Podcasts about Hydrocortisone

What do you do when most trials suggest benefit for an intervention, but then a new trial suggests harm? We thought steroids in pneumonia was a settled question, but REMAP-CAP had other plans!We also review a new RCT for BP targets in patients with hypertension and diabetes, a new aldosterone synthase inhibitor for hypertension, and reduced dose apixaban for cancer-associated thrombosis. Hydrocortisone for Severe CAP (REMAP-CAP)Predicting Benefit of Corticosteroids in PneumoniaIntensive BP Control in Patients with Diabetes (BPROAD)Lorundrostat for Uncontrolled Hypertension (ADVANCE-HTN)Reduced Dose Apixaban for Cancer Associated Thrombosis (API-CAT)Music from Uppbeat (free for Creators!): https://uppbeat.io/t/soundroll/dope License code: NP8HLP5WKGKXFW2R

Send us a textWelcome back Rounds Table Listeners! In this throwback episode, Drs. Mike and John Fralick chat about five important research studies published in 2023:Hydrocortisone in Severe Community-Acquired Pneumonia (0:00 – 5:39).Tirzepatide vs Insulin Lispro Added to Basal Insulin in Type 2 Diabetes (5:40 – 8:48).Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes (8:49 – 12:29).Cefepime vs Piperacillin-Tazobactam in Adults Hospitalized With Acute Infection (12:30 – 17:49).Early versus Later Anticoagulation for Stroke with Atrial Fibrillation (17:50 – 23:38).And for the Good Stuff:The Beckham docuseries on Netflix (23:39 – 24:15)Upside Drinks (24:16 – 26:04).Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePods

Dr. Carole Keim addresses health and hygiene products in this episode. She details which hygiene items are actually necessary for newborn babies and then explains medications to keep on hand for newborns. She also recommends some medications useful to have for babies over 6 months of age. With each item Dr. Keim offers insight and advice, as well as identifying certain popular products not actually required for babies. Dr. Keim offers tips to help make cutting baby fingernails a less daunting task, what items make bathing babies easier, and explains why baby powder is no longer used. What medications are safe for babies and what is actually useful and necessary? Dr. Keim highlights exactly what vitamins and dosages to look for, what it is that antifungal creams treat and how to identify whether or not a baby's diaper rash is fungal, and has practical teething advice and pain management options. This episode ensures parents have all key health information on hand for their infants.In this episode:Newborn itemsNasal bulb sucker | bulb sucker w/ oral aspirator | electric bulb suckerNail clippersNail file q tipsbaby bathtubbaby washbody lotionwashclothsthermometerBaby hairbrush / combUnscented and dye-free laundry detergent and dryer sheetsDon't need: shampoo/conditioner (the baby wash works as shampoo), baby towel, baby washcloths, scented products, baby q tips, baby nail clippers, baby powder Medications to keep on handSaline dropsChildren's acetaminophenDosing syringeVitamin D dropsinfant tri-vitaminsAntifungal cream (clotrimazole and/or terbinafine)Hydrocortisone cream 1%Neosporin / bacitracin ointment Oragel | AnbseolVicks vapor rub or essential oils for breathing Don't need: gripe water, benadryl, infant's acetaminophen, homeopathic medications, baby vicks  Ages 6 months and up ibuprofenironmultivitaminliquid claritin / zyrtecDon't need - infant ibuprofen, baby aspirin As an Amazon Associate, I earn from qualifying purchases.Dr. Keim has extensively researched the information presented in this episode. She is pulling on the knowledge of hundreds of thousands of new parents, other pediatricians, doctor moms, the Academy of Pediatrics, and breaking pediatrics news sites. Her insight and knowledge on alternative and holistic treatments can be found in her book Holistic Mamas Handbook, and her first book, The Baby Manual, covers year one of a baby's life. Follow Dr. Carole Keim on her TikTok and YouTube channels for additional tips and advice on babies and toddlers. __ Resources discussed in this episode:The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon__Dr. Carole Keim MD: linktree | tiktok | instagram

Send us a textEarly hydrocortisone verses placebo in neonatal shock- a double blind Randomized controlled trial.Dudeja S, Saini SS, Sundaram V, Dutta S, Sachdeva N, Kumar P.J Perinatol. 2025 Feb 13. doi: 10.1038/s41372-025-02222-3. Online ahead of print.PMID: 39948354As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Joanna: Hi Dr. Cabral, I hope this message finds you well and you're enjoying a beautiful summer! I've got two totally unrelated questions that I would love to get your take on: 1. Could you quickly explain what Sjorgren's syndrome is in your words, what could be causing it or what tests would help to find that out and what you would recommend if someone in your family suffered from that? 2. Could you see the drug industry investing more research into things like myostatin-inhibitors again to counteract the risks of muscle loss for people using GLP-1 agonists? Thanks for everything you do! Johann      Michael: Hey Steven, I haven't messaged in a long time I still have primary Addisons disease and take the regular hydrocortisone and fludrocortisone daily. I'm just after having an emergency shot of hydrocortisone because I have a gastro bug and I want to recover quickly. Have you any tips on this please? Just so tired of being scared to get sick with this illness.     Lisa: Does meat cause cancer specially like prostate cancer or any other cancer? Can you use diet to stop it without treatment? WIll a whole food plant base diet help it? Is it possible to get colon cancer within 2 years of having colonoscopy? Will a ct scan show it or pet scan?     Mindy: Hi! I enjoy listening to your podcast each day and really trust your advice. I was wondering if you've heard of or looked into the Jaspr air filter? It's more expensive than the air doctor and I'm wondering if it is really effective and worth the price. Thanks for all you do!     Pip: Hi Dr Cabral. I'm 35 and have been diagnosed with idiopathic cervical dystonia tremor. I've had it on and off for about ten years however this year it has got considerably worse and affects me daily in activities. The neurologist has referred me to another neurologist specialising in dystonia who will inject Botox into my neck muscle to relax it and stop the tremor. This is a three monthly treatment for the rest of my life. Apparently there is no cure but I'd like to think there is SOMETHING natural / alternative I can do to stop or reduce the tremor. I'd love to hear your suggestions? Thank you. Pip   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right!   - - - Show Notes and Resources: StephenCabral.com/3124 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Rich and Nicole are back this week, with round 2 coming up. Rich shares that his wife, Sarah, and he went out to eat AYCE (all you can eat) sushi, and while Sarah was able to house a lumberjack-sized portion of sushi, Rich was getting woozy here! Nicole might have the funniest "Top That" moment in the history of this podcast, but Rich wants her to under promise and overdeliver. Together, they dig into the trending Trad Wives, Keegan and Hydrocortisone, and a haunted Uber ride. Have Kids, They Said... is a SiriusXM Network Podcast made by Nicole Ryan and Rich Davis.Follow on social media:Instagram @havekidstheysaidpodNicole @mashupnicoleRich @richdavisand @siriusxm

Remember, the physical is tied to the spiritual, so increase words of Torah and prayer. Avoid prohibited speech, even repugnant and idle talk. Your work with the youth to bring them closer to Hashem should hasten your recovery and bring good news soon. https://www.torahrecordings.com/rebbe/igroskodesh/011/010/3627

In this episode, Dr. Zanotti is joined by Dr. Stephen Pastores to discuss the 2024 Focused Update: Guidelines on Use of Corticosteroids in Sepsis, Acute Respiratory Distress Syndrome, and Community-Acquired Pneumonia, published by the Society of Critical Care Medicine. Dr. Pastores is Program Director for Critical Care Medicine and Vice-Chair of Education for the Department of Anesthesiology and Critical Care Medicine at Memorial Sloan Kettering Cancer Center. In addition, Dr. Pastores is a professor of anesthesiology and medicine at Weill Cornell Medical College in New York, NY. Additional resources: 2024 Focused Update: Guidelines on Use of Corticosteroids in Sepsis, Acute Respiratory Distress Syndrome, and Community-Acquired Pneumonia. Crit Care Medicine 2024: https://journals.lww.com/ccmjournal/pages/articleviewer.aspx?year=9900&issue=00000&article=00275&type=Fulltext Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. ADRENAL Trial. N Engl J Med 2018. https://www.nejm.org/doi/full/10.1056/NEJMoa1705835 Hydrocortisone plus Fludrocortisone for Adults with Septic Shock. APROCCHSS Clinical Trial. N Engl J of Med 2018: https://www.nejm.org/doi/full/10.1056/NEJMoa1705716 Dexamethasone treatment for the acute respiratory distress syndrome: a multicentre, randomized controlled trial. The Lancet 2020: https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(19)30417-5/abstract Hydrocortisone in Severe Community-Acquired Pneumonia. CAPE-COD Trial. N Eng J Med 2023: https://www.nejm.org/doi/full/10.1056/NEJMoa2215145 Books mentioned in this episode: Elon Musk. By Walter Isaacson: https://bit.ly/3PVXWsG The Autumn Ghost: How the Battle Against a Polio Epidemic Revolutionized Modern Medical Care. By Hannah Wunsch: https://bit.ly/4avevns

Dr. John Fleetham chats with Dr. Bijan Teja and Dr. Nicholas Bosch about their article, "Effectiveness of Fludrocortisone Plus Hydrocortisone Versus Hydrocortisone Alone in Septic Shock: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials." 

Nesse episódio do Journal Club, apresentamos quatro artigos sobre assuntos bem diversos, de publicações recém-saídas do forno.1. "Hydrocortisone in very preterm neonates for BPD prevention: meta-analysis and effect size modifiers" ou Hidrocortisona em neonatos muito prematuros para prevenção da DBP: metanálise e efeito modificadores de tamanho Afinal, a hidrocortisona precoce pode prevenir DBP em prematuros? Disponível em: https://pubmed.ncbi.nlm.nih.gov/38237961/2. "Factors influencing C-reactive protein status on admission in neonates after birth" ou Fatores que influenciam o estado de proteína C-reativa na admissão em neonatos após o nascimento Importante para saber quais os fatores que influenciam o valor da proteína C-reativa (PCR) em neonatos na admissão após o nascimento.Disponível em: https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-024-04583-83. "Peri-extubation settings in preterm neonates: a systematic review and meta-analysis" ou Parâmetros de peri-extubação em recém-nascidos prematuros: uma Revisão sistemática e meta-análiseEsse artigo revisou 1) os parâmetros peri-extubação; e 2) associação entre ajustes peri-extubação e desfechos em recém-nascidos prematuros.Disponível em: https://www.nature.com/articles/s41372-024-01870-14. "Transition to Adulthood for Extremely Preterm Survivors"  ou Transição para a vida adulta para sobreviventes prematuros extremos Afinal, os jovens adultos que foram prematuros extremos apresentam mais dificuldades em diversos aspectos de suas vidas?Disponível em: https://publications.aap.org/pediatrics/article-abstract/153/1/e2022060119/196245/Transition-to-Adulthood-for-Extremely-Preterm?redirectedFrom=fulltextE fique ligado nos próximos episódios especiais de A Incubadora: a gente vai trazer para vocês um pouco do que rolou no NeoBrain Brasil 2024!  Não esqueça: você pode ter acesso aos artigos do nosso Journal Club no nosso site: https://www.the-incubator.org/podcast-1 Se estiver gostando do nosso Podcast, por favor deixe sua avaliação no seu aplicativo favorito e compartilhe com seus colegas. O nosso objetivo é democratizar a informação. Se quiser entrar em contato, nos mandar sugestões, comentários, críticas e elogios, manda um e-mail pra gente: incubadora@the-incubator.org

You mention that reciting Chasidus can be challenging due to your distractions. Our sages teach that accepting the yoke of Torah eases worldly burdens. Occupying one's mind in thought allows for a more realistic acceptance of worries, without exaggeration, especially when engaged in Torah, which brings healing. https://www.torahrecordings.com/rebbe/igroskodesh/012/006/4149

Hydrocortisone in very preterm neonates for BPD prevention: meta-analysis and effect size modifiers.De Luca D, Ferraioli S, Watterberg KL, Baud O, Gualano MR.Arch Dis Child Fetal Neonatal Ed. 2024 Jan 17:fetalneonatal-2023-326254. doi: 10.1136/archdischild-2023-326254. Online ahead of print.PMID: 38237961As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this week's episode of The Incubator Podcast's Journal Club, Ben and Daphna delve into recent pivotal studies impacting neonatal intensive care. Their expert discussion navigates through the latest research findings, offering deep insights for professionals in the field. Highlights include:Hydrocortisone in Preterm Neonates for BPD Prevention: A detailed analysis of hydrocortisone's role in preventing bronchopulmonary dysplasia, based on a systematic review and meta-analysis.Factors Influencing CRP Status in Neonates: An exploration of the determinants affecting C-reactive protein levels, with a focus on gestational age, birth weight, and specific maternal and neonatal conditions.Transition to Adulthood for Extremely Preterm Survivors: Insights from a longitudinal study on the long-term outcomes of extremely preterm/low birth weight survivors in education, employment, and health.Sustained Inflation and Chest Compression in Neonatal CPR: A comparison of CPR methods for asphyxiated newborns, evaluating sustained inflation versus traditional compression to ventilation ratios.Early vs. Late Tracheostomy in Infants with Severe BPD: An examination of the neurodevelopmental outcomes associated with the timing of tracheostomy in infants with severe BPD and the impact of postnatal steroid exposure.Join us for a deep dive into these topics, designed to inform and challenge the current understanding and practices in neonatal care. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Show notes at pharmacyjoe.com/episode893. In this episode, I’ll discuss adding fludrocortisone to hydrocortisone to treat patients with septic shock. The post 893: Should Fludrocortisone Always Be Added to Hydrocortisone in Patients With Septic Shock? appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode893. In this episode, I’ll discuss adding fludrocortisone to hydrocortisone to treat patients with septic shock. The post 893: Should Fludrocortisone Always Be Added to Hydrocortisone in Patients With Septic Shock? appeared first on Pharmacy Joe.

Happy Holidays Rounds Table Listeners! For our final episode of 2023, we are back with a special treat! This week, Drs. Mike and John Fralick chat about five important research studies published over the past year: Hydrocortisone in Severe Community-Acquired Pneumonia (0:00 – 5:22). Tirzepatide vs Insulin Lispro Added to Basal Insulin in Type 2 ...The post Episode 77 – The Top 5 Papers of 2023 appeared first on Healthy Debate.

Happy Holidays Rounds Table Listeners! For our final episode of 2023, we are back with a special treat! This week, Drs. Mike and John Fralick chat about five important research studies published over the past year: Hydrocortisone in Severe Community-Acquired Pneumonia (0:00 – 5:22). Tirzepatide vs Insulin Lispro Added to Basal Insulin in Type 2 ... The post Episode 77 – The Top 5 Papers of 2023 first appeared on Healthy Debate. The post Episode 77 – The Top 5 Papers of 2023 appeared first on Healthy Debate.

Board–Certified cardiologist, Thomas Levy, MD, JD, has been a great teacher. We have completed two incredible workshops that are still available on my website; The Roadmap to Health and Optimal Treatment of Disease. He has taught us about the benefits of Vitamin C, Hydrogen Peroxide, Hydrocortisone, Methylene Blue, and Magnesium along with the downside of […]

Board–Certified cardiologist, Thomas Levy, MD, JD, has been a great teacher. We have completed two incredible workshops that are still available on my website; The Roadmap to Health and Optimal Treatment of Disease. He has taught us about the benefits of Vitamin C, Hydrogen Peroxide, Hydrocortisone, Methylene Blue, and Magnesium along with the downside of […]

João e Fred discutem sobre tratamento de pneumonia, incluindo as diferenças de tratmento do paciente internado e o paciente ambulatorial, quando usar terapia dupla e uso de corticoide. Referências: 1. Metlay JP, Waterer GW, Long AC, Anzueto A, Brozek J, Crothers K, Cooley LA, Dean NC, Fine MJ, Flanders SA, Griffin MR, Metersky ML, Musher DM, Restrepo MI, Whitney CG. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019 Oct 1;200(7):e45-e67. doi: 10.1164/rccm.201908-1581ST. PMID: 31573350; PMCID: PMC6812437. 2. Martin-Loeches I, Torres A, Nagavci B, Aliberti S, Antonelli M, Bassetti M, Bos LD, Chalmers JD, Derde L, de Waele J, Garnacho-Montero J, Kollef M, Luna CM, Menendez R, Niederman MS, Ponomarev D, Restrepo MI, Rigau D, Schultz MJ, Weiss E, Welte T, Wunderink R. ERS/ESICM/ESCMID/ALAT guidelines for the management of severe community-acquired pneumonia. Intensive Care Med. 2023 Jun;49(6):615-632. doi: 10.1007/s00134-023-07033-8. Epub 2023 Apr 4. Erratum in: Intensive Care Med. 2023 May 17;: PMID: 37012484; PMCID: PMC10069946. 3. Corrêa RA, Costa AN, Lundgren F, Michelin L, Figueiredo MR, Holanda M, Gomes M, Teixeira PJZ, Martins R, Silva R, Athanazio RA, Silva RMD, Pereira MC. 2018 recommendations for the management of community acquired pneumonia. J Bras Pneumol. 2018 Sep-Oct;44(5):405-423. doi: 10.1590/S1806-37562018000000130. Erratum in: J Bras Pneumol. 2018 Nov-Dec;44(6):532. Erratum in: J Bras Pneumol. 2019 May 13;45(2):e20180130. PMID: 30517341; PMCID: PMC6467584. 4. Dequin PF, Meziani F, Quenot JP, Kamel T, Ricard JD, Badie J, Reignier J, Heming N, Plantefève G, Souweine B, Voiriot G, Colin G, Frat JP, Mira JP, Barbarot N, François B, Louis G, Gibot S, Guitton C, Giacardi C, Hraiech S, Vimeux S, L'Her E, Faure H, Herbrecht JE, Bouisse C, Joret A, Terzi N, Gacouin A, Quentin C, Jourdain M, Leclerc M, Coffre C, Bourgoin H, Lengellé C, Caille-Fénérol C, Giraudeau B, Le Gouge A; CRICS-TriGGERSep Network. Hydrocortisone in Severe Community-Acquired Pneumonia. N Engl J Med. 2023 May 25;388(21):1931-1941. doi: 10.1056/NEJMoa2215145. Epub 2023 Mar 21. PMID: 36942789.

1.  Heterogeneity of Treatment Effects of Hydrocortisone by Risk of Bronchopulmonary Dysplasia or Death Among Extremely Preterm Infants in the National Institute of Child Health and Human Development Neonatal Research Network TrialA Secondary Analysis of a Randomized Clinical Trial - "Heterogeneidade dos efeitos do tratamento pelo risco de displasia broncopulmonar ou morte com hidrocortisona entre prematuros extremos no National Institute of Child Health and Human Development Neonatal Research Network Trial: Uma análise secundária de um ensaio clínico domizado"2. Bayley trajectories predict school readiness better than single assessments in formerly very preterm preschoolers  - "As trajetórias de Bayley predizem melhor a prontidão escolar do que avaliações isoladas em pré-escolares anteriormente muito prematuros"3. Early Antibiotic Use and Neonatal Outcomes Among Preterm Infants Without Infections  - "Uso precoce de antibióticos e desfechos neonatais em prematuros sem infecções"4. Effect of Nasal Continuous Positive Airway Pressure vs Heated Humidified High-Flow Nasal Cannula on Feeding Intolerance in Preterm Infants With Respiratory Distress Syndrome The ENTARES Randomized Clinical Trial - "Efeito da Pressão Positiva Nasal Contínua nas Vias Aéreas vs Cânula Nasal Umidificada Aquecida de Alto Fluxo na Intolerância Alimentar em Prematuros com Síndrome do Desconforto Respiratório: Ensaio Clínico Randomizado ENTARES" Não esqueça: você pode ter acesso aos artigos do nosso Journal Club no nosso site: https://www.the-incubator.org/podcast-1 Se estiver gostando do nosso Podcast, por favor deixe sua avaliação no seu aplicativo favorito e compartilhe com seus colegas. O nosso objetivo é democratizar a informação. Se quiser entrar em contato, nos mandar sugestões, comentários, críticas e elogios, manda um e-mail pra gente: incubadora@the-incubator.org

What is the potential impact of delayed cord clamping on severe IVH and neurodevelopmental outcomes? We explore this and more in our latest episode. We kick things off with a deep dive into a riveting paper from the Archives of Disease in Childhood that scrutinizes the approaches to umbilical cord management and their effects on death and neurodevelopmental impairment. We also discuss the heterogeneity of treatment effects of hydrocortisone by risk of bronchopulmonary dysplasia or death among extremely preterm infants in the National Institute of Child Health and Human Development Neonatal Research Network Trial with our EBNEO colleague Nic Bamat from CHOP. Join us as we welcome Dr. Rene Shellhass, co-author of the recent paper on neonatal seizures, to discuss the six PICO questions from the paper and their implications for the neonatal community. We take a hard look at the use of EEGs in diagnosing and managing neonatal seizures and the challenges involved. To wrap things up, we highlight the long term outcomes of the OPTMIST-A trial —a must-listen for anyone involved in neonatal care. We guarantee you'll walk away from this episode with a lot of valuable insights, thank you all for listening. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Board–Certified cardiologist, Thomas Levy, MD, JD, has been a great teacher. We have completed two incredible workshops that are still available on my website; The Roadmap to Health and Optimal Treatment of Disease. He has taught us about the benefits of Vitamin C, Hydrogen Peroxide, Hydrocortisone, and Methylene Blue. Back in July, he taught us […]

Board–Certified cardiologist, Thomas Levy, MD, JD, has been a great teacher. We have completed two incredible workshops that are still available on my website; The Roadmap to Health and Optimal Treatment of Disease. He has taught us about the benefits of Vitamin C, Hydrogen Peroxide, Hydrocortisone, and Methylene Blue. But did you know Magnesium is […]

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike Fralick and Justin Boyle discuss two recent papers about the use of hydrocortisone for severe pneumonia and interventions to improve communication in goals of care conversations. Two papers, here we go! Hydrocortisone in Severe Community-Acquired Pneumonia ...The post Episode 65 – Hydrocortisone for Pneumonia and Goals of Care Conversations appeared first on Healthy Debate.

Welcome back Rounds Table Listeners! We are back today with our Classic Rapid Fire Podcast! This week, Drs. Mike Fralick and Justin Boyle discuss two recent papers about the use of hydrocortisone for severe pneumonia and interventions to improve communication in goals of care conversations. Two papers, here we go! Hydrocortisone in Severe Community-Acquired Pneumonia ... The post Episode 65 – Hydrocortisone for Pneumonia and Goals of Care Conversations first appeared on Healthy Debate. The post Episode 65 – Hydrocortisone for Pneumonia and Goals of Care Conversations appeared first on Healthy Debate.

Summer is here! In case you or a loved one has the pleasure of a bug bite; take a listen to Dr. Christopher Tookey and Dr. Rose Wolbrink review easy steps to treat it.  We're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast). This podcast does not reflect the opinion of our employer. 

Show notes at pharmacyjoe.com/episode820. In this episode, I'll discuss the duration of DOAC interference with heparin anti-Xa levels. The post 820: In Septic Shock, How Soon Should Hydrocortisone Be Added? appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode820. In this episode, I ll discuss the duration of DOAC interference with heparin anti-Xa levels. The post 820: In Septic Shock, How Soon Should Hydrocortisone Be Added? appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode818. In this episode, I'll discuss norepinephrine vs hydrocortisone as an adjunct to norepinephrine in sepsis. The post 818 : What Is Better to Add to Norepinephrine – Hydrocortisone or Vasopressin? appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode818. In this episode, I ll discuss norepinephrine vs hydrocortisone as an adjunct to norepinephrine in sepsis. The post 818 : What Is Better to Add to Norepinephrine – Hydrocortisone or Vasopressin? appeared first on Pharmacy Joe.

Episode 9! In this episode we step a little out of our comfort zone to talk about a couple of analyses which caught our interest recently: 1) "Comparative Effectiveness of Fludrocortisone and Hydrocortisone vs Hydrocortisone Alone Among Patients With Septic Shock" published  by Bosch et al March 2023 in JAMA Internal Medicine2) "Osmotic Demyelination Syndrome in Patients Hospitalized with Hyponatremia" published by MacMillan et al March 2023 in NEJM EvidenceFludrocortisone: https://pubmed.ncbi.nlm.nih.gov/36972033/COIITSS: https://pubmed.ncbi.nlm.nih.gov/20103758/ODM: https://evidence.nejm.org/doi/full/10.1056/EVIDoa2200215ODM Editorial: https://evidence.nejm.org/doi/full/10.1056/EVIDe2300014If you enjoy the podcast please share on social media or by word of mouth! Thank you!Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Community Acquired Pneumonia (CAP) has a high mortality rate. A new study evaluates the use of hydrocortisone for severe CAP in the ICU setting. Join host, Geoff Wall, as he evaluates if the evidence stacks up.The GameChangerThe use of steroids to treat severe pneumonia has waxed and waned for many years with insufficient evidence. A recent study found steroids improved a number of outcomes, including mortality.Show Segments00:00 - Introductions01:19 - Past Studies on CAP Treatment03:32 - The CAPE Code Study17:05 - The GameChanger: The Study Findings24:31 - Connecting to Practice: Study Limitations26:01 - Closing RemarksHostGeoff Wall, PharmD, BCPS, FCCP, BCGPProfessor of Pharmacy Practice, Drake UniversityInternal Medicine/Critical Care, UnityPoint HealthReferences and ResourcesHydrocortisone in Severe Community-Acquired PneumoniaRedeem your CPE hereCPE (Pharmacist)Get a membership & earn CE for GameChangers Podcast episodes (30 mins/episode)Pharmacists: Get a membershipCE InformationLearning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Describe the past history of major mortality studies for CAP pharmacotherapy2. Discuss the CAPE Code study and its possible implications in the ICU0.05 CEU/0.5 HrUAN: 0107-0000-23-147-H01-PInitial release date: 04/24/2023Expiration date: 04/24/2024Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagramDownload the CEimpact App for Free Continuing Education + so much more!

In this episode, we discuss recently published RCT, which demonstrated the mortality benefit in Community-acquired pneumonia.

Show Notes: https://eddyjoemd.com/hydrocortisone-cap/ In this episode of the podcast, I discuss a new study that found that hydrocortisone can save lives in patients with severe community-acquired pneumonia (CAP). I discuss the findings and what they mean for the treatment of CAP. In addition I also discuss the risks and benefits of using hydrocortisone, and who should be considered for treatment. CAP is a common and potentially life-threatening infection of the lungs. It is caused by bacteria that are inhaled into the lungs, and it can affect people of all ages. The most common symptoms of CAP are fever, cough, shortness of breath, and chest pain. In severe cases, CAP can lead to pneumonia, sepsis, and death. The study that we discuss in this episode was a randomized controlled trial that looked at the effect of hydrocortisone on mortality in patients with severe CAP. The study found that patients who received hydrocortisone were less likely to die than those who did not receive hydrocortisone. This finding is significant because it suggests that hydrocortisone may be a life-saving treatment for patients with severe CAP. We hope that you find this episode of the podcast informative and helpful. If you have any questions or comments, please feel free to contact me. Citation: Dequin PF, Meziani F, Quenot JP, Kamel T, Ricard JD, Badie J, Reignier J, Heming N, Plantefève G, Souweine B, Voiriot G, Colin G, Frat JP, Mira JP, Barbarot N, François B, Louis G, Gibot S, Guitton C, Giacardi C, Hraiech S, Vimeux S, L'Her E, Faure H, Herbrecht JE, Bouisse C, Joret A, Terzi N, Gacouin A, Quentin C, Jourdain M, Leclerc M, Coffre C, Bourgoin H, Lengellé C, Caille-Fénérol C, Giraudeau B, Le Gouge A; CRICS-TriGGERSep Network. Hydrocortisone in Severe Community-Acquired Pneumonia. N Engl J Med. 2023 Mar 21. doi: 10.1056/NEJMoa2215145. Epub ahead of print. PMID: 36942789. My website: ⁠www.eddyjoemd.com⁠ Instagram: ⁠www.instagram.com/eddyjoemd⁠ Twitter: ⁠www.twitter.com/eddyjoemd⁠ Facebook: ⁠www.facebook.com/eddyjoemd⁠ Podcast: ⁠https://anchor.fm/eddyjoemd⁠ My Amazon store for resources you may find helpful: ⁠www.amazon.com/shop/eddyjoemd --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

Episode 7! In this episode we discuss CAPECOD or  "Hydrocortisone in Severe Community-Acquired Pneumonia" by Dequin et al published NEJM 2023. No second article because this was an important trial which has a lot of messy history that we review, including the ESCAPe trial published last year, before we start our discussion.We start with a listener question about 3SITES so if you want to skip ahead to the discussion on CAPECOD you can by skipping to the 8:45 time markCAPECOD: https://pubmed.ncbi.nlm.nih.gov/36942789/ESCAPe: https://pubmed.ncbi.nlm.nih.gov/35723686/CHEST Meta-analysis: https://pubmed.ncbi.nlm.nih.gov/36087797/Individual Patient Meta-analysis: https://pubmed.ncbi.nlm.nih.gov/29020323/Be sure to follow us on the social @icucast for the associated figures, comments, and other content not available in the audio format! Email us at icuedandtoddcast@gmail.com with any questions or suggestions! Thank you Mike Gannon for the intro and exit music!

Roger Seheult, MD of MedCram explores a new RCT study that shows a 48% reduction in mortality in severe community acquired pneumonia when patients receive intravenous hydrocortisone. See all Dr. Seheult's videos at: https://www.medcram.com (This video was recorded on March 26, 2023) Roger Seheult, MD is the co-founder and lead professor at https://www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT: Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-contact Video Produced by Kyle Allred FOLLOW US ON SOCIAL MEDIA: https://www.facebook.com/MedCram https://twitter.com/MedCramVideos https://www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor. #hydrocortisone #pneumonia #RCT

Interview with Nicholas A. Bosch, MD, MSc, author of Comparative Effectiveness of Fludrocortisone and Hydrocortisone vs Hydrocortisone Alone Among Patients With Septic Shock, and Michael A. Matthay, MD, author of Should We Add Fludrocortisone to Hydrocortisone for Treatment of Septic Shock? Hosted by Deborah Grady, MD, MPH. Related Content: Comparative Effectiveness of Fludrocortisone and Hydrocortisone vs Hydrocortisone Alone Among Patients With Septic Shock Should We Add Fludrocortisone to Hydrocortisone for Treatment of Septic Shock?

Interview with Nicholas A. Bosch, MD, MSc, author of Comparative Effectiveness of Fludrocortisone and Hydrocortisone vs Hydrocortisone Alone Among Patients With Septic Shock, and Michael A. Matthay, MD, author of Should We Add Fludrocortisone to Hydrocortisone for Treatment of Septic Shock? Hosted by Deborah Grady, MD, MPH. Related Content: Comparative Effectiveness of Fludrocortisone and Hydrocortisone vs Hydrocortisone Alone Among Patients With Septic Shock Should We Add Fludrocortisone to Hydrocortisone for Treatment of Septic Shock?

Today we have special guest, Dr. Sarah Gilligan, a nephrologist, to talk about the new study of thiazides for kidney stones. We all learn in medical school that thiazides reduce urinary excretion of calcium, but does that really translate to fewer kidney stones? We also have Dr. Brian Locke on to talk about the CAPE COD trial, a big new critical care paper on using hydrocortisone in severe pneumonia, as well as the latest COPD guidelines and a retrospective study of oral antibiotics for infective endocarditis. Check it out! Hydrochlorothiazide for Kidney StonesSteroids for Pneumonia Meta-analysisHydrocortisone for Severe CAP (CAPE COD)2023 GOLD COPD GuidelinesReal World Use of Oral Antibiotics for EndocarditisMusic from Uppbeat (free for Creators!):https://uppbeat.io/t/soundroll/dopeLicense code: NP8HLP5WKGKXFW2R

Trade – CortefClass – Corticosteroid MOA – Reduces inflammation by multiple mechanisms. As a steroid it replaces the steroids that are lacking in adrenal insufficiency.Indications – Adrenal insufficiency, allergic reactions, anaphylaxis, asthma, COPDContraindications – Cushing Syndrome, known sensitivity to benzyl alcohol, Use with caution in diabetes, HTN, CHF, known systemic fungal infection, renal disease, idiopathic thrombocytopenia, psychosis, seizure disorder, GI disease, glaucoma. Side effects – Leukocytosis, hyperglycemia, increased infection, decreased wound healing, increased rate of death from sepsis.  Dosing Anaphylactic shock Adult 100-500mg IV,IO, or IM Pedi 2-10 mg/kg per day IV,IO, or IM max 500mg 

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Jade: Hi Dr. Cabral. Thank you for all that you do for all of us. You're a true blessing! I have Gilbert's Syndrome and fibromyalgia. I have horrible stomache issues and all over body pain. I use CBD oil for sleeping and for the body pain. Am I putting more strain on my liver with the CBD oil? Am I causing more damage? I also drink fermented drinks and eat fermented foods. Is this good for Gilbert's? My bilirubin has been 1.8 for the last 2 years.I've gone though a lot of stress and emotional grief. I'm thinking this caused my bilirubin to be higher then before which was around 1.3. Thank you for your time. Blessings!   Tiffany: Hello Dr. Cabral I was diagnosed with vertical heterophoria a couple of years ago. Even with corrective lenses it still affects me when I drive on the freeway and the dizziness makes me feel very anxious. It has only gotten worse over the years. What can I do if anything to find the root cause of this or at least relieve my symptoms. It has gotten so bad that sometimes I have to just pull over for a few minutes because of the anxiety. Thanks so much for all the great information. I listen daily!   Nicole: Hi Dr. Cabral! I have been listening to your podcasts for 2 years. Thank you for you for sharing your vast amount of knowledge with your community. My question is regarding my 7 year old son. After a long journey we have finally been diagnosed with Non Classic Congenital Adrenal Hyperplasia which has put his body into early puberty. For this he has been put on Hydrocortisone. After 3 months of taking hydrocortisone his hormone levels are finally dropping. This was great news except for the fact after my request to check his A1C verified he is prediabetic. Now I am at a loss. Do you have any tips for me or know of any good resources? My goal will be to focus on his nutrition as much as possible, as that is something we can control. I often think of you and your journey back to health. I know how intimidating this feels to me I can only imagine how you felt. Thank you for your time and knowledge.   Jamie: Hi Dr Cabral, I was wondering if there is a difference between stomach bloat and lower belly bloat (under belly button) bloat. I sometimes find that while my upper stomach seems not bloated, I have severe bloat in my lower belly, even first thing in the morning. This bloat doesn't budge with ginger and other natural remedies (or even may still be there after defacation) What are the differences and what may cause lower belly bloat vs upper belly bloat?   Holly: Hi Dr. C, hope you're well? I have one daily vice - coffee! Yes it's organic and the second is a swiss water processed decaf :) HOWEVER I'm a latte drinker and do not enjoy the taste of any of the nut milks in coffee. My go to has been Oat milk however it contains veg oils that i know are not good. My question is, would i be better off with cows milk vs. oat milk with oils? Which is the lesser of two evils? Thanks, Holly   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/2480 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

What does this pickle do at 2 am when she can't sleep? She thinks of PODCAST EPISODE IDEAS. We are 19 countries strong let's continue to grow as a community. Hydrocortisone, prednisone and dexamethasone are all used to treat adrenal insufficiency. Learn how your drugs are metabolized in your body. Leave the difference between them and find what works best for you. Consult with your medical professionals and educate yourself. YOU GOT THIS!! DISCLAIMER: The information from THE PICKLE JAR represents the experiences of the host Jill Battle and the individual experiences of each guest. No information is intended to provide or replace the medical advice of a medical professional. The host or guests are not liable for any negative consequences from any treatment, action, application or preparation, to any person following the information from the podcast.

Welcome back to THE PICKLE JAR. This episode is from my early days of advocating and sharing my story of living with Addison's Disease. This was originally posted on my YouTube Channel and I share my journey with using hydrocortisone tablets to treat and manage my Addison's Disease. I no longer use hydrocortisone tablets (only for up dosing) but use an infusion pump with solu-cortef for a continuous supply of my life-sustaining medication. PLEASE LIKE, REVIEW, SHARE, AND SUBSCRIBE! You can check out the video or others on the YouTube if you like. I will be adding all the YouTube videos to the podcast so please stay tuned. YouTube https://www.youtube.com/chronicallyfitcanada Follow THE PICKLE JAR on Facebook and Instagram https://www.facebook.com/thepicklejarpodcast @the.picklejarpodcast Interested in being a guest? Please email me at thepicklejar@rogers.com DISCLAIMER: The information from THE PICKLE JAR represents the experiences of the host Jill Battle and the individual experiences of each guest. No information is intended to provide or replace the medical advice of a medical professional. The host or guests are not liable for any negative consequences from any treatment, action, application or preparation, to any person following the information from the podcast.

KSQD 7-06-2022: Exercise-induced weight loss is explored including the best time of day for each type of exercise; A device to reduce pain by cooling down nerves; New explanations for the constipating effects of morphine-based pain medications; Things we thought were true but are now false: Meniscus surgery for young adults -- exercise program is just as successful; Generic Levothyroxine is just as good as the brand name; Study compares Omega 3 and Vitamin D supplements for reducing auto-immune disease; The connection between menopause and Alzheimer's -- blocking FSH might help! Hydrocortisone lotion suggested to cure scalp irritation from hair-coloring; Kidney function role in diabetes is explained

Contributor: Aaron Lessen, MD Educational Pearls: Prior, smaller studies showed intravenous Vitamin C given to patients with sepsis significantly improved patient mortality and additional outcomes.  A recently published, randomized control trial with >800 ICU patients who received up to 4 days of IV Vit C or placebo concluded that the end points of death or persistent organ dysfunction at 28 days were unaffected by Vitamin C administration. There were no adverse safety outcomes associated with Vitamin C administration.   Based on this trial, it is unlikely that Vitamin C will become a mainstay of treatment for sepsis patients.    References Marik PE, Khangoora V, Rivera R, Hooper MH, Catravas J. Hydrocortisone, Vitamin C, and Thiamine for the Treatment of Severe Sepsis and Septic Shock: A Retrospective Before-After Study. Chest. 2017;151(6):1229-1238. doi:10.1016/j.chest.2016.11.036 Lamontagne F, Masse MH, Menard J, et al. Intravenous Vitamin C in Adults with Sepsis in the Intensive Care Unit. N Engl J Med. 2022;386(25):2387-2398. doi:10.1056/NEJMoa2200644   Summarized by Kirsten Hughes, MS4 | Edited by John Spartz, MD & Erik Verzemnieks, MD   The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.  Donate to EMM today!

As always, feel free to send us questions, comments or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. Papers discussed in today's episode are listed and timestamped below.enjoy!________________________________________________________________________________________Show notes and articles can be found on our website: www.nicupodcast.com/051-journal-club/This podcast is proudly sponsored by Chiesi and by Reckitt/Mead-Johnson

In this episode, Dr. Christopher Tookey and Dr. Rose Wolbrink review how to prevent as well as treat dry, itchy skin  A disclaimer, we're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast) 

Tammy brings her journey with Lichen Sclerosus and the experiences of many other women to light in this episode. We hear everything about what it's like to live with Lichen Sclerosus, its challenges, treatment options, and how to get support. What is Lichen Sclerosus? Lichen Sclerosus is an autoimmune condition where the body attacks itself. It is thought to be genetic. It usually occurs in the genitals, but can also affect other areas of the body, where it can cause itching and discoloration on the wrist, inner thighs and stomach. Lichen Sclerosus affects young and old women. Tammy's history with Lichen Sclerosus Tammy started experiencing extreme itching and burning beginning in her 20s. Others may experience visual symptoms like white patches of skin. At the age of 44, she was diagnosed with Lichen Sclerosus after doing a punch biopsy. She believes stress and genetics played a role in her diagnosis. Shame and discomfort made it harder for her to find the right diagnosis and thus she emphasizes the importance of finding the right doctor. Impact on sex life Tammy warns people against looking up their condition online. She talks about how many women go through this process with unsupportive partners. Other than sexual and mental issues that make sex difficult, pain is a big factor. It can change the way your vulva looks when the labia of both sides fuse and are sometimes absorbed entirely. The vaginal opening can shrink, causing sex to be incredibly painful. Clitoral phimosis is a condition when your clitoral hood fuses with the clitoris making it less sensitive. Other than affecting your sex life directly, it makes even performing menial tasks extremely painful. Treatment options for Lichen Sclerosus Talking about her history, Tammy says she started off using triamcinolone, a moderate steroid. Clobetasol cream and ointment is the most common treatment that's specifically used for Lichen Sclerosus. Hydrocortisone is used to soothe itching. She talks about the “Mona Lisa touch” used by Dr. Andrew Goldstein who uses a specific machine to improve collagen production. While it may seem like a dermatological issue, many doctors don't seem to know much about it. Impact on Mental health This grueling process in which women receive little support is hard on their mental health and sexual health. Tammy says the process of finding the right diagnosis takes its toll. The shame and embarrassment around Lichen Sclerosus can be helped by having a supportive partner. Available support Women with Lichen Sclerosus are at a higher risk of getting vulvar intraepithelial neoplasia and other autoimmune conditions. Tammy found a supportive environment for women who have both Lichen Sclerosus and intimacy issues in Facebook support groups. While finding support and acceptance of Lichen Sclerosus is hard, it's helpful to be surrounded by people going through the same thing on this journey. More info: Sex Health Quiz – https://www.sexhealthquiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to want more sex without it feeling like a chore: https://intimacywithease.com/masterclass Better Sex with Jessa Zimmerman https://businessinnovatorsradio.com/better-sex/ Source: https://businessinnovatorsradio.com/183-personal-story-living-with-lichen-sclerosus-tammyMore info and resources: How Big a Problem is Your Sex Life? Quiz – https://www.sexlifequiz.com The Course – https://www.intimacywithease.com The Book – https://www.sexwithoutstress.com Podcast Website – https://www.intimacywithease.com Access the Free webinar: How to make sex easy and fun for both of you: https://intimacywithease.com/masterclass Secret Podcast for the Higher Desire Partner: https://www.intimacywithease.com/hdppodcast Secret Podcast for the Lower Desire Partner: https://www.intimacywithease.com/ldppodcast