Podcasts about hospitalists

Garrett Butler, MD. Husband, father, son, friend, and family doc in rural WV. Undergraduate in Physics from Johns Hopkins University. Undergraduate in Molecular and Cell Biology from Towson University. MD from West Virginia University School of Medicine. Family Medicine residency at WVU SOM. Hospitalist at Vandalia Health Davis Medical Center. Outpatient family physician at Vandalia Health Broaddus Family Care. Hospitalist at Vandalia Health Broaddus Hospital. Medical director of Mansfield Place nursing home. Work With Us: Arétē by RAPID Health Optimization Links: Dr. Garrett Butler - Old Fellow Manor Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram

Featuring articles on multiple sclerosis, narcolepsy type 1, antiretroviral therapy in children with HIV, and porcine kidney xenotransplantation; a review article on Ph-positive acute lymphoblastic leukemia; a case report of a woman with peritonsillar swelling and bleeding; and Perspectives on the power of physicians in dangerous times, on community health centers, on AI-driven clinical documentation, and on driving Jackson.

Want to know what it's really like working as a hospitalist before starting fellowship? In this podcast, I share my personal journey—including the pros that helped me grow, the cons that challenged me daily, and the surprises no one talks about. I also break down how this experience shaped my efficiency and clinical decisions. More importantly, I'll be discussing how to make yourself truly competitive for fellowship while working as a hospitalist. 

Featuring articles on high-risk smoldering multiple myeloma, M. tuberculosis infection, type 2 diabetes, uncontrolled hypertension, and lymphoma; a review article on the chemistry of food; a case report of a man with weight loss, weakness, and anorexia; and Perspectives on the dismantling of foreign-assistance efforts, on the crushing weight of nonclinical demands in primary care, and on the last dose.

Featuring articles on lipoprotein(a), familial polycythemia, leukocyte adhesion deficiency, COPD, and on policies on reducing alcohol consumption; a review article on addressing alcohol use; a Clinical Problem-Solving on gazing into a crystal ball; and Perspectives on death and taxes, on cancer metastases, and on a good innings.

In this insightful episode of Twenty Seven Degrees, hosts Dr. Christopher Joncas and Nancy Medeiros sit down with Dr. Raju Singla to explore the often-overlooked but critical role of hospitalists in today's healthcare system. Broadcasting from the Bioskills of the Northeast Studio in Fall River, MA, the discussion pulls back the curtain on the hospitalist model and its impact on patient care.Dr. Singla explains what a hospitalist program is, how it enhances the coordination of inpatient care, and what sets hospitalists apart from other providers. He shares his personal journey into hospital medicine and addresses some of the most common concerns patients and families have when navigating hospital stays.This episode also touches on how hospitalists work in collaboration with primary care providers, ensuring a seamless continuum of care before, during, and after a hospital admission. With a focus on patient advocacy, communication, and efficiency, hospitalists play a crucial role in modern healthcare—and this episode highlights just how valuable they are.Special Thanks:BayCoast Bank and Duncan Hearing Healthcare for their sponsorship.Ron Gamache for our intro music.PrimaCARE and Bioskills of the Northeast for their continued support.Be sure to subscribe and follow Twenty Seven Degrees on your favorite podcast platform and social media to stay up to date with the latest in healthcare conversations.

Featuring articles on bronchiectasis, influenza, clonal hematopoiesis of indeterminate potential, and metachromatic leukodystrophy; a review article on biology of the Fc neonatal receptor; a case report of a woman with sore throat and rash; and Perspectives on HIV preexposure prophylaxis, on fossil fuels, and on Medicaid's mandate for children and adolescents.

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Featuring articles on obinutuzumab in active lupus nephritis, tecovirimat for mpox, treatments for paroxysmal atrial fibrillation, and gene therapy for hemophilia B; a review article on enteral nutrition in hospitalized adults; a case report of a woman with cough and weight loss; and Perspectives on withdrawal of the United States from the WHO, on what's next for nicotine, on the value zeitgeist, and on doctors in revolution and war.

The difficult admissions are the generally weak, unable to walk with no acute findings. They typically do not uncover any acute findings while in the hospitalIn the ED, we can probably do a better job of involving some of our resources like social work to really give the patient and their family a better understanding of what admission will and won't accomplish for themPart of the America culture does put us in unique situations as the elderly often do not live with their children anymore. Family live far apart and often cannot help each other when in needNo one blames the patient for the situation they are in, but we want to find the best solution to serve themIM deals with the limitations of insurance much more than we do in the EDUltimately, each hospital group needs to establish a culture. What would you want done for your Grandma?A little more work now on these difficult cases in the ED can have the downstream benefit of keeping admission beds open for your next shiftDementia patients with progression of their disease process can be tricky to disposition as wellWe don't do the best job in our society of talking about the normal aging process and how to preserve our patient's dignity and sense of self in that processWe are scared to death of deathWhat is the difference between Observation admission and Inpatient admission? The care is the same regardless of the admission typeAn observation admission is best thought of as a problem that could likely be handled in the outpatient setting if the patient had unfettered access to follow up to PCP and specialistsIn-patient implies that they need resources only found in the hospitalIn-patient vs obs can change over time, if nothing new is found, these statuses can changeSean recommends the book Same As Ever by Morgan Housel He talks about the changes in medicine being so gradual that they don't make headlines, but they are dramatic over time none the lessSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Hospitalist Care: Transition and Benefits | April 10, 2025 | On Call with the Prairie Doc® | Prairie Doc® host Dr. Dr. Jill Kruse, with guests Dr. Catherine Leadabrand, MD, FACP from the Brookings Health System and Dr. Clarissa Barnes from Avera McKennan Hospital and University Health Center in Sioux Falls, SD

Featuring articles on cancer-associated venous thromboembolism, endovascular treatment for stroke, dapagliflozin in patients undergoing TAVI, screening for prostate cancer, and extrachromosomal DNA; a review article on otitis media in young children; a case report of a woman with flank pain, fever, and hypoxemia; and Perspectives on some efforts toward equity and on breaking the sacred promise.

On this episode of GMM, we are joined by pediatric hospitalist Dr. Jennifer Covino. We discuss mascots, hospital snacks, and the schedule of a pediatric hospitalist. Tune in for even more here.   Co-Hosts: Caity Decara: caitlin.decara@med.uvm.edu Haley Bayne: haley.bayne@med.uvm.edu

EM and IM physicians don't get a great insight into each other's careers in medical school or in residencyDo hospitalists like doing consults as opposed to just taking admission requests?Sean says, yes, because it gives us an opportunity to solve problems together. They want to be consulted as much as possible Admissions would be greatly decreased if there was more robust outpatient follow up ability but various factors make this difficult Sometimes a slight delay in coordinating with the hospitalist or social work etc can save an admission and therefore free up ER beds down the line Not every conversation with the IM physician must be an admission requestWhen they are consulted, the expectation is that they put in a consultation note and see the patientLooking at an admission as trying to “sell” something is the wrong way to look at it. If you have a clear story and objective data, you should be able to articulate why they need admission most of the timeWhat does the day look like for a hospitalist?Admissions for our team are very easy early in the morning but rapidly ramp up during the afternoonThe admitting physician handles ER admissions, outside transfer direct admissions and ICU transfers to floor bedsSean goes into some detail about the workflow and what his day looks likeWhat are the difficult admissions to handle?We talk about one of the most difficult admissions we commonly see: An elderly patient with weakness, unable to walk but no acute findingsWe talk through possible solutions to better care for these difficult casesSupport the showFull show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition Everything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions.

Hospitalists are physicians providing care to patients in a growing number of hospitals. Prairie Doc Jill Kruse explains how hospitalists work with a team both in and out of the hospital to provide care. Send your medical questions to ask@prairiedoc.org.

Philippe Rola, intensivist, master of the VEXUS scan, and founder of the Hospitalist and Resuscitationist conference, shares his recent model of four hemodynamic interfaces to describe the entire circulatory system. Register for the H&R conference (May 22-23 2025) here with the discount code provided in the show. (No, we're not sponsored, just a cool event.) … Continue reading "Lightning rounds 51: Hemodynamic interfaces with Philippe Rola"

Featuring articles on HIV prevention, left atrial appendage closure after ablation for atrial fibrillation, timing of thrombolysis for stroke, congenital diarrhea and enteropathy, and the association between wealth and mortality in the United States and Europe; a review article on malaria; a Clinical Problem-Solving describing a “hot” cardiomyopathy; and Perspectives on physician shadowing, application overload, medical school grading, and impersonal personal statements.

We all meet some people in our life that inspire us to do better. For me Dr. Ellen Fitzpatrick is one of those people. Listen to her truly amazing life story. 

On this "Outside Hospitalist" segment, Dr. Gabi Hester speaks with guest Dr. Courtney Herring, Pediatric Hospitalist, about evidence-based care of acute respiratory illnesses and nuances to consider in differently resourced settings.

Featuring articles on intensive blood-pressure control in patients with diabetes, IgG4-related disease, severe chronic rhinosinusitis, advanced breast cancer, and vaccinating against C. difficile infection; a review article on chronic cough in adults; a case report of a man with hepatocellular carcinoma; an editorial on order out of chaos; and Perspectives on health care bridges, on partnerships between pharmaceutical and telehealth companies, and on the definition of failure.

Mark Houston welcomes David Kovaleski, M.D., FASN, Critical Care Doctor at Rapid City Hospital, and a true Renaissance man. Dr. Kovaleski recounts his journey to becoming an ICU Physician, relates the challenges of Critical Care and touches on the delicate nature of end-of-life discussions. Beyond the ICU, Dr. Kovaleski, a passionate painter and photographer, credits creativity with helping him navigate the intense nature of Critical Care. He shares his Western-themed artwork and his upcoming portrait series, which features medical professionals.To learn more about Dr. Kovaleski's artwork, visit www.kovaleskiphoto.com Hosted on Acast. See acast.com/privacy for more information.

Featuring articles on breast cancer, bloodstream infection, subarachnoid hemorrhage, scrub typhus, and birth-related mortality; a review article on the evaluation and treatment of infertility; a case report of a woman with altered mental status and acidemia; and Perspectives on advancing transgender health amid policy threats, on evidence-based work design, and on what an oncologist had wished she had done for a grieving father.

On this "Outside Hospitalist" segment, Dr. Gabi Hester speaks with guest Dr. Courtney Herring, Pediatric Hospitalist, about evidence-based care of acute respiratory illnesses and nuances to consider in differently resourced settings. 

Featuring articles on bacterial vaginosis, diabetes prevention, Danon disease, chronic spontaneous urticaria, and VITT-like monoclonal gammopathy of thrombotic significance; a review article on micronutrients; a Clinical Problem-Solving on unveiling the unforeseen; and Perspectives on bankruptcy and genetic information, on drug development for rare diseases, on facing political attacks on medical education, and on sustaining equity efforts in the face of regression.

Featuring articles on H5N1 infection, chronic subdural hematoma, achondroplasia, and B-cell acute lymphoblastic leukemia; a review article on carceral health care; a case report of a woman with weakness, back pain, and pancytopenia; and Perspectives on the changing approach to addiction, on the moral injury of inhaler prescribing, and on how one size fits … some.

Featuring articles on ventricular tachycardia, chronic lymphocytic leukemia, chronic kidney disease, kidney allografts, and a low-dose yellow fever vaccine; a review article on tubal ectopic pregnancy; a case report of a man with abdominal pain; and Perspectives on reducing the financial toxicity of rapidly approved drugs, on resilience, and on the death of an unlikable man.

Navigating Pediatrics: Evolution, Challenges, and Advocacy with Dr. BryanIn this episode, sponsored by Hippo Health, the hosts welcome Dr. Bryan to discuss his extensive experience in pediatric care since 1996. Starting from how he became a pediatrician, the conversation covers the evolution of his practice in Manassas, Virginia, including the shifts in patient demographics, the impact of healthcare policies, and the challenges posed by corporate medicine. Dr. Bryan shares insights into treating a diverse patient population, the administrative hurdles faced due to Medicaid's complex systems, and the critical issue of pediatric obesity and mental health within his community. The discussion also explores the role and efficacy of the American Academy of Pediatrics (AAP), highlighting the need for structural changes to better support pediatricians and improve child healthcare. The episode concludes with reflections on the importance of local and national advocacy in addressing systemic healthcare issues.00:00 Introduction and Sponsor Message00:46 Welcoming Dr. Brian: A Journey Through Pediatrics01:42 Challenges in Pediatric Practice03:52 The Evolution of Pediatric Care in Manassas04:47 The Impact of Corporate Medicine04:55 The Role of Hospitalists and Urgent Care13:00 The Struggles of Medicaid and Community Medicine27:34 The Changing Demographics and Challenges in Pediatric Care37:36 Genetic and Dietary Factors in Type 2 Diabetes38:03 Public Health Emergency Among Children38:45 Challenges in Addressing Health Issues39:03 Educational Deficiencies and Health40:02 Case Study: A 19-Year-Old Patient41:24 School Phobia and Family Dynamics43:08 Community and Familial Approaches to Health43:33 The Role of Physicians Beyond Prescriptions45:14 Systemic Issues in Healthcare Access47:56 Medicaid and Practice Management Challenges55:10 Unfunded Mandates and Their Impact01:03:06 Critique of the American Academy of Pediatrics01:04:34 Hope for Change in Pediatric Healthcare01:10:04 Concluding Remarks and Future OutlookSupport the show

Show Notes: Daniel Brotman shares his journey from undergrad to medical school. After finishing a year of research in Boston, he decided to work for a year before applying for medical school. He had already taken the MCATs and taught Stanley Kaplan during his year off. He also worked in the lab at Brigham and Women's Hospital. Music and Circadian Rhythm  Daniel talks about his love of music. He considered himself a better musician than singer, and he loved playing piano. He has a 1930 Steinway piano and plays piano karaoke for fun. He has been participating in a music group at Harvard and has heard about other Harvard alums joining similar groups. From music the conversation turns to circadian rhythms, which are rhythms that cycle through the body based on the action of the circadian pacemaker. Circadian rhythms are synchronized to the 24-hour day based on visual stimuli, such as light coming into the suprachiasmatic nucleus of the hypothalamus. Internal Medicine and Finding Work/Life Balance  Daniel was accepted to medical school after his year of research. He started at the University of Virginia and found it to be a beautiful, traditional place. He initially didn't want to do internal medicine but discovered his passion for it at the end of his third year. He married his first wife, Edith, while in medical school. Daniel graduated from medical school and went on to become a hospitalist at the Cleveland Clinic. He chose to practice inpatient medicine due to his love for it and the intense work required for his family. Hospital medicine was a new field at the time, and Daniel's career began there. Working as a Hospitalist Daniel explains that being a hospitalist means practicing in the hospital rather than having an outpatient practice. Patients often come in through the emergency room and need an inpatient doctor to help them through their acute illness. Daniel's role is also as a consultant to help surgeons care for their patients who have medical issues or help other disciplines help care for their patients who have medical issues. Hospital Medicine is defined by the site of practice being in the hospital, similar to an emergency room medicine doctor practicing in the emergency department. After leaving the Cleveland Clinic, Daniel returned to Hopkins, where he started the Hospitalist program.  He learned that humility is essential in healthcare, as taking care of patients alone doesn't make for a good team. He also learned that medicine quickly gets out of date, with many concepts still valid but some completely turned on their heads. Overall, his experiences and lessons learned over the years have helped him become a more effective and compassionate healthcare professional. The Goldilocks Phenomenon Daniel Brotman discusses the importance of humility in healthcare, particularly in the context of medical knowledge and practices changing. He gives the example of beta blockers and heart failure treatment. He explains that beta blockers can drive patients into congestive heart failure by reducing their heart pumping activity, which is crucial for patients with weak heart muscles. However, studies have shown that beta blockers can be beneficial for those with weaker heart muscles. Daniel discusses the Goldilocks phenomenon, where doctors should not just jump on the latest research from journals but also not gravitate towards every new strategy published in medical literature. This can lead to side effects or challenges with the effectiveness of new drugs. He suggests that doctors should not rely solely on society's guidelines, as they may not always be updated over time. Instead, they should look for guidelines synthesized by knowledgeable professionals who have considered all issues and come up with a synthesis that makes sense. He also discusses the importance of humility in healthcare, stating that it is essential to rely on the expertise of colleagues and the entire team rather than oneself. AI in Healthcare The conversation turns to AI in healthcare such as Bridge, which listens to doctor conversations and creates notes based on them. While Bridge is effective in some cases, it struggles to put things fully in context. For example, it might report that the patient denies edema, which is not what it intended to convey. Despite this, it can create a note without looking at anything. However, there are potential areas where AI can make errors, which doctors should be aware of.  And it cannot provide a diagnosis. Doctors should be cautious when using AI tools, as the consequences of not double-checking their work can be significant. AI is expected to be beneficial in making recommendations for treatment strategies, but it should not replace doctors' work.  Directing the Hospitalists Program at John Hopkins Daniel has been directing the Hospitalist program for almost 20 years. He has since become a full professor and has an endowed chair named after John Flynn, a mentor and resident. He enjoys helping junior hospitalists navigate their career paths, which can be diverse and include research, quality improvement, or patient care. He has a great team of doctors to work with and mentor. One of the biggest challenges of leading a group of 50 hospitalists is delegation. Brotman has worked on developing ways to trust junior leaders and structure supervision in a way that maintains quality control. He has also learned to provide feedback to junior leaders, as they are high-performing and smart. Another challenge in leadership is trying to harmonize the economics of their work with clinical outcomes or academic outcomes. Many doctors feel pressure to be productive, which can negatively impact patient care.  Influential Harvard Professors and Courses Daniel discusses his experiences at Harvard, including his involvement in research and coursework in circadian rhythms with professors, which he found to be a significant part of his junior and senior year. He also mentions his passion for science and his focus on mastering content to pass tests. His interests have expanded since then, and he still enjoys reading non-fiction books and entertaining activities. He also enjoys skiing, although he was not very good on the ski team in his freshman year. Timestamps: 00:02: Dan's Journey from Harvard to Medical School  03:36: Understanding Circadian Rhythms  06:00: Medical School and Early Career  08:40: Hospitalist Career and Lessons Learned 22:26: AI in Medicine and Leadership Challenges 32:43: Personal Reflections and Broader Interests  37:19: Final Thoughts and Contact Information  Links: John Hopkins website: https://www.hopkinsmedicine.org/som/ Email: brotman@jhmi.edu Featured Non-profit This episode's featured non-profit is Innovations for Poverty Action (IPA) recommended by Colin Teichholtz who reports: “Hi. I'm Colin Teichholtz, class of 1992 the featured nonprofit of this episode of The 92 report is Innovations for Poverty Action, or IPA. IPA discovers and advances what works to improve the lives of people living in poverty around the world. IPA has country offices throughout Africa, Asia, Latin America and the Caribbean. IPA is all about more evidence and less poverty. I've personally been a supporter of IPA for over a decade, and as of earlier this year, I'm honored to have the opportunity to serve as a member of the board. You can learn more about IPAs work at poverty, dash, action.org, and now here is Will Bachman with this week's episode.” To learn more about their work visit: https://poverty-action.org/

Featuring articles on therapies in acute myocardial infarction and in neuroendocrine tumors, mpox in Africa, and T-cell lymphoma after CAR T-cell therapy; a review article on food and nutrition insecurity; a case report of a woman with headache and dysesthesia; and Perspectives on Marburg virus disease in Rwanda, on the rise of private equity in health care, and on medical aid in dying.

Featuring articles on IgA nephropathy, a treatment in children with obesity, NRG1 fusion–positive cancer, a case of a T-cell lymphoma, and the discovery of GLP-1–based drugs; a review article on hemophagocytic lymphohistiocytosis, a Clinical Problem-Solving on traveling companions; and Perspectives on cell and gene therapies, on gender-affirming care, and on the man who lives in the cardboard box.

Featuring articles on heart failure and obesity, oral anticoagulation during TAVI, hemophilia A, hereditary angioedema, and tuberculosis; a review article on sport-related concussion; a case report of a man with syncope, ankle swelling, and abnormal chest imaging; and Perspectives on e-cigarettes at the Supreme Court, on providing interstate telehealth abortion services to patients in restrictive states, on listening to TikTok, and on what is the relative value of a baby.

Featuring articles on esophageal cancer, out-of-hospital cardiac arrest, and atrial fibrillation; a review article on the physiology of hunger; a case report of a man with exertional dyspnea and chest pain; a Medicine and Society on evaluating the inclusion of sex in clinical algorithms; and Perspectives on Ebola, on U.S. generic drug shortages, on gender-affirming surgical care in carceral settings, and on the pediatrician's lament.

Featuring articles on asymptomatic severe aortic stenosis, kidney disease, fracture prevention in women, and residual breast cancer, the future of the U.S. physician workforce, mutant KRAS signaling, and manufactured chemicals and children's health; a review article on the identification and treatment of alcohol use disorder; a case report of a man with loss of consciousness and a fall; and Perspectives on striking a balance, on changing Medicare payment to strengthen primary care, and on Schrödinger's cancer.

How can a dedicated ENT hospitalist improve patient care? In this episode of Backtable ENT Podcast, Dr. Annie Wang, an otolaryngologist at Houston Methodist Hospital, discusses her experience as a hospital-based ENT, also known as an ENT hospitalist, with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Wang talks about the inception and development of her position, the daily responsibilities and challenges she faces, and the positive impact of having a dedicated inpatient ENT service. She also delves into the historical context and future potential of this model in improving patient outcomes and hospital efficiency, highlighting both qualitative and quantitative benefits. The conversation provides valuable insights for ENT departments considering the adoption of a hospitalist model. --- TIMESTAMPS 00:00 - Introduction 02:22 - Hospital-Based ENT Practice Model 04:33 - Daily Routine and Responsibilities 10:55 - Challenges and Solutions in ENT Practice 19:38 - Insights and Advice for New Programs 24:40 - Billing and Financial Tracking in the First Year 25:19 - Challenges and Insights from Inpatient Consults 28:42 - Coordination and Metrics in Patient Care 31:28 - The Value of ENT Hospitalists 43:50 - Vacation Protocols and Final Thoughts --- RESOURCES Dr. Annie Wang's Profile https://www.houstonmethodist.org/doctor/ran-annie-wang/ BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

Sandra Ndiaye, DO, IBCLC, FAAP, a Pediatric Hospitalist at Franciscan Health will discuss what a pediatric hospitalist means to pediatric medicine for patients and families.

Featuring articles on transcatheter tricuspid-valve replacement, persistent chylomicronemia, multiple myeloma, myelofibrosis, and peripherally inserted central catheter materials; a review article on heart failure with preserved ejection fraction; a case report of a woman with shortness of breath and leg edema; and Perspectives on the plight of “dual noneligible” people in the United States, Texas Executive Order GA-46, improving outcomes after fragility fractures, and on seeing the harm.

Featuring articles on advanced melanoma, atrial fibrillation, ATTR amyloidosis, and bladder cancer; a review article on cervical cancer; a Clinical Problem-Solving describing when blurry vision clouds the bigger picture; Medicine and Society's on transitional justice and on rethinking access to HIV medicines; and Perspectives on hepatitis C therapies, on when diversity goals meet multiregional trials, and on miles to go and nowhere to sleep.

Dr. Mimi Benjamin has been a family practice physician for over 35 years, the last 14 in Juneau. She is the former Medical Director and creator of the Bartlett Regional Hospital Hospitalist program, which started in 2017. She is the 2018 recipient of the Golden Stethoscope award from the Alaska State Hospital and Nursing Home Association (ASHNHA) for her relentless advocacy for patient safety, for serving as the physician champion of the electronic medical record, and for cofounding and serving as medical director of Bartlett's antibiotic stewardship program. This interview was recorded in May of 2024 During legislative session, I rented an apartment from Mimi and her husband Brian who is also a physician. Somehow in my move back to Anchorage I thought I'd lost this audio, but I eventually found it. Dr. Benjamin offers an interesting perspective from her experience in Southeast Alaska on both the specific issues in Juneau but also on health care in general.

Featuring articles on cancer cachexia, MDR tuberculosis, Ebola virus disease, and severe asthma; a review article on the nonsurgical management of chronic venous insufficiency; a case report of a woman with end-stage liver disease and headache; and Perspectives on providing effective medical care to autistic people, on independent physician associations, on face-to-face learning, and on those who are well known to us.

Featuring articles on PCI before transcatheter aortic-valve implantation, treatments in patients with type 2 diabetes, in leprosy, in refractory adult ALL, and in ATTR cardiomyopathy; a review article on drug reaction with eosinophilia and systemic symptoms; a case report of a boy with recurrent fever; and Perspectives on an autopsy of a drug withdrawal, on clearing dense drug-patent thickets, on how a survey change sheds light on iatrogenic opioid use disorder and on being tethered.

Featuring articles on treatments for atrial fibrillation and stable coronary disease, for chronic hepatitis B, and for metastatic breast cancer; the 30-year cardiovascular disease risk in healthy women; and prenatal screening and detection of maternal cancer; a review article on sepsis and septic shock; a case report of a woman with headache, fever, and respiratory failure; and Perspectives on Medicare's bundled-payment programs, on handcuffs and unexpected deaths, on the Marburg outbreak in Rwanda, and on the care that saved one parent.

Featuring articles on pembrolizumab perioperative therapy in breast cancer, reduced dose schedules or fractional doses of pneumococcal conjugate vaccine, and nivolumab plus ipilimumab in colorectal cancer; a review article on degenerative rotator-cuff disorders; a case report of a man with seizures and agitation; a Clinical Implications of Basic Research on boning up on boning up; and Perspectives on the Duffy null phenotype; on sickle cell trait, inequity, and the need for change, on “target trial emulation” for observational studies, and on a good day.

In this episode we chat with yet another NP bogged down by the hospital hustle. Jen, an FNP with decades of experience in addiction medicine, has pivoted from an inpatient setting to weight loss medicine. While she has tailored her business according to the Elite NP model, utilizing connections, and referring hospital patients, her profits are still falling short. Here, she brainstorms with Justin on ways to boost her business without getting burnt out.  Jen learns that an expanded service menu may be the way to go, and is curious about hormone replacement therapy. Integrating HRT into an independent NP practice can be hugely beneficial, and provide significant relief to patients of all genders. Listen in to learn how an eclectic clinical environment can improve patient retention, solve staff redundancy, and generate profit.  

Featuring articles on a nationwide couple-based genetic screening; adjunctive embolization for subdural hematoma; a late-liver-stage attenuated malaria vaccine; and climate change, floods, and human health; a review article on Candida auris infections; a case report of a girl with abdominal pain; and Perspectives on Medicare's first round of drug-price negotiation; on invisible deaths; on minding the sentinel; and on Saint Didacus, fetal death, and dual loyalty.

Featuring articles on perioperative durvalumab in bladder cancer, transcatheter valve repair for mitral regurgitation, chemoradiotherapy in gastric cancer, and lessons from England's National Health Service; a review article on lung transplantation; a case report of a newborn with hypoxemia and a lung opacity; and Perspectives on our latest brief case studies on efforts toward equity and on forensic nurse examiners.

Featuring articles on an invasive treatment strategy in older patients with myocardial infarction, a randomized trial of very early medication abortion, therapies in stage III melanoma, and on long Covid defined; a review article on uterine fibroids; a Clinical Problem-Solving on two sides to the story; and Perspectives on the U.S. Latino HIV crisis, on reframing cerebral palsy as a lifelong disability, and on an older patient and his physician finding an immediate, resonant connection in a haunting song recalled from long ago and far away.

Featuring articles on semaglutide in persons with obesity and knee osteoarthritis, the addition of PI3K inhibition in breast cancer, treatments in older patients with myeloma, and total hip replacement for hip osteoarthritis; a review article on lead poisoning; a case report of a man with dyspnea after old myocardial infarction; and Perspectives on large language models and the medical record, on measuring AI against the health care we have, on the failing U.S. health system, and on the contemporary rise of pronatalism.

This dual hospitalist couple has hit a huge net worth milestone become financially independent after just 12 years. He said his entire motivation to save and reduce the amount of work he has to do was so he could spend as much time as possible with his daughter. He says living like a resident, saving and investing aggressively was what made this possible. After the interview we will be talking about self employed retirement accounts for Finance 101. Are you using multifamily to build long-term wealth? If not, I strongly encourage you to take a look at 37th Parallel Properties. They are multifamily specialists with a 100% profitable track record across over $1 billion in transaction volume since 2008. Investing with them is like partnering with a highly tax-advantaged family office, building an income-producing long-term wealth development platform. With 37th Parallel, you get access to institutional quality assets, conservatively managed, with proven results. Their educational content on Passive Multifamily Investing is also very good. Visit https://37Parallel.com/wci today for more information. The White Coat Investor has been helping doctors with their money since 2011. Our free financial planning resource covers a variety of topics from doctor mortgage loans and refinancing medical school loans to physician disability insurance and malpractice insurance. Learn about loan refinancing or consolidation, explore new investment strategies, and discover loan programs specifically aimed at helping doctors. If you're a high-income professional and ready to get a "fair shake" on Wall Street, The White Coat Investor channel is for you! Be a Guest on The Milestones to Millionaire Podcast: https://www.whitecoatinvestor.com/milestones  Main Website: https://www.whitecoatinvestor.com  Student Loan Advice: https://studentloanadvice.com  YouTube: https://www.whitecoatinvestor.com/youtube  Facebook: https://www.facebook.com/thewhitecoatinvestor  Twitter: https://twitter.com/WCInvestor  Instagram: https://www.instagram.com/thewhitecoatinvestor  Subreddit: https://www.reddit.com/r/whitecoatinvestor  Online Courses: https://whitecoatinvestor.teachable.com  Newsletter: https://www.whitecoatinvestor.com/free-monthly-newsletter 

This hospitalist paid off $380,000 of student loans in only 3 years! She had a goal and a plan from the moment she completed training. She poured every cent she could into her debt while living like a resident. She shared that it is not complicated but it does take determination to do something like this. As she was riding her bike to work and skipping on buying the fancy new car her coworkers thought she was a little nuts. She also took advantage of the student loan freeze and saved roughly $40K a year in interest by continuing to pay down the debt during that time. After the interview we will be talking about Target Date Funds. Many investors know about the historic returns, tax advantages, and wealth-building opportunities of commercial real estate investing, but they're confused about where to start or who to trust. Wellings Capital has created a diversified fund that offers investors an easy on-ramp to access carefully vetted commercial real estate operators and opportunities. Their goal is to provide income, growth, and tax benefits with limited downside risk. With a minimum investment of $50,000, investors get a stake in a portfolio of self-storage, manufactured housing, RV parks, industrial properties, and more. To learn more, go to https://whitecoatinvestor.com/wellings The White Coat Investor has been helping doctors with their money since 2011. Our free financial planning resource covers a variety of topics from doctor mortgage loans and refinancing medical school loans to physician disability insurance and malpractice insurance. Learn about loan refinancing or consolidation, explore new investment strategies, and discover loan programs specifically aimed at helping doctors. If you're a high-income professional and ready to get a "fair shake" on Wall Street, The White Coat Investor channel is for you! Be a Guest on The Milestones to Millionaire Podcast: https://www.whitecoatinvestor.com/milestones  Main Website: https://www.whitecoatinvestor.com  Student Loan Advice: https://studentloanadvice.com  YouTube: https://www.whitecoatinvestor.com/youtube  Facebook: https://www.facebook.com/thewhitecoatinvestor  Twitter: https://twitter.com/WCInvestor  Instagram: https://www.instagram.com/thewhitecoatinvestor  Subreddit: https://www.reddit.com/r/whitecoatinvestor  Online Courses: https://whitecoatinvestor.teachable.com  Newsletter: https://www.whitecoatinvestor.com/free-monthly-newsletter 

You're the new intern on your first night of night float. First page, right off the bat – AFib with rates into the 150s. What's your next move?! Dr. Nathan Anderson takes the anxiety out of approaching Atrial Fibrillation in the post-operative patient. Join him and Dr. Elizabeth Maginot as they discuss this very common post-operative you're guaranteed to see on the wards.  Hosts:  - Dr. Nathan Anderson, Internal Medicine Associate Professor and Hospitalist, University of Nebraska  - Dr. Elizabeth Maginot, General Surgery Resident and BTK Surgical Education Fellow, University of Nebraska Medical Center, Twitter: @e_magination95 Learning Objectives:  - Discuss the underlying pathophysiological mechanisms that contribute to the development of atrial fibrillation in the postoperative setting.  - Critically approach the different management options for atrial fibrillation in the post-cardiac and non-cardiac surgery settings, including rate versus rhythm control, indications for cardioversion, and the role of anticoagulation.  - Identify common risk factors for atrial fibrillation in the post-operative setting.  - Discuss long-term management and follow-up strategies for patients who develop atrial fibrillation after surgery. References:  1. Bhave PD, Goldman LE, Vittinghoff E, Maselli J, Auerbach A. Incidence, predictors, and outcomes associated with postoperative atrial fibrillation after major noncardiac surgery. AmericanHeart Journal. 2012;164(6):918-924. doi:10.1016/j.ahj.2012.09.004 https://pubmed.ncbi.nlm.nih.gov/23194493/ 2. Gialdini G, Nearing K, Bhave PD, et al.. Perioperative Atrial Fibrillation and the Long-term Risk ofIschemic Stroke. JAMA. 2014;312(6):616. doi:10.1001/jama.2014.9143 https://pubmed.ncbi.nlm.nih.gov/25117130/ 3. Snow V, Weiss KB, LeFevre M, McNamara R, Bass E, Green LA, Michl K, Owens DK, Susman J, Allen DI, Mottur-Pilson C; AAFP Panel on Atrial Fibrillation; ACP Panel on Atrial Fibrillation.Management of newly detected atrial fibrillation: a clinical practice guideline from the AmericanAcademy of Family Physicians and the American College of Physicians. Ann Intern Med. 2003 Dec16;139(12):1009-17. doi: 10.7326/0003-4819-139-12-200312160-00011. PMID: 14678921. https://pubmed.ncbi.nlm.nih.gov/14678921/ 4. A Comparison of Rate Control and Rhythm Control in Patients with Atrial Fibrillation. NewEngland Journal of Medicine. 2002;347(23):1825-1833. doi:10.1056/nejmoa021328 https://pubmed.ncbi.nlm.nih.gov/12466506/ Learn more about our Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship course and preview a full chapter here: https://app.behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  DOMINATE THE DAY