The Podcast by KevinMD

Gastroenterologist Mark Pimentel discusses his article, "SIBO and IBS: the hidden link keeping millions in pain." Mark explains how small intestinal bacterial overgrowth (SIBO) is frequently misdiagnosed or overlooked due to its symptom overlap with other GI conditions, particularly irritable bowel syndrome (IBS). He outlines the evolution of diagnostic tools like hydrogen, methane, and hydrogen sulfide breath tests, the clinical relevance of new ICD-10 codes, and the FDA-approved treatment rifaximin. Mark emphasizes that the most effective treatment remains the elemental diet—now made more palatable thanks to food science innovation. He urges increased awareness, clinician education, and research to bring this hidden condition to light and improve patient outcomes. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician coach Seema Pattni discusses her article, "Why racism in health care is still an emergency." Seema reflects on a painful encounter with an eight-year-old Black patient who wished to be white, illustrating the devastating impact of systemic racism. She outlines the profound racial disparities in health outcomes from birth to death, and highlights the lack of urgency within medical education and leadership to address these issues. Seema also calls out the exclusion of ethnic minorities from positions of power and the continued presence of toxic teaching methods in medical training. Her conversation offers both a reality check and a plea for institutional reform, authentic representation, and a more humane clinical culture. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Health care executives Susan L. Montminy and Marlene Icenhower discuss their article, "Solving a hidden challenge: 10 tips to reduce diagnostic error in the emergency department." Susan and Marlene explore the complex, high-pressure nature of ED environments and the often-overlooked dangers of diagnostic error, which can result in severe injury or death. They offer 10 actionable strategies to improve diagnostic accuracy, such as using "working diagnoses," implementing diagnostic time-outs, minimizing interruptions, and addressing cognitive biases. They emphasize the importance of fostering a collaborative team culture that normalizes diagnostic uncertainty and supports open communication to protect patients and support clinical decision-making. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Pediatric critical care physician Kyle Willsey discusses his article, "When every second counts: the evolving challenges of pediatric transport." He shares the high-stakes realities of transporting critically ill children, from his experience stabilizing a severely injured toddler during fellowship to his current role in building a pediatric transport team from the ground up. Kyle highlights the lack of standardization in pediatric transport medicine, the financial barriers to maintaining specialized teams, and the need for high-fidelity simulation training. He also explores how shrinking pediatric inpatient resources make efficient transport systems more essential than ever. Tune in for a deep dive into the evolving challenges of pediatric transport and what it takes to save lives when every second counts. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Fertility specialist Oluyemisi Famuyiwa discusses her article, "Endometriosis and fertility: What every woman should know." She explores how endometriosis, an inflammatory condition affecting 10 percent of reproductive-age women, disrupts fertility through pelvic adhesions, ovarian damage, and chronic inflammation. Yemi breaks down treatment strategies, from laparoscopic surgery and hormonal therapy to assisted reproductive technologies like IVF. She also highlights the role of dietary and lifestyle changes in reducing inflammation and improving reproductive outcomes. Tune in to learn about cutting-edge fertility treatments, diagnostic advancements, and personalized approaches to overcoming endometriosis-related infertility. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Internist and psychiatrist Muhamad Aly Rifai discusses his article, "How data accuracy failures are costing lives and money in health care." He explores the consequences of inaccurate data in health care, from billing errors and wrongful prosecutions to the broader impact on medical decision-making and patient care. Muhamad highlights real-world cases, including his own legal battle over Medicare claims and the flawed prosecution of an interventional cardiologist, to illustrate how poor data fidelity can lead to catastrophic errors. He also explains how artificial intelligence may amplify these risks if data integrity issues remain unresolved. Tune in for insights into the urgent need for accurate, reliable health care data and solutions to improve data quality in medicine. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Psychotherapist and author Margo Lowy discusses her article, "Maternal ambivalence: the side of motherhood no one talks about." She explores the often unspoken emotional complexities of motherhood, where love and frustration coexist. Margo delves into the concept of maternal ambivalence, a term that acknowledges the full spectrum of emotions mothers experience, including joy, guilt, resentment, and even fleeting moments of hatred. She explains how naming and accepting these emotions can foster resilience and deepen maternal wisdom. Tune in to learn why normalizing these feelings is essential and how embracing maternal ambivalence can lead to greater self-awareness and fulfillment in parenting.

Emergency physician W. Frank Peacock discusses his article, "What if a doctor didn't wash their hands between patients?" He explores the critical role of hand hygiene in preventing hospital-acquired infections while exposing a major gap in infection control: unwashed stethoscopes. Frank highlights how stethoscopes, often overlooked in sanitation protocols, can transfer pathogens between patients, rendering rigorous hand hygiene efforts ineffective. He critiques disposable stethoscopes for their poor acoustic quality and high misdiagnosis rates, advocating instead for single-use disposable barriers that create a touch-free, aseptic environment. Tune in to discover why standard cleaning methods fail and how innovative solutions could revolutionize medical hygiene. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise—and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Family physician Pamela Buchanan discusses her article, "Why diversity in medicine saves lives." Pamela shares powerful stories from her career, like adjusting a biracial child's treatment for a scalp infection and saving a Black woman with sickle cell disease from misdiagnosis, to illustrate how diversity enhances patient care. She addresses systemic biases—such as the undertreatment of Black women's pain and misdiagnosis of women's heart attack symptoms—and backs her insights with research showing better outcomes with diverse physicians. Pamela urges health care professionals to embrace cultural competence and collaboration, offering a clear takeaway: Diverse perspectives in medicine are essential for reducing disparities and saving lives. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Pediatrician Derek W. Moss discusses his article, "How natural disasters reveal resilience and the power of community." Derek reflects on the aftermath of Hurricane Helene, which flooded his Hendersonville Pediatrics practice and devastated his North Carolina community, drawing parallels to the Los Angeles fires. He shares the emotional toll of loss—homes, businesses, and routines—and the challenges of rebuilding without immediate insurance support. Derek highlights the inspiring resilience of community members, from heroic first responders to neighbors offering space and supplies, emphasizing actionable lessons: lean on local networks, adapt to setbacks, and embrace collective strength to recover. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended