Hospital and Internal Medicine Podcast

By Gil Porat, M.D., FACP, CPT

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Intended for the medical professional who enjoys learning for the sake of it. Dr. Porat is a practicing Colorado Hospitalist and Board Certified in Internal Medicine.

Episode Date
Anemia of Inflammation - finally understand this common anemia that accomplished doctors often can't explain

Anemia of Inflammation is also often referred to as Anemia of Chronic Disease. It is one of the most common anemias, yet often challenging to comprehend. This is an attempt is to try and simplify it.

Sep 30, 2019
Anemia of Inflammation - part 2

If you know why red blood cells survive less (and are made less) during inflammatory conditions, and already know why ferritin increases in inflammation, and don't want to hear a lousy Iron Man plot idea - then you are good to go on skipping this episode.

Sep 30, 2019
Anemia of Inflammation - part 3
Sep 30, 2019
Creatine - part 1

It occurs naturally in the body (because we synthesize it), it is in meat, and it is frequently used as a supplement. Since it is in you, why not understand what is and what it does? Advice is provided on which supplement labels to particularly avoid. A brief reflection upon creatine within our brains (and the potential memory impact seen in one study) is utilized to make the point that when it comes to a performance enhancer, like creatine, it's not solely about the ramifications on muscle strength and endurance.

Aug 20, 2019
Creatine - part 2

The replenishing of muscle ATP is one (of the several) mechanisms that creatine helps with when it comes to heavy anaerobic exercise. Other topics discussed are things to know about lab testing the kidneys while taking creatine. Thoughts on why some don't respond to creatine supplementation.

Aug 06, 2019
Creatine - part 3

Is there a specific type of creatine to buy? What is creatine monohydrate? What is Creapure? What do some professional organizations have to say about the safety of creatine? The loading dose debate. Also dives into the several mechanisms of action for how creatine helps build muscle.

Aug 05, 2019
Medicare for All? (or maybe you call it Universal Healthcare or Single-Payer)

Are you surprised that GoFundMe and crowdfunding are not the solution to a family healthcare crisis? How about Medicare for All? Hmmmm.....

Jul 01, 2019
Part 5 of Muscle and Strength Gaining Tips - The Emotional Connection and Overcoming Temporary Pain
Apr 08, 2019
Clostridium Difficile - part 1

A deceivingly difficult topic. Not so obvious points are made about asymptomatic carriers, transmission, and who to test.

Jan 25, 2019
Clostridium Difficile - part 3

Many of the latest studies in the 2017-2018 timeframe are reviewed. The importance of looking at the eosinophil count on the CBC, probiotic future directions, microbiome transplant options, antibody treatment (bezlotoxumab), "penicillin allergic" patients, and a brief mention of available testing.

Jan 24, 2019
Clostridium Difficile - part 2

Specific initial treatment regimens are discussed. Topics include fulminant disease, Vancomycin, Fidaxomicin, Metronidazole, and recurrence rates/regimens.

Jan 23, 2019
Live From My Basement Bathroom

Experiences that taught me some lessons. 

Dec 24, 2018
Type 2 Diabetes Treatment - Part 7 - GLP-1 Agonists and DPP-4 Inhibitors

Glucagon-Like Peptide 1 (GLP-1) mimetics are also referred to as the GLP-1 receptor agonists. While this talk mostly focuses on GLP-1 mechanisms and actions, the hope is you will also better understand The Dipeptidyl Peptidase-4 (DPP-4) inhibitors 

The current GLP-1 Agonists include Exenatide (Byetta), Liraglutide (Victoza), Dulaglutide (Trulicity), Abiglutide (Tanzeum), Lixisenatide (Adlyxin), Semaglutide (Ozempic).

The current DPP-4 Inhibitors include Alogliptin (Nesina), Linagliptin (Tradjenta), Saxagliptin (Onglyza), Sitagliptin (Januvia). 

Dec 17, 2018
Type 2 Diabetes Treatment - Part 6 - SGLT2 Inhibitors

Sodium-Glucose Transporter 2 Inhibitors decrease glucose re-absorbtion. The diuretic effect, weight loss, DKA, cardiac outcomes, blood pressure, genital infections and a whole bunch of other information is discussed.

SGLT2s include Canagliflozin (Invokana), Dapagliflozin (Farxiga), Empagliflozin (Jardiance), Ertagliflozin (Steglatro), with more to be released in the future.

Sep 26, 2018
Type 2 Diabetes Treatment - Part 5 - HgA1C

There is a lot more to understanding HgA1C then most realize (particularly the quality industry and big corporations).

Aug 26, 2018
Type 2 Diabetes Treatment - Part 4 - Metformin

Tackles - Vitamin B12, kidney disease, CHF, cancer, Impaired Glucose Tolerance (IGT), dosing, side-effects, lactic acidosis, cost, drinkers, hypoxic patients, glucose lowering, and a few other moments of erudation.

May 27, 2018
Type 2 Diabetes Treatment - Part 3 Glucagon

If you want to understand drug classes like DPP-4 inhibitors, GLP-1 (GLUCAGON-like peptide) therapies, treating hypoglycemia, and an important player among the many etiologies of Type 2 diabetes - then you must understand the basics about glucoagon.

May 16, 2018
Type 2 Diabetes Treatment - Part 2 - Reversing The Disease With Lifestyle Changes
May 01, 2018
Type 2 Diabetes Treatment - Part 1
May 01, 2018
Internal Medicine Pearls #5

Diuretic therapy for congestive heart failure treatment, antibiotics for diabetic osteomyelitis after foot surgery, and practical tips with new-onset seizures - is among the knowledge dropped (because, after all, school can't teach us everything).

Apr 03, 2018
Some Recent Studies Worth Knowing About - February 2018

Some new stuff about Vitamin D & Calcium supplementation, another about the timing of hip fracture surgery, etc

Feb 01, 2018
Forcing Atheist Doctors to Play With God
Dec 22, 2017
Internal Medicine Pearls #4

Checking glucose levels in Type 2 Diabetes, ACE Inhibitors for women, and using Azithromycin in Asthma.

Nov 14, 2017
Medical Podcasts, Skiing, and Imperfect Relationship Advice
Oct 04, 2017
Patent Foramen Ovale Evaluation and Closure After a Stroke - part 2
Sep 26, 2017
Patent Foramen Ovale Evaluation and Closure After a Stroke - part 1
Sep 22, 2017
The Overhead Airplane Request for Medical Assistance - A No Win Situation
Sep 20, 2017
A Severe Case of Healthcare Violence 2 Years Later
Aug 31, 2017
Bedbugs 4 The Dark Night Returns
Aug 31, 2017
Bedbugs 3 Live Free and Die Hard
Aug 10, 2017
Bedbugs 2 Fast and 2 Furious
Jul 30, 2017
Bedbugs - part 1
Jul 15, 2017
Urine Drug Testing - Misinterpretation is Very Common

You know all those people on social media wanting mandatory drug testing for welfare recipients? Perhaps, reasonable in theory, if the test wasn't frequently producing false-positives and false-negatives. Making accurate clinical decisions is always challenging, but particularly with urine drug testing. The consequences of misinterpretation can be awful.

May 28, 2017
The death of Chris Cornell and calling my doctor
May 22, 2017
Internal Medicine Pearls #3

A look at some new data: COPD and Oxygen use - low serum creatinine levels - BMI considerations - the RDW - the age of blood.

May 11, 2017
Let's do this! Simple changes to healthcare that nearly everyone can agree on.
Apr 30, 2017
Vocational Confrontation and Political Rumination
Apr 05, 2017
I'm a nerd looking at the world and shamelessly speaking my mind
Mar 07, 2017
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 4

Oxalate intake reduction, thiazide diuretics, and tamsulosin are some of the therapies discussed in this lecture. 

Feb 22, 2017
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 3

Stone analysis, labs, calcium & fluid intake, sodium in the diet, and beverage choices.

Feb 15, 2017
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 2

A few words about the proximal ureter, I.V. Fluids, colic, and hematuria.

Feb 13, 2017
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 1

This episode discusses symptoms, the importance of size, and a few other pearls.

Feb 01, 2017
What is Taurine?

You see it in energy drinks. It is in our food, supplements, it naturally occurs in multiple organs, and most people don't know anything about it.

Jan 25, 2017
Part 4 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners

Lifestyle, carbohydrates, protein, and eccentric weight training are part of the focus of this sermon. 

Dec 29, 2016
Part 3 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners

This episode is part philosophy, part motivation, and a discussion of some traps men and women get caught in. 

Dec 24, 2016
Part 2 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners
Oct 26, 2016
Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners - part 1
Oct 21, 2016
Pulmonary Embolism - Part 4
The use of Inferior Vena Cava (IVC) filters and the length of anticoagulation in unprovoked DVT/PE are considered. A rant about hyper-coagulable panels in provoked DVT/PE is opined.
Oct 10, 2016
Pulmonary Embolism - part 3 - Massive PE
Understanding what causes hypotension in PE is essential to understanding the severity of the situation. The relevance of the stressed right ventricle is emphasized. Thrombolytic therapy for hypotension and other clinical scenarios resulting from pulmonary embolism are contemplated. 
Aug 29, 2016
Pulmonary Embolism - part 2
The treatment challenges of subsegmental pulmonary embolism, with emphasis on the 2016 guidelines are reviewed. Ventilation/perfusion (V/Q) scan interpretations in those unable to get a CT scan are considered.
Jul 24, 2016
Pulmonary Embolism - part 1
The topics covered are D-Dimer testing, false positive over-diagnosis of PE on CT scanning, the ADJUST-PE study, and clinical signs and symptoms of a pulmonary embolism.
Jun 03, 2016
The Healthcare Consumer in a Fictitious Market
A commentary.
May 26, 2016
Iron Deficiency Anemia - part 3
Various topics regarding intravenous iron are pondered, especially some of the new data available that has not yet seemed to obtain the influence that the information deserves.
May 15, 2016
Iron Deficiency Anemia - part 2
This episode mostly centers around oral iron replacement.
Apr 28, 2016
Iron Deficiency Anemia - etiology and diagnosis

Mar 03, 2016
Natriuretic Peptides in Congestive Heart Failure
BNP use as a lab and therapeutic are discussed. The episode also explores the PARADIGM-HF trial and Neprilysin inhibition. The novel combination medication sacubitril/valsartan (Entresto) for systolic CHF is evaluated in depth. Clinical tips for avoiding angioedema and other clinical pearls are provided.
Jan 14, 2016
Healthcare Mergers and Acquisitions
If you think the seismic shift in U.S. healthcare is all a result of the Affordable Care Act, you may not be seeing a large part of the picture. This has become an era of "BIG MEDICINE" and that phenomenon is increasing through mergers and acquisitions. Some of these mergers are strategic, while others are defensive. Practical advice on how doctors and companies can improve their chances of merging successfully is provided. The lecture concludes with potential implications of the insurance-industry merger wave on patients and those working in the healthcare industry.
Dec 08, 2015
Acute Pancreatitis (part 3) - Pseudocysts, Pain Control, and a few other pearls
This episode offers some advice in thinking about the very difficult topic of pancreatic pseudocysts. Some philosophical waxing about pain control and some items not addressed in the previous episodes are also discussed. 
Oct 01, 2015
Acute Pancreatitis (part 2) - Severe Pancreatitis, Pancreatic Necrosis, Antibiotic & Surgical Considerations
Imaging, fluid resuscitation, fine needle aspiration, determining sterile vs infected necrosis, and suggestions from the guidelines are discussed.
Aug 23, 2015
Acute Pancreatitis - part 1
This episode addresses some of the debates regarding nutrition timing in acute pancreatitis. Methods such as nasogastric, nasojejunal, and oral feeding are compared.
Jul 29, 2015
Hypercalcemia Treatment
Treatments that include hydration, cinacalcet, calcitonin, bisphosphonate, denosumab, and other options are reviewed.
Jun 08, 2015
Hyperparathyroidism - Hypercalcemia part 3
Indications for parathyroidectomy, pre-operative localization issues, diagnosing hyperparathyroidism, and a brief summary of the guidelines are among the topics addressed in this episode.
Jun 06, 2015
Hypercalcemia - Clinical Symptoms and Diagnostic Testing
Special attention is paid to gastrointestinal, bone, and cardiovascular disease as a result of hypercalcemia. Laboratory interpretation of calcium and phosphorus levels is also discussed.
Mar 31, 2015
Hypercalcemia etiology - Vitamin D, Calcium Supplements, Diuretics, Malignancy, Sarcoidosis, and other causes
Mar 10, 2015
Memory - part 2 - Memory in disease and health
Dec 29, 2014
Memory - part 1 - Memory in disease and health

Dec 21, 2014
Ebola Virus Disease - part 3
Oct 31, 2014
Ebola Virus Disease - part 2
Oct 30, 2014
Ebola Virus Disease - part 1
Oct 29, 2014
Hospital Credentialing
Oct 05, 2014
Pneumonia part 5- Treatment of Healthcare Associated Pneumonia
Aug 14, 2014
Pneumonia part 4 - Ventilator Associated Pneumonia Prevention
Aug 03, 2014
Pneumonia- part 3- Legionella & Pseudomonas
Pseudomonas aeruginosa and Legionella pneumophila bacterial lower respiratory tract disease are explored in depth.
Jun 18, 2014
Pneumonia - Part 2 - Pneumococcal Pneumonia
Streptococcus pneumoniae is a frequent cause of pneumonia. What makes this organism unique? Listen and find out.
May 04, 2014
Pneumonia - Part 1
Does the patient really have pneumonia? Differential diagnosis and mimics are considered in this common clinical problem. 
Dive deeper into how microbes and the immune system interact in lower respiratory infections.
Apr 26, 2014
Acute Liver Injury From Drugs (other than acetaminophen)
Hepatotoxicity from antibiotics, NSAIDs, dietary supplements and other sources are explored. Idiosyncratic drug induced immune related and non-immune related injuries are differentiated, which can change treatment. 
Apr 06, 2014
Influenza - part 4 - diagnostic testing for the the flu
Jan 02, 2014
Influenza - part 3 - Avian H7N9 & H5N1 (Bird Flu)
Jan 01, 2014
Influenza - part 2 - Lessons From H1N1 Pandemics
Was H1N1 accidentally released from a laboratory? 
Is it really a "swine flu"or is it a misnomer?
What is this H3N2 swine flu we periodically hear about in the media?
What makes a pandemic?
Find these answers and more in this episode.
Dec 30, 2013
Influenza - The Flu - part 1
Some years the vaccine is better than others - but there is still good reason to get it. Let's discuss those reasons.
How is flu transmitted?
How do weather patterns influence the spread of influenza?
Get these answers and more in this episode.
Dec 29, 2013
Pancreatic Cancer - Pancreatic Ductal Adenocarcinoma
Oct 13, 2013
Internal Medicine Pearls - Part 2

Aug 12, 2013
Anger Management in the Healthcare Setting
Aug 10, 2013
MRSA - The basics about Methicillin Resistant Staphylococcal Aureus
Resistance and virulence mechanisms are discussed. 
 Clinical presentations as well as the difference between colonization and infection are considered.
Screening, prevention, and understanding Community Acquired MRSA vs Healthcare Acquired MRSA strains can be challenging, so practical information is presented for the common questions patients, families, and health care workers will often have.
May 12, 2013
Quality of Care and U.S. Payment Reform
Jan 14, 2013
End-of-Life Facts and Sentiments - Part 2
Jan 01, 2013
End-of-Life Facts and Sentiments - Part 1
Dec 03, 2012
Factor 5 Leiden - Part 2
Oct 23, 2012
Factor 5 Leiden - Activated Protein C Resistance part 1
Sep 25, 2012
Urinalysis Pearls for Managing Adult Patients
Aug 30, 2012
Azithromycin, COPD, and the Heart
Aug 23, 2012
Brain Death - Part 2
Jul 15, 2012
Brain Death - Part 1
Jul 02, 2012
Lithium Toxicity and Side Effects - Clinical Considerations for Hospitalists and Acute Care Provider
Jul 02, 2012
Acute Mitral Regurgitation - A review for Internal Medicine and Critical Care Physicians
The problem with Acute Mitral Regurgitation is that it is frequently fatal unless quickly recognized. The listener will learn about organic and functional etiologies of this precipitator of acute respiratory distress. Lessons from the SHOCK trial are scrutinized to help guide therapy in the setting of myocardial ischemia. 
Jul 02, 2012
Jul 02, 2012
Anaphylaxis and Anaphylactic Shock
Jul 02, 2012
Red Blood Cell Transfusions Part 1
Jul 02, 2012
Packed Red Blood Cell Transfusions Part 2 - When to Transfuse
Jul 02, 2012
Red Blood Cell Transfusions Part 3 - Secondary Iron Overload
Jul 02, 2012
Jul 02, 2012
Preoperative Pulmonary Medicine
Jul 02, 2012
Internal Medicine Pearls Part 1
Jul 02, 2012
Contrast Induced Nephropathy
Jul 02, 2012
Guillain-Barre Syndrome
Jul 02, 2012
Acute Alcohol Withdrawal
Jul 02, 2012
Stevens Johnson Syndrome
Jul 02, 2012
Immune Thrombocytopenia Purpura (ITP)
Jul 02, 2012