Your Checkup: Patient Education Health Podcast

Your lab portal lights up red and suddenly you are doing mental math on a creatinine value you have never thought about before. We get it and we see it all the time in clinic, so we built a clear guide to the three kidney tests that confuse people most: creatinine, eGFR (estimated glomerular filtration rate), and urine albumin or protein in the urine.

We start with what the kidneys actually do, down at the level of nephrons ...

A single executive order can spark a thousand headlines, but it can’t conjure new evidence into existence. We dig into the recent move to change childhood vaccine recommendations in the United States and why the American Academy of Pediatrics is pushing back with the same blunt message: the science hasn’t changed. If you’re a parent hearing “maybe the schedule isn’t safe,” we unpack what that cla...

Hi all, no new episode this week because we are on vacation! Feel free to enjoy any of our other episodes until next week :)

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Production and Content: Edward Delesky, MD, DABOM & Nicole Aruffo, RN

Artwork Rebrand and Avatars:

Vantage Design Works (Vanessa Jones)

Website: https://www.vantagedesignworks.com/

Instag...

The words you use to describe your health can either pin you down or set you free. We talk about patient-first language and why a small change from “I am” to “I have” can ease shame, reduce stigma, and make room for real problem-solving in both chronic illness and mental health.

We share how this shows up in everyday clinic conversations: diabetes versus “a diabetic,” obesity versus &ldquo...

We break down why Cyclospora spikes every summer in the United States and why contaminated fresh produce can cause days to weeks of watery diarrhea. We share what to watch for, what testing to request, and how to lower risk without swearing off fruits and vegetables.
• what Cyclospora is and why humans are the only known host
• why May through August is peak season due to oocyst maturation
• which foods show up most in out...

That moment when you stare into your medicine cabinet and think, “How did I end up taking all of these?” is more common than people admit and it’s loaded with meaning. We talk through the hidden emotions behind prescriptions: fear, identity, shame, and the quiet belief that needing medication means you failed. From our seats in primary care and nursing, we offer a calmer, more practical way to look at it: medicine...

Sunlight feels harmless until you zoom in far enough to see what it’s doing inside a single skin cell. Today we follow that path, from UVA and UVB radiation to DNA damage, then through the built-in systems your body uses to prevent skin cancer in the first place. We keep it plainspoken but accurate, because understanding the biology makes the prevention advice feel a lot less like nagging and a lot more like control.

W...

Cardio has been the default prescription for heart health for decades, but a growing body of evidence suggests we’ve been overlooking a major protective tool: strength training. We dig into a large, long-running research dataset that followed more than 117,000 women for nearly 15 years and found a powerful link between resistance training and lower heart attack risk. The number that stops people in their tracks: at least two ...

We break down Medicare’s brand-new GLP-1 Bridge Program and explain why headlines are both true and incomplete. We lay out the real eligibility rules, the $50 copay promise, and the smarter questions to ask so you and your clinician can find the right coverage pathway. 

• why Medicare historically excludes weight loss medications and what changed with modern obesity medicine 
• what the GLP-1 Bridge Progra...

The hardest part about antidepressants is often not the pill, it is the question you ask yourself before you ever bring it up: “Is this serious enough?” We think that question keeps too many people stuck. We are Ed Delesky (family medicine doctor) and Nicole Aruffo (nurse), and we walk through a clearer test: is depression or anxiety affecting your ability to live your life the way you want to live it?

We unpack ...

We break down migraines as a neurologic condition with a real brain-based chain reaction, not a character flaw or a one-off “bad headache.” We share practical prevention habits, how to track triggers, and how acute and preventive migraine medications fit together so you can walk into your next visit prepared. 

• what makes a migraine different from other headache types 
• common and less common migra...

A headline like “weight loss drugs may reduce breast cancer risk” grabs attention fast, but the real story lives in the fine print. We take you through a new Penn Medicine study that observed lower breast cancer rates among women with overweight or obesity who used GLP-1 medications, then we translate what that finding actually means in plain language. Observational data can reveal a signal worth studying, but it cannot...

That scary nutrition headline about preservatives and high blood pressure is everywhere right now and it’s easy to jump straight from “linked” to “proven.” We slow it down and do what we’d do in an exam room: look at what the study actually says, what it doesn’t say, and how to translate it into real-life choices that protect your heart without turning grocery shopping into a panic spiral.<...

Breathing out shouldn’t feel like pushing air through a straw, but for millions of people that’s the daily reality of COPD. We sit down and translate chronic obstructive pulmonary disease into plain English, starting with what the name really means and why the main problem is often getting air out, not just getting air in. If you’ve ever heard someone say they “can’t catch their breath,” we give ...

Cortisol is getting blamed for basically everything online, and we get why it’s tempting: it gives a neat explanation for feeling tired, stressed, bloated, or “off.” But as a family medicine doctor and a nurse, we want to bring the conversation back to what cortisol actually does, what real testing looks like, and why most people don’t need to treat normal life stress like a hormonal crisis.

From ther...

“Rare, deadly virus” is a phrase that can hijack your nervous system, especially after the last few years. We slow the whole story down and walk through what hantavirus is, why it’s trending again, and how to tell the difference between a serious public health investigation and a true pandemic threat.

We start with the headline that pulled hantavirus back into the spotlight: an unusual outbreak tied to a cr...

GLP-1 medications can feel like a Rorschach test online: one person calls Ozempic or Wegovy a miracle, another calls it miserable, and almost nobody explains what the “normal middle” looks like. We wanted to fix that with a practical walkthrough of what tends to happen after you start a GLP-1 receptor agonist, especially in those first weeks when you’re on a low dose and you’re wondering if anything is happe...

A medication that can support weight loss, lower diabetes risk, and protect your heart sounds almost too good to be true. So we get practical about the real decision: not “Do I want a GLP-1?” but “What problem am I trying to solve?” If the goal is better metabolic health, less sleep apnea burden, improved blood pressure, or a long-term plan for obesity as a chronic disease, the conversation changes fast.
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Ten extra calories a day. That’s it. That’s the kind of razor-thin margin that can quietly add a pound a year and it’s why so many people swear they “didn’t change anything” while the scale slowly drifted upward. We unpack the simple math behind the one pound rule, what the research shows across decades, and why the real story is rarely one dramatic habit. It’s a stack of tiny shifts: a lit...