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Should I Call a Doctor?

Should I Call a Doctor?

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Welcome to “Should I Call a Doctor?” The podcast where we dive into trending health topics to separate fact from fiction. We bring in experts to talk about all things health, to empower you with knowledge and answer your questions hosted by Inova Health.© 2025 Inova Hygiène et vie saine Maladie et pathologies physiques
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    Épisodes
    • #13: Brain health essentials – Alzheimer’s and dementia
      Dec 10 2025

      What you’ll learn:
      Get clear, practical guidance on Alzheimer’s and dementia – from early detection and treatment options to brain-health tips and caregiver support. In this episode, Inova’s Dr. Pauldurai, a cognitive behavioral neurologist, explains the differences between Alzheimer’s and other dementias, the latest treatments and the importance of early detection. Whether you're navigating your own health or caring for a loved one, this conversation offers support and insights for preventing and managing cognitive decline.

      Featured guest:

      Dr. Jennifer Pauldurai

      Neurologist

      Inova

      Key takeaways with chapter markers:

      • What is Alzheimer’s and how it differs from dementia [1:56]
      • How to tell the difference between normal forgetfulness and something more serious [7:28]
      • What does dementia care look like? [9:16]
      • Two new Alzheimer’s drugs, Leqembi and Kisunla™, slow progression when caught early [13:22]
      • Healthy eating and other steps you can take now to protect your brain health later [21:47]
      • The importance of vitamin D, B12 and magnesium for brain health [23:01]
      • Advice and resources for caregivers [24:48]

      FAQs


      What is Alzheimer’s disease?

      Alzheimer's disease is a progressive, neurodegenerative disease that occurs when nerve cells in the brain die. It is the most commonly diagnosed form of dementia. Symptoms include the loss of cognitive functioning, such as thinking, remembering and reasoning, and the loss of behavioral abilities.


      What causes Alzheimer’s?

      Scientists have made great progress in understanding Alzheimer’s in recent years. They don’t yet fully understand what causes the disease in most people but probable causes include age-related changes in the brain, along with genetic, health and lifestyle factors.


      Can Alzheimer’s be prevented?

      While Alzheimer’s disease cannot be definitively prevented, certain lifestyle changes may help reduce risk. A healthy diet, exercise, social engagement and mentally stimulating pursuits have all been associated with helping people stay healthy as they age and may help reduce risk of cognitive decline and Alzheimer’s.


      When should I see a doctor?

      When thinking problems or unusual behavior start to interfere with everyday activities, it’s time to talk to your doctor.

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      25 min
    • #12: Finding lung cancer earlier – for smokers and nonsmokers
      Nov 12 2025

      What you’ll learn:

      Should smokers and nonsmokers be screened for lung cancer? Inova Schar Cancer’s Dr. Mahajan explains what you should know about lung cancer screening, your personal history and risk factors, and groundbreaking early detection and treatment options – so you can take charge of your health.

      Featured guest:

      Dr. Amit “Bobby” Mahajan,

      Medical Director, Interventional Pulmonology

      Inova Schar Cancer

      Key takeaways with chapter markers:

      • How age and smoking history guide screening [5:46-6:27]
      • Interventional pulmonology [3:31]
      • How lung cancer treatment is advancing [3:52]
      • Early-stage lung cancer does not have symptoms, making detection of lung nodules critical [4:35 – 5:13]
      • A growing number of nonsmokers are developing lung cancer. [6:59 – 7:18]
      • Those with EGFR gene mutations have a higher instance of developing lung cancer [7:30 – 8:08]
      • Those who have a family member who has had a nonsmoking lung cancer should also get screened [9:49 – 10:05]
      • Inova offers a low-cost screening option. [10:16 – 10:35]
      • In five years, over 10,000 incidental nodules were detected by Inova’s incidental lung nodule program. 1-2% were cancerous, the program helps diagnose more early stage lung cancer cases [13:30 – 15:33]
      • Mutation analysis is key to better treatment. There are seven or eight mutations that are really actionable [16:55 – 17:14]
      • Early-stage lung cancer can be treated with minimally invasive options, with exceptional survival rates. [18:02 – 18:10]
      • Inova’s incidental lung nodule detection program streamlines care and dramatically reduces the time between detection and treatment [25:55-27:47]

      FAQs

      What is lung cancer screening?

      Annual lung cancer screening uses low-dose computed tomography (LDCT) to detect cancer in its earliest, most treatable stage. LDCT technology generates cross-sectional images of the body, using less ionizing radiation than a conventional CT scan.

      Who should be screened for lung cancer?

      Annual lung cancer screening is recommended for adults ages 50 to 80 who have a 20 pack-year smoking history and currently smoke, or have quit within the past 15 years.

      Should I be screened if I have a family history of lung cancer?

      If you have a family history of lung cancer you should discuss your risk factors with your doctor to determine if screening is right for you. You can also take our online Lung Cancer Risk Assessment

      What are the benefits of lung cancer screening?

      Screening can detect lung cancer at an earlier stage when it is more treatable. Leading to higher survival rates and a better quality of life.

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      29 min
    • #11: Innovating cancer screening – how breast cancer detection is evolving
      Oct 14 2025

      What you’ll learn

      Confused about when to start breast cancer screening, what breast density means, or whether you need genetic testing? Inova’s Dr. Kaltman explains risk, red-flags, and next steps—so you know which care to choose and how personalized risk assessments are reshaping early detection.


      Featured guest:

      Dr. Rebecca Kaltman

      Executive Director

      Inova Saville Cancer Screening and Prevention Center

      ________________________

      Key takeaways with chapter markers

      • How age, family history (maternal & paternal), and red flags guide screening (13:50)
      • What dense breasts mean and when to add supplemental imaging (19:06)
      • When to consider genetic counseling/testing and how group sessions work (5:06)
      • Where primary care fits for lifestyle/metabolic risk and referrals (8:21)
      • Imaging choices (mammogram, MRI, ultrasound, contrast-enhanced) (10:04)
      • Mobile screening (23:45)
      • Multi-cancer blood test clinical trial at Inova (24:52)

      ________________________

      FAQs

      When should most women start screening?
      Most begin at age 40, but earlier for higher-risk patients (often 10 years before the youngest family diagnosis). Ask your Primary Care doctor/OB-GYN for a formal risk assessment.

      Do dense breasts change my screening plan?
      Possibly. Dense tissue can mask findings on mammography; your clinician may recommend supplemental imaging (e.g., MRI; ultrasound or contrast-enhanced mammography when appropriate).

      Who should consider genetic counseling/testing?
      Anyone with strong family history (maternal or paternal), early cancers, or unknown history. Testing now uses multi-gene panels and is far more accessible than in the past.

      Are self-breast exams still recommended?
      Be breast-aware and know your normal, but routine self-exams alone are not enough. Report new changes (lump, nipple retraction, rash, contour change).

      Can lifestyle changes reduce risk?
      Yes—weight, activity, and nutrition matter. Primary care can connect you with dietitians/health coaching and, when needed, medical weight-loss support.

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      26 min
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