Podcasts about tamsulosin

Treatment Options for BPHMen with moderate to severe BPH symptoms, meaning those significantly bothered by their symptoms, should discuss the benefits, risks, and costs of various treatments with their doctors. Here are some common treatment options:Watchful Waiting:For men with mild symptoms or those not too bothered by their symptoms, doctors may suggest waiting and monitoring the condition. Annual check-ups and lifestyle changes, like adjustments in diet and exercise, can be helpful during this period.Medication:Various medications can manage BPH symptoms:Alpha-Blockers:These medicines, such as Alfuzosin and Tamsulosin, are commonly used and can help by relaxing the muscles in the prostate. They can cause side effects like dizziness and ejaculation problems. 5-alpha Reductase Inhibitors:Drugs like Finasteride and Dutasteride can reduce the size of the prostate. However, they may cause sexual side effects, such as lowered sexual desire or erectile problems. Combination Therapy: Combining an alpha-blocker with a 5-alpha reductase inhibitor may be more effective in some cases.Phosphodiesterase-5 Inhibitors:Medicines like Tadalafil can be used to treat BPH symptoms and may also enhance sexual function.Minimally Invasive Procedures:There are non-surgical procedures, like transurethral needle ablation and microwave thermotherapy, that can improve symptoms. They may not be as effective as surgery but are less invasive.Surgery:Surgical procedures are recommended for more severe cases. Different surgical options are available based on the patient's needs and the doctor's recommendations.Making a Decision:Doctors will consider the severity of symptoms, the size of the prostate, and the patient's overall health when suggesting a treatment option. It's crucial to discuss and understand the potential benefits and risks of each choice to make a decision that's best suited to the individual's needs and lifestyle. Hosted on Acast. See acast.com/privacy for more information.

Welcome all to IS PHARMACOLOGY DIFFICULT Podcast! I am Dr Radhika Vijay.In this episode, I will be carrying forward my talk about very Selective- "ALPHA 1 RECEPTOR ANTAGONISTS", like Alfuzosin, Tamsulosin & Silodosin. I will also be discussing the overall Adverse Drug Reactions and Applications/Uses of Alpha Antagonistic Agents in the form of a summary.I will be discussing uses of these agents especially in states of Hypertension, BPH, CHF, etcFinally with the utter happiness of completing a topic, the announcement is of the Wrap for the day!!For all the updates and latest episodes of my podcast, please visit www.ispharmacologydifficult.com where you can also sign up for a free monthly newsletter of mine.It actually contains lot of updates about the medical sciences, drug information and my podcast updates also.You can follow me on different social media handles like twitter, insta, facebook and linkedin. They all are with same name "IS PHARMACOLOGY DIFFICULT". If you are listening for the first time, do follow me here, whatever platform you are consuming this episode, stay tuned, do rate and review on ITunes, Apple podcasts, stay safe, stay happy, stay enlightened, Thank you!! Please leave Review on Apple podcasts! My E-Newsletter sign up at Website! Connect on Twitter & Instagram! My books on Amazon & Goodreads!

Welcome all to IS PHARMACOLOGY DIFFICULT Podcast! I am Dr Radhika Vijay.In this episode, I will be carrying forward my talk about very Selective- "ALPHA 1 RECEPTOR ANTAGONISTS", like Alfuzosin, Tamsulosin & Silodosin. I will also be discussing the overall Adverse Drug Reactions and Applications/Uses of Alpha Antagonistic Agents in the form of a summary.I will be discussing uses of these agents especially in states of Hypertension, BPH, CHF, etcFinally with the utter happiness of completing a topic, the announcement is of the Wrap for the day!!For all the updates and latest episodes of my podcast, please visit www.ispharmacologydifficult.com where you can also sign up for a free monthly newsletter of mine.It actually contains lot of updates about the medical sciences, drug information and my podcast updates also.You can follow me on different social media handles like twitter, insta, facebook and linkedin. They all are with same name "IS PHARMACOLOGY DIFFICULT". If you are listening for the first time, do follow me here, whatever platform you are consuming this episode, stay tuned, do rate and review on ITunes, Apple podcasts, stay safe, stay happy, stay enlightened, Thank you!!Please leave Review on Apple podcasts!My E-Newsletter sign up at Website!Connect on Twitter & Instagram!My books on Amazon & Goodreads!

Welcome all to IS PHARMACOLOGY DIFFICULT Podcast! I am Dr Radhika Vijay.In this episode, I will be talking about very Selective- "ALPHA 1 RECEPTOR ANTAGONISTS", like Prazosin, Terazosin and Doxazosin. Prazosin is the prototype drug and there is so much to talk about it- Extent of selectivity, its action, effect, pharmacokinetic profile, adverse effects and metabolic effects.Next in the list are Terazosin and Doxazosin, they are too discussed heartily and while comparing them with Prazosin, a good amount of light is thrown on their profile.I will be discussing uses of these agents especially in states of BPH, Benign Prostatic Hyperplasia!In the end, one liner about Tamsulosin & one liner revision advise will keep up the spirits till I knock back with next bunch of tales about left over Alpha 1 Receptor blockers like Tamsulosin, Alfuzosin and Silodosin. Chao till then!!For all the updates and latest episodes of my podcast, please visit www.ispharmacologydifficult.com where you can also sign up for a free monthly newsletter of mine.It actually contains lot of updates about the medical sciences, drug information and my podcast updates also.You can follow me on different social media handles like twitter, insta, facebook and linkedin. They all are with same name "IS PHARMACOLOGY DIFFICULT". If you are listening for the first time, do follow me here, whatever platform you are consuming this episode, stay tuned, do rate and review on ITunes, Apple podcasts, stay safe, stay happy, stay enlightened, Thank you!! Please leave Review on Apple podcasts! My E-Newsletter sign up at Website! Connect on Twitter & Instagram! My books on Amazon & Goodreads!

Welcome all to IS PHARMACOLOGY DIFFICULT Podcast! I am Dr Radhika Vijay.In this episode, I will be talking about very Selective- "ALPHA 1 RECEPTOR ANTAGONISTS", like Prazosin, Terazosin and Doxazosin. Prazosin is the prototype drug and there is so much to talk about it- Extent of selectivity, its action, effect, pharmacokinetic profile, adverse effects and metabolic effects.Next in the list are Terazosin and Doxazosin, they are too discussed heartily and while comparing them with Prazosin, a good amount of light is thrown on their profile.I will be discussing uses of these agents especially in states of BPH, Benign Prostatic Hyperplasia!In the end, one liner about Tamsulosin & one liner revision advise will keep up the spirits till I knock back with next bunch of tales about left over Alpha 1 Receptor blockers like Tamsulosin, Alfuzosin and Silodosin. Chao till then!!For all the updates and latest episodes of my podcast, please visit www.ispharmacologydifficult.com where you can also sign up for a free monthly newsletter of mine.It actually contains lot of updates about the medical sciences, drug information and my podcast updates also.You can follow me on different social media handles like twitter, insta, facebook and linkedin. They all are with same name "IS PHARMACOLOGY DIFFICULT". If you are listening for the first time, do follow me here, whatever platform you are consuming this episode, stay tuned, do rate and review on ITunes, Apple podcasts, stay safe, stay happy, stay enlightened, Thank you!!Please leave Review on Apple podcasts!My E-Newsletter sign up at Website!Connect on Twitter & Instagram!My books on Amazon & Goodreads!

Ab wie vielen Medikamenten wird es gefährlich? Was bringen die urologischen Substanzgruppen im Detail mit sich und welche Risikofaktoren bringen die Patient:innen mit? Nadim und Justus lernen in dieser Katheterkollegen-Folge, wie relevant Poypharmazie ist und wie man am besten damit umgehen kann - die Expertise kommt von Dr. Verena Stahl und Prof. Andreas Wiedemann. Die angesprochenen negativen Effekte der Nüchterneinnahme von Tamsulosin auf die Orthostase sind in dieser frei zugänglichen Originalliteratur beschrieben: Michel MC et al. Cardiovascular Safety of Tamsulosin Modified Release in the Fasted and Fed State in Elderly Healthy Subjects. Eur Urol Suppl 2005;4:9-14. doi:10.1016/j.eursup.2004.11.003 Das Kapitel "Multimedikation" aus dem Arzneimittelkompass 2022 findet man hier: van den Akker, M. et al. https://doi.org/10.1007/978-3-662-66041-6_3 Das Kapitel "Potentiell inadäquate Medikation für ältere Menschen - PRISCUS 2.0" aus dem Arzneimittelkompass 2022: Thürmann, P et al. https://doi.org/10.1007/978-3-662-66041-6_4 S3-Leitlinie "Hausärztliche Leitlinie: Multimedikation": https://register.awmf.org/de/leitlinien/detail/053-043 Geriatrische Urologie: https://link.springer.com/book/10.1007/978-3-662-61494-5 Wittener Harntrakt Nebenwirkungsscore: https://www.harntrakt.de

In this episode, we review the high-yield topic of Tamsulosin from the Reproductive section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://anchor.fm/medbulletsstep1/message

Das benigne Prostatasyndrom - in dieser Folge beschäftigen sich Nadim und Justus mit dem so zentralen Thema der urologischen Patientenversorgung - ob die richtigen Fragen in der OP-Vorbereitung, den Unterschied zwischen Tamsulosin und Tadalafil, die Indikation für einen Eingriff und einen Crashkurs zur BPH-Therapie - die Katheterkollegen werden unterstützt von PD Dr. Sandra Schönburg und Dr. Michael Rug

In this episode, I go over how you can use PRAZOSIN to remember many of its indications. To get a hold of my books, you can find Memorizing Pharmacology Second Edition HERE or Memorizing Pharmacology Mnemonics HERE

Hören statt lesen: Chefredakteurin Julia Pflegel hat den Artikel zum Wirkstoff Tamsulosin aus unserer Serie Fresh-up vertont. Hören Sie gleich mal rein! (05:53 Min) https://www.das-pta-magazin.de/pta-praxis/apothekenpraxis/fresh-up-tamsulosin-3215469.html

Thanks for tuning in to the Armor Men's Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.In this segment, Dr. Mistry and Donna Lee answer a listener's question about the impact medication can have on testosterone levels. This 73 year old man was diagnosed with an enlarged prostate with urethral obstruction and placed on Dutasteride and Tamsulosin to shrink the prostate so a Rezum procedure could be performed. Shortly thereafter, he began having symptoms of low testosterone, and lab work confirmed he had a T level of 400 with no free testosterone. His urologist stopped the Dutasteride and began giving him 100 milligrams of Testosterone Cypionate weekly, which greatly improved his symptoms. But after 9 weeks of hormone therapy, his T level had jumped to over 1500 and he was immediately taken off the T injections. He wonders what caused his T level elevation and whether it would be safe to resume T therapy because it was very helpful. Dr. Mistry explains that medications like Dutasteride and Finasteride, often taken for hair growth, can definitely cause symptoms of ED as well as lowered sperm counts. Younger men or men trying to conceive should be aware of the risk of these side effects. In the case of our listener, it is likely that the sudden surge in his T levels may be a simple lab error, since diagnostic machines often fail and have to be recalibrated. Because hormone therapy was so beneficial in mitigating his symptoms, he should definitely find a urologist who is comfortable with prescribing testosterone for men's health and try again. If you or someone you love is experincing symptoms of ED or low testosterone after taking Dutasteride or Finasteride, please call us today and check out our podcast on what we call "post-Finasteride syndrome."This episode previously aired on 9.11.21. Don't forget to like, subscribe, and share us with a friend! As always, be well!Check our our award winning podcast!https://blog.feedspot.com/sex_therapy_podcasts/https://blog.feedspot.com/mens_health_podcasts/Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode!Phone: (512) 238-0762Email: Armormenshealth@gmail.comWebsite: Armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750Dripping Springs Office170 Benney LaneSuite 202Dripping Springs, TX 78620

Tamsulosin is a selective alpha-1-adrenergic blocking agent also known as the brand name Flomax. Tamsulosin comes as a 0.4 mg capsule that is typically dosed 0.4 mg PO qd for 30 minutes after the same meal. The most common side effects are dizziness, cough and various infections. Some of the more serious side effects are priapism, arrhythmia, and syncope. Tamsulosin is most commonly used in males for the treatment of enlarged prostatic hyperplasia. It is commonly used to relieve symptoms such as difficulty in the beginning of urination and for weak streams as well as the need to urinate often in the middle of the night. Amazon Affiliate link: https://amzn.to/31OkKVe for NAPLEX Math Review: The Foundation of a Logical NAPLEX Prep Strategy. FREE Drug Card Sheet is available for this episode at DrugCardsDaily.com along with ALL past FREE drug card sheets! Please SUBSCRIBE, FOLLOW, and RATE on Spotify, Apple Podcasts, or wherever your favorite place to listen to podcasts are. I'd really appreciate hearing from you! Leave a voice message at anchor.fm/drugcardsdaily or find me on most all socials @drugcardsdaily or send an email to contact.drugcardsdaily@gmail.com to leave feedback, request a drug, or say hello! DISCLAIMER: This content may contain sponsored content or the use of affiliate links. Partnerships, sponsorships, and the use of affiliate links provide monetary commissions for Drug Cards Daily at no cost to you! This is done in order to keep providing as much free content to everyone that comes to Drug Cards Daily. Thanks for your support! Drug Cards Daily provides drug information for educational and entertainment use. The information provided is not intended to be a sole source of drug information that is to be acted upon for patient care. If there are drug-related patient care concerns please contact your primary care Physician or local Pharmacist. --- Send in a voice message: https://anchor.fm/drugcardsdaily/message

Thanks for tuning in to the Armor Men's Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.In this segment, Dr. Mistry and Donna Lee answer a listener's question about the impact medication can have on testosterone levels. This 73YO man was diagnosed with an enlarged prostate with urethral obstruction and placed on Dutasteride and Tamsulosin to shrink the prostate so a Rezum procedure could be performed. Shortly thereafter, he began having symptoms of low testosterone, and lab work confirmed he had a T level of 400 with no free testosterone. His urologist stopped the Dutasteride and began giving him 100 milligrams of Testosterone Cypionate weekly, which greatly improved his symptoms. But after 9 weeks of hormone therapy, his T level had jumped to over 1500 and he was immediately taken off the T injections. He wonders what caused his T level elevation and whether it would be safe to resume T therapy because it was very helpful. Dr. Mistry explains that medications like Dutasteride and Finasteride, often taken for hair growth, can definitely cause symptoms of ED as well as lowered sperm counts. Younger men or men trying to conceive should be aware of the risk of these side effects. In the case of our listener, it is likely that the sudden surge in his T levels may be a simple lab error, since diagnostic machines often fail and have to be recalibrated. Because hormone therapy was so beneficial in mitigating his symptoms, he should definitely find a urologist who is comfortable with prescribing testosterone for men's health and try again. If you or someone you love is experincing symptoms of ED or low testosterone after taking Dutasteride or Finasteride, please call us today and check out our podcast on what we call "post-Finasteride syndrome." This episode previously aired on 9.11.21. Don't forget to like, subscribe, and share us with a friend! As always, be well!Check our our award winning podcast!https://blog.feedspot.com/sex_therapy_podcasts/https://blog.feedspot.com/mens_health_podcasts/Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode!Phone: (512) 238-0762Email: Armormenshealth@gmail.comWebsite: Armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750Dripping Springs Office170 Benney LaneSuite 202Dripping Springs, TX 78620

Thanks for tuning in to the Armor Men's Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.In this segment, Dr. Mistry and Donna Lee answer a listener's question about the impact medication can have on testosterone levels. This 73YO man was diagnosed with an enlarged prostate with urethral obstruction and placed on Dutasteride and Tamsulosin to shrink the prostate so a Rezum procedure could be performed. Shortly thereafter, he began having symptoms of low testosterone, and lab work confirmed he had a T level of 400 with no free testosterone. His urologist stopped the Dutasteride and began giving him 100 milligrams of Testosterone Cypionate weekly, which greatly improved his symptoms. But after 9 weeks of hormone therapy, his T level had jumped to over 1500 and he was immediately taken off the T injections. He wonders what caused his T level elevation and whether it would be safe to resume T therapy because it was very helpful. Dr. Mistry explains that medications like Dutasteride and Finasteride, often taken for hair growth, can definitely cause symptoms of ED as well as lowered sperm counts. Younger men or men trying to conceive should be aware of the risk of these side effects. In the case of our listener, it is likely that the sudden surge in his T levels may be a simple lab error, since diagnostic machines often fail and have to be recalibrated. Because hormone therapy was so beneficial in mitigating his symptoms, he should definitely find a urologist who is comfortable with prescribing testosterone for men's health and try again. If you or someone you love is experincing symptoms of ED or low testosterone after taking Dutasteride or Finasteride, please call us today and check out our podcast on what we call "post-Finasteride syndrome."  If you enjoyed this episode, don't forget to like, subscribe, and share us with a friend! As always, be well! Check our our award winning podcast!https://blog.feedspot.com/sex_therapy_podcasts/https://blog.feedspot.com/mens_health_podcasts/Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode!Phone: (512) 238-0762Email: Armormenshealth@gmail.comWebsite: Armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing RoadSuite 101Round Rock, TX 78681South Austin Office6501 South CongressSuite 1-103Austin, TX 78745Lakeline Office12505 Hymeadow DriveSuite 2CAustin, TX 78750Dripping Springs Office170 Benney LaneSuite 202Dripping Springs, TX 78620

Overactive bladder (OAB) is a very common condition involving urinary urgency, with or without incontinence, plus frequency and nocturia. In this episode, urogynaecologist Dr. Kerac Falk joins me to discuss general information on overactive bladder (OAB) with a focus on the medical treatment options - particularly involving recent research he has worked on as part of a team regarding very common anticholinergic medication for OAB and evidence of potential dementia risk. Dr. Kerac Falk is a urogynecologist (Female Pelvic Medicine and Reconstructive Surgeon), and recently accepted an Assistant Professor of Urogynecology position at the University of Nevada, Reno School of Medicine. He has been involved in researching recurrent UTIs, biofilm, fluid dynamics and our focus for today's episode was based on his research as part of a founding member of the "Fellows OAB Taskforce for Treatment accessibility” advocacy group. Dr. Falk will be starting to see patients at his new practice in August 2021. You can find him through his new website (keracfalkmd.com) and a professional Instagram (@keracfalkMD) and Twitter (@KeracFalkMD).   Recent OAB publications include: Menhaji K, Cardenas-Trowers OO, Chang OH, Hall EF, Ringel NE, Falk K. Anticholinergic Prescribing Pattern Changes of Urogynecology Providers in Response to Evidence of Potential Dementia Risk. Int. Urogynecol.J. Accepted for publication 1/2021, available online 3/2021, pending print. Escobar C, Falk K, Mehta S, et al. Rethinking Second-Line Therapy for Overactive Bladder to Improve Patient Access to Treatment. Obstet. Gynecol. 2021 Mar;137:1-8. Johnson TM, Goode PS, Hammontree L, Markland AD, Vaughan CP, Ouslander JG, Falk K, McGwin G, Burgio KL. An Exploratory Analysis of Tamsulosin for Overactive Bladder (OAB) in Men With Varying Voiding Symptom Burden. Urology. 2021 Jan 20:S0090-4295(21)00085-6.  Bennett AT, Ringel NE, Menhaji K, Brown OE, Hall EF, Cardenas-Trowers OO, Falk K, Jeney SES, Barnes H, Escobar C, Tellechea LM, Sappenfield EC, Mehta S, Chang OH. "First, Do No Harm"-Trainees' Observation of Risk Reduction in the Treatment of Overactive Bladder. Female Pelvic Med Reconstr Surg. 2021 Jan 1;27(1):2-4.   Enjoy and thanks again to Always Discreet for sponsoring this episode!

Thanks for tuning in to the Armor Men's Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.In this segment, Dr. Mistry and Donna Lee answer a listener's question about what may be causing his "dry orgasms." This condition is referred to as "retrograde ejaculation" and occurs when semen is redirected into the bladder instead of out the tip of the penis as with a typical orgasm. While there can be a few causes of retrograde ejaculation, far and away the most common cause is medication. Tamsulosin and Silodosin, which are prescribed for enlarged prostate, are frequent offenders, but sometimes antidepressants can be at fault, too. If the cause is not a medication, it is possible a neurologic issue could be the culprit. Sometimes abnormal musculature leads the neck of the bladder to fail to close during an orgasm as it should and the semen is redirected there. Diabetes can be also play a role in developing abnormal bladder musculature, as can back surgeries or other catastrophic neurologic issues. Crucially, however, the listener should be aware that ejaculation itself contributes very little to the experience of orgasm and therefore isn't necessarily a problem. There are supplements and medications prescribed off-label that we use at NAU Urology Specialists to help enhance orgasmic sensation, however, so if you or your loved one are not getting as much bang for your buck as it were than you used to, please give us a call today. No matter the issue, we can help get your love life back on track!  Learn more about our award winning podcast at: https://blog.feedspot.com/mens_health_podcasts/ If you enjoyed today's episode, don't forget to like, subscribe, and share us with a friend! As always, be well!Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.We enjoy hearing from you! Email us at armormenshealth@gmail.com and we'll answer your question in an upcoming episode!Phone: (512) 238-0762Email: Armormenshealth@gmail.comWebsite: Armormenshealth.comOur Locations:Round Rock Office970 Hester's Crossing Road Suite 101 Round Rock, TX 78681South Austin Office6501 South Congress Suite 1-103 Austin, TX 78745Lakeline Office12505 Hymeadow Drive Suite 2C Austin, TX 78750Dripping Springs Office170 Benney Lane Suite 202 Dripping Springs, TX 78620

On this episode of the RLP podcast, I discuss tamsulosin pharmacology. Tamsulosin inhibits alpha receptors which helps improve urine flow in patients with BPH. As an off-label use, you may see tamsulosin used to try to aid in the passage of renal stones. Tamsulosin concentrations may be increased by CYP3A4 inhibitors and reduced by CYP3A4 inducers.

Dr RR Baliga's 'Got Knowledge Doc' PodKasts for Physicians | Alpha-1 Adrenergic Receptor Blockers to Prevent Cytokine Release Syndrome | Not Medical Advice or Opinion Preventing ‘Cytokine Storm’ May Ease Severe COVID-19 Symptoms https://www.hhmi.org/news/preventing-cytokine-storm-may-ease-severe-covid-19-symptoms M.F. Konig et al. “Preventing cytokine storm syndrome in COVID-19 using α-1 adrenergic receptor antagonists.” Posted to medRxiv.org on April 18, 2020; published in Journal of Clinical Investigation April 30, 2020. doi: 10.1172/JCI139642. J.T. Vogelstein et al. “Alpha-1 adrenergic receptor antagonists for preventing acute respiratory distress syndrome and death from cytokine storm syndrome.” Posted to arXiv.org April 21, 2020.

There is something super exciting bubbling in the world of data, research, and scientific tests: electro-hydraulic shockwave therapy for erectile dysfunction and pelvic pain! Dr. Rachel Rubin is my guest on this episode of In Your Pants! A urologist and one of only a handful of doctors fellowship-trained in male and female sexual health (this knowledge and expertise is not as common as you think!). She practices in Washington, DC and is an active educator through professional networks and social media. Tune in to our chat about: commonly used medications by urologists and their impact on male sexual health (like Viagra, Cialis, Flomax, Tamsulosin, Finasteride and injections), low-intensity shockwave therapy for ED, PE, and pelvic pain, her involvement in the first clinical trial on shockwave therapy in the US, and so much more!

Recap of random pearls and highlights from SGIM19 Day 1 including: Kidney stone treatment (roller coasters, sex and tamsulosin), aspirin, SGLT2 inhibitors to reduce kidney events, oral antibiotics for endocarditis, preferred physician attire, sexual harassment, writing letters of recommendation, triple therapy for COPD, DAPT for stroke, and more! Special thanks to the Society for General Internal Medicine for their hospitality. Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written, produced, and cohosted by: Paul Williams MD, Matthew Watto MD, Justin Berk MD, Carolyn Chan MD, Shreya Trivedi MD, Abby Spencer MD, MS, Nora Taranto MS4 (soon to be MD!) Edited by: Matthew Watto MD Special Guest: Abby Spencer MD, MS  Time Stamps and Links are included below 00:00 Intro and Disclaimer 02:33 Abby explains what it means to attend SGIM 04:35 Tips for writing letters of recommendation 08:54 How to handle lapses of professionalism in a trainee 10:30 How to address sexual harassment 12:42 Oral antibiotics after 10 days of IV antibiotics are noninferior for left sided endocarditis in non-IVDU (NEJM 2019) 14:22 Patients prefer physicians to dress in more formal attire. (BMJ Open 2018) 16:29 Kidney stone passage occurs more frequently when sitting in the back car of a roller coaster (J Am Osteopath Assoc 2018) 18:00 Sexual intercourse three times weekly improves rate of kidney stone passage (Urology 2015) 18:58 Vancomycin coverage for hospital acquired pneumonia can safely be stopped after four days if cultures remain negative for MRSA (Chest 2019) 20:00 Notes that contain stigmatizing language are associated with negative provider feelings and less aggressive pain management (JGIM 2018) 21:10 Medication errors are less frequent if the medication reconciliation is performed at time of ICU discharge (Ann Intensive Care 2018) 21:56 Five of six pediatricians found Lego heads in their stool after intentional ingestion (J Paediatric Child Health 2018). 24:40 Canagliflozin (SGLT2 inhibitor) improved renal outcomes and cardiovascular events (Credence trial, NEJM 2019; Check out the Freely Filtered (NephJC podcast coverage)) Triple therapy for COPD with LAMA/LABA/ICS is superior to dual therapy (IMPACT trial NEJM 2018) 27:20 The ASCEND trial of aspirin for primary prevention in patients with diabetes contained 97 percent white patients and showed similar NNT to NNH for cardioprotection and bleeding respectively (ASCEND trial NEJM 2018) 28:45 Consider a short course of dual antiplatelet therapy for minor stroke or high risk TIA (BMJ 2018) 30:07 Omega-3 fatty acids decreased cardiovascular events in patients whose triglycerides remained elevated despite statin therapy (REDUCE-IT trial NEJM 2019) 30:24 Tamsulosin did not help pass stones under 5 mm, but might be effective for stones >5 mm (J Fam Pract 2018) 31:06 Trainees who are stressed during residency tend to stay stressed (I was unable to quickly locate this citation. Sorry. -Dr. Watto) 32:02 How does our team choose their pearls for the recap show 35:21 A needs assessment at University of Michigan found that female residents want to learn skills on leadership, negotiation and giving pitches to prepare them for careers in medicine (Poster by Dr Jennifer Lukela). 36:57 Abby Spencer received an AAIM Innovations grant: “Key steps to rise for women trainees in leadership development”. 38:42 Outro

In this episode we highlight key articles in Emergency Medicine that came out, thus far, in 2018. D'souza et al. Effects of prophylactic anticholinergic medications to decrease extrapyramidal side effects in patients taking acute antiemetic drugs: a systematic review and meta-analysis Emerg Med J. 2018;35(5):325-331. Driver et al. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients With Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. JAMA. 2018;319(21):2179-2189. Atkinson PR, Milne J, Diegelmann L, et al. Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? An International Randomized Controlled Trial From the SHoC-ED Investigators. Ann Emerg Med. 2018; In press. Perkins GD et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. N Engl J Med 2018; 379:711-721 Meltzer et al. Effect of Tamsulosin on Passage of Symptomatic Ureteral Stones: A Randomized Clinical Trial. JAMA Intern Med. 2018 Aug 1;178(8):1051-1057 Kabrhel et al Multicenter Evaluation of the YEARS Criteria in Emergency Department Patients Evaluated for Pulmonary Embolism. Acad Emerg Med. 2018;25(9):987-994   Thanks for listening! Jeremy Faust and Lauren Westafer

Pelvic exams and STIs, Non-operative vs operative management of hip fractures, Tamsulosin for kidney stones, NG tube decompression for SBO, Procedural sedation with one vs two physicians, CXR in everyone with chest pain ? , Fluids and Pediatric DKA, NIPPV + NC, PRISMS trial - alteplase vs aspirin, ESBL UTI, Bicarb in the ICU, Backboards and imaging, SVT and troponin leak, Pediatric pneumonia, Lactate after HD, Tetracaine for corneal abrasions, fixed dose vs weight based PCC, ED Urgent Care transfers, Diplopia in the ED   Quick Summary   July 2018 Articles

This month we cover bougies, brain-bleeds and the best Paeds DKA paper ever.  We also degenerate into the recent and remote evolutionary history of hiccoughs... fun times are to be had!

This week we dive into a recent article on pain control in renal colic and how it affects our management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_51_0_Final_Cut.m4a Download Leave a Comment Tags: Analgesia, Kidney Stones, Renal Colic, Urology Show Notes Read More Core EM: Optimal First Line Analgesia in Ureteric Colic ALiEM: Top 10 reasons NOT to order a CT scan for suspected renal colic REBEL EM: Does Use of Tamsulosin in Renal Colic Facilitate Stone Passage Core EM: Medical Expulsive Therapy (MET) in Renal Colic Wang RC. Managing Urolithiasis. Ann Emerg Med 2015 PMID: 26616536 References Pathan SA et al.

This week we dive into a recent article on pain control in renal colic and how it affects our management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_51_0_Final_Cut.m4a Download Leave a Comment Tags: Analgesia, Kidney Stones, Renal Colic, Urology Show Notes Read More Core EM: Optimal First Line Analgesia in Ureteric Colic ALiEM: Top 10 reasons NOT to order a CT scan for suspected renal colic REBEL EM: Does Use of Tamsulosin in Renal Colic Facilitate Stone Passage Core EM: Medical Expulsive Therapy (MET) in Renal Colic Wang RC. Managing Urolithiasis. Ann Emerg Med 2015 PMID: 26616536 References Pathan SA et al. Delivering safe and effective analgesia for management of renal colic in the emerg...

This week we dive into a recent article on pain control in renal colic and how it affects our management. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_51_0_Final_Cut.m4a Download Leave a Comment Tags: Analgesia, Kidney Stones, Renal Colic, Urology Show Notes Read More Core EM: Optimal First Line Analgesia in Ureteric Colic ALiEM: Top 10 reasons NOT to order a CT scan for suspected renal colic REBEL EM: Does Use of Tamsulosin in Renal Colic Facilitate Stone Passage Core EM: Medical Expulsive Therapy (MET) in Renal Colic Wang RC. Managing Urolithiasis. Ann Emerg Med 2015 PMID: 26616536 References Pathan SA et al. Delivering safe and effective analgesia for management of renal colic in the emergency department: a double-blind,

#smaccDUB day 2 Dr. Reuben Strayer - “Disruption, Danger, and Droperidol: Emergency Management of the Agitated Patient."   Dr. Strayer presented a brilliant talk on dealing with the quintessential Emergency Medicine patient - the undifferentiated acutely agitated patient. These patients are high risk and require emergent stabilization and resuscitation. Dr. Haney Mallemat - "The PEA Paradox" The typical way we think about PEA, the "H's and T's," is overly complicated. Further, we are horrendous at pulse palpation (see this for more), and so what we think is PEA may not actually be PEA.  Dr. Mallemat proposed QRS duration as one way to think about PEA, although this has limitations. Dr. Michele Dominico - "How Usual Resuscitative Maneuvers Can Kill Paediatric Cardiac Patients" Interventions we jump to in sick patients - oxygenation, ventilation, vasopressors - these can kill pediatric patients with cardiac pathology. She gave examples of some high yield pearls in these already terrifying patients. EM Literature update by Drs. Ashley Shreves and Ryan Radecki Antibiotics for uncomplicated diverticulitis? May not be necessary Antibiotics for appendicitis? Maybe an option for some, but it may just be delaying an appendectomy. Tamsulosin for ureteral stones? Not necessarily indicated unless there are large (>5mm), distal stones. Interesting and Ridiculous Research Pearls from Drs. Ashley Shreves and Ryan Radecki Perception of dyspnea and pulmonary function tests change with stress - and rollercoaster rides.  Rietveld S, van Beest I. Rollercoaster asthma: when positive emotional stress interferes with dyspnea perception. Behaviour research and therapy. 45(5):977-87. 2007. [pubmed] Cured pork for epistaxis? Possibly. Researchers will try everything, especially if it involves bacon. Humphreys I, Saraiya S, Belenky W, Dworkin J. Nasal packing with strips of cured pork as treatment for uncontrollable epistaxis in a patient with Glanzmann thrombasthenia. The Annals of otology, rhinology, and laryngology. 120(11):732-6. 2011. [pubmed]