Dr. Elliot Tapper, an expert in Non-Alcoholic Fatty Liver Disease (NAFLD) and Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD), shares valuable insights on managing these conditions. He discusses the significance of lifestyle modifications and the latest treatment options, including new FDA-approved medications and GLP-1 agonists. The conversation highlights the importance of accurate liver diagnostics, using innovative tools like imaging and fibrotic scoring, and stresses the need for multidisciplinary approaches in patient care.

Dr. Sanjeev Francis, a cardiologist from Maine Medical Center, delves into acute coronary syndrome in this informative discussion. He reveals the 'warranty' concept for stress tests and how to properly manage non-ST elevation ACS. The conversation emphasizes risk stratification and the role of elevated troponin levels, especially in cases of sepsis. Dr. Francis also discusses innovative management strategies for hyperlipidemia and the significance of personalized medical treatments in optimizing patient outcomes.

Dr. Sanjeev Francis, a cardiologist at Maine Medical Center, dives deep into acute coronary syndrome. He discusses the vital role of comprehensive patient assessment, emphasizing unique presentations in women. The conversation highlights advancements in high-sensitivity troponin tests, their implications for diagnosis, and the importance of serial ECGs in atypical cases. With insights on risk stratification tools and non-invasive testing options, this insightful dialogue not only educates but also entertains with personal anecdotes and critical case studies.

Join kidney specialist Dr. Joel Topf, known for his nephrology expertise, and heart specialist Dr. Sadiya Khan, who focuses on cardiovascular health, as they dive into the complexities of cardiorenal syndrome. They discuss managing the 'creatinine bump' during treatment, explore the use of SGLT-2 inhibitors, and tackle the challenges of diuretic resistance. Their insights on monitoring cardiac biomarkers in chronic kidney disease patients add depth, emphasizing the intertwined nature of heart and kidney health.

Join Dr. Joel Topf, Chief of Nephrology, as he dives into the intricate world of acute kidney injury (AKI). With humor and expertise, he demystifies common myths around nephrotoxicity, including risks tied to vancomycin and NSAIDs. Learn about the critical factors in diagnosing and managing AKI, particularly in high-risk patients. From understanding urine output to navigating the challenges of acute interstitial nephritis, Dr. Topf shares valuable tips for both clinicians and curious minds alike.

Paul Williams, an expert in internal medicine, joins Matt Watto and Beth Garbitelli to demystify the complexities of lower extremity edema. They tackle the pathophysiology and differential diagnosis through relatable case studies. The conversation digs into chronic vs. acute edema, highlighting diagnostic challenges related to conditions like heart failure and diabetes. Practical management strategies are discussed, including the role of compression garments and medication considerations. Listeners are reassured that understanding edema can significantly improve patient care.

Dr. Marie McDonnell, a leading expert in diabetes advancements, discusses the evolving landscape of diabetes care. The conversation covers the personalized approach to managing type 2 diabetes, emphasizing real-life strategies over numerical guidelines. New medications like GLP-1 agonists are highlighted for their effectiveness, along with the importance of lifestyle changes. The role of extended-release medications and optimizing metformin dosing for patient adherence are also explored, showcasing innovative strategies for better diabetes management.

Exploring the relationship between IBS and functional dyspepsia, the podcast covers treatment approaches, natural remedies, and medication options. They discuss management strategies for fatigue, the TV show 'Yellow Jackets,' and Stoic philosophy. The episode wraps up with insights on a Stoicism book for self-improvement.

Expert in outpatient hypertension management, Dr. Jordy Cohen, discusses common scenarios including diagnosing hypertension, managing blood pressure in chronic kidney disease, and refractory hypertension. Topics covered include lifestyle modifications, medication initiation, affordability of generic pills, masked hypertension, ACE inhibitors vs. ARBs, and optimizing blood pressure in CKD patients.

Dr. Ruth Potee and Dr. David Frank discuss methadone treatment for opioid use disorder, emphasizing its benefits and challenges. They explore access issues, intake procedures, dosing, and the role of primary care doctors in supporting patients. The episode covers personal experiences, advocacy efforts, and opportunities for improving methadone programs.