progressions.

We focus our discussion around adolescent populations. We discuss the importance of communication with younger athletes, the benefits and risks of resistance training in youth populations, the pits of early sport specialization, relative energy deficiency syndrome, and we also discuss a side project of Derek’s called cooking with adhesions, where he demonstrates how strong the tissue of our body really are, and how we likely have negligible effects on modifying structures with our hands.

Health equity and diversity with Krystal Ripa

Health equity and diversity with Krystal Ripa

May 30, 2021

Krystal Ripa is a strategist and innovation specialist in diversity-related and health equity initiatives. She currently serves as the Director of Special Admissions Programs at a smaller US allopathic medical school and is about to finish her PhD in Curriculum, Instruction, and the Science of Learning at the University at Buffalo. Her research aligns admissions strategies to directly respond to the anticipated physician shortages in primary care which have a domino effect on underserved communities and marginalized populations.  Krystal is also a wife and mom of two wee ones. She prides herself on breaking down the complexities to get into medical school from A to Z for any hopeful future medical student and works hard to expose any hidden rules of engagement in the usual cumbersome process.

We talk about the concept of health equity, the burden on primary physicians and how other professions may be able to help, the utilities and limitations of telehealth in access to healthcare, physician burnout, among many other interesting topics.

For all other information and resources, be sure to visit us at www.thearme.ca , give our instagram page a follow @thearme.ca 

Feel free to reach out to Krystal: smithkry@upstate.edu

Level Up with Zak Gabor, DPT

Level Up with Zak Gabor, DPT

May 9, 2021

In this episode, we sit down with Zak Gabor, founder of the Level Up Initiative and a physiotherapist at Boston PT and wellness. Level up is an online platform dedicated to driving positive change into healthcare through mentorship of students and new graduates in musculoskeletal healthcare professions. The mentorship program is centered around four main components which include developing a growth mindset, critical thinking, listening skills and working on communication, not only just with patients, but with colleagues and other professionals.

As you’ll see through the discussion, Zak realized pretty early on in his career that the clinical experience is not as black and white as presented through conventional streams of education. As many of our faithful listeners know, we present things differently at ARME, and try to promote critical thinking and present up to date information rooted in the best available literature. Level Up, has been doing similar work for a number of years now, but also offer a free mentorship program, where students and new graduates can surround themselves with other keen individuals and develop a better mind set and soft skills as clinicians. 

Zak touches on a number of topics in the following minutes, including his path and why he started Level Up, where he thinks education could improve for the next generation of therapist, some examples of early mistakes, and how he would reframe these circumstances, and the importance of putting together a cohesive team. We also end the show on an optimistic note, talking about how many up and coming individuals and groups are pushing critical thinking and evidence-based content to forefront of social media.

Level Up: https://www.thelevelupinitiative.com/

Registration: https://thelevelupinitiative.mykajabi.com/mentee-signup

Level Up Instagram: https://www.instagram.com/thelevelupinitiative/

Zak Instagram: https://www.instagram.com/zakgabor.dpt/ 

Visit us at www.thearme.ca for more resources and information!

Stay Slow, Continue to Grow with Marie Spano

Stay Slow, Continue to Grow with Marie Spano

April 25, 2021

We were joined by Marie Spano, one of the leading sports nutritionists in the United States. She is the consulting sports nutritionist for the Atlanta Braves, and has previously worked with the Atlanta Falcons, the Hawks and the Thrashers. She is known for solving complex problems from severe muscle cramping to gastrointestinal issues, and helping professional athletes with performance. Marie was the lead author for the textbook Nutrition for sport, exercise and health and has authored several other book chapters. She graduated with her masters in nutrition from the University of Georgia.

In the episode, we talk about a wide variety of topics including her strategies for educating people on the topic of nutrition, how she changes her approach with professional athletes of a variety of sports, the importance of sleep on performance and health, how other healthcare practitioners can approach educating their patients when asked about nutrition, the etiology and management strategies she uses for muscle cramping, and we finish off the episode with her thoughts on red flags to look for when working with a nutritionist.

Website: https://www.mariespano.com/

Socials: https://www.instagram.com/mariespano/

 

The one about chronic pain with Dr. Demetry Assimakopoulos

The one about chronic pain with Dr. Demetry Assimakopoulos

April 11, 2021

Returning in this episode is Dr. Demetry Assimakopoulous, a chiropractor and teacher who works in the realm of chronic pain. Demetry works at the pain and wellness center in Toronto, Ontario, working primarily with individuals dealing with chronic pain, in one of the only funded programs in the country. He lectures at academic institutions and for other organizations on the topic of interdisciplinary management of chronic pain. He also teaches a chronic pain diagnosis and management course, available to healthcare providers. 

 

In the episode, Elliott sits down with Demetry to talk about the management of people living with chronic pain, phenotyping pain characteristics to better address a person’s individual needs, the importance of exercise and graded exposure in treating chronic pain, and discusses practical strategies clinicians may consider when working with someone living with chronic pain.

 

Demetry's Chronic Pain Management Course: https://msk-plus.ca/?page_id=213

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