Hospital and Internal Medicine Podcast

I'm a nerd looking at the world and shamelessly speaking my mind

Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 4

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

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

Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 2

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

Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 1

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

Part 4 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners

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

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

Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners - part 1

Pulmonary Embolism - Part 4

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

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.

Pulmonary Embolism - part 2

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.

Pulmonary Embolism - part 1

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

A commentary.

Iron Deficiency Anemia - part 3

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

This episode mostly centers around oral iron replacement.

Iron Deficiency Anemia - etiology and diagnosis

Natriuretic Peptides in Congestive Heart Failure

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.

Healthcare Mergers and Acquisitions

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-indus...

Acute Pancreatitis (part 3) - Pseudocysts, Pain Control, and a few other pearls

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.

Acute Pancreatitis (part 2) - Severe Pancreatitis, Pancreatic Necrosis, Antibiotic & Surgical Considerations

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

Acute Pancreatitis - part 1

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

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

Hyperparathyroidism - Hypercalcemia part 3

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

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

Memory - part 2 - Memory in disease and health

Memory - part 1 - Memory in disease and health

Ebola Virus Disease - part 3

Ebola Virus Disease - part 2