The double-blind, randomized phase III EMPEROR-Preserved trial showed a benefit of the sodium-glucose cotransporter-2 (SGLT2) inhibitor empagliflozin in patients with heart failure with preserved ejection fraction (HFpEF).Now let us dig a bit

Should You Postpone Interventions for INFECTED Necrotizing Pancreatitis?

Oct 18th, 2021 10m 18s

An important recently published randomized control trial provides guidance on this controversy.

Spontaneous Bacterial Peritonitis - Unique Infections in Cirrhosis part 2

Jun 27th, 2021 18m 12s

Unique Infectious Considerations in Cirrhosis - part 1

Jun 15th, 2021 7m 49s

Gastric Emptying Abnormalities - Part 2

May 24th, 2021 9m 38s

Can we trust a nuclear study to nail the diagnosis? Are motor abnormalities really the cause of symptoms? What is a POP procedure?

Diabetic Gastric Emptying Abnormalities (and sometimes normal) - Part 1

May 9th, 2021 10m 3s

Almost nobody feels comfortable managing DELAYED gastric emptying (gastroparesis) and very few medical providers even think about RAPID gastric emptying in their diabetic patients. Even if you send these patients to GI specialists, your blood s

Morphine for later stage COPD patients not on hospice

Apr 9th, 2021 8m 38s

Does regular, low-dose, oral sustained-release morphine improve disease-specific health status or cause respiratory adverse effects in patients with moderate to very severe chronic breathlessness due to advanced chronic obstructive pulmonary di

The JAMA controversy and loss of conversation in medicine

Apr 5th, 2021 19m 1s

My take on what went down at the Journal of the American Medical Association. I disagree with the comment there isn't "structural racism in health care", but was the backlash against the Editor who didn't say it (and actually opposed the commen

Cows Milk - Healthy or Not?

Mar 6th, 2021 11m 19s

Psilocybin Mushrooms - will they become an accepted medicine?

Feb 19th, 2021 28m 9s

Understand Basic Epigenetic Changes in Medicine and Everyday Life

Feb 4th, 2021 12m 29s

This lecture provides a basic understanding of how epigenetic changes influence infections/sepsis, vaccinations, cancer, future generations, your muscles, and (of course) those sweet tan-lines you are rocking.Every day you are living through e

Hyponatremia etiology by history and physical

Dec 23rd, 2020 29m 53s

Hyponatremia remains a challenging topic for many because they are trying to memorize algorithms and numbers. You can usually nail the etiology by history & physical and a brief chart review.

Cytokine Storm - part 1

Dec 2nd, 2020 5m 27s

If you use the term 'cytokine storm' and don't really know what you mean by it, you are far from unique. Let me help to try and clarify it for you just a bit.

Cytokine Storm - part 2

Dec 2nd, 2020 12m 21s

Do you know what CRP is (other than saying it is an inflammatory marker)? Should we always shut down cytokines? If so, how? Why should we avoid giving a glucocorticoid to a COVID patient before they develop an elevated CRP or hypoxia? So many q

Covid Treatment (for Hospitalized Patients) Update

Nov 30th, 2020 30m 20s

Dealing with hypoxia, anticoagulation, steroids, Remdesivir, VTE, self-proning, labs, plasma, etc.I do not get into the epidemic numbers or politics or vaccines or outpatient treatments (this is really a HOSPITALIZED TREATMENT discussion for

The Most Important Person That Lived For Our Health and Wellbeing

Nov 28th, 2020 31m 6s

Hint: That person died in 2017

An (old) New Weapon to Fight Leg Cellulitis

Aug 13th, 2020 11m 14s

Acute Severe Hypertension - part 4

Jun 30th, 2020 17m 36s

Did you know systolic and diastolic blood pressure are NOT measured by automated BP cuffs? PRES (Posterior Reversible Encephalopathy Syndrome), also known as RPLS (Reversible Posterior Leukoencephalopathy Syndrome), is something you should reco

Acute Severe Hypertension - part 1

Apr 28th, 2020 14m 10s

Acute Severe Hypertension - part 2

Apr 28th, 2020 16m 52s

Multiple treatment issues are discussed. This includes theoretical ideal blood pressure lowering rates, oral options (for hypertensive urgency and specific populations), intravenous options (for hypertensive emergency or NPO patients), specific

Acute Severe Hypertension - part 3

Apr 27th, 2020 14m 47s

Did you know that intravenous labetalol and oral labetalol are not really similar? The great hydralazine debate. Things you must know about Clevidipine if you are going to use it.

Acute Severe Hypertension - part 1

Apr 25th, 2020 14m 10s

A Plea For The Middle Ground With Covid19

Apr 24th, 2020 14m 5s

Interesting Studies, Facts, & Opinions - April 2020 edition

Apr 23rd, 2020 13m 53s

If you wonder why good food is more important than mortality and why ordering too many unnecessary consults worsens the food and doesn't impact mortality - this episode is for you. Tramadol is not well understood by many prescribers and there a

Balkan Reflections Forged By A Virus Lockdown

Apr 23rd, 2020 10m 15s

World War I was partly triggered by powerful allies of various nationalities being dragged into a Balkan conflict (nationalism, of course, was another major factor). The more recent Balkan conflict is even more preposterous - and here is my att