Run the List

Dr. Navin Kumar, gastroenterologist and RTL co-founder, joins guest-host Ally Scheve to discuss the clinical presentation of Small Intestinal Bacterial Overgrowth (SIBO) in this three-part series. In this episode, they discuss the pathophysiology of SIBO, how bacteria in the small intestine lead to GI symptoms, and the risk factors for developing SIBO.Our Sponsors:* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brands

Dr. Mitchell Charap, a seasoned internal medicine clinician and former residency program director at NYU Langone, delves into a perplexing clinical case. He highlights the pitfalls of relying solely on illness scripts for diagnosis, especially when symptoms can be misleading. The discussion includes a patient experiencing unusual chest and shoulder pain, leading to the surprising discovery of pulmonary emboli through meticulous diagnostics. Charap emphasizes the importance of physical exams and adapting clinical reasoning, especially in younger patients.

Dr. Maria Sunseri, a critical care attending and clinical assistant professor, and Dr. Brynna Crovetto, a critical care pharmacist focused on optimizing medication in the ICU, share their expertise on sedation and analgesia. They discuss assessing agitation in patients and using the Richmond Agitation and Sedation Scale for tailored sedation levels. The duo compares various sedative agents like fentanyl and dexmedetomidine, emphasizing individualized protocols. They also offer insights on safely weaning sedation and the importance of interdisciplinary collaboration during extubation.

Dr. Matthew Pullen, an infectious disease physician at the University of Minnesota, sheds light on blastomycosis, a rare fungal infection. He discusses an intriguing case of a patient with unusual symptoms that complicate diagnosis. The conversation highlights the challenges in identifying the disease across various clinical manifestations, including pulmonary and cutaneous forms. Dr. Pullen also emphasizes the importance of diagnostic tests, such as tissue biopsy and antigen testing, along with treatment strategies based on disease severity.

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.