# Diabetes — GCMD Library living collection

Everything in the library about diabetes — built automatically from dossiers that name it.

Updated: n/a · 4 episodes · 124 cited statements

## Episodes
### Surgical Management
- [Kanika Bowen-Jallow, MD and Faisal Qureshi, MD - 2024 Pediatric Bariatric Surgery Update Course](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958) — video · 19:25 · [machine version](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958.md)

### Evidence & Research
- [Adolescent Bariatric Surgery: Pediatric Obesity 2017](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371) — video · 32:47 · [machine version](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371.md)

### Patient & Family Education
- [Behind the scenes of podcast creation with Dr. Gregory Hall](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664) — podcast · 40:31 · [machine version](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664.md)

### Long-Term Care
- [Transition of Care - A general overview by Silja Kosolove](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652) — video · 21:33 · [machine version](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652.md)

## Chapters
- [0:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=0) Introduction and Study Overview (Ep 1)
- [4:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=240) Rationale for Aggressive Treatment and Mortality Risk (Ep 1)
- [8:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=480) Cincinnati FAS-5 Study Design and Retention (Ep 1)
- [13:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=780) FAS-5 Weight Loss Outcomes and BMI Trajectories (Ep 1)
- [17:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1020) Comorbidity Remission and Incidence Rates (Ep 1)
- [20:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1200) Residual BMI and Metabolic Harm (Ep 1)
- [23:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1380) Micronutrient Deficiencies in FAS-5 (Ep 1)
- [24:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1440) Swedish AMOS Study Design and Weight Outcomes (Ep 1)
- [28:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1680) AMOS Comorbidity Resolution and Complications (Ep 1)
- [30:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1800) Teen Labs Consortium: Current Status and Future Aims (Ep 1)
- [34:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=2040) Summary and Window of Opportunity (Ep 1)
- [0:01](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1) Introduction and the case against abrupt transfer (Ep 2)
- [3:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=180) Clinical and age considerations in transition (Ep 2)
- [7:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=420) Developmental stage and brain maturation (Ep 2)
- [12:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=720) Life circumstances and competing transitions (Ep 2)
- [15:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=900) System approach: Transfer versus transition (Ep 2)
- [18:20](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1100) Professional education and youth-friendly care (Ep 2)
- [20:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1200) Resources and team approach (Ep 2)
- [21:17](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1277) Closing summary (Ep 2)
- [0:00](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=0) Preoperative and Intraoperative ERAS Protocol (Ep 3)
- [6:25](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=385) Postoperative Care and Early Recovery (Ep 3)
- [13:43](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=823) Diet Advancement and Clinical Controversies (Ep 3)
- [0:00](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=0) Transition from TV to YouTube and content monetization (Ep 4)
- [2:44](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=164) Behind-the-scenes podcast production and technical challenges (Ep 4)
- [9:13](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=553) Formal interview segment and men's health discussion (Ep 4)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- FAS-5 study achieved 81% participation (58 of 74 eligible) at 8-year follow-up, mostly with in-person research visits. — Thomas Inge (clinical) [Ep 1 · 8:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=480)
- At 8-year mean follow-up, gastric bypass patients had a mean BMI decline of 29%. — Thomas Inge (clinical) [Ep 1 · 13:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=780)
- Baseline BMI strongly correlates (R=0.75) with follow-up BMI: patients starting with BMI in the 60s end above 40, while those starting in the 40s reach near-normal BMI. — Thomas Inge (clinical) [Ep 1 · 15:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=900)
- Remission rates at 8 years: 88% for diabetes, 64% for dyslipidemia, 75% for hypertension. — Thomas Inge (clinical) [Ep 1 · 17:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1020)
- Among those without baseline comorbidities, incidence rates were 0% for diabetes, 50% for dyslipidemia (small denominator), and 3 of 29 developed hypertension. — Thomas Inge (clinical) [Ep 1 · 18:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1080)
- Follow-up BMI predicts probability of hypertension, dyslipidemia, high CRP, high insulin, insulin resistance, and low HDL; higher residual BMI is metabolically harmful. — Thomas Inge (clinical) [Ep 1 · 20:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1200)
- At 8 years, FAS-5 cohort showed low iron stores with anemia, elevated PTH, and low vitamin D in substantial numbers. — Thomas Inge (clinical) [Ep 1 · 23:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1380)
- AMOS had high internal hernia rates due to unclosed mesenteric defects at laparoscopic gastric bypass; closing defects prevents this complication. — Thomas Inge (clinical) [Ep 1 · 29:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1740)
- Teen Labs enrolled 242 adolescents (161 bypass, 67 sleeve, 14 band) at 5 centers; median age now 24, with 203 completing 5-year visits (72% in-clinic, 17% field). — Thomas Inge (clinical) [Ep 1 · 31:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1860)
- Adding 33 sleeve gastrectomy patients to Teen Labs will provide 80% power to compare bypass vs. sleeve for outcomes including blood pressure, PTH, HDL, and BMI. — Thomas Inge (clinical) [Ep 1 · 32:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1920)
- Severely obese patients have greater bone mineral density due to loading; rapid weight loss after bariatric surgery drops bone mass, raising the question of whether it stabilizes or continues to decline (bariatric bone disease). — Thomas Inge (clinical) [Ep 1 · 34:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=2040)
- Operating earlier after diagnosis of severe obesity may yield lower residual BMI and better long-term metabolic outcomes. — Thomas Inge (opinion) [Ep 1 · 32:47](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1967)
- FAS-5 study had a residual mean BMI of 38 at 8 years, with many patients remaining severely obese; this residual obesity is metabolically harmful. — Thomas Inge (clinical) [Ep 1 · 32:47](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1967)
- The 33 new sleeve patients can be enrolled within a year from consortium sites with ongoing clinical follow-up, enabling long-term comparisons. — Thomas Inge (clinical) [Ep 1 · 32:17](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1937)
- Aprepitant is given in pre-op 1-2 hours prior to surgery and has become standard in patients with high risk for post-operative nausea — Kanika Bowen-Jallow (clinical) [Ep 3 · 1:30](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=90)
- Multiple preoperative pills given in pre-op area have not been observed in the stomach during intraoperative scoping — Kanika Bowen-Jallow (clinical) [Ep 3 · 2:00](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=120)
- DVT prophylaxis with Lovenox or subcutaneous heparin is administered at the start of the case, though practices vary greatly among surgeons — Kanika Bowen-Jallow (clinical) [Ep 3 · 3:00](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=180)
- Minimizing narcotics helps prevent postoperative nausea, achieved by running medications like propofol at low baseline during anesthesia — Kanika Bowen-Jallow (clinical) [Ep 3 · 3:49](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=229)
- Ondansetron is used in the OR prior to extubation, while aprepitant is given preoperatively in holding to achieve synergistic anti-emetic effect — Kanika Bowen-Jallow (clinical) [Ep 3 · 4:00](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=240)
- The number one concern after sleeve gastrectomy is nausea, retching, and vomiting — Kanika Bowen-Jallow (clinical) [Ep 3 · 4:30](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=270)
- Haloperidol is not used due to sedative effects that interfere with waking patients in the PACU — Kanika Bowen-Jallow (clinical) [Ep 3 · 4:44](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=284)
- Total daily acetaminophen dose should not exceed 4000 mg per day when combining IV and oral administration — Kanika Bowen-Jallow (clinical) [Ep 3 · 5:10](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=310)
- Oxycodone is not routinely needed and patients are not discharged home on narcotics — Kanika Bowen-Jallow (clinical) [Ep 3 · 6:10](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=370)
- 80% of pediatric bariatric patients spend one night in the hospital — Faisal Qureshi (epidemiological) [Ep 3 · 7:10](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=430)
- Expected postoperative pain level is 3 out of 5 — Faisal Qureshi (clinical) [Ep 3 · 7:25](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=445)
- TAP blocks have improved pain control and reduced nausea compared to non-exparel or exparel local anesthetic at port sites, with most patients going home the next day — Faisal Qureshi (clinical) [Ep 3 · 7:35](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=455)
- Pure exparel diluted with normal saline is used for TAP blocks, performed immediately after camera insertion and epigastric port placement, adding only 3-5 minutes to the case — Faisal Qureshi (clinical) [Ep 3 · 7:59](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=479)
- Ice chips are started within 4-6 hours postoperatively — Faisal Qureshi (clinical) [Ep 3 · 8:30](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=510)
- Hematocrit is checked approximately 6 hours postoperatively — Faisal Qureshi (clinical) [Ep 3 · 8:40](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=520)
- Sequential compression devices and Lovenox are used for DVT prophylaxis — Faisal Qureshi (clinical) [Ep 3 · 8:50](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=530)
- Clear liquids are started on postoperative day one, with patients circling 1 ounce of liquids every 15 minutes with clear proteins and water for 3-4 hours before discharge — Faisal Qureshi (clinical) [Ep 3 · 9:05](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=545)
- Patients are discharged home without narcotics if they tolerate liquids without nausea or significant pain, with TAP block providing analgesia for 2-3 days — Faisal Qureshi (clinical) [Ep 3 · 9:40](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=580)
- NSAIDs are not generally given at home and no pills are allowed for 6 weeks, though chewables are acceptable — Faisal Qureshi (clinical) [Ep 3 · 10:00](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=600)
- Patients return to school within 5 days to 1 week postoperatively — Faisal Qureshi (clinical) [Ep 3 · 10:20](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=620)
- The rationale for avoiding straws is to prevent rapid drinking rather than air ingestion, though this may be surgical myth — Faisal Qureshi (opinion) [Ep 3 · 10:00](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=600)
- Small pills are well-tolerated postoperatively because the esophagus is much bigger than any pill (opinion) [Ep 3 · 10:50](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=650)
- Week 1 diet consists of 1 ounce of fluid every 15 minutes with goal of 40 ounces of liquids and 40 grams of protein — Faisal Qureshi (clinical) [Ep 3 · 13:43](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=823)
- Week 2 diet advances to blended soups consistency with no lumps, bumps, or chunks, targeting 60 grams of protein and 60 ounces of fluids — Faisal Qureshi (clinical) [Ep 3 · 14:05](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=845)
- Weeks 3-6 consist of soft diet with applesauce or mashed potatoes consistency, 60 grams of protein, 64 ounces of water, 600-800 calories, and initiation of exercise — Faisal Qureshi (clinical) [Ep 3 · 14:25](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=865)
- Week 4 onwards maintains 60 grams of protein, 64 ounces of water, 600-800 calories, and 60 minutes of exercise daily — Faisal Qureshi (clinical) [Ep 3 · 14:55](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=895)
- After week 6, patients advance to regular diet with small portions, moist cooking methods, and 1/4 to 1/2 cup portion sizes — Faisal Qureshi (clinical) [Ep 3 · 15:09](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=909)
- Levsin (hyoscyamine) is effective for patients struggling with fluid intake or swallowing difficulty in the first few days after surgery (clinical) [Ep 3 · 15:09](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=909)
- Stryker or Storz insufflators in pediatric mode check pressure more frequently, allowing better pressure control (clinical) [Ep 3 · 18:00](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=1080)
- 90% of adolescent bariatric procedures performed are sleeve gastrectomies — Kanika Bowen-Jallow (epidemiological) [Ep 3 · 19:09](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=1149)
- If adolescents are left to survive on their own without proper transition, they will not adhere to care in adult hospitals and their health outcomes will diminish, with many not surviving. — Silja Kosolove (clinical) [Ep 2 · 0:01](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1)
- Poor health from inadequate transition leads to greater expenses, with emergency admissions and unplanned procedures being more expensive than planned care. — Silja Kosolove (epidemiological) [Ep 2 · 1:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=60)
- Patients should not be transferred during clinically unstable periods requiring frequent inpatient care, treatment regime changes, or new surgical procedures. — Silja Kosolove (clinical) [Ep 2 · 3:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=180)
- In many countries the age limit from pediatric to adult care has risen and is now most often 18 years, though in Finland it remains 16 years. — Silja Kosolove (guideline) [Ep 2 · 4:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=240)
- When 16-year-olds are transferred to adult care, adult professionals are mostly not familiar with legal requirements for child protection notifications, and the rights of the child are not properly addressed. — Silja Kosolove (clinical) [Ep 2 · 4:30](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=270)
- Cognitive skills develop logically during adolescence, but psychosocial skills take a dip during teenage years, with the timing and depth of this dip being very individual. — Silja Kosolove (clinical) [Ep 2 · 8:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=480)
- Illness, nutrition, and stress affect adolescent development and may lead to the developmental conflict being greatest right at the time when young people should leave pediatric care. — Silja Kosolove (clinical) [Ep 2 · 9:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=540)
- The last bits of the human brain to develop are in the frontal lobe, where planning for the future, problem-solving, and emotional and behavioral control are learned. — Silja Kosolove (clinical) [Ep 2 · 10:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=600)
- Emotional centers in the adolescent brain develop earlier than frontal lobe control centers, creating a situation where young people have strong emotions but underdeveloped impulse control. — Silja Kosolove (clinical) [Ep 2 · 10:40](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=640)
- Medical follow-up can resemble the relationship young people have with their parents, and as they struggle for autonomy they may rebel against medical care. — Silja Kosolove (clinical) [Ep 2 · 14:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=840)
- In many studies, quality of life has been better when judged by young people themselves than when judged by their parents or carers. — Silja Kosolove (epidemiological) [Ep 2 · 15:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=900)
- Transfer is a simple moving of paper, while transition is a prepared process with someone on the other side saying welcome and continuing the care relationship. — Silja Kosolove (clinical) [Ep 2 · 16:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=960)
- Patients should be met alone from the age of 12, at least for part of the appointment. — Silja Kosolove (guideline) [Ep 2 · 17:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1020)
- Treatment advice should be given directly to the patient even if the parent is in the room. — Silja Kosolove (guideline) [Ep 2 · 17:20](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1040)
- There is growing evidence that single days of coaching for transition have very low or no impact. — Silja Kosolove (epidemiological) [Ep 2 · 18:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1080)
- There is growing evidence that joint consultations with pediatric and adult teams both present builds trust and may lead to better outcomes. — Silja Kosolove (epidemiological) [Ep 2 · 18:20](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1100)
- In adult healthcare during the first couple of years after transition, consultations should be more frequent and longer than for other adult patients because trust takes time. — Silja Kosolove (guideline) [Ep 2 · 19:00](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1140)
- Young people need one named contact person between consultations, though most times they don't call, providing a sense of security. — Silja Kosolove (guideline) [Ep 2 · 19:40](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1180)
- There is strong evidence that continuity of care (management continuity, information continuity, and relationship continuity) leads to better outcomes in transition. — Silja Kosolove (epidemiological) [Ep 2 · 20:20](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1220)
- The process of transition cannot be on the shoulders of one single person but must be a holistic approach in the whole hospital so it continues when individuals retire or fall ill. — Silja Kosolove (guideline) [Ep 2 · 20:30](https://origin-library.globalcastmd.com/watch/transition-of-care-a-general-overview-by-silja-kosolove-7652?t=1230)
- Kevin Hart has a YouTube channel with shows that include commercial integrations where he does product placements for brands like Old Spice during the content. — Kenn Dowell (opinion) [Ep 4 · 0:25](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=25)
- YouTube pays content creators when they bring more viewers to the platform. — Kenn Dowell (opinion) [Ep 4 · 0:43](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=43)
- Kevin Hart's show 'Cold as Balls' features interviews with athletes and actors conducted while sitting in ice tubs, with episodes lasting 15-20 minutes. — Kenn Dowell (opinion) [Ep 4 · 0:58](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=58)
- Dr. Hall has a podcast called 'Better Black Health.' — Gregory Hall (clinical) [Ep 4 · 3:13](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=193)
- Podcast recording involves multiple restarts and takes to achieve the desired result. — Gregory Hall (opinion) [Ep 4 · 3:20](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=200)
- Dr. Hall has been Dr. Dowell's physician for over 21 years, since before Dowell had children. — Kenn Dowell (clinical) [Ep 4 · 9:42](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=582)
- Dr. Hall's father was a dentist who practiced on Chester Avenue in Cleveland. — Kenn Dowell (clinical) [Ep 4 · 11:05](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=665)
- Dr. Hall grew up in Glenville at 88th and Saint Clair, on East Boulevard near the Cultural Gardens. — Gregory Hall (clinical) [Ep 4 · 11:37](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=697)
- Dr. Hall is the youngest of 5 siblings. — Gregory Hall (clinical) [Ep 4 · 12:02](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=722)
- Dr. Hall attended medical school in Toledo and did his residency at Cleveland Clinic. — Gregory Hall (clinical) [Ep 4 · 12:32](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=752)
- Dr. Hall entered private practice around 2001 after Saint Luke's Hospital closed. — Gregory Hall (clinical) [Ep 4 · 12:49](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=769)
- Dr. Hall has been in private practice for 20 years. — Gregory Hall (clinical) [Ep 4 · 13:01](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=781)
- Dr. Hall started at University Hospital in early December at the Cutler Center for Men, which focuses on health disparities affecting men's longevity. — Gregory Hall (clinical) [Ep 4 · 13:15](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=795)
- Men in general are not doing well health-wise and don't like going to the doctor or confronting health problems. — Gregory Hall (clinical) [Ep 4 · 13:23](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=803)
- Dr. Hall's father had high blood pressure, suffered a stroke, and later required open heart surgery, all related to smoking. — Gregory Hall (clinical) [Ep 4 · 14:01](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=841)
- Dr. Hall takes blood pressure medication daily as a preventive measure based on his family history. — Gregory Hall (clinical) [Ep 4 · 14:46](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=886)
- Dr. Hall's medical office is located at 27155 Chardon Road in Richmond Heights, across from Richmond Hospital on the 3rd floor. — Gregory Hall (clinical) [Ep 4 · 15:15](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=915)
- Dr. Hall previously offered tattoo removal services for people who regretted tattoos obtained in their youth, often from non-professional artists in urban areas. — Gregory Hall (clinical) [Ep 4 · 15:43](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=943)
- Dr. Hall had a contract with the state to perform juvenile tattoo removal for teardrops, swastikas, and other regrettable tattoos. — Gregory Hall (clinical) [Ep 4 · 16:26](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=986)
- Tattoo removal is no more painful than getting a tattoo. — Gregory Hall (clinical) [Ep 4 · 16:54](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1014)
- Kenn Dowell weighed 398 pounds at a medical appointment and was told by Dr. Hall he was close to having a fatal heart attack. — Kenn Dowell (clinical) [Ep 4 · 18:46](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1126)
- Kenn Dowell was diagnosed with diabetes after initially testing negative but later developing symptoms of excessive thirst and urination. — Kenn Dowell (clinical) [Ep 4 · 19:24](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1164)
- Before weight loss surgery, Kenn Dowell was taking medications for high blood pressure, metformin for diabetes, and additional medication to protect his kidneys from metformin. — Kenn Dowell (clinical) [Ep 4 · 20:52](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1252)
- Kenn Dowell lost 168 pounds after weight loss surgery. — Kenn Dowell (clinical) [Ep 4 · 20:44](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1244)
- After weight loss, Kenn Dowell's diabetes improved, blood pressure came down, and he was able to discontinue multiple medications. — Gregory Hall (clinical) [Ep 4 · 22:40](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1360)
- Some people cannot bring their blood pressure down without medication regardless of weight loss. — Gregory Hall (clinical) [Ep 4 · 22:54](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1374)
- People featured on shows like 'My 600 Pound Life' all weighed normal amounts like 250 or 310 pounds at some point before progressive weight gain. — Gregory Hall (clinical) [Ep 4 · 23:41](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1421)
- Family members are not in a position to repeatedly confront loved ones about health issues like smoking or weight without damaging relationships. — Gregory Hall (opinion) [Ep 4 · 25:31](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1531)
- A BMI above 30 meets the medical definition of obesity. — Gregory Hall (clinical) [Ep 4 · 26:05](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1565)
- A patient left Dr. Hall's practice after being told she was obese, but returned 2-3 years later having lost 150 pounds through Weight Watchers and becoming vegetarian. — Gregory Hall (clinical) [Ep 4 · 26:29](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1589)
- Physicians must continue discussing health issues with patients repeatedly because there may be a window period when the patient becomes receptive to the message. — Gregory Hall (clinical) [Ep 4 · 28:36](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1716)
- A 59-year-old family friend died within 6 months of being diagnosed with colon cancer that had spread to his liver, having never had a colonoscopy despite being 9-14 years overdue for screening. — Gregory Hall (clinical) [Ep 4 · 29:07](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1747)
- Colonoscopy screening is indicated at age 45 for African Americans. — Gregory Hall (guideline) [Ep 4 · 29:38](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1778)
- African American men are at increased risk for prostate cancer and need to track their PSA levels. — Gregory Hall (clinical) [Ep 4 · 29:58](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1798)
- Colonoscopy screening starts at age 45 for everyone. — Gregory Hall (guideline) [Ep 4 · 30:12](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1812)
- Polyps found during colonoscopy can turn into cancer later if not removed. — Gregory Hall (clinical) [Ep 4 · 30:20](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1820)
- The Cutler Center for Men is redesigning the clinical environment to be less intimidating and more welcoming, without traditional waiting rooms or clinical barriers. — Gregory Hall (clinical) [Ep 4 · 31:13](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1873)
- Many health assessments can be done through blood tests and conversation rather than requiring patients to undress for physical examination. — Gregory Hall (clinical) [Ep 4 · 32:31](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1951)
- The Cutler Center for Men will be located in a new addition being built at University Hospitals. — Gregory Hall (clinical) [Ep 4 · 32:50](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1970)
- The Cutler family donated substantial funding to improve men's health outcomes. — Gregory Hall (clinical) [Ep 4 · 32:57](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1977)
- Financial status, family dynamics, and social habits all impact health outcomes. — Gregory Hall (clinical) [Ep 4 · 33:18](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=1998)
- A 25-year-old patient who smoked Black and Mild cigars was insulted when advised to quit smoking because he had never received health advice from a physician before. — Gregory Hall (clinical) [Ep 4 · 33:25](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2005)
- PSA screening for prostate cancer should start at age 40 for African American men and be checked annually. — Gregory Hall (guideline) [Ep 4 · 34:34](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2074)
- Men can develop breast cancer. — Gregory Hall (clinical) [Ep 4 · 34:42](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2082)
- Women receive more healthcare than men because they access medical care more frequently, starting with prenatal and pediatric care for their children. — Kenn Dowell (opinion) [Ep 4 · 34:57](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2097)
- Women are more nurturing by nature, which extends to caring for their children and spouses' health. — Gregory Hall (opinion) [Ep 4 · 36:05](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2165)
- Women become familiar with medical care at a younger age through annual Pap smears for cervical cancer screening. — Gregory Hall (clinical) [Ep 4 · 36:26](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2186)
- Cervical cancer has been essentially eradicated due to screening programs. — Gregory Hall (epidemiological) [Ep 4 · 36:40](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2200)
- Poor people are less likely to get healthcare than people with more money, but women are more likely to seek healthcare than men regardless of socioeconomic status. — Gregory Hall (epidemiological) [Ep 4 · 37:08](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2228)
- Emergency room waiting rooms and primary care waiting rooms have more women than men. — Gregory Hall (clinical) [Ep 4 · 37:18](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2238)
- The Cutler Center plans to establish a center specifically focused on African American men and minority men's health. — Gregory Hall (clinical) [Ep 4 · 38:02](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2282)
- Life expectancy for African Americans (men and women combined) is 74 years based on 2018-2019 data. — Gregory Hall (epidemiological) [Ep 4 · 38:34](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2314)
- Life expectancy for Hispanic/Latino Americans is 82 years. — Gregory Hall (epidemiological) [Ep 4 · 38:47](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2327)
- Life expectancy for Asian Pacific Islander Americans is 86 years. — Gregory Hall (epidemiological) [Ep 4 · 38:50](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2330)
- Asian Americans live on average 12 years longer than African Americans. — Gregory Hall (epidemiological) [Ep 4 · 38:54](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2334)
- Life expectancy for African American men is 72 years and for African American women is 76 years. — Gregory Hall (epidemiological) [Ep 4 · 39:14](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2354)
- When minorities are grouped together in health statistics, the poor health outcomes are primarily driven by African Americans and some Native Americans, not Asian Americans or Hispanic/Latinos. — Gregory Hall (epidemiological) [Ep 4 · 39:25](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2365)
- Life expectancy for white Americans (combined) is 78 years. — Gregory Hall (epidemiological) [Ep 4 · 39:44](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2384)
- Hispanic/Latino Americans and Asian Pacific Islander Americans live longer than white Americans. — Gregory Hall (epidemiological) [Ep 4 · 39:52](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2392)
- Part of the health disparity issue is that African Americans are being compared to white Americans who also have men's health issues, rather than being compared to the longest-living group (Asian Americans). — Gregory Hall (opinion) [Ep 4 · 39:59](https://origin-library.globalcastmd.com/watch/behind-the-scenes-of-podcast-creation-with-dr-gregory-hall-13664?t=2399)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- Cardiovascular mortality begins to climb in the overweight range and increases definitively for adolescents at or above the 95th percentile BMI, leading to early cardiovascular death. — Thomas Inge summarizing a resource [Ep 1 · 4:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=240)
- In AMOS study, non-surgical controls with severe obesity gained weight over 5 years (BMI 42→45). — Thomas Inge summarizing a resource [Ep 1 · 25:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1500)
- AMOS gastric bypass patients had dramatic BMI reduction from 45 to 30, stable at 5 years, similar to adult controls and SOS cohort. — Thomas Inge summarizing a resource [Ep 1 · 26:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1560)
- AMOS showed 83% dyslipidemia remission, 12 of 12 hypertension cases resolved, and 75% inflammation (CRP) resolved. — Thomas Inge summarizing a resource [Ep 1 · 28:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1680)
- In AMOS, low vitamin D was found in >50% of gastric bypass patients and also in controls; low B12 and iron deficiency anemia were noted. — Thomas Inge summarizing a resource [Ep 1 · 30:00](https://origin-library.globalcastmd.com/watch/adolescent-bariatric-surgery-pediatric-obesity-2017-371?t=1800)
- ERAS recommendations for bariatric surgery include carbohydrate drink the night before surgery and clear liquids up to 2 hours prior to surgery — Kanika Bowen-Jallow summarizing the discussion [Ep 3 · 0:34](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=34)
- ASMBS recommends DVT prophylaxis intraoperatively and postoperatively before discharge, but most patients do not go home on DVT prophylaxis unless there is a specific indication such as family history — Kanika Bowen-Jallow summarizing the discussion [Ep 3 · 3:30](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=210)
- New literature demonstrates laparoscopic TAP block is not superior to local infiltration of incisions for pain control — Kanika Bowen-Jallow summarizing the discussion [Ep 3 · 4:10](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=250)
- Pure oxycodone immediate-release is the ERAS recommendation for narcotic use if needed because it does not contain acetaminophen — Kanika Bowen-Jallow summarizing the discussion [Ep 3 · 5:40](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=340)
- Adult bariatric surgeons use Air Seal insufflation system to maintain stable low pressures (10 mmHg) by regulating pressure second-to-second rather than every 20-30 seconds like standard insufflators — Kanika Bowen-Jallow summarizing the discussion [Ep 3 · 16:31](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=991)
- Operating at lower insufflation pressures results in less TNF-alpha production and decreased postoperative pain — Kanika Bowen-Jallow summarizing the discussion [Ep 3 · 17:30](https://origin-library.globalcastmd.com/watch/kanika-bowen-jallow-md-and-faisal-qureshi-md-2024-pediatric-bariatric-surgery-up-7958?t=1050)

## Changelog
- Oct 5: 1 item added automatically
- Sep 25: 3 items added automatically

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Educational content from recorded physician discussions — not medical advice. Cite the canonical URL or the ?t= deep link. Policy: https://origin-library.globalcastmd.com/ai