Knowledgeable Provider

David discusses living with ARFID, a relatively new diagnosis that healthcare professionals may not be familiar with. After a lifetime of navigating the challenges of being a "picky eater," receiving a diagnosis and structured treatment has been extremely rewarding. ARFID Resources: 1. ARFID Support Group for Adults (Facebook) 2. The Picky Eater's Recovery Book: Overcoming ARFID (Amazon) 3. CBT for ARFID (Amazon) 4. ARFID Subreddit References: 1. Lau-Zhu A, Fritz A, McLoughlin G. Overlaps and distinctions between attention deficit/hyperactivity disorder and autism spectrum disorder in young adulthood: Systematic review and guiding framework for EEG-imaging research. Neurosci Biobehav Rev. 2019 Jan;96:93-115. doi: 10.1016/j.neubiorev.2018.10.009. Epub 2018 Oct 24. PMID: 30367918; PMCID: PMC6331660. 2. Parks & Recreation - April and Andy Are a Medical Mess (YouTube) Podcast Links: Knowledgeable Provider Website Support the Show

Paramedic Dylan Kessler shares the story of performing his first surgical cricothyrotomy on a (barely) live patient under less than ideal circumstances. Live Demo of Cricothyrotomy Procedure (YouTube) Cadaver Demo of Cricothyrotomy Procedure (YouTube) KP Website Support the Show Credits Intro music: "Amazing Grace" Performed by USAF Band, Air Force Strings Ensemble International Mosaic Outro music: "That's Why" Composed by SMSgt John Henley Performed by USAF Concert Band Heritage to Horizons

Carloss Bauer recently stopped smoking after decades of varsity-level tobacco use. She talks with Jody about her long history of smoking, her decision to stop, and how she managed to pull it off. Contact Ms. Bauer via email at carlossbauer@bellsouth.net. Resources: Help.org addiction resources Mayo Clinic Nicotine Dependence Center University of Rochester Tobacco Cessation Program Podcast links: KP Website (non-Spotify) Support the show Get in touch any time by email at thekppod@gmail.com

A man codes unexpectedly then just as unexpectedly...uncodes? Credits Intro music: "Amazing Grace" Performed by USAF Band, Air Force Strings Ensemble International Mosaic Outro music: "That's Why" Composed by SMSgt John Henley Performed by USAF Concert Band Heritage to Horizons Podcast Links: Support the show Visit our website Got a critical incident you want to share? Email it to thekppod@gmail.com.

For non-Spotify listeners, here is the commentary portion of this week's musical episode without any of the songs included. Here's the playlist: Honorable mentions: ⁠Jody's YouTube Channel⁠ ⁠Support the show⁠ ⁠Check out our (non-Spotify) website⁠ What's on your mixtape? Email any time: thekppod@gmail.com

The next episode is a super fun musical journey. Unfortunately if you want to ride the bus you'll have to get your ticket from Spotify.

This new segment is all about sharing the stories we collect throughout our medical careers. The ones we tell at parties, the ones we only talk about with our colleagues, and the ones we would prefer to forget. In this episode Jody shares a heartbreaking tragedy from early in his EMS career. Got a story you want to share? Email it to thekppod@gmail.com. You can write it out, send a high-quality recording to be played, or record it with the host live. All good stories are welcome! Sadness is not required! Credits Intro music: "Amazing Grace" Performed by USAF Band, Air Force Strings Ensemble International Mosaic Outro music: "That's Why" Composed by SMSgt John Henley Performed by USAF Concert Band Heritage to Horizons https://www.music.af.mil/Multimedia/AF-Recordings/Public-Domain-Music/ Support the show

Brian James, MD is a family physician in Decatur, Alabama. He and Jody discuss the many nuances of practicing medicine in the real world. Topics include strategies for patient interaction, off-label prescribing, and the business side of managing a medical practice. Support the show

Joshua Palmer is a college student living with type 1 diabetes since age 17. Here he shares the story of his diagnosis and how he has dealt with the challenges of managing his condition. Contact Joshua by email at palmerjg59@gmail.com. Resources: Beyond Type 1 She's Diabetic YouTube Channel UC Anschutz Medical Campus Barbara Davis Center Support the showWant to get in touch? Email any time at thekppod@gmail.com.

Jody reviews the process of diagnosing prostate cancer including screening considerations, diagnostic modalities, and calculating prognosis. Sources USPSTF Prostate Cancer Screening Recommendation UpToDate Articles: Support the showWant to get in touch? Email any time at thekppod@gmail.com.

Jody reviews iron physiology, interpretation of iron studies, and treatment of iron imbalance. References: https://www.hemoncnc.com/hematology/treating-anemia-with-iron-infusions Support the showWant to get in touch? Email any time at thekppod@gmail.com.

Former IT guy Rob Daniels discusses what it takes to keep a hospital's technology infrastructure running, the eye-opening nature of doing a non-clinical job in a clinical setting, and why it's a bad idea to watch porn while you should be taking care of patients. A.J. Jacobs: My Journey to Thank All the People Responsible for My Morning Coffee Support the showWant to get in touch? Email any time at thekppod@gmail.com.

Jody shares more about his personal experience being a male nurse. Support the showWant to get in touch? Email any time at thekppod@gmail.com.

Nursing hasn't always been a female dominated profession. Prior to the Civil War, most nurses were men. We discuss the cultural issues that pushed women out of nursing during the antebellum period as well as the relatively recent increase in the number of male nurses. Jody participates in this panel discussion with other faculty members of Calhoun Community College on the CCC podcast Crossing The Streams (Season 3, Episode 3). Dr. Sheila Byrd, PhD, is a professor of English. Dr. John Gaines, PhD, is a professor of history. Dr. Stacy Powell, DNP, is a professor of nursing. Crossing The Streams Podcast Link (Spotify) Support the showWant to get in touch? Email any time at thekppod@gmail.com.

Medical assistant Katie Glenn takes us through the surprisingly simple process of applying the sensor of the Freestyle Libre 2 continuous glucose monitor. Link: YouTube video demonstration (not us) Support the showWant to get in touch? Email any time at thekppod@gmail.com.

We review the evidence, or rather the lack thereof. We also review the recently updated ACG/AGA guidelines for management of chronic idiopathic constipation in adults. Links: AGA/ACG Guideline on Chronic Idiopathic Constipation Management in Adults AFP Article on Pediatric Constipation Management Effect of Irritant Purgatives on the Myenteric Plexus in Man and the Mouse by Dr. Barbara Smith Pathology of Cathartic Colon by Dr. Barbara Smith Stimulant Laxatives for the Treatment of Chronic Constipation: Is It Time to Change the Paradigm? by Dr. Darren Brenner Myths & Misconceptions About Chronic Constipation by Dr. Steffan Mueller-Lissner et. al. Is Chronic Use of Stimulant Laxatives Harmful to the Colon? by Dr. Arnold Wald Boys of the Old Brigade performed by USAF Concert Band Support the showWant to get in touch? Email any time at thekppod@gmail.com.

Why did no one teach us how to fill out all these forms?! Jody goes through the tedious process of trying to get an imaging study covered by a patient's insurance company. After the effort (SPOILER ALERT) fails, he reviews what could have been done differently. He also discusses ACR Appropriateness Criteria for determining which imaging studies to order. ACR Appropriateness Criteria Website Support the showWant to get in touch? Email any time at thekppod@gmail.com.

April Klar is a nurse practitioner in the emergency room of a busy level 1 trauma center in Huntsville, AL. She has worked in emergency medicine for over 20 years. On today's episode she discusses how she has managed to have such a long career in such a stressful environment. Also we have a special cameo appearance of KP's canine correspondent, Bentley Sivak-Marks. Links: Kenya Relief Website Kenyan Regulation of Iodine Levels in Salt Emergency Nurses Association Staffing Report, 2022 Kenya's Goal of Providing Universal Health Coverage (US Dept. of Commerce) Kenya's Path to Universal Health Coverage (WHO) Seeking Care in the Context of Social Health Insurance in Kenya and Ghana (BMC Public Health) CBO Analysis of Commercial Insurance & Medicare Spending How Polio Campaign Beat Vaccine Hesitancy (NPR) Support the showWant to get in touch? Email any time at thekppod@gmail.com.

Mark discusses living with and managing type 2 diabetes. He also shares how being both Black and gay has influenced his interactions with the healthcare system and offers his insights into the larger issue of healthcare disparity in the United States. Thrive Alabama Website Supporting Articles: 1) Maternal Mortality Rates in the United States, 2021 2) Racial Bias in the Treatment and Management of Pain 3) Paying for PrEP 4) US Government Lawsuit Against Gilead 5) Legal Battle Over ACA PrEP Coverage 6) Prediabetes: Opportunity or Overdiagnosis? 7) Cancer Facts for Lesbian & Bisexual Women 8) HPV Vaccine: What Age is Too Late? 9) Tuskegee Syphilis Study 10) AMA Opinion: Physician Exercise of Conscience 11) Women & PrEP 12) HIV Testing, Prevention, & Care for Transgender People 13) The Private Sector & Universal Health Coverage Support the showWant to get in touch? Email any time at thekppod@gmail.com.

Jody reviews hyperparathyroidism including the underlying pathophysiology, diagnosis, and treatment. Sources: Sternlicht H, Glezerman IG. Hypercalcemia of malignancy and new treatment options. Ther Clin Risk Manag. 2015 Dec 4;11:1779-88. doi: 10.2147/TCRM.S83681. PMID: 26675713; PMCID: PMC4675637 Overbaugh, J.L.H.K.H.C. K. (2021). Lippincott CoursePoint Enhanced for Brunner & Suddarth's Textbook of Medical-Surgical Nursing (15th ed.). Wolters Kluwer Health. https://coursepoint.vitalsource.com/books/9781975186722 Nussey S, Whitehead S. Endocrinology: An Integrated Approach. Oxford: BIOS Scientific Publishers; 2001. Chapter 5, The parathyroid glands and vitamin D. Available from: https://www.ncbi.nlm.nih.gov/books/NBK24/ Lippincott Advisor for Education UpToDate Articles (multiple authors): 1) Etiology of Hypercalcemia 2) Kidney Transplantation in Adults - Persistent Hyperparathyroidism After Kidney Transplantation 3) Management of Secondary Hyperparathyroidism in Adult Dialysis Patients 4) Management of Secondary Hyperparathyroidism in Adult Non-Dialysis Patients with CKD 5) Overview of Chronic Kidney Disease - Mineral & Bone Disorder 6) Preoperative Localization for Parathyroid Surgery in Patients with Hyperparathyroidism 7) Primary Hyperparathyroidism - Diagnosis, Differential Diagnosis, & Evaluation 8) Primary Hyperparathyroidism - Management 9) Primary Hyperparathyroidism - Pathogenesis & Etiology 10) Primary Hyperparathyroidism - Clinical Manifestations 11) Refractory Hyperparathyroidism and Indications for Parathyroidectomy in Adult Dialysis Patients Support the showWant to get in touch? Email any time at thekppod@gmail.com.