Hospital and Internal Medicine Podcast

Part 5 of Muscle and Strength Gaining Tips - The Emotional Connection and Overcoming Temporary Pain

Clostridium Difficile - part 1

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

Clostridium Difficile - part 2

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

Clostridium Difficile - part 3

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, antibody treatment (bezlotoxumab), "penicillin allergic" patients, and a brief mention of available testing.

Live From My Basement Bathroom

Experiences that taught me some lessons.

Type 2 Diabetes Treatment - Part 7 - GLP-1 Agonists and DPP-4 Inhibitors

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 understand The Dipeptidyl Peptidase-4 (DPP-4) inhibitors The current GLP-1 Agonists include Exenatide (Byetta), Liraglutide (Victoza), Dulaglutide (Trulicity), Abiglutide (Tanzeum), Lixisenatide (Adlyxin), Semaglutide (Ozempic). The current DPP-4 Inhibitors include Alogliptin (Nesina), Linagliptin (Tradjenta...

Type 2 Diabetes Treatment - Part 6 - SGLT2 Inhibitors

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 information is discussed. SGLT2s include Canagliflozin (Invokana), Dapagliflozin (Farxiga), Empagliflozin (Jardiance), Ertagliflozin (Steglatro), with more to be released in the future.

Type 2 Diabetes Treatment - Part 5 - HgA1C

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

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 moments of erudation.

Type 2 Diabetes Treatment - Part 3 Glucagon

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 - then you must understand the basics about glucoagon.

Type 2 Diabetes Treatment - Part 2 - Reversing The Disease With Lifestyle Changes

Type 2 Diabetes Treatment - Part 1

Internal Medicine Pearls #5

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 (because, after all, school can't teach us everything).

Some Recent Studies Worth Knowing About - February 2018

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

Forcing Atheist Doctors to Play With God

Internal Medicine Pearls #4

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

Medical Podcasts, Skiing, and Imperfect Relationship Advice

Patent Foramen Ovale Evaluation and Closure After a Stroke - part 2

Patent Foramen Ovale Evaluation and Closure After a Stroke - part 1

The Overhead Airplane Request for Medical Assistance - A No Win Situation

A Severe Case of Healthcare Violence 2 Years Later

Bedbugs 4 The Dark Night Returns

Bedbugs 3 Live Free and Die Hard

Bedbugs 2 Fast and 2 Furious

Bedbugs - part 1

Urine Drug Testing - Misinterpretation is Very Common

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.

The death of Chris Cornell and calling my doctor

Internal Medicine Pearls #3

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.

Vocational Confrontation and Political Rumination