The Curbsiders Internal Medicine Podcast

#88 Acid base, boy bands, and grandfather clocks with Joel Topf MD

Mar 26, 2018
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ANECDOTE

Topf's Success

  • Joel Topf's success stems from focusing on teaching existing medical knowledge rather than primary research.
  • He credits "accidental timing" with his success, as his generation bridged the gap in medical professionals utilizing technology effectively.
ANECDOTE

Magnesium Quagmire

  • Topf was assigned to write about magnesium and found the topic to be a "quagmire" of mysticism and unproven claims.
  • He cites an entire journal dedicated to magnesium and the concept of "functional magnesium deficiency" as examples.
ADVICE

Acid-Base Approach

  • Treat acid-base interpretation as a skill, not pure knowledge acquisition.
  • Recognize that ABGs are diagnostic tools for identifying the underlying disease, not solely for guiding immediate therapy.
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