Episode Chapters
- Code Status10:29Erectile Dysfunction (ED) - Part 110:04Paper Chase #1 - Hormonal Contraception & Breast Cancer4:42Lithium15:55Orthopedic Injuries in Non-Accidental Trauma (NAT)23:06Paper Chase #2 - PFO Closure vs Medical Therapy after CVA4:20Erectile Dysfunction (ED) - Part 212:50Being Fired By A Patient12:53Paper Chase #3 - ACE Inhibitors and Statins in Adolescents with Type 1 Diabetes2:54Thrombosed Hemorrhoids7:07Paper Chase #4 - PFO Closure or AC vs. Antiplatelets after CVA7:19Things I Do But Should I - Gout11:18Prediabetes16:51NSAID Ceiling11:24Paper Chase #5 - Carotid Endarterectomy and Stenting4:45The Summary13:45
In this segment, Casey first gives us a good review of the anatomy of external hemorrhoids and then quickly moves into sharing his approach to managing this extremely painful and fairly common condition. He also shares with us his deep love of busting butt clot. Which would be somewhat disturbing were it not for the fact that so many of us secretly love it as all.
What’s Your (Code) Status? Full episode audio for MD edition 170:42 min - 80 MB - M4AHippo Primary Care RAP - March 2018 Written Summary 508 KB - PDF
David S. - March 9, 2018 6:14 AM
A great tip from a general surgeon that I use... After anesthetizing, lift and tent the skin at the top of the hemorrhoid and use scissors to cut below the tented skin. This makes an oval shaped opening to allow for drainage and is far easier than using a scalpel to cut out an ellipse.
David S. - March 9, 2018 6:15 AM
Obviously lifting with forceps.