Podcasts about hospitalists

This week, we present new evidence guiding coronary intervention, a molecular mechanism of inflammatory bowel disease, and gene therapy for a recessive disease. We review antidotes for anticoagulation reversal and discuss a case of hypertension in an adolescent patient. Perspectives examine cholera control, gambling-related harms, and race-based prescribing, alongside a reflection on medicine, motherhood, and what clinicians carry with them.

Today we revisit a topic we last discussed in a 2020 podcast with Laura Mosqueda: elder mistreatment.  Our guests today are geriatricians Carrie Rubenstein and Julia Hiner, and Tony Rosen, an emergency medicine doctor. They talk about where we are now, in 2026, with elder mistreatment, including: Terminology: elder mistreatment vs. abuse and neglect The need to incorporate prevention and solutions into how we talk about mistreatment This is not rocket science. Studying elder mistreatment is much harder than rocket science. Highlighting the reasons they focus on elder mistreatment, including inspiring words for why this led them to geriatrics and aging research Should we screen for elder mistreatment? The US Preventive Services Task Force doesn't see enough evidence to recommend screening. Our guests may differ… Which clinicians should assess for elder mistreatment? Hospitalists? ED docs? Primary care providers? Tony published a study in JAGS showing older adults who experienced elder mistreatment were as likely to visit primary care as those who did not, also great accompanying editorial by Mara Rosenberg and Lena Makaroun gets a shout out. Early evidence that supporting caregivers can reduce elder mistreatment (in one small study of the COACH intervention, rates of mistreatment were reduced to zero) Borrowing from pediatrics: many/most hospitals and emergency departments can call a Child Protective Services Team. Tony is piloting a parallel team for older adults - the Vulnerable Elders Protection Team (see JAGS paper).   We talk about key members of interdisciplinary teams across sites, systems, and counties. Social workers get a big shout out. A one year fellowship in capacity assessment and elder mistreatment at UT Houston, directed by Julia. An Elder Abuse Curriculum for Medical Residents and Geriatric Medicine Fellows https://pmc.ncbi.nlm.nih.gov/articles/PMC10842324/ Kudos to my son Renn for recording 5 overlapping cello parts on Eleanor Rigby! -Alex Smith  

This week, we discuss left atrial appendage closure for atrial fibrillation, oxygen strategies in respiratory failure, an all-oral treatment for acute myeloid leukemia, CAR T-cell therapy enabling kidney transplantation, and a case of a neuroepithelial tumor that developed after gene therapy. We review childhood vaccine hesitancy, follow a complex diagnostic case, and examine Perspectives on corporatization in medicine, famine and war, and the future of health care systems.

Malignant Bowel Obstruction, VTE and Goals of CareMaster malignant bowel obstruction, cancer-associated thrombosis, and goals-of-care conversations in hospitalized patients with advanced cancer. Learn practical approaches to symptom management, anticoagulation decisions, and navigating high-stakes discussions around prognosis and hospice care. We're joined by  Dr. Jensa Morris, @JensaMorrisMD (Yale School of Medicine).Claim free CME for this episode at curbsiders.vcuhealth.org!Show Segments Intro Picks of the Week Case 1: Malignant small bowel obstruction: definitions, initial management, medications, NG tubes, nutrition, and procedural options Case 2: Cancer-associated VTE: choice of anticoagulant, treatment duration, unusual thromboses, and anticoagulation with brain metastases  Case 3: Goals of care: prognosis, performance status, palliative care, hospice and end-of-life planningTake Home Points Outro  Credits Writer, producer, and show notes: Reaford Blackburn, Jr., MD Infographic, Cover Art: Caroline Coleman, MD Hosts: Monee Amin, MD and Meredith Trubitt, MD    Reviewer: Rahul Ganatra, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Jensa Morris, MD Sponsor: Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.  Sponsor: LocumstoryLocumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.Sponsor: Mint MobileTo get your new wireless plan for just 15 bucks a month, go to mintmobile.com/CURB. 

This week, we present new research guiding treatment of pulmonary embolism, early progress in cardiac regeneration with engineered heart tissue, and treatments for gastroesophageal cancer and Chiari malformation. We review leishmaniasis and follow a revealing neurologic case. Perspectives discuss nutrition policy, tickborne illness, structural competence in medicine, and the arrival of closure.

In this urgent episode, host Amie Archibald-Varley sits down with Dr. Michelle Acorn, CEO of the Nurse Practitioners' Association of Ontario (NPAO), to rip the band-aid off a system that refuses to evolve. Dr. Acorn pulls no punches: Nurse Practitioners are trained, capable, and ready — and they're being held back by outdated policy, inadequate funding, and a government content to watch the primary care crisis deepen rather than act. What you'll hear in this episode: The full scope of what Ontario's inaction actually means for patients on the ground Why NPs remain one of the most underleveraged solutions in Canada's healthcare system The funding reforms and regulatory barriers that must be dismantled — now What a truly patient-centered, NP-inclusive system could look like — and the path to get there Why this moment is a turning point This is the conversation healthcare needs to have. The one that doesn't end with "we'll study it further." If you care about access to care, about equity, about a system that finally treats Nurse Practitioners as the leaders they are — this episode is required listening. Subscribe, share, and turn up the volume. The gritty truth can't wait. Update: The April 1st Deadline Has Come and Gone. Ontario's Patients Are Paying for It. The federal government drew a line in the sand: by April 1, 2026, provinces must ensure that medically necessary services delivered by Nurse Practitioners are publicly covered. Ontario blinked — and millions of patients are now left holding the bill. As reported by CBC News, Ontario failed to meet the federal deadline, leaving Ontarians without primary care and forcing them to pay out-of-pocket for services that should never cost them a dime. This isn't a bureaucratic hiccup. This is a political choice — and people without a family doctor are the ones suffering the consequences. The Gritty Nurse isn't here for polite conversation. We're here to start the revolution. More About Dr. Michelle Acorn Dr. Acorn has over 35 years of nursing, health systems and leadership expertise. NP Acorn transitioned to her NPAO CEO role in 2024. She previously was the inaugural Chief Nurse with the International Council of Nurses, a former Provincial Chief Nursing Officer in Ontario, and has served as a NPAO President. Dr. Acorn was inducted as an inaugural Fellow of the Canadian Academy of Nursing (FCAN), Fellow of the American Academy of Nursing (FAAN), Fellow of the Faculty of Nursing and Midwifery Royal College of Surgeons of Ireland (FFNMRCSI, Ad Eundem), and Fellow of the Queens Nursing Institute in the United Kingdom.  NP Acorn has received prestigious recognitions including the Nurse Practitioner Association of Canada Award of Excellence and Premier's Award Nominee for Outstanding Scholars and Leaders. She was named one of the top 20 visionary CEOs in Canada (2024), and top 25 women of influence in Canada (2025) and received a King Charles III Coronation Medal (2025). Michelle received the inaugural Canadian Nurses Association highest merit Sapphire Award in 2025. Dr. Acorn upholds all the NP advanced practice role domains. She is diploma to post-doctoral educationally prepared, is a Doctor of Nurse Practitioner/ Nursing Practice, dually registered as both a Primary Health Care and Adult Nurse Practitioner, and a certified Global Nurse Consultant. Dr. Acorn's diverse clinical expertise includes practicing in the Emergency, as a Hospitalist, innovating GAIN (Geriatric Assessment and Intervention Networks), and pioneering the most responsible provider (MRP) impacts of a NP–led model of inpatient hospital care as well as NP primary care models in corrections.  NP Michelle continues to practice in the community enhancing access to care for health equity seeking populations.  Michelle is recognized as a credible clinician, thought leader, mentor, teacher and scholar locally to globally. https://www.npao.org/dipl-team-member/michelle-acorn/ * Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts  https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Watch on YouTube –  https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact Thank you to Hospital News for being a collaborative partner with the Gritty Nurse! www.hospitalnews.com 

Dr. Michael Lou, Medical Director for Hospitalists at Northwestern Medicine Palos Hospital, joins Wendy Snyder for this week's health update. Dr. Lou discusses the latest with hantavirus and how it differs from COVID-19, what we need to know about tick-borne illnesses, and he answers listeners’ health questions.

Wendy Snyder, Dave Schwan, Eli Berk, and Tony DeNardis start the show by talking about lunch boxes from back in the day, banana nut bread, and the Crosstown Classic. For today's Far Flung Forecast, Dave takes us out to Uniondale, New York, located on Long Island. Then, Dr. Michael Lou, Medical Director for Hospitalists at […]

This week, we present a promising new therapy for dermatomyositis, evolving approaches to stroke care, the prevention of Covid-19 after household exposure, and new treatments for kidney disease. We review inflammatory myopathies and follow a complex case of multisystem illness. Perspectives discuss AI and uncertainty in clinical care, health equity, the forces shaping affordability in health care, and on unpacking the ordinary.

This week, we present research on high-risk coronary intervention strategies, targeted therapy for pancreatic cancer, an mRNA influenza vaccine, and treatments for severe scabies and sickle cell disease. We review cerebral amyloid angiopathy and follow a complex case of a disseminated infection. Perspectives address the impact of corporate medicine on medical training and drug pricing policy.

This week, we feature advances in targeted therapy for HER2-mutant lung cancer, interventions to reduce maternal infection, an emerging treatment for hemophilia A, and a new diagnostic test for tuberculosis. We review Barrett's esophagus and follow a case of systemic illness with kidney failure. Perspectives address GLP-1 drugs and eating disorders, directed blood donation, generic drug safety, and an in-flight medical emergency.

What if the people case-managing your care had a financial reason to keep you sicker? That's the uncomfortable question Scott Middleton puts on the table in this episode — recorded live from the American Case Managers Conference in Orlando, where Scott went to learn, and ended up being told Your Health didn't "fit" because they weren't a hospital. Jamie and Scott unpack what the nurse case manager role actually looks like at Your Health — and why moving case management out of hospitals and into patients' homes isn't just better care, it's better economics. Scott shares the research proving the model works: 50% reduction in Medicare spend when patients are seen at the right frequency by the right people. In this episode: Why hospitalists may be "the demise of the American healthcare system" The difference between nurse practitioners (diagnose and treat) and nurse case managers (assess and guide) — and why blurring them costs patients The 16.05-visits-per-risk-point model David Clemens' research validated How coding departments are quietly diagnosing patients with diseases they don't have Why Medicare's 6-year insolvency window may be the disruption we need Head-to-toe assessments, delegation rights, and the real job of an RN in the home If you've ever suspected the system is working exactly as designed — just not for the patient — press play. www.YourHealth.Org

This week, we explore new strategies for blood-pressure control after intracerebral hemorrhage, Covid-19 treatment in higher-risk patients, hormonal therapy for prostate cancer, and anesthesia for tracheal intubation. We review spinal epidural abscess and follow a case of progressive weakness and liver lesions. We examine advances in tRNA research, and Perspectives discuss the use AI in prescribing, pediatric drug research, the impact of pharmaceutical mergers, and the goals of care.

When you are hospitalized, it's likely that a Hospitalist will be the “quarterback” physician of your care team. Matthew Werpy, D.O., is a Hospitalist andMedical Director for Hospital Medicine at Rapid City and Spearfish Hospitals. In this episode, Dr. Werpy shares his background and training. He outlines how the relatively recent specialty of hospitalist came to be and how they function at Monument Health. As the fastest growing specialty in the United States, hospitalists must have a broad medical knowledge so they can treat any number of the illnesses they encounter. This is especially important in rural areas because of the comparative lack of specialists. Hospitalists must also be able to gain the trust of a patient quickly through individual connection, especially with those who may be unfamiliar with the recent introduction of these physicians to inpatient care. Hosted on Acast. See acast.com/privacy for more information.

After nearly a decade as a hospitalist in the Washington, DC area, Dr. Nadia Sirdar realized she had stopped feeling. End-of-life conversations had become a script. Length-of-stay metrics were drowning out the humans in front of her. She wasn't burned out on medicine. She was burned out on the system.In this episode of My DPC Story, Dr. Maryal Concepcion sits down with Dr. Sirdar, internal medicine physician, public health expert, and founder of Find Bethesda Doctor, to talk about the leap from hospital medicine to Direct Primary Care, opting out of Medicare to care for elderly patients aging in place, building a practice for women in midlife (and the surprise wave of husbands who joined too), and what it actually takes to thrive as a physician and as a patient over a lifetime.This conversation is for any physician who has scrolled federal job boards at midnight wondering "is this it?", and for anyone who needs to hear that saying your dream out loud is the first move toward making it real.What You'll LearnWhy hospitalist autopilot can mimic a stable career while quietly costing you everythingHow opting out of Medicare unlocked Dr. Sirdar's ability to care for elderly patients aging in placeWhy multilingual care (English, Spanish, Hindi, Urdu) and cultural fluency change patient outcomesHow to build a DPC practice for women in midlife, perimenopause, and menopause, and why men keep asking to joinThe financial planning realities of leaving fee-for-service: self-funding, opt-out timelines, and why a smaller piggy bank forces smarter decisionsHow to set boundaries with patients without losing the relationshipWhy "if you've seen one DPC, you've seen one DPC" is the most freeing sentence in medicineThe vendor traps new DPC physicians fall into and how to avoid themHow functional strength, real food, and aging in place are the three pillars of thriving Dr. Sirdar teaches her patientsTake the FREE DPC Marketing Self Assessment from AlignedMD HERE.  Find a My DPC Story Event near you! State Summits in CA, IL, a My DPC Story LIVE event and the DPC Women's Summit are all coming! Learn more at mydpcstory.com/upcoming-events! The DPC Directory: If you're a DPC doctor, you'll find resources to grow your practice! If you serve the DPC world, grab a FREE listing today and get discovered by doctors who need your services.

This week, we present new research on stroke prevention, Kawasaki disease, ICU infection strategies, and immune thrombocytopenia. We review hormone therapy and thrombotic risk. A case highlights an evolving diagnosis of severe fatigue and sleep disturbance. Perspectives explore nursing workforce policy, the role of nurse scientists in rebuilding trust, and the health consequences of environmental rollbacks.

On this episode of the Legal Nurse Podcast, host Pat Iyer welcomes Dr. Ed Johnson, a seasoned pediatric hospitalist from Virginia's only freestanding children's hospital. Together, they shine a light on the unique challenges and vital safeguards in pediatric care, from medication dosing intricacies to critical communication between families and healthcare providers. Ed Johnson shares expert insights into how errors can occur even with electronic records, why family-centered care matters so deeply, and how legal nurse consultants and clinicians can collaborate to improve patient safety. Listeners will discover the inner workings of children's hospitals in the United States, surprising pitfalls in documentation, and the high stakes involved when pediatric patients are hospitalized. Through compelling real-world cases and practical expertise, Dr. Ed Johnson explores how missing a single detail or dismissing a parent's concern can have life-altering consequences. Tune in for a thought-provoking conversation filled with lessons, cautionary tales, and actionable advice for anyone involved in the care or legal evaluation of pediatric patients. If you're passionate about healthcare quality or pediatric patient advocacy, this episode offers essential guidance and eye-opening stories you won't want to miss. What You'll Learn in This Episode on Expert Insights from a Pediatric Hospitalist on Preventing Errors and Improving Record Accuracy Here are 5 discussion questions answered in the podcast: How do small documentation mistakes lead to big consequences for hospitalized children? Why is listening to parents and caregivers critical in pediatric safety and what happens when their concerns are dismissed? What surprising errors still occur even with modern electronic health records? How do pediatric hospitalists like Ed Johnson unravel complex cases for legal review? What tools and strategies make the difference between catching an error in time and tragedy? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. Grow Your LNC Business 13th LNC SUCCESS® ONLINE CONFERENCE April 23, 24, and 25, 2026 Skills, Strategy, Results Gain deposition mastery, marketing confidence, and clinical–legal insight from industry leaders you can apply to your next case and client call. Build a Practice Attorneys Remember Learn exactly how to showcase expertise, attract referrals, and turn complex medical records into clear, defensible stories that win trust. Learn From the Best—Then Ask Them Anything Get step-by-step training, live “hot seat” solutions, and exclusive VIP Q&A time with Pat Iyer to accelerate your LNC growth. Register now- Limited spots available Your Presenter for Expert Insights from a Pediatric Hospitalist on Preventing Errors and Improving Record Accuracy Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Ed Johnson Ed Johnson, is a pediatric physician, Girl Dad, and avid sports fan. He is a pediatric hospitalist working in Virginia at the state's only free-standing children's hospital. Having received his medical degree at The Brody School of Medicine at East Carolina University in Greenville, NC, he completed his pediatric residency at Duke University Hospitals. When he is not on this podcast, he is firing up his smoker to cook a delicious meal for his family. Connect with Ed Johnson by email at edjohnson@prospectconsultingservices.com

This week, we present new research on intensive LDL cholesterol targets, team-based strategies to improve blood pressure control, emerging therapies for immune and oncologic diseases, and a next-generation yellow fever vaccine. We review celiac disease and follow a compelling case of post-procedural complications. Perspectives explore health disparities and efforts to strengthen care in vulnerable communities.

This week, we present new research on treatment for muscle-invasive bladder cancer, left atrial appendage closure versus medical therapy for atrial fibrillation, gene-editing approaches for sickle cell disease and β-thalassemia, and the safety of discontinuing beta-blockers after myocardial infarction. We also review GLP-1 receptor agonists and discuss a Clinical Problem-Solving case of a man with progressive confusion. Perspectives explore corporatization; biologic, as opposed to chronologic, aging; and a legal case that could affect mental-health policy.

This week, we present new clinical trials on immunotherapy for stage III mismatch repair–deficient colon cancer, early surgery for asymptomatic aortic stenosis, an approach to dengue virus suppression, and advances in gene and prime-editing therapies for rare disorders. We also review minipuberty. We follow the case of a 12-year-old girl with altered mental status and persistent hypoglycemia, and we explore Perspectives on corporate influences on health, vaccine communication, antitrust policy, conflicts of interest, and the meaning of the number needed to treat.

This week, we explore new evidence comparing oral anticoagulants for acute venous thromboembolism, treatment for chemotherapy-induced thrombocytopenia, and early results of gene therapy for inherited deafness. We also examine evolving strategies for chronic lymphocytic leukemia, review the management of polymyalgia rheumatica, and present a case discussion of a woman with chest pain, dyspnea, and syncope. We explore gastric cancer prevention, competency-based billing, the health consequences of immigration enforcement, access to high-cost gene therapies, and we present a Perspective on good compressions.

In this first episode of a new three-part series, I'm joined by Dr. Erica Howe to talk about the real power of community for high-achieving women. This conversation explores why so many professional women carry the badge of doing everything on their own—and what becomes possible when you step into a room where honesty, strategy, and shared experience replace isolation. We talk about the small conversations that can shift your perspective, why community is more than just support, and how the right environment can spark the courage to change something in your career or life. About Dr. Erica Howe Dr. Howe is a board-certified Hospitalist and a nationally known educator, wife, and mother to three crazy kids. As a prolific speaker and lifelong advocate for improved wellness in medicine, she has delivered hundreds of talks nationally and internationally on topics like conflict management and boundary setting. In 2018, she founded the Women Physicians Wellness Conference, held in Aruba, Grand Cayman, and Amelia Island, exclusively for women physicians. In 2024, she expanded this vision by founding the Women Professionals Wellness Conference, a three-day event in the Bahamas each January designed to bring women from demanding professions together to share their struggles and strategies for success. Dr. Howe believes women are stronger together and is passionate about helping them find the courage, clarity, and community to succeed on their own terms—not someone else's.   Resources: Get full show notes and more information here: https://www.burnstressloseweight.com/209  Get The Body Reset Mini Course: https://burnstressloseweight.com/bodyreset  Take the Stress Quiz: https://burnstressloseweight.com/stress Connect with Dr. Erica Howe: https://www.womenphysicianswellness.com/

This week, we explore a phase 3 trial of finerenone in type 1 diabetes and chronic kidney disease and guidance on timing of nonculprit-lesion PCI after STEMI. We cover an investigational therapy for Dravet syndrome and neoadjuvant treatment for high-risk intrahepatic cholangiocarcinoma. We review the effects of radiotherapy on normal tissue, a puzzling case of progressive neurologic decline after suspected foodborne illness, and Perspectives on private equity, the AHEAD model, and medical credit cards.

This week, we explore a new standard of care for high-risk HER2-positive early breast cancer, long-acting therapy for people with HIV facing adherence challenges, a first-in-class trial of a p53 reactivator, and tecovirimat for mpox. We review group B streptococcal disease and a revealing case of prosthetic joint infection. Perspectives examine the role of folate therapy, Medicare drug-price negotiation, AI in medical education, and incidental findings.

This week, we highlight major advances in multiple myeloma, gene therapy for cystinosis, and experimental treatments for myotonic dystrophy. We review long-term outcomes of aortic-valve replacement, strategies for secondary stroke prevention, and a revealing diagnostic case of eosinophilic disease in an older adult. A Sounding Board explores FDA approval standards. Perspectives delve into tobacco cessation, influenza evolution, and the uncertainty patients and clinicians share when facing life-altering diagnoses.

"My wife would come back to check on me late at night, asleep at the keyboard, and she would be like, 'Is he dead?' The burnout, what we call moral injury, is more real than anybody knows." - Will SteelmanThe American healthcare system is crushing its doctors. Faced with "assembly line" quotas of 25+ patients a day, hours of unpaid administrative work ("pajama time"), and a suicide rate higher than that of veterans, physicians are fleeing the profession in droves.My guest this week is Dr. Will Steelman, a board-certified internal medicine physician who lived through this crisis firsthand. After 12 years as a hospitalist, Dr. Steelman reached his breaking point during the pandemic and realized the only way to save his career, and his life, was to exit the system entirely.In this episode, we explore why Direct Primary Care (DPC) is the only viable path forward for the future of medicine. Will explains how DPC restores the doctor-patient relationship by reducing patient panels from 3,000 to 600, allowing for 90-minute visits, true price transparency, and a focus on root-cause resolution. We also discuss the clinical benefits of having time to care, including using ketogenic therapies to treat mental illness and reversing chronic metabolic disease, rather than just managing it with pills.If you want to understand why your doctor is exhausted, why your premiums are going up, and why DPC is the solution we can't afford to ignore, listen to this episode.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: The Link Between Diet & Mental Clarity (00:04:18) The Road to Burnout: 12 Years as a Hospitalist (00:09:17) "Is He Dead?": The Reality of Physician Suicide & Moral Injury (00:11:08) The Way Forward: Concierge vs. Direct Primary Care (00:15:35) The Math of Failure: Why 2,500 Patients is Unsustainable (00:21:16) "Click Fatigue" and the Administrative Burden (00:23:58) Leaving the System: Launching Steelman Medical Group (00:32:06) Saving the Profession: Why DPC Offers Work-Life Balance (00:40:12) True Transparency: Why DPC Lab Costs Are Dropping (00:48:58) The Luxury of Time: Treating Mental Health with Ketogenic Diets (00:59:32) The Statin Controversy & Insulin ResistanceKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

"My wife would come back to check on me late at night, asleep at the keyboard, and she would be like, 'Is he dead?' The burnout, what we call moral injury, is more real than anybody knows." - Will SteelmanThe American healthcare system is crushing its doctors. Faced with "assembly line" quotas of 25+ patients a day, hours of unpaid administrative work ("pajama time"), and a suicide rate higher than that of veterans, physicians are fleeing the profession in droves.My guest this week is Dr. Will Steelman, a board-certified internal medicine physician who lived through this crisis firsthand. After 12 years as a hospitalist, Dr. Steelman reached his breaking point during the pandemic and realized the only way to save his career, and his life, was to exit the system entirely.In this episode, we explore why Direct Primary Care (DPC) is the only viable path forward for the future of medicine. Will explains how DPC restores the doctor-patient relationship by reducing patient panels from 3,000 to 600, allowing for 90-minute visits, true price transparency, and a focus on root-cause resolution. We also discuss the clinical benefits of having time to care, including using ketogenic therapies to treat mental illness and reversing chronic metabolic disease, rather than just managing it with pills.If you want to understand why your doctor is exhausted, why your premiums are going up, and why DPC is the solution we can't afford to ignore, listen to this episode.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: The Link Between Diet & Mental Clarity (00:04:18) The Road to Burnout: 12 Years as a Hospitalist (00:09:17) "Is He Dead?": The Reality of Physician Suicide & Moral Injury (00:11:08) The Way Forward: Concierge vs. Direct Primary Care (00:15:35) The Math of Failure: Why 2,500 Patients is Unsustainable (00:21:16) "Click Fatigue" and the Administrative Burden (00:23:58) Leaving the System: Launching Steelman Medical Group (00:32:06) Saving the Profession: Why DPC Offers Work-Life Balance (00:40:12) True Transparency: Why DPC Lab Costs Are Dropping (00:48:58) The Luxury of Time: Treating Mental Health with Ketogenic Diets (00:59:32) The Statin Controversy & Insulin ResistanceKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

This week includes studies on promising new therapies for IgA nephropathy, evolving antithrombotic strategies after coronary stenting, and the inciting antigen in rare vaccine-related clotting syndromes. We review the urgent challenge of mucormycosis and follow the case of a young woman with headaches and hypertension. We discuss human-subjects research. Perspectives examine rural health, data interoperability, drug labels in the courts, and a pediatrician's dilemma.

This week, we look at new evidence on oral cholesterol-lowering therapy, the evolving role of beta-blockers after myocardial infarction, and advances in breast and prostate cancer treatment. We review the inherited risk of coronary disease. We also work through a revealing diagnostic case in a young woman and reflect on science under pressure, corporatized insurance, the reach of FDA law, and what it means to live with life-sustaining technology.

This week, we explore new therapies to reduce pancreatitis risk in severe hypertriglyceridemia, advances in breast cancer treatment, and long-term results of gene therapy for hemophilia B. We discuss vision-threatening vascular emergencies, the mental health effects of firearm injury on families, and care for peripheral artery disease. We also follow a revealing diagnostic case in an older woman with respiratory failure. Perspectives reflect on hypertension control, immunization access, chronic disease policy, and on the inherited risk of disease.

In this episode, we explore evolving evidence on anticoagulation after atrial fibrillation ablation, long-term outcomes with immunotherapy for melanoma, and promising new treatments for hepatitis D and triple-negative breast cancer. We review advances in physiologic pacing for heart failure and work through a challenging case involving fever, rash, and neurologic symptoms. An article considers fairness for late-career physicians, and Perspectives discuss misconceptions about autism, access to contraception, and the financial pressures shaping health care.

Learn what a "hospitalist doctor" is and what role they play in caring for Henry Mayo patients.

This week, we explore new evidence on managing asymptomatic carotid stenosis, restoring vision in advanced macular degeneration, and preventing migraine in children. We discuss innovative cellular therapy for autoimmune disease, review sudden cardiac arrest in athletes, and describe a case of severe systemic infection with vision loss. Perspectives examine global tobacco risks, the future of telehealth payment, Medicare coverage of new technologies, and the things physicians carry.

In this episode of The Brave Enough Show, Dr. Sasha Shillcutt and Dr. Erica Howe discuss:  How successful women get so isolated  How to come back after a failed friendship  How communities of strangers can be the place to find your true connection "When I am struggling, my default is to withdraw. But it is only when I reach out and am vulnerable with my friends that true healing can begin." - Dr. Erica Howe  Dr. Howe is a board-certified Hospitalist and a nationally known educator, wife, and mother to three crazy kids.  As a prolific speaker and lifelong advocate for improved wellness in medicine, she has given hundreds of talks both nationally and internationally on topics like conflict management and boundary setting.  In 2018, she founded the Women Physicians Wellness Conference in Aruba, Grand Cayman, and Amelia Island exclusively for women physicians.  Then, in 2024, she founded the Women Professionals Wellness Conference –a 3-day event in the Bahamas each January--as a way to bring women from various demanding professions together to share their struggles and their strategies for success. She believes that women are stronger together and wants to inspire them to find the courage, clarity, and community to succeed on their own terms, instead of someone else's.  www.womenphysicianswellness.com  www.womenprofessionalswellness.com   https://www.facebook.com/groups/WPWconference  https://www.instagram.com/wpwconference/    The Boundaries Blueprint, my new, short, on-demand course, is designed to be your toolkit for making small changes that add up to a big reset. In just three easy modules, you'll walk away with your personal plan to: Stop the daily drains on your energy, Set boundaries that stick, Protect a pocket of time that is yours (no excuses). This isn't about overhauling your entire life. It's all about the small shifts that bring powerful change. It's simple, practical, and takes less than one hour! Brave Balance is about transforming your professional and personal life in a safe, small group setting. You will grow deep in self-awareness, set clear boundaries, and develop strong time management skills to create the work-life balance you desperately need (and deserve). Change your mindset to let unhealthy behaviors go, and create long-lasting work-life control so you can live well on YOUR terms. Follow Brave Enough:   WEBSITE | INSTAGRAM | FACEBOOK | TWITTER | LINKEDIN Join The Table, Brave Enough's community. The ONLY professional membership group that meets both the professional and personal needs of high-achieving women.

This week, we explore new options in cardiovascular prevention, fish-oil supplementation in dialysis patients, RSV vaccination, and cutting-edge cellular therapy for leukemia. We discuss advances in lung cancer treatment, approaches to functional dyspepsia, and a complex case of severe infection after travel. Perspectives examine access to and cost of weight-loss drugs, the promise and risks of AI in clinical care, and what it means to care for others while carrying personal loss.

What if your next "new clinic" isn't a new build at all? This episode features the opening presentation from the recently held ROI Centered Care Summit—a half-day virtual summit produced by Bright Spots Ventures in partnership with TytoCare and the American Telemedicine Association (ATA). Jared Droze, Director of Virtual Care at Oklahoma State University (OSU) Medicine, and Bradley Anderson, DO, Medical Director of Virtual Care at OSU Medicine unpack a practical, scalable access strategy: repurposing vacant facilities and community spaces into hybrid care hubs, bringing "right care, right time" closer to rural and underserved Oklahomans. You'll hear how OSU Medicine: Builds access models designed for critical access and rural communities Partners with the Choctaw Nation of Oklahoma to launch a small-footprint hybrid clinic (with on-site staff + virtual clinicians) Extends reach through OSU Extension offices—leveraging trusted local infrastructure to support agricultural and rural populations Uses low-barrier technology and streamlined workflows to make virtual care operationally sustainable Focuses on reducing unnecessary transfers and keeping patients closer to home and family Key topics covered: From "vacant buildings" to community care hubs The Choctaw Nation clinic model: staffing, footprint, patient scope, and sustainability Why a site-based hybrid model (vs. fully remote telehealth) can expand diagnostic capability Patient adoption and trust: what communities say when "the future" shows up on Main Street Extension offices as access points for agricultural workers and rural residents What makes virtual care actually work day-to-day: protocols, training, and reliability If you're a health system leader, virtual care operator, rural health strategist, or payer/provider partner looking for a real-world blueprint to expand access without massive capital spend—this conversation is for you. Bios: Jared Droze: With over 15 years of progressive leadership experience in healthcare operations, Jared has successfully driven innovation and growth across hospital, outpatient, academic, and virtual care settings. Skilled in strategic operations, physician alignment, and performance management, he has consistently improved financial performance, patient outcomes, and team cohesion in both non-profit and for-profit environments. Currently serving as the Director of Virtual Care at OSU Medicine, Jared is passionate about leveraging technology and collaborative strategies to enhance healthcare accessibility and delivery. Jared holds a Master's in Healthcare Administration from Oklahoma State University – Center for Health Sciences and is a member of the American College of Healthcare Executives and Secretary of the Telehealth Alliance of Oklahoma. Dr. Bradley Anderson: ​​Dr. Anderson is a distinguished board-certified physician in Internal Medicine, with deep ties to the rural landscapes of Missouri. He commenced his academic journey by obtaining a bachelor's degree in Health Science with a concentration in Radiology from Missouri Southern State University. Advancing his medical aspirations, he earned a Doctorate in Osteopathic Medicine from Campbell University School of Osteopathic Medicine in North Carolina, followed by a residency in Internal Medicine at Oklahoma State University. Dr. Anderson's commitment to healthcare excellence is further reflected in his pursuit of advanced qualifications. He holds a Master's in Healthcare Administration from Oklahoma State University, a Certificate of Artificial Intelligence in Healthcare from Stanford University, and the designation of Certified Telehealth Professional from the American Hospital Association. His career journey led him to join the faculty at Oklahoma State University, where he is the AT&T Endowed Professor of Telemedicine and serves as a Clinical Assistant Professor of Internal Medicine as well as multiple administrative roles including Vice Chair of OSUMC Internal Medicine Department, Medical Director of Virtual Care, Medical Director of the OSU Health Access Network, and Medical Director of the Hospitalist at Cleveland Area Hospital. He focuses on using technology to address healthcare gaps in underserved communities, schools, and hospitals, specifically through technology and Virtual Care, ensuring specialized medical expertise reaches those in need. He is interested in using artificial intelligence to enhance physicians' workflow.   Podcast Recommendation: Check out Access Amplified, brought to you by TytoCare and hosted by Joanna Braunold - a podcast about how digital health is helping increase access to care and equity, one innovation at a time. We'll shine a light on what's actually working to make care more accessible and  inclusive. If you're a healthcare leader, an innovator, a policy shaper, or anyone passionate about health equity, this podcast is for you. New episodes drop every two weeks. Follow or subscribe wherever you get your podcasts. https://www.tytocare.com/resources/access-amplified/ Thank You to Our Episode Partner, TytoCare. TytoCare enables health systems and plans to deliver high-quality remote exams anytime, anywhere. Their FDA-cleared devices and AI-powered diagnostic platform support virtual specialty care, school-based programs, and home health models—reducing unnecessary ED visits and improving patient experience. To learn more, visit tytocare.com. Schedule a Meeting with a Senior Leader at TytoCare: To explore how TytoCare can help your organization expand virtual specialty access and improve care coordination, reach out to jtenzer@brightspotsventures.com  to schedule a meeting. About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.  

Diverticulitis Simplified: Imaging, Antibiotics, Diet, and When to Call Surgery Master diverticulitis! Learn how to distinguish uncomplicated from complicated disease, when to reach for antibiotics, and which patients need surgical consultation. We're joined by Dr. Bob Hollis (University of Alabama at Birmingham) and Dr. Andrew Webster (Emory University). Claim free CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Rapid Fire Questions Picks of the Week Case 1 Defining and Classifying Diverticulosis vs Diverticulitis History and Physical Exam Labs and Imaging Disposition: Admit or Discharge? Antibiotics: Who Needs them and How to Choose Duration of Antibiotic Therapy Diagnostic Pitfalls and Redflags Nutrition in the Hospitalized Patient with Diverticulitis Case 2 Surgery and IR Consultation Antibiotics in Diverticular Abscess Repeat Imaging in Undrainable Abscess Elective Surgery in Diverticulitis Case 3 Diverticulitis with Perforation Counseling Patients Undergoing Surgery Ostomy Reversal Timing Credits Writer, Producer, and Show Notes: Reaford Blackburn, Jr., MD Infographic and Cover Art: Caroline Coleman, MD Hosts: Monee Amin, MD and Meredith Trubitt, MD  Reviewer: Rahul Ganatra Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guests: Bob Hollis, MD and Andrew Webster, MD Sponsor: FIGS Take 15% off your first order at Wearfigs.com with the code FIGSRX. Sponsor: Continuing Education Company Visit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.   Sponsor: Gusto Try Gusto today at gusto.com/cribsiders, and get three months free when you run your first payroll. 

This week, we share advances in treatment for EGFR-mutated lung cancer, a brain-penetrant enzyme therapy for a rare pediatric disorder, and dual targeting of extramedullary myeloma. We review cardiogenic shock, work through a challenging diagnostic puzzle in a young woman with recurrent illness, and explore Perspectives on corporatized care, vaccine policy, AI in medicine, and where clinicians carry grief.

Unsung Heroes in Cancer Care: Hospitalists with guest Dr. Jensa Morris December 28, 2025 Yale Cancer Center visit: https://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095

Unsung Heroes in Cancer Care: Hospitalists with guest Dr. Jensa Morris December 28, 2025 Yale Cancer Center visit: https://www.yalecancercenter.org email: canceranswers@yale.edu call: 203-785-4095

Today we are talking to a hospitalist who is giving up partnership at his practice to become a full time entrepreneur. He is excited to be able to practice medicine on his own terms. He has always had an entrepreneur mindset and not long after residency he started buying real estate and ultimately ended up buying six car washes with a plan to acquire 3 more before the end of the year. He is comfortable with leveraging debt and has built an empire that has proven very lucrative. He loves that he is building a legacy that he can leave to his children. After the interview we are talking about tax loss harvesting for Finance 101. Still not sure what to do with your student loans?Overwhelmed with how to tackle that giant debt in an ever changing political climate? The experts at StudentLoanAdvice.com are here to help guide you through the best options to manage your loans – our experienced staff have consulted on over $250M in student loan debt, and the average studentloanadvice.com client has saved over $190,000 dollars. You will receive a customized student loan plan using the principles of The White Coat Investor, get answers to all of your student loan questions, gain clarity about your financial future and start down the right path toward financial freedom. Book a consult today at www.studentloanadvice.com. You can do this and The White Coat Investor can help. The White Coat Investor has been helping doctors, dentists, and other high-income professionals with their money since 2011. Our free personal finance resource covers an array of topics including how to use your retirement accounts, getting a doctor mortgage loan, how to manage your student loans, buying physician disability and malpractice insurance, asset allocation & asset location, how to invest in real estate, and so much more. We will help you learn how to manage your finances like a pro so you can stop worrying about money and start living your best life. If you're a high-income professional and ready to get a "fair shake" on Wall Street, The White Coat Investor is for you! Have you achieved a Milestone? You can be on the Milestones to Millionaire Podcast too! Apply here: https://whitecoatinvestor.com/milestones  Find 1000's of written articles on the blog: https://www.whitecoatinvestor.com  Our YouTube channel if you prefer watching videos to learn: https://www.whitecoatinvestor.com/youtube  Student Loan Advice for all your student loan needs: https://studentloanadvice.com  Join the community on Facebook: https://www.facebook.com/thewhitecoatinvestor  Join the community on Twitter: https://twitter.com/WCInvestor  Join the community on Instagram: https://www.instagram.com/thewhitecoatinvestor  Join the community on Reddit: https://www.reddit.com/r/whitecoatinvestor  Learn faster with our Online Courses: https://whitecoatinvestor.teachable.com  Sign up for our Newsletter here: https://www.whitecoatinvestor.com/free-monthly-newsletter  00:00 MtoM Podcast #254 01:40 Hospitalist Becomes a Full-Time Entrepreneur 15:00 Advice For Others 18:54 3 Pathways to Wealth 22:23 Tax Loss Harvesting

This week, we look at ctDNA-guided immunotherapy for bladder cancer, cardiovascular outcomes with tirzepatide, and evidence that one HPV vaccine dose may be enough. We explore high-dose rifampin for tuberculous meningitis, review measles amid rising outbreaks, and follow a challenging case of gastrointestinal bleeding. Essays examine how clinicians navigate post-Dobbs care, tobacco harm among people with mental illness, congenital syphilis, and sustaining medical research.

This week, we look at new studies on high-dose influenza vaccines for older adults, antiplatelet therapy after coronary surgery, and HER2-targeted immunotherapy for advanced bladder cancer. We review complex regional pain syndrome and a pediatric case of fever and rash. We also explore FDA innovation and safety, aspirin's role in metastasis prevention, the meaning of “the good doctor,” smallpox in the Revolution, and how AI may reshape medical science.

This week, we look at new trials on glucocorticoids for pneumonia in Africa, shunting for normal-pressure hydrocephalus, and pegcetacoplan for two rare kidney diseases. We review updated vaccine evidence for Covid-19, RSV, and influenza, and present a case of respiratory decline and muscle weakness. Perspectives explore health care incentives, U.S. global health strategy, and bringing AI-enabled care to rural America.

This week, we look at new studies on early aspirin discontinuation after myocardial infarction, an antiviral pill for dengue prevention, and CRISPR-based gene editing for lipid disorders. We review bedside clinical teaching and present a complex case of seizures and visual disturbances. Perspectives explore antidepressant safety in pregnancy, restoring trust in public health, academic medical centers' venture investments, and a young physician's wrinkled white coat.

Health, Inspirational, Lifestyle, The Breggin Hour https://mega.nz/file/kohiiTLT#TG7leWXo2KZ6-mcsCxE69WbTImhUclncPTS9ir0t0I4   Acar accident, a stroke, a virulent infection, a broken hip…. may you never have to go to a hospital. We all swear we will never go—but then something happens and the next thing you know, you are in an ambulance. On The Breggin Hour, we had the great pleasure of talking with one of the most sensitive gentlemen we know—Dr. Francis Christian, who is for more than 30 years a physician, trauma surgeon, and poet. Dr. Christian was also one of the ethical and courageous physicians in Canada who spoke out very early against the COVID vaccine rollout—calling for genuine informed consent. Despite working in a remote region of Saskatoon, the psychological operations intent on silencing dissent and criticism found him, and he was fired from his position with the University of Saskatchewan, College of Medicine. Dr. Christian has continued to speak truthfully about the vaccine dangers and is an eloquent advocate for patients, scientific medical practice, and medical ethics. Additionally, Dr. Christian has written and had published a book of poems, To A Nurse Friend, Weeping. The two physicians, Dr. Peter Breggin and Dr. Francis Christian, had a thoughtful and in-depth conversation ranging from medical ethics to each of their personal experiences in hospitals this year. Their discussion focused on healthcare experiences, particularly on hospital care and the role of hospitalists. Peter and Ginger shared their challenging experience with Peter's hospitalization, including issues with a robot-like monitoring system and medication side effects. Dr. Christian, who has a Substack newsletter, discussed his own experience advocating for his granddaughter's care in the hospital and emphasized that patients need to be their own best advocates. The conversation highlighted concerns about modern hospital practices, including the emphasis on quick patient turnover and the challenges posed by hospitalists and rotating medical staff. Hospitalists are full-time medical staff who have replaced personal physicians, who used to admit their patients into the hospital and then further oversee their treatment while hospitalized. Now, personal physicians have no contact or responsibility for their hospitalized patients who become managed by strangers who feel and have more allegiance to institutional rules and norms than to individual patients. Dr. Breggin and Dr. Christian describe their own personal frustrations trying to advocate for the safety and proper treatment of their families and themselves, and lament how much more difficult it is for nonmedical people to protect themselves and their families in a hospital setting.

In this episode of the Critical Care Obstetrics podcast, Dr. Courtney Martin discusses her role as an OB hospitalist and the evolving landscape of obstetric care. She emphasizes the importance of proactive measures in maternal safety, the impact of wellness bias on patient care, and the need for strong team dynamics in healthcare settings. Dr. Martin also addresses the challenges posed by COVID-19 and the necessity for hospitalists to advocate for standardized care while maintaining patient autonomy. The conversation highlights the critical role of OB hospitalists in improving outcomes for mothers and babies alike.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...

This week, we look at new research on potassium optimization in patients with defibrillators, reducing antihypertensive therapy in nursing homes, an mRNA influenza vaccine, and belzutifan for rare neuroendocrine tumors. We review long QT syndrome and present a case of abnormal behavior and seizures in a young man. We also explore perspectives on primary care reform, tobacco cessation in HIV and tuberculosis care, corporate control in health care, and the simple power of compassion with ice cream.

In this episode, we look at new trials on deferring arterial catheterization in shock, beta-blocker use after myocardial infarction, and a treatment for triple-negative breast cancer. We review acromegaly. A case describes a man with dyspnea, edema, and pacemaker lead displacement. We explore perspectives on the burdens of primary care, the erosion of harm reduction, child health policy, and the meaning of hospice.

In this episode, we discuss long-term outcomes after chest-wall irradiation for breast cancer, new treatments for psoriasis and obesity, and early results on a vaccine for Lassa fever. We review opioid deprescribing and a clinical case describes spiraling into a distant past. Perspectives examine the corporatization of health care, the health effects of new energy legislation, and Medicaid cuts affecting U.S. children.