Episodes
Thursday Aug 31, 2017
Thursday Aug 31, 2017
Thursday Aug 10, 2017
Sunday Jul 30, 2017
Saturday Jul 15, 2017
Sunday May 28, 2017
Urine Drug Testing - Misinterpretation is Very Common
Sunday May 28, 2017
Sunday May 28, 2017
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-negatives. Making accurate clinical decisions is always challenging, but particularly with urine drug testing. The consequences of misinterpretation can be awful.
Monday May 22, 2017
Thursday May 11, 2017
Internal Medicine Pearls #3
Thursday May 11, 2017
Thursday May 11, 2017
A look at some new data: COPD and Oxygen use - low serum creatinine levels - BMI considerations - the RDW - the age of blood.
Sunday Apr 30, 2017
Sunday Apr 30, 2017
Wednesday Apr 05, 2017
Tuesday Mar 07, 2017
I'm a nerd looking at the world and shamelessly speaking my mind
Tuesday Mar 07, 2017
Tuesday Mar 07, 2017
Wednesday Feb 22, 2017
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 4
Wednesday Feb 22, 2017
Wednesday Feb 22, 2017
Oxalate intake reduction, thiazide diuretics, and tamsulosin are some of the therapies discussed in this lecture.
Wednesday Feb 15, 2017
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 3
Wednesday Feb 15, 2017
Wednesday Feb 15, 2017
Stone analysis, labs, calcium & fluid intake, sodium in the diet, and beverage choices.
Monday Feb 13, 2017
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 2
Monday Feb 13, 2017
Monday Feb 13, 2017
A few words about the proximal ureter, I.V. Fluids, colic, and hematuria.
Wednesday Feb 01, 2017
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 1
Wednesday Feb 01, 2017
Wednesday Feb 01, 2017
This episode discusses symptoms, the importance of size, and a few other pearls.
Wednesday Jan 25, 2017
What is Taurine?
Wednesday Jan 25, 2017
Wednesday Jan 25, 2017
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.
Thursday Dec 29, 2016
Thursday Dec 29, 2016
Lifestyle, carbohydrates, protein, and eccentric weight training are part of the focus of this sermon.
Friday Dec 23, 2016
Friday Dec 23, 2016
This episode is part philosophy, part motivation, and a discussion of some traps men and women get caught in.
Wednesday Oct 26, 2016
Part 2 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners
Wednesday Oct 26, 2016
Wednesday Oct 26, 2016
Friday Oct 21, 2016
Friday Oct 21, 2016
Monday Oct 10, 2016
Pulmonary Embolism - Part 4
Monday Oct 10, 2016
Monday Oct 10, 2016
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.
Monday Aug 29, 2016
Pulmonary Embolism - part 3 - Massive PE
Monday Aug 29, 2016
Monday Aug 29, 2016
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 hypotension and other clinical scenarios resulting from pulmonary embolism are contemplated.
Sunday Jul 24, 2016
Pulmonary Embolism - part 2
Sunday Jul 24, 2016
Sunday Jul 24, 2016
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 considered.
Friday Jun 03, 2016
Pulmonary Embolism - part 1
Friday Jun 03, 2016
Friday Jun 03, 2016
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.
Thursday May 26, 2016
The Healthcare Consumer in a Fictitious Market
Thursday May 26, 2016
Thursday May 26, 2016
A commentary.
Sunday May 15, 2016
Iron Deficiency Anemia - part 3
Sunday May 15, 2016
Sunday May 15, 2016
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.
Wednesday Apr 27, 2016
Iron Deficiency Anemia - part 2
Wednesday Apr 27, 2016
Wednesday Apr 27, 2016
This episode mostly centers around oral iron replacement.
Thursday Mar 03, 2016
Thursday Jan 14, 2016
Natriuretic Peptides in Congestive Heart Failure
Thursday Jan 14, 2016
Thursday Jan 14, 2016
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 systolic CHF is evaluated in depth. Clinical tips for avoiding angioedema and other clinical pearls are provided.
Tuesday Dec 08, 2015
Healthcare Mergers and Acquisitions
Tuesday Dec 08, 2015
Tuesday Dec 08, 2015
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 phenomenon is increasing through mergers and acquisitions. Some of these mergers are strategic, while others are defensive. Practical advice on how doctors and companies can improve their chances of merging successfully is provided. The lecture concludes with potential implications of the insurance-industry merger wave on patients and those working in the healthcare industry.
Thursday Oct 01, 2015
Acute Pancreatitis (part 3) - Pseudocysts, Pain Control, and a few other pearls
Thursday Oct 01, 2015
Thursday Oct 01, 2015
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 episodes are also discussed.
Sunday Aug 23, 2015
Sunday Aug 23, 2015
Imaging, fluid resuscitation, fine needle aspiration, determining sterile vs infected necrosis, and suggestions from the guidelines are discussed.
Wednesday Jul 29, 2015
Acute Pancreatitis - part 1
Wednesday Jul 29, 2015
Wednesday Jul 29, 2015
This episode addresses some of the debates regarding nutrition timing in acute pancreatitis. Methods such as nasogastric, nasojejunal, and oral feeding are compared.
Sunday Jun 07, 2015
Hypercalcemia Treatment
Sunday Jun 07, 2015
Sunday Jun 07, 2015
Treatments that include hydration, cinacalcet, calcitonin, bisphosphonate, denosumab, and other options are reviewed.
Saturday Jun 06, 2015
Hyperparathyroidism - Hypercalcemia part 3
Saturday Jun 06, 2015
Saturday Jun 06, 2015
Indications for parathyroidectomy, pre-operative localization issues, diagnosing hyperparathyroidism, and a brief summary of the guidelines are among the topics addressed in this episode.
Tuesday Mar 31, 2015
Hypercalcemia - Clinical Symptoms and Diagnostic Testing
Tuesday Mar 31, 2015
Tuesday Mar 31, 2015
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.
Tuesday Mar 10, 2015
Tuesday Mar 10, 2015
Monday Dec 29, 2014
Sunday Dec 21, 2014
Friday Oct 31, 2014
Thursday Oct 30, 2014
Wednesday Oct 29, 2014
Sunday Oct 05, 2014
Thursday Aug 14, 2014
Pneumonia part 5- Treatment of Healthcare Associated Pneumonia
Thursday Aug 14, 2014
Thursday Aug 14, 2014
Sunday Aug 03, 2014
Wednesday Jun 18, 2014
Pneumonia- part 3- Legionella & Pseudomonas
Wednesday Jun 18, 2014
Wednesday Jun 18, 2014
Pseudomonas aeruginosa and Legionella pneumophila bacterial lower respiratory tract disease are explored in depth.
Saturday May 03, 2014
Pneumonia - Part 2 - Pneumococcal Pneumonia
Saturday May 03, 2014
Saturday May 03, 2014
Streptococcus pneumoniae is a frequent cause of pneumonia. What makes this organism unique? Listen and find out.
Saturday Apr 26, 2014
Pneumonia - Part 1
Saturday Apr 26, 2014
Saturday Apr 26, 2014
Does the patient really have pneumonia? Differential diagnosis and mimics are considered in this common clinical problem.
Sunday Apr 06, 2014
Acute Liver Injury From Drugs (other than acetaminophen)
Sunday Apr 06, 2014
Sunday Apr 06, 2014
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 change treatment.
Thursday Jan 02, 2014