Podcasts by Hospital and Internal Medicine Podcast

Heart Failure with Preserved Ejection Fraction (Diastolic CHF) and SGLT-2 Inhibitor Therapy from 2022-01-27T20:23:37

The double-blind, randomized phase III EMPEROR-Preserved trial showed a benefit of the sodium-glucose cotransporter-2 (SGLT2) inhibitor empagliflozin in patients with heart failure with preserve...

Should You Postpone Interventions for INFECTED Necrotizing Pancreatitis? from 2021-10-18T18:45:17

An important recently published randomized control trial provides guidance on this controversy.

Spontaneous Bacterial Peritonitis - Unique Infections in Cirrhosis part 2 from 2021-06-27T20:40:18

Unique Infectious Considerations in Cirrhosis - part 1 from 2021-06-15T01:00:09

Diabetic Gastric Emptying Abnormalities (and sometimes normal) - Part 1 from 2021-05-09T16:21:16

Almost nobody feels comfortable managing DELAYED gastric emptying (gastroparesis) and very few medical providers even think about RAPID gastric emptying in their diabetic patients. Even if you s...

Gastric Emptying Abnormalities - Part 2 from 2021-05-08T19:10

Can we trust a nuclear study to nail the diagnosis? Are motor abnormalities really the cause of symptoms? What is a POP procedure? 

Morphine for later stage COPD patients not on hospice from 2021-04-09T18:44:42

Does regular, low-dose, oral sustained-release morphine improve disease-specific health status or cause respiratory adverse effects in patients with moderate to very severe chronic breathlessnes...

The JAMA controversy and loss of conversation in medicine from 2021-04-05T20:18:38

My take on what went down at the Journal of the American Medical Association. I disagree with the comment there isn't "structural racism in health care", but was the backlash against the Editor ...

Cows Milk - Healthy or Not? from 2021-03-06T16:00:52

Psilocybin Mushrooms - will they become an accepted medicine? from 2021-02-19T21:00:39

Understand Basic Epigenetic Changes in Medicine and Everyday Life from 2021-02-04T19:05:12

This lecture provides a basic understanding of how epigenetic changes influence infections/sepsis, vaccinations, cancer, future generations, your muscles, and (of course) those sweet tan-lines y...

A Plea For The Middle Ground With Covid19 from 2021-01-31T22:10:42.023393

Hyponatremia etiology by history and physical from 2020-12-23T15:53:06

Hyponatremia remains a challenging topic for many because they are trying to memorize algorithms and numbers. You can usually nail the etiology by history & physical and a brief chart review. 

Cytokine Storm - part 1 from 2020-12-01T23:35:36

If you use the term 'cytokine storm' and don't really know what you mean by it, you are far from unique. Let me help to try and clarify it for you just a bit.

Cytokine Storm - part 2 from 2020-12-01T23:03

Do you know what CRP is (other than saying it is an inflammatory marker)? Should we always shut down cytokines? If so, how? Why should we avoid giving a glucocorticoid to a COVID patient before ...

Covid Treatment (for Hospitalized Patients) Update from 2020-11-30T00:04:54

Dealing with hypoxia, anticoagulation, steroids, Remdesivir, VTE, self-proning, labs, plasma, etc.

I do not get into the epidemic numbers or politics or vaccines or outpatient tr...

The Most Important Person That Lived For Our Health and Wellbeing from 2020-11-27T23:10:28

Hint: That person died in 2017

An (old) New Weapon to Fight Leg Cellulitis from 2020-08-12T23:19:26

Acute Severe Hypertension - part 1 from 2020-04-28T15:30

Acute Severe Hypertension - part 2 from 2020-04-28T15:29

Multiple treatment issues are discussed. This includes theoretical ideal blood pressure lowering rates, oral options (for hypertensive urgency and specific populations), intravenous options (for...

Acute Severe Hypertension - part 3 from 2020-04-27T15:46

Did you know that intravenous labetalol and oral labetalol are not really similar? The great hydralazine debate. Things you must know about Clevidipine if you are going to use it.

Acute Severe Hypertension - part 4 from 2020-04-25T03:39

Did you know systolic and diastolic blood pressure are NOT measured by automated BP cuffs? PRES (Posterior Reversible Encephalopathy Syndrome), also known as RPLS (Reversible Posterior Leukoence...

Interesting Studies, Facts,&Opinions - April 2020 edition from 2020-04-23T21:27:34

If you wonder why good food is more important than mortality and why ordering too many unnecessary consults worsens the food and doesn't impact mortality - this episode is for you. Tramadol is n...

Balkan Reflections Forged By A Virus Lockdown from 2020-04-23T00:59:27

World War I was partly triggered by powerful allies of various nationalities being dragged into a Balkan conflict (nationalism, of course, was another major factor). The more recent Balkan confl...

Recent Interesting Internal Medicine Studies and Facts - December 2019 from 2019-12-10T20:11:15

Correcting Hypernatremia in adults (finally, a real study!). An option for that scary patient with hemoptysis. How many nephrons you have (and your patient has) - it matters. 

Anemia of Inflammation - finally understand this common anemia that accomplished doctors often can't explain from 2019-09-30T18:08:46

Anemia of Inflammation is also often referred to as Anemia of Chronic Disease. It is one of the most common anemias, yet often challenging to comprehend. This is an attempt is to try and simplif...

Anemia of Inflammation - part 2 from 2019-09-30T17:04

If you know why red blood cells survive less (and are made less) during inflammatory conditions, and already know why ferritin increases in inflammation, and don't want to hear a lousy Iron Man ...

Anemia of Inflammation - part 3 from 2019-09-30T11:58

Creatine - part 1 from 2019-08-20T22:41:18

It occurs naturally in the body (because we synthesize it), it is in meat, and it is frequently used as a supplement. Since it is in you, why not understand what it is and what it does? Advice i...

Creatine - part 2 from 2019-08-06T21:11

The replenishing of muscle ATP is one (of the several) mechanisms that creatine helps with when it comes to heavy anaerobic exercise. Other topics discussed are things to know about lab testing ...

Creatine - part 3 from 2019-08-05T18:06

Is there a specific type of creatine to buy? What is creatine monohydrate? What is Creapure? What do some professional organizations have to say about the safety of creatine? The loading dose de...

Medicare for All? (or maybe you call it Universal Healthcare or Single-Payer) from 2019-07-01T22:24:50

Are you surprised that GoFundMe and crowdfunding are not the solution to a family healthcare crisis? How about Medicare for All? Hmmmm.....

Part 5 of Muscle and Strength Gaining Tips - The Emotional Connection and Overcoming Temporary Pain from 2019-04-08T19:22:23

Clostridium Difficile - part 1 from 2019-01-25T19:40:49

A deceivingly difficult topic. Not so obvious points are made about asymptomatic carriers, transmission, and who to test.

Clostridium Difficile - part 2 from 2019-01-23T19:32

Specific initial treatment regimens are discussed. Topics include fulminant disease, Vancomycin, Fidaxomicin, Metronidazole, and recurrence rates/regimens.

Clostridium Difficile - part 3 from 2019-01-23T17:59

Many of the latest studies in the 2017-2018 timeframe are reviewed. The importance of looking at the eosinophil count on the CBC, probiotic future directions, microbiome transplant options, anti...

Live From My Basement Bathroom from 2018-12-23T23:27:20

Experiences that taught me some lessons. 

Type 2 Diabetes Treatment - Part 7 - GLP-1 Agonists and DPP-4 Inhibitors from 2018-12-17T20:57:34

Glucagon-Like Peptide 1 (GLP-1) mimetics are also referred to as the GLP-1 receptor agonists. While this talk mostly focuses on GLP-1 mechanisms and actions, the hope is you will also better und...

Type 2 Diabetes Treatment - Part 6 - SGLT2 Inhibitors from 2018-09-26T18:23:26

Sodium-Glucose Transporter 2 Inhibitors decrease glucose re-absorbtion. The diuretic effect, weight loss, DKA, cardiac outcomes, blood pressure, genital infections and a whole bunch of other inf...

Type 2 Diabetes Treatment - Part 5 - HgA1C from 2018-08-26T16:56:11

There is a lot more to understanding HgA1C then most realize (particularly the quality industry and big corporations).

Type 2 Diabetes Treatment - Part 4 - Metformin from 2018-05-27T22:28:44

Tackles - Vitamin B12, kidney disease, CHF, cancer, Impaired Glucose Tolerance (IGT), dosing, side-effects, lactic acidosis, cost, drinkers, hypoxic patients, glucose lowering, and a few other m...

Type 2 Diabetes Treatment - Part 3 Glucagon from 2018-05-16T16:16:22

If you want to understand drug classes like DPP-4 inhibitors, GLP-1 (GLUCAGON-like peptide) therapies, treating hypoglycemia, and an important player among the many etiologies of Type 2 diabetes...

Type 2 Diabetes Treatment - Part 2 - Reversing The Disease With Lifestyle Changes from 2018-05-01T20:30:11

Type 2 Diabetes Treatment - Part 1 from 2018-05-01T16:23:10

Internal Medicine Pearls #5 from 2018-04-03T20:57:24

Diuretic therapy for congestive heart failure treatment, antibiotics for diabetic osteomyelitis after foot surgery, and practical tips with new-onset seizures - is among the knowledge dropped (b...

Some Recent Studies Worth Knowing About - February 2018 from 2018-02-01T17:49:21

Some new stuff about Vitamin D & Calcium supplementation, another about the timing of hip fracture surgery, etc

Forcing Atheist Doctors to Play With God from 2017-12-22T03:32:26

Internal Medicine Pearls #4 from 2017-11-14T17:36:54

Checking glucose levels in Type 2 Diabetes, ACE Inhibitors for women, and using Azithromycin in Asthma.

Medical Podcasts, Skiing, and Imperfect Relationship Advice from 2017-10-04T16:35:11

Patent Foramen Ovale Evaluation and Closure After a Stroke - part 2 from 2017-09-26T16:22:24

Patent Foramen Ovale Evaluation and Closure After a Stroke - part 1 from 2017-09-22T19:49:14

The Overhead Airplane Request for Medical Assistance - A No Win Situation from 2017-09-20T16:05:29

A Severe Case of Healthcare Violence 2 Years Later from 2017-08-31T17:24:28

Bedbugs 4 The Dark Night Returns from 2017-08-31T16:39:38

Bedbugs 3 Live Free and Die Hard from 2017-08-10T15:24:50

Bedbugs 2 Fast and 2 Furious from 2017-07-30T21:39:37

Bedbugs - part 1 from 2017-07-15T18:44:42

Urine Drug Testing - Misinterpretation is Very Common from 2017-05-28T19:08:10

You know all those people on social media wanting mandatory drug testing for welfare recipients? Perhaps, reasonable in theory, if the test wasn't frequently producing false-positives and false-...

The death of Chris Cornell and calling my doctor from 2017-05-22T19:38:36

Internal Medicine Pearls #3 from 2017-05-11T14:34:36

A look at some new data: COPD and Oxygen use - low serum creatinine levels - BMI considerations - the RDW - the age of blood.

Let's do this! Simple changes to healthcare that nearly everyone can agree on. from 2017-04-30T19:31:29

Vocational Confrontation and Political Rumination from 2017-04-05T16:09:11

I'm a nerd looking at the world and shamelessly speaking my mind from 2017-03-07T16:50:52

Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 4 from 2017-02-22T17:14:16

Oxalate intake reduction, thiazide diuretics, and tamsulosin are some of the therapies discussed in this lecture. 

Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 3 from 2017-02-15T19:27:47

Stone analysis, labs, calcium & fluid intake, sodium in the diet, and beverage choices.

Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 2 from 2017-02-13T18:03:15

A few words about the proximal ureter, I.V. Fluids, colic, and hematuria.

Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 1 from 2017-02-01T20:55:39

This episode discusses symptoms, the importance of size, and a few other pearls.

What is Taurine? from 2017-01-25T19:40:35

You see it in energy drinks. It is in our food, supplements, it naturally occurs in multiple organs, and most people don't know anything about it.

Part 4 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners from 2016-12-29T17:17:38

Lifestyle, carbohydrates, protein, and eccentric weight training are part of the focus of this sermon. 

Part 3 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners from 2016-12-23T23:13:02

This episode is part philosophy, part motivation, and a discussion of some traps men and women get caught in. 

Part 2 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners from 2016-10-26T16:21:23

Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners - part 1 from 2016-10-21T18:08:59

Pulmonary Embolism - Part 4 from 2016-10-10T18:36:01

The use of Inferior Vena Cava (IVC) filters and the length of anticoagulation in unprovoked DVT/PE are considered. A rant about hyper-coagulable panels in provoked DVT/PE is opined.

Pulmonary Embolism - part 3 - Massive PE from 2016-08-29T16:13:03

Understanding what causes hypotension in PE is essential to understanding the severity of the situation. The relevance of the stressed right ventricle is emphasized. Thrombolytic therapy for hypote...

Pulmonary Embolism - part 2 from 2016-07-24T15:14:32

The treatment challenges of subsegmental pulmonary embolism, with emphasis on the 2016 guidelines are reviewed. Ventilation/perfusion (V/Q) scan interpretations in those unable to get a CT scan are...

Pulmonary Embolism - part 1 from 2016-06-03T22:52:57

The topics covered are D-Dimer testing, false positive over-diagnosis of PE on CT scanning, the ADJUST-PE study, and clinical signs and symptoms of a pulmonary embolism.

The Healthcare Consumer in a Fictitious Market from 2016-05-26T17:28:45

A commentary.

Iron Deficiency Anemia - part 3 from 2016-05-15T22:42:31

Various topics regarding intravenous iron are pondered, especially some of the new data available that has not yet seemed to obtain the influence that the information deserves.

Iron Deficiency Anemia - part 2 from 2016-04-27T23:18:58

This episode mostly centers around oral iron replacement.

Iron Deficiency Anemia - etiology and diagnosis from 2016-03-03T19:59:44

Natriuretic Peptides in Congestive Heart Failure from 2016-01-14T18:33:37

BNP use as a lab and therapeutic are discussed. The episode also explores the PARADIGM-HF trial and Neprilysin inhibition. The novel combination medication sacubitril/valsartan (Entresto) for systo...

Healthcare Mergers and Acquisitions from 2015-12-08T20:20:26

If you think the seismic shift in U.S. healthcare is all a result of the Affordable Care Act, you may not be seeing a large part of the picture. This has become an era of "BIG MEDICINE" and that ph...

Acute Pancreatitis (part 3) - Pseudocysts, Pain Control, and a few other pearls from 2015-10-01T22:40:45

This episode offers some advice in thinking about the very difficult topic of pancreatic pseudocysts. Some philosophical waxing about pain control and some items not addressed in the previous episo...

Acute Pancreatitis (part 2) - Severe Pancreatitis, Pancreatic Necrosis, Antibiotic& Surgical Considerations from 2015-08-23T21:02:38

Imaging, fluid resuscitation, fine needle aspiration, determining sterile vs infected necrosis, and suggestions from the guidelines are discussed.

Acute Pancreatitis - part 1 from 2015-07-29T12:35:20

This episode addresses some of the debates regarding nutrition timing in acute pancreatitis. Methods such as nasogastric, nasojejunal, and oral feeding are compared.

Hypercalcemia Treatment from 2015-06-07T23:08:58

Treatments that include hydration, cinacalcet, calcitonin, bisphosphonate, denosumab, and other options are reviewed.

Hyperparathyroidism - Hypercalcemia part 3 from 2015-06-06T12:46:34

Indications for parathyroidectomy, pre-operative localization issues, diagnosing hyperparathyroidism, and a brief summary of the guidelines are among the topics addressed in this episode.

Hypercalcemia - Clinical Symptoms and Diagnostic Testing from 2015-03-31T19:47:37

Special attention is paid to gastrointestinal, bone, and cardiovascular disease as a result of hypercalcemia. Laboratory interpretation of calcium and phosphorus levels is also discussed.

Hypercalcemia etiology - Vitamin D, Calcium Supplements, Diuretics, Malignancy, Sarcoidosis, and other causes from 2015-03-10T16:12:02

Memory - part 2 - Memory in disease and health from 2014-12-29T04:00:25

Memory - part 1 - Memory in disease and health from 2014-12-21T02:33:55

Ebola Virus Disease - part 3 from 2014-10-31T12:31:10

Ebola Virus Disease - part 2 from 2014-10-30T20:46:03

Ebola Virus Disease - part 1 from 2014-10-29T15:03:58

Hospital Credentialing from 2014-10-05T11:26:43

Pneumonia part 5- Treatment of Healthcare Associated Pneumonia from 2014-08-14T04:18:24

Pneumonia part 4 - Ventilator Associated Pneumonia Prevention from 2014-08-03T18:15:16

Pneumonia- part 3- Legionella& Pseudomonas from 2014-06-18T16:11:30

Pseudomonas aeruginosa and Legionella pneumophila bacterial lower respiratory tract disease are explored in depth.

Pneumonia - Part 2 - Pneumococcal Pneumonia from 2014-05-03T23:21:32

Streptococcus pneumoniae is a frequent cause of pneumonia. What makes this organism unique? Listen and find out.

Pneumonia - Part 1 from 2014-04-26T16:33:08

Does the patient really have pneumonia? Differential diagnosis and mimics are considered in this common clinical problem. Dive deeper into how microbes and the immune system interact in lower respi...

Acute Liver Injury From Drugs (other than acetaminophen) from 2014-04-06T04:09:07

Hepatotoxicity from antibiotics, NSAIDs, dietary supplements and other sources are explored. Idiosyncratic drug induced immune related and non-immune related injuries are differentiated, which can ...

Influenza - part 4 - diagnostic testing for the the flu from 2014-01-02T04:55:52

Influenza - part 3 - Avian H7N9& H5N1 (Bird Flu) from 2014-01-01T05:58:13

Influenza - part 2 - Lessons From H1N1 Pandemics from 2013-12-30T04:14:31

Was H1N1 accidentally released from a laboratory? Is it really a "swine flu"or is it a misnomer?What is this H3N2 swine flu we periodically hear about in the media?What makes a pandemic?Find these ...

Influenza - The Flu - part 1 from 2013-12-29T17:56:10

Some years the vaccine is better than others - but there is still good reason to get it. Let's discuss those reasons.How is flu transmitted?How do weather patterns influence the spread of influenza...

Pancreatic Cancer - Pancreatic Ductal Adenocarcinoma from 2013-10-13T18:44:51

Internal Medicine Pearls - Part 2 from 2013-08-12T01:02:10

Anger Management in the Healthcare Setting from 2013-08-10T17:20:37

MRSA - The basics about Methicillin Resistant Staphylococcal Aureus from 2013-05-12T04:00:38

Resistance and virulence mechanisms are discussed.  Clinical presentations as well as the difference between colonization and infection are considered.Screening, prevention, and understanding Commu...

Quality of Care and U.S. Payment Reform from 2013-01-14T19:20:50

End-of-Life Facts and Sentiments - Part 2 from 2013-01-01T18:02:14

End-of-Life Facts and Sentiments - Part 1 from 2012-12-03T20:10:27

Factor 5 Leiden - Part 2 from 2012-10-23T18:03:45

Factor 5 Leiden - Activated Protein C Resistance part 1 from 2012-09-25T19:06:45

Urinalysis Pearls for Managing Adult Patients from 2012-08-30T18:24:43

Azithromycin, COPD, and the Heart from 2012-08-23T16:25:50

Brain Death - Part 2 from 2012-07-14T23:29:59

Brain Death - Part 1 from 2012-07-02T22:36:56

Lithium Toxicity and Side Effects - Clinical Considerations for Hospitalists and Acute Care Provider from 2012-07-02T22:35:52

Acute Mitral Regurgitation - A review for Internal Medicine and Critical Care Physicians from 2012-07-02T22:33:46

The problem with Acute Mitral Regurgitation is that it is frequently fatal unless quickly recognized. The listener will learn about organic and functional etiologies of this precipitator of acute r...

Osteomyelitis from 2012-07-02T22:31:48

Anaphylaxis and Anaphylactic Shock from 2012-07-02T22:30:47

Red Blood Cell Transfusions Part 1 from 2012-07-02T22:27:54

Packed Red Blood Cell Transfusions Part 2 - When to Transfuse from 2012-07-02T22:26:39

Red Blood Cell Transfusions Part 3 - Secondary Iron Overload from 2012-07-02T22:24:47

Rhabdomyolysis from 2012-07-02T22:19:17

Preoperative Pulmonary Medicine from 2012-07-02T21:15:06

Internal Medicine Pearls Part 1 from 2012-07-02T21:13:15

Guillain-Barre Syndrome from 2012-07-02T21:03:54

Acute Alcohol Withdrawal from 2012-07-02T21:02:23

Stevens Johnson Syndrome from 2012-07-02T21:01:15

Immune Thrombocytopenia Purpura (ITP) from 2012-07-02T20:58:39