Afleveringen
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Dr. Sam Sanders, internist at Bellevue Hospital in NYC, takes us through a case-based review of metabolic dysfunction–associated steatotic liver disease (MASLD), an increasingly common condition. We cover updated terminology, risk stratification using FIB-4 scoring and FibroScans, indications for hepatology referral, and new management strategies to prevent fibrosis progression and cirrhosis.
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Gastroenterologist Dr. Sith Sekar joins Navin Kumar to review the management of celiac disease, including tips on the gluten-free diet, the need to check for micronutrient deficiencies, and how to approach the patient with celiac disease who is not responding to a gluten-free diet.
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Gastroenterologist Dr. Sith Sekar joins Navin Kumar to review the diagnosis of celiac disease, including the presenting signs and symptoms, the optimal serology screening approach, the role of celiac genetic testing, and how to confirm the diagnosis. They then move into management of celiac disease, including tips on the gluten-free diet, the need to check for micronutrient deficiencies, and how to approach the patient with celiac disease who is not responding to a gluten-free diet.
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Gastroenterologist Dr. Sith Sekar joins Navin Kumar to review the important topic of colon cancer screening, including how to calculate individual risk based on family history, options for screening, and some tips to ensure high-quality colonoscopy.
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Endocrinologist Brooke Matson joins Walker Redd to outline a practical framework for obesity management, including patient-centered counseling, lifestyle interventions, the use of GLP-1 receptor agonists, as well as when to consider bariatric surgery.
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Dr. Navin Kumar, gastroenterologist and RTL co-founder, joins guest-host Ally Scheve to discuss how to treat Small Intestinal Bacterial Overgrowth (SIBO). In this final episode of the three part series, they discuss the approach to antibiotic therapy for SIBO, the importance of understanding the subtype of SIBO when determining a treatment plan, and conclude with non-antibiotic approaches to treatment.
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Dr. Navin Kumar, gastroenterologist and RTL co-founder, joins guest-host Ally Scheve to discuss how to diagnose Small Intestinal Bacterial Overgrowth (SIBO). In this episode, they discuss the diagnostic tools for SIBO, how the lactulose breath test works, and important precautions patients should take prior to the breath test to ensure an accurate reading.
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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.
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In this special episode, Dr. Mitchell Charap, longtime IM residency program director and master clinician at NYU Langone, walks us through a mystery case that defies expectations. Together, he and host Emily Gutowski explore how illness scripts can both guide and sometimes mislead our diagnostic reasoning, and why the physical exam remains an indispensable tool.
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Critical care attending Dr. Maria Sunseri and critical care pharmacist Dr. Brynna Crovetto join Emily Gutowski for a deep dive into sedation and analgesia in the ICU. They explain how to assess agitation, titrate sedation depth using the RASS scale, compare analgesia vs. anesthesia, and choose between agents like fentanyl, propofol, dexmedetomidine, and ketamine. They also share practical pearls for safe weaning from sedation and interdisciplinary extubation planning.
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Dr. Matthew Pullen, infectious disease physician at the University of Minnesota, joins host Walker Redd to discuss blastomycosis, an often-overlooked endemic fungal infection. Through a case presentation, they explore epidemiology, classic histopathologic findings, and a variety of clinical manifestations, including pulmonary, cutaneous, CNS, and musculoskeletal. They also walk through diagnostic strategies and treatment approaches based on disease severity.
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Dr. Vikramjit Mukherjee, critical care physician at NYU and Bellevue, joins Dr. Emily Gutowski for a review of septic shock management. They first review the diagnosis of SIRS vs. sepsis vs. severe sepsis vs. septic shock. Additional topics include identifying possible sources of infection, recognizing red flags, and initiating timely, adequate fluid resuscitation, including in special patient populations (e.g., CKD and CHF). Lastly, they briefly review the use of vasopressors in septic shock.
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Dr. Walker Redd interviews Dr. Brooke Matson, endocrinologist at UNC Chapel Hill, about osteoporosis. Together, they review the diagnosis of osteoporosis and osteopenia, the use of the FRAX calculator, and the basics of antiresorptive and anabolic therapies. They also cover lifestyle changes that patients with osteoporosis can incorporate to prevent fractures.
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In this episode, Dr. Emily Gutowski interviews Dr. Michael Janjigian about preoperative assessment and perioperative medicine. They discuss the recent updates to perioperative management guidelines, the Revised Cardiac Risk Index (RCRI) and Gupta scores, and integration of laboratory data into preoperative visits. This episode also helps identify patients who may need additional testing prior to surgery.
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Dr. Ryan Bonner returns to explore cardiovascular-kidney-metabolic (CKM) syndrome and its clinical implications through the lens of chronic kidney disease. The discussion walks through atherosclerotic risk, weight management, hypertension, and heart failure, offering a multidisciplinary, practical approach to managing CKM.
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Dr. Walker Redd interviews Dr. Ryan Bonner, nephrologist at UNC School of Medicine, about principles of managing a patient with CKD. They discuss best practices in assessing a patient's true renal function, review the major classes of medications in CKD, and go over some common pitfalls in treating these patients.
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Dr. Allison Greco, pulmonary and critical care specialist at Bellevue Hospital, sits down with Dr. Emily Gutowski and discusses the initial presentation, workup, and management of a patient with a pulmonary embolism. They go through diagnostic modalities, scoring systems, and the various treatment options for patients depending on their risk profile. They discuss provoked vs. unprovoked PEs, and recommendations for longer term anticoagulation.
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In part 2 of our series on gout, Dr. Michael Pillinger is back to talk about treatment strategies in the acute setting, as well as how to approach urate-lowering therapies in the outpatient setting. He and Dr. Gutowski discuss the impact of lifestyle changes on gout control, and review the elements that may trigger a gout attack.
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Dr. Emily Gutowski interviews Dr. Michael Pillinger, NYU rheumatologist and gout expert, about the initial presentation and workup of a patient with this gout. This is the first episode of a two-part series on gout. Join us for the next episode where we'll dive into acute management and long-term outpatient treatment strategies for this chronic condition.
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Dr. Greg Katz, a cardiologist at NYU Langone Health, takes us through a comprehensive approach to preventing cardiovascular disease in a patient with multiple risk factors. Using a patient case, Dr. Katz explains how to balance lifestyle changes with medical interventions and the role of imaging in risk assessment. He also discusses advanced lipid testing including Apolipoprotein B (apoB) and lipoprotein(a) (Lp(a)), and the evolving use of medications like statins and GLP-1 agonists.
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