Tony Breu

Join Dr. Lenny Feldman, a trailblazer in urban health from Johns Hopkins, and Dr. Tony Breu, Harvard's resident education director, as they dissect high-value care decisions. They challenge the effectiveness of lactate-guided resuscitation in sepsis, question the routine discontinuation of beta-blockers in cocaine users, and debate the risks of anticoagulation in fall-prone patients. Plus, discover the implications of pushing for hospital discharges before noon. It's a mix of insightful medical discourse and engaging anecdotes!

In this podcast, they discuss a complex case of facial swelling post-COVID infection, delving into differential diagnoses like sarcoidosis and TB. They explore challenging cases of periorbital edema, chronic weight loss, vasculitis, and Vexas syndrome. They also cover a newly described autoinflammatory syndrome, emphasizing the importance of detailed workups and diagnostic challenges.

Explore morning report with Dr. Tony Breu and Dr. Ryan Bonner, discussing its history, best practices for education, and ways to engage learners. They also share personal experiences with COVID-19, recommend books, and discuss job opportunities. Other topics include case selection, engaging learners, managing incorrect answers, and utilizing collective knowledge for diagnostic dilemmas.

Tony Breu, a practicing internist and co-host of The Curious Clinicians, delves into the intersection of health and race, tracing historical pandemics like yellow fever and polio to reveal enduring health disparities. He discusses the impact of social determinants on COVID-19 outcomes, particularly among Black and Native American communities. Breu also critiques the concept of 'original antigenic sin' and immunity passports, linking past inequities to contemporary challenges in healthcare. His insights shed light on the urgent need for systemic change in medical practices.

In this engaging discussion, Tony Breu, a hospitalist and pathophysiology expert, delves into the intriguing history of syphilis, from its arrival in Naples in 1495 to the profound impact it had on modern medicine. He shares fascinating topics, including the historical use of mercury in treatments, experiments involving malaria, and the evolution of germ theory. Listeners will be captivated by bizarre past practices and ethical dilemmas surrounding syphilis treatments, as well as the disease's surprising resurgence in contemporary public health.