Ep 111 – A New Model for Primary Care with Dr. Ken Rictor

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“Well, the one thing was the change in family medicine, and we started seeing family physicians being pushed out of the hospital systems in place of hospitalists.  And you had the decision to make whether you wanted to stay inpatient or you wanted to stay outpatient, and I chose to do outpatient, and that was fine, that was good, I thought I could make my biggest impact that way.   But where we really started seeing the changes was- it was taking more and more effort just to keep your head above water financially.  You had to see more people, you had more paperwork to do associated with that, more coding, more procedure coding, more regulations, more control of the insurance industry that was requiring you to do more and more to do the same job.  And so, I started seeing there’s going to be a critical mass here, there’s going to be a point where I cannot physically see as many people as I need to see and keep my head above water, as it would be.  And then there started to be a breakdown care, where I was not able to spend the time I wanted. I was habitually running an hour to an hour and a half late because I was trying to give that care and the system was not allowing me to do that.” – Dr. Ken Rictor

Dr. Ken Rictor is the founder, owner and sole physician at Scotland Family Medicine, a Pennsylvania-based family medicine practice using the Direct Primary Care (DPC) model.  Dr. Rictor graduated with honors from the University of Maryland Medical School in 1985 and completed his residency at the Washington Hospital in Washington, PA in 1988.

Upon the completion of his residency, Dr. Rictor immediately opened his own private practice and enjoyed helping a broad scope of patients as a family physician.  Over time, he witnessed the healthcare system making dramatic changes and the role family doctors becoming more limited, with many private practices being bought out by larger hospitals.   As insurance contributed to increasing costs, Dr. Rictor fought to keep up with increasing paperwork and overhead, and decreasing time with patients.

After 25 years of practice, he made the choice to convert  to a Direct Primary Care model in an effort to enhance his patients’ experience and reduce overall cost.  Since making the switch, he’s noticed an improved relationship with his patients, and his patients have benefited from high-quality, affordable care.

I sat down with Dr. Rictor after attending the Hint Summit in San Francisco to learn how he made the choice to switch to Direct Primary Care, the benefits he and his patients enjoy from this model of practice, and some of the commonalities he sees between CrossFit and DPC.

In this episode we discuss:

  • What led Dr. Rictor to pursue a career in medicine
  • His early experience with family medicine and the changes he’s seen in primary care and healthcare over his career
  • How he saw other family practitioners changing their practice and shifting towards salaried positions at hospital-owned practices
  • How Dr. Rictor got into Direct Primary Care (DPC)
  • What is Direct Primary Care
  • How DPC works alongside insurance
  • The advantages of DPC for patients and physicians
  • The patient experience and costs of using a DPC model versus an insurance-based model
  • What making the transition to DPC was like for his practice and his patients
  • How Dr. Rictor heard about CrossFit and came to join an affiliate, and the changes he’s experienced since joining
  • His athletic background
  • The commonalities between Direct Primary Care and CrossFit
  • Where Dr. Rictor hopes to see primary care in the next 5-10 years
  • How people can find DPC practitioners
  • Three things Dr. Rictor does on a regular basis that have the biggest positive impact on his health
  • One thing he struggles to implement that could have a big impact on his health
  • What a healthy life looks like to Dr. Rictor

You can follow Dr. Rictor on Facebook and on YouTube at Curbside Consult with Dr. Ken Rictor.

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If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating. I’d love to hear your feedback in the comments below and on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health every other Tuesday.

This episode is brought to you by Thrive Market. By cutting out the middle man, Thrive Market delivers your favorite healthy food and lifestyle products to your doorstep at 25-50% lower cost than you would spend in the grocery store. Visit http://www.thrivemarket.com/ph to receive an exclusive offer from Thrive Market for being a listener of Pursuing Health: 25% off your first order + a free 30 day trial!

This episode is also brought to you by Siete Foods. When Veronica Garza was facing a series of major health challenges as a teenager, her entire family of seven jumped on board to help. Together, they adopted a low-inflammation, grain free diet. As a Mexican-American family living in south Texas, they couldn’t imagine life without tortillas and it wasn’t long before Veronica came up with a delicious solution and Siete Foods was born. Visit www.sietefoods.com to try some of their delicious grain-free, dairy-free and paleo-friendly tortillas, tortilla chips, quesos, and hot sauces yourself and use code Julie19 for 10% off your order.

Disclaimer: This podcast is meant to share the experiences of various individuals. It does not provide medical advice, and it is not a substitute for advice from your physician or health care professional.

 


Ep 110 – Kara Saunders on CrossFit and Expecting Baby She-Bear

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“But I had been working very closely on- holistically- on keeping my hormones and all those types of things- that’s always been really important to me- on keeping those kinds of things where they should be.  And so, then I kind of wasn’t surprised, but I still thought, “Oh how on Earth is my body capable of that after a grueling CrossFit Games week?” But then I was also… I was pleasantly surprised and really excited and I went, “Okay, this is obviously where I’m supposed to be for now.” And I thought, “I’m pretty sure I’m going to want to compete again, but I’m just gonna take it day by day,” because you don’t know how it will play out.  And I’ve just done that really since it happened.  You know, I just promised myself that I would accept and enjoy where I’m at and not sort of focus on where I’ve been or where I’m going to be, and just kind of enjoy the process and be grateful for the fact, for one, that I even have the capability of being pregnant because that can a feat in itself.” – Kara Saunders

Kara Saunders is a seven-time CrossFit Games veteran with four top-10 finishes under her belt, including 2nd place in 2017 and 4th place in 2018.  Growing up as an only child until the age of 13, she naturally found herself turning to sports for entertainment, her favorite being swimming.  At 19, a personal trainer introduced her to CrossFit, and Kara’s raw talent, hard work, and discipline quickly led her to success in the sport.

Not only is Kara a decorated Games athlete, in 2017, she also became an affiliate owner, opening the doors to CrossFit Kova, in Brisbane, Australia, where she resides with her husband Matt.

These days, Kara is taking a different approach to her training- shortly after the 2018 Games, she became pregnant with her first child.  We caught up to discuss what it’s like to make the transition from competitive athlete to expectant mother, the training and nutrition practices Kara is applying to foster a healthy pregnancy, and how Kara is drawing from her CrossFit Games experience to balance the stress of being a business owner and first-time mom.

In this episode we discuss:

  • Where Kara is currently at with her pregnancy, and what her experience has been like thus far
  • Managing her hormones and the impact of stress on her menstrual cycle while training for the Games
  • How Kara’s mindset has shifted now that she’s no longer training at a competitive level
  • Her approach to training during her pregnancy
  • Kara’s approach to nutrition throughout her pregnancy and how that differs from when she was competing
  • The other lifestyle tools Kara is using to help manage pregnancy symptoms
  • Kara’s favorite highlights from her competition career
  • How preparing for the unknown and unknowable of the CrossFit Games helped her prepare for pregnancy
  • What’s new with Kara: moving her affiliate, her house, and continuing her education
  • A typical day for Kara
  • Three things she does on a regular basis that have the biggest positive impact on her health
  • One thing she struggles to implement that could have a big impact on her health
  • What a healthy life looks like to Kara

You can follow Kara on YouTube and Instagram.

Links:

Related Episodes:

If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating. I’d love to hear your feedback in the comments below and on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health every other Tuesday.

This episode is brought to you by Thrive Market. By cutting out the middle man, Thrive Market delivers your favorite healthy food and lifestyle products to your doorstep at 25-50% lower cost than you would spend in the grocery store. Visit http://www.thrivemarket.com/ph to receive an exclusive offer from Thrive Market for being a listener of Pursuing Health: 25% off your first order + a free 30 day trial!

This episode is also brought to you by Siete Foods. When Veronica Garza was facing a series of major health challenges as a teenager, her entire family of seven jumped on board to help. Together, they adopted a low-inflammation, grain free diet. As a Mexican-American family living in south Texas, they couldn’t imagine life without tortillas and it wasn’t long before Veronica came up with a delicious solution and Siete Foods was born. Visit www.sietefoods.com to try some of their delicious grain-free, dairy-free and paleo-friendly tortillas, tortilla chips, quesos, and hot sauces yourself and use code Julie19 for 10% off your order.

 

Disclaimer: This podcast is meant to share the experiences of various individuals. It does not provide medical advice, and it is not a substitute for advice from your physician or health care professional.


Ep 109 – All About Functional Medicine with Dr. Elizabeth Bradley, Medical Director of the Cleveland Clinic Center for Functional Medicine

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So, [with] functional medicine we look at the root cause of why someone has a chronic disease or illness, and we dive much deeper in looking at not only lifestyle which is the fundamental basis of it.  So, looking at sleep, nutrition, exercise, relationships. And then trying to see if there’s other environmental toxins, genetic underpinnings, that could be making the patient ill at that moment. And then look back to see, because we always find that it’s compounded. I always find they’re so multiple, it’s not just one thing typically, and so we see a lot of autoimmune diseases, a lot of gastrointestinal diseases.  But a lot of times it could have been trauma earlier in someone’s life.  And then studies are now showing [that] early trauma is increasing the risk of autoimmune diseases later in life.  So, what we’re doing is really diving much deeper and we call it a different lens than what I might have done when I was an internist. – Dr. Elizabeth Bradley

In July 2017, Elizabeth Bradley, MD, stepped into her role as Medical Director of the Cleveland Clinic Center for Functional Medicine.  She brought with her a wealth of knowledge and experience as a dietitian, internist, and a certified Functional Medicine physician.

Dr. Bradley earned her undergraduate and graduate degrees in nutrition from Cornell University and Tufts University, respectively. She started her career as a clinical dietitian at Massachusetts General Hospital, but after 6 years decided she wanted to pursue further training as a physician.  She went on to earn her medical degree and complete residency training in Internal Medicine at Dartmouth.

After years of practicing Internal Medicine, Dr. Bradley’s passion for nutrition led her to find Functional Medicine and ultimately brought her to the Cleveland Clinic to direct the nation’s first academic Center for Functional Medicine.  In her role as Medical Director, Dr. Bradley is able to support the advancement of Functional Medicine through research and education while helping patients achieve optimal health through a multi-faceted approach.  She has truly come full circle and enjoys practicing as a physician that starts by using the premise that food is medicine.

I recently sat down with Dr. Bradley to chat about all things Functional Medicine, from how her own career path led her to where she is today, how the Center for Functional Medicine has evolved over the past 5 years and it’s role in bringing a Functional Medicine approach to the mainstream, and how interested practitioners and patients can become involved.

Dr. Bradley’s bio was adapted from clevelandclinic.org

In this episode we discuss:

  • Dr. Bradley’s background and how she became interested in nutrition
  • How her nutrition experience influenced her time in medical school and her internal medicine practice
  • How Dr. Bradley got into functional medicine training
  • A general overview of functional medicine
  • Starting a functional medicine practice in a traditional medical setting
  • The evolution of the Cleveland Clinic Center for Functional Medicine
  • How Dr. Bradley approaches someone who doesn’t understand the value of functional medicine
  • Research the Cleveland Clinic is working on to support functional medicine
  • Group visits: how they work, and their advantages and benefits
  • How Dr. Bradley sees functional medicine fitting into a primary care setting
  • Some of the challenges of collaborating with other medical departments
  • The differences between complementary, integrative, alternative and functional medicine
  • Her advice to patients who are interested in pursuing functional medical care
  • How practitioners can become involved in functional medicine
  • Bradley’s vision for the Cleveland Clinic Center for Functional Medicine
  • Three things Dr. Bradley does on a regular basis that have the biggest positive impact on her health
  • One thing she struggles to implement that could have a big impact on her health
  • What a healthy life looks like to her

You can follow Dr. Bradley on LinkedIn.

Links:

Related Episodes:

If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating. I’d love to hear your feedback in the comments below and on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health every other Tuesday.

This episode is brought to you by Thrive Market. By cutting out the middle man, Thrive Market delivers your favorite healthy food and lifestyle products to your doorstep at 25-50% lower cost than you would spend in the grocery store. Visit http://www.thrivemarket.com/ph to receive an exclusive offer from Thrive Market for being a listener of Pursuing Health: 25% off your first order + a free 30 day trial!

This episode is also brought to you by Siete Foods. When Veronica Garza was facing a series of major health challenges as a teenager, her entire family of seven jumped on board to help. Together, they adopted a low-inflammation, grain free diet. As a Mexican-American family living in south Texas, they couldn’t imagine life without tortillas and it wasn’t long before Veronica came up with a delicious solution and Siete Foods was born. Visit www.sietefoods.com to try some of their delicious grain-free, dairy-free and paleo-friendly tortillas, tortilla chips, quesos, and hot sauces yourself and use code Julie19 for 10% off your order.

Disclaimer: This podcast is meant to share the experiences of various individuals. It does not provide medical advice, and it is not a substitute for advice from your physician or health care professional.