Primary care

All right, on to the research.

We kick off with a really interesting paper in the BJGP titled Association of the NHS Health Check With All-Cause Mortality: A Longitudinal Cohort Study in Primary Care.

A couple of years ago, I got burned on the podcast because I made an assumption.

That was, if we're made to do something in GP, it must be for good reason.

And 64% were from the lowest two quintiles of economic deprivation.

Very different group from the UK Biobank.

They collected data from electronic primary care records between 2009 and 2023, and they extensively accounted for confounding factors.

The results showed that attendance at one or more NHS health checks was associated with a lower mortality, a 32% reduction in risk.

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Today's topic is blood pressure and lipid management in primary care.

Today we are joined by Professor Bruce Arrell, who is a GP and a Professor of Primary Health Care and General Practice at the University of Auckland and currently works as a GP at the Auckland City Mission.

Lovely to have you here with us, Bruce.

Great to be here, Helen.

According to a recent survey, most Americans are now skeptical of health guidance from anonymous online sources, as they should be.

The dilemma, though, is that not all primary care physicians are sufficiently prepared to answer their patients' food-related questions.

Back in 1985, the National Academy of Sciences urged medical students to require 25 hours of nutrition education for their students.

Over the last several years, Congress and the U.S. Department of Health and Human Services have also made similar pushes.

Using a simple setup in the clinic's waiting room, medical students working a juicer and hot plate lead healthy cooking demonstrations for patients before their appointments.

And the harvest from the parking lot garden stocks a free food pantry that's open to patients and the neighborhood.

Barry thinks these efforts have the power, little by little, to make people rethink how they eat, especially when paired with consistent advice from a primary care doctor.

As a counterpoint to the latest diet fads and supplements that claim to reverse aging,

Allora, allora, allora.

Stefan è un, ehm, physic-physician associate nonché responsa-responsabile, CEO in americano, di Iron Direct Primary Care, una clinica, ehm, per l'assistenza primaria, dovrebbe essere l'equivalente nostro italiano, in Florida.

Io lo definirei da esterno sulla nostra-- sulla base della nostra legislazione un medico di famiglia, un medico di medicina generale.

Ma Stefan, ti chiedo di darci una definizione di che cos'è un physician associate.

Sì, ok, quindi c'è un po' di differenza.

Ehm, ci descrivi in due parole tu come ti definisci, che tipo di approccio hai, che tipo di medico sei?

Eh, sono un medico di base che pratica primary care con anti-aging medicine.

E forse è una pratica unica anche qui in America, perché non è comune.