Hospital and Internal Medicine Podcast
Medical
Intended for the medical professional who enjoys learning for the sake of it. Dr. Porat is a practicing Colorado Hospitalist and Board Certified in Internal Medicine.
Location:
United States
Description:
Intended for the medical professional who enjoys learning for the sake of it. Dr. Porat is a practicing Colorado Hospitalist and Board Certified in Internal Medicine.
Language:
English
Episodes
Heart Failure with Preserved Ejection Fraction (Diastolic CHF) and SGLT-2 Inhibitor Therapy
1/27/2022
The double-blind, randomized phase III EMPEROR-Preserved trial showed a benefit of the sodium-glucose cotransporter-2 (SGLT2) inhibitor empagliflozin in patients with heart failure with preserved ejection fraction (HFpEF).
Now let us dig a bit more into those headlines.
Duration:00:11:32
Should You Postpone Interventions for INFECTED Necrotizing Pancreatitis?
10/18/2021
An important recently published randomized control trial provides guidance on this controversy.
Duration:00:10:18
Unique Infectious Considerations in Cirrhosis - part 1
6/14/2021
Duration:00:07:49
Gastric Emptying Abnormalities - Part 2
5/24/2021
Can we trust a nuclear study to nail the diagnosis? Are motor abnormalities really the cause of symptoms? What is a POP procedure?
Duration:00:09:38
Diabetic Gastric Emptying Abnormalities (and sometimes normal) - Part 1
5/9/2021
Almost nobody feels comfortable managing DELAYED gastric emptying (gastroparesis) and very few medical providers even think about RAPID gastric emptying in their diabetic patients. Even if you send these patients to GI specialists, your blood sugar co-management of these patients can be heavily impacted by these issues. Is delayed gastric emptying always a bad thing? When your patient has upper GI symptoms, how often is it a gastric emptying abnormality? Time for some answers.
Duration:00:10:03
Morphine for later stage COPD patients not on hospice
4/9/2021
Does regular, low-dose, oral sustained-release morphine improve disease-specific health status or cause respiratory adverse effects in patients with moderate to very severe chronic breathlessness due to advanced chronic obstructive pulmonary disease? Digging in on the latest study.
Duration:00:08:38
The JAMA controversy and loss of conversation in medicine
4/5/2021
My take on what went down at the Journal of the American Medical Association. I disagree with the comment there isn't "structural racism in health care", but was the backlash against the Editor who didn't say it (and actually opposed the comment) an over-reaction? Can we have discussions about the controversial issues that affect healthcare (like gun violence or abortion) without cancel culture cancelling the people who want to have nuanced discussions? I fear we lost the ability to have dialogue in a field where every MD/DO/PA/NP by definition has an advanced degree - and therefore we should be able to dispute misinformed statements to bring about change without the outrage going so far as to fire a person who actually objected to the hurtful statement.
Duration:00:19:01
Cows Milk - Healthy or Not?
3/6/2021
Duration:00:11:19
Understand Basic Epigenetic Changes in Medicine and Everyday Life
2/4/2021
This lecture provides a basic understanding of how epigenetic changes influence infections/sepsis, vaccinations, cancer, future generations, your muscles, and (of course) those sweet tan-lines you are rocking.
Every day you are living through epigenetic changes that have huge implications on your health and who you are.
Duration:00:12:28
Hyponatremia etiology by history and physical
12/23/2020
Hyponatremia remains a challenging topic for many because they are trying to memorize algorithms and numbers. You can usually nail the etiology by history & physical and a brief chart review.
Duration:00:29:53
Cytokine Storm - part 1
12/1/2020
If you use the term 'cytokine storm' and don't really know what you mean by it, you are far from unique. Let me help to try and clarify it for you just a bit.
Duration:00:05:26
Cytokine Storm - part 2
12/1/2020
Do you know what CRP is (other than saying it is an inflammatory marker)? Should we always shut down cytokines? If so, how? Why should we avoid giving a glucocorticoid to a COVID patient before they develop an elevated CRP or hypoxia? So many questions! A few answers are provided.
Duration:00:12:21
Covid Treatment (for Hospitalized Patients) Update
11/29/2020
Dealing with hypoxia, anticoagulation, steroids, Remdesivir, VTE, self-proning, labs, plasma, etc.
I do not get into the epidemic numbers or politics or vaccines or outpatient treatments (this is really a HOSPITALIZED TREATMENT discussion for frontline providers in hospitals). Some of what is discussed is likely going to change over the next months, as has often been the case with COVID19.
Duration:00:30:20
The Most Important Person That Lived For Our Health and Wellbeing
11/27/2020
Hint: That person died in 2017
Duration:00:31:06
An (old) New Weapon to Fight Leg Cellulitis
8/12/2020
Duration:00:11:14
Acute Severe Hypertension - part 4
6/30/2020
Did you know systolic and diastolic blood pressure are NOT measured by automated BP cuffs? PRES (Posterior Reversible Encephalopathy Syndrome), also known as RPLS (Reversible Posterior Leukoencephalopathy Syndrome), is something you should recognize when you see it. Brief mentions of esmolol, nitroprusside, and other topics are scattered somewhere in between musings.
Duration:00:17:36
Acute Severe Hypertension - part 3
4/29/2020
Did you know that intravenous labetalol and oral labetalol are not really similar? The great hydralazine debate. Things you must know about Clevidipine if you are going to use it.
Duration:00:14:47
Acute Severe Hypertension - part 1
4/26/2020
Duration:00:14:09