Run the List

Dr. Vikramjit Mukherjee, a critical care physician specializing in septic shock management, joins Dr. Emily Gutowski for an eye-opening discussion. They break down the differences between SIRS, sepsis, and septic shock, highlighting essential identification techniques. The conversation also dives into recognizing infection sources and red flags, along with the importance of timely fluid resuscitation for vulnerable patients. Lastly, they detail the critical use of vasopressors, emphasizing the need for swift action in improving patient survival.

Dr. Brooke Matson, an endocrinologist at UNC Chapel Hill, dives into the world of osteoporosis. She explains the diagnosis process, including the use of the FRAX calculator for assessing fracture risk. Brooke discusses the differences between antiresorptive and anabolic therapies, emphasizing patient-centric treatment. Practical lifestyle changes for fracture prevention, such as dietary tips and exercise strategies, are also highlighted. This engaging discussion is a must-listen for anyone interested in bone health!

Dr. Michael Janjigian, an associate professor at NYU and expert in perioperative medicine, joins Dr. Emily Gutowski to delve into preoperative assessments. They discuss recent updates to management guidelines and the use of cardiac risk scores, such as RCRI and Gupta. Insights are shared on the importance of evaluating comorbidities and readiness for surgery, including the role of BNP levels. The conversation emphasizes a multidisciplinary approach and the necessity of teamwork in optimizing surgical outcomes, making complex topics accessible for all.

Dr. Ryan Bonner, nephrologist and medical educator at UNC, dives into the complexities of cardiovascular-kidney-metabolic (CKM) syndrome and its ties to chronic kidney disease. He unveils an innovative risk calculator that empowers healthcare providers to navigate these interconnected health issues. The discussion emphasizes effective obesity management, highlighting lifestyle changes and pharmacological options. Dr. Bonner advocates for a collaborative approach in treatment, underscoring the importance of multidisciplinary strategies and patient education for optimal outcomes.

Dr. Ryan Bonner, a nephrologist at UNC School of Medicine, shares his expertise on chronic kidney disease (CKD) management. He discusses innovative AI tools enhancing clinical efficiency and the importance of accurately assessing kidney function, including the role of cystatin C. The conversation navigates the complexities of medication management, highlighting challenges like polypharmacy and hyperkalemia. Dr. Bonner emphasizes a multidisciplinary approach to care, showcasing the critical need for teamwork among healthcare providers to optimize patient outcomes.

Dr. Allison Greco, a pulmonary and critical care specialist at Bellevue Hospital and assistant professor at NYU, dives into the complexities of pulmonary embolism. She discusses the alarming case of a post-hip surgery patient and the crucial importance of prompt recognition and treatment. Risk factors and effective diagnostic methods are emphasized, alongside tailored treatment strategies for varying patient risk profiles. Finally, she highlights the significance of thorough discharge planning and medication management for ongoing care.

Dr. Michael Pillinger, an expert in gout management and treatment strategies, shares his insights on acute and long-term care for gout sufferers. He delves into the critical role of lifestyle changes and triggers that can provoke painful flare-ups. The conversation highlights the importance of urate-lowering therapies and how medications like allopurinol and newer treatments, such as peglodicase, can make a difference. Pillinger also discusses personalized treatment plans and the need for careful dosing, especially in patients with kidney issues.

Dr. Michael Pillinger, a rheumatology professor at NYU and an expert in gout, shares valuable insights into the condition's presentation and diagnosis. He discusses a case study of a 55-year-old male patient experiencing an acute gout attack, emphasizing the importance of differential diagnoses. Pillinger elaborates on gout's historical context and the biological mechanisms behind uric acid crystal formation. He also explains the critical role of joint aspiration in diagnosis and explores various imaging techniques to distinguish between chronic and acute gout cases.

Dr. Greg Katz, a cardiologist and assistant professor at NYU Langone Health, delves into strategies for preventing cardiovascular disease. He emphasizes a personalized approach using patient case studies to highlight the balance between lifestyle changes and medical treatments. Advanced lipid testing, including Apolipoprotein B and lipoprotein(a), is discussed alongside the evolving role of medications like statins and GLP-1 agonists. Katz also covers the intricate decision-making around aspirin use and the critical role of cardiac imaging in assessing risks.

Exciting changes are on the horizon, focusing on more consistent content in internal medicine. There's a shift towards emphasizing outpatient care while featuring expert interviews based on guest availability. The hosts express heartfelt gratitude for listener support and invite feedback to enhance future content.