New GINA Guidelines for AsthmaFrom June 2020, Cause of Death?
Asthma treatment guidelines have been evolving since the last published guidelines in 2007. Take a deep breath with Paul Simmons as he dives into the 2019 recommendations from GINA. •11min 16Paul Simmons, MD
COPD vs CHF CrossoverFrom March 2020, Mailbag March Madness
When a patient with COPD and CHF presents with shortness of breath, how do we know what’s causing it? The heart? The lungs? Both? Neda discusses the best approach for this diagnostic conundrum with Dr. Sam Ashoo, ED physician and dyspnea expert. •21min 5Sam Ashoo, MD and Neda Frayha, MD
Oxygen Supplementation Part 2From February 2020, Don't Go Breaking My Heart
We provide supplemental oxygen all the time. But how often do we really understand the physiology behind what we’re doing, or the different modalities we have available to us? Dr. Avir Mitra, Clerkship Director of Emergency Medicine at the Icahn School of Medicine at Mount Sinai Beth Israel in New …22min 34Avir Mitra, MD and Neda Frayha, MD
Community Acquired Pneumonia - Guideline UpdateFrom February 2020, Don't Go Breaking My Heart
We have been waiting and waiting and waiting for the new community acquired guidelines. And here they are! Infectious Diseases expert Dr. Devang Patel joins Matt DeLaney and Neda Frayha for a conversation on CAP in general and the new guidelines in specific.27min 42Devang Patel, MD, Matthew DeLaney, MD, FACEP, FAAEM, and Neda Frayha, MD
Oxygen Supplementation Part 1From February 2020, Don't Go Breaking My Heart
We provide supplemental oxygen all the time. But how often do we really understand the physiology behind what we’re doing, or the different modalities we have available to us? Dr. Avir Mitra, Clerkship Director of Emergency Medicine at the Icahn School of Medicine at Mount Sinai Beth Israel in New …24min 18Avir Mitra, MD and Neda Frayha, MD
Marijuana and Lung DiseaseFrom January 2020, Weird and Wacky Wounds
As marijuana becomes legal in more states, it’s important for us to be able to advise our patients on the risk of inhaled marijuana causing lung disease. Neda discusses the current literature with Dr. Kathryn Robinett, pulmonologist extraordinaire.13min 13Kathryn Robinett, MD, Neda Frayha, MD, and Tom Robertson, MD
Respiratory Failure: Pre- and Post-ICUFrom January 2020, Weird and Wacky Wounds
Respiratory failure in primary care? Not an oxymoron! Our own Drs. Mizuho Morrison and Tom Robertson interview returning pulmonologist extraordinaire, Dr. Nirav Shah, about how we approach and manage respiratory failure, both before our patients need the ICU and after they come out of intensive …23min 6Mizuho Morrison, DO, Tom Robertson, MD, and Nirav Shah, MD
New Asthma TherapiesFrom September 2019, Are We Better in the Morning?
Asthma is a pretty bread-and-butter diagnosis in primary care, but how much do we know about all the new therapies on the market? Asthma expert and pulmonologist Dr. Kathryn Robinett shares the latest on asthma management with Miz and Neda. Hint: step-up therapy is for the boards, but not as …20min 37Kathryn Robinett, MD, Neda Frayha, MD, and Mizuho Morrison, DO
Things I Do, But Should I? Codeine for CoughFrom June 2019, Does My Liver Look Fat?
Our Things I Do But Should I? duo brings us another great discussion on the use of oral codeine for acute cough. We tend to prescribe this for our patients at their wits’ end with cough, but should we? Listen to this segment to find out. •8min 26Vanessa Gervais, MD and Adrien Selim, MD
Hospitalist Corner: Lightning RoundFrom June 2019, Does My Liver Look Fat?
Our favorite hospitalist Dr. Maj Cina is back, this time with a lightning round of common inpatient scenarios and the latest evidence to support or refute our common practices in these situations, which span the fields of GI, ID, Pulmonology, and Nephrology. •16min 22Majid Cina, MD and Neda Frayha, MD
Incidental Lung NodulesFrom May 2019, This Mailbag is About to Rupture!
How often do we groan when we find incidental lung nodules on imaging? How do we know what counts as high-risk and when to re-image different patients? In this segment, Tom Robertson and Neda Frayha explore this all-too-common dilemma and share guideline-based recommendations on what to do for lung …12min 6Tom Robertson, MD
Acute RhinosinusitisFrom March 2019, A World of (Bladder) Hurt
Acute rhinosinusitis is one of the most common conditions we see in primary care. In this segment, Dr. Jacob Anderson gives us a helpful primer on the presentation, diagnosis, and treatment of acute rhinosinusitis, whether viral or bacterial in origin.11min 48Jake Anderson, DO
SepsisFrom March 2019, A World of (Bladder) Hurt
To discuss the epidemiology and identification of sepsis, identify areas of increased focus in sepsis management, discuss three recent large trials about early goal-directed therapy, and delineate how we may improve our processes of care. •18min 56Tom Robertson, MD, Mizuho Morrison, DO, and Nirav Shah, MD
Post Intensive Care SyndromeFrom October 2018, My Pancreas is Necrosing!
Post intensive critical care syndrome is a phenomenon that can affect up to half of all ICU survivors and cause long-lasting consequences like impaired memory, depression, and weakness. In this segment, Dr. Steve Biederman takes us on a tour of PICS, including risk factors, prevention, and possible …16min 28Steve Biederman, MD and Neda Frayha, MD
Idiopathic Pulmonary Fibrosis (IPF)From September 2018, Retrieve Those Filters
Idiopathic pulmonary fibrosis has been a devastating diagnosis with limited mean survival time. In this segment, pulmonologist Dr. Nirav Shah and our own Neda Frayha review how to diagnose this disease, when we should consider biopsy, and some new FDA-approved therapies with some encouraging …16min 49Nirav Shah, MD and Neda Frayha, MD
Interstitial Lung Disease Made SimpleFrom August 2018, Good Samaritans
There are over 140 different types of interstitial lung disease, all with their own acronym. This adds up to a complex alphabet soup that can be hard to keep straight in our daily practice. In this segment, pulmonologist and medical educator Dr. Nirav Shah provides us with a broad framework for …22min 50Nirav Shah, MD and Neda Frayha, MD
HemoptysisFrom July 2018, All Risk, No Reward
Patients with significant or massive hemoptysis should be sent to the ED for further evaluation.Patients with non-massive hemoptysis should be evaluated with initially with a chest x-ray.22min 28Scott Irvine, MD and Matthew DeLaney, MD, FACEP, FAAEM
Does This Cough Need Antibiotics?From June 2018, A Hyperthyroid Fetus
Not all coughs are created equal. In this segment, Drs. Heidi James and Beth Haskins walk through when we should think about antibiotics and when we shouldn’t.17min 4Heidi James, MD and Beth Haskins, MD
Case of the Month - Pleural Effusions | Pt. 2From February 2018, The Tragically Sore Hip
Pleural effusions can be broken down into transudative or exudative types. Transudative are caused by dysregulation of the hydrostatic pressure, such as in CHF, or the oncotic pressure, like in cirrhosis or nephrotic syndrome. Imaging and thoracentesis are part of the management of most pleural …10min 26Adrien Selim, MD, Neda Frayha, MD, and Vanessa Gervais, MD
Case of the Month - Pleural Effusions | Pt. 1From February 2018, The Tragically Sore Hip
Pleural effusions can be broken down into transudative or exudative types. Transudative are caused by dysregulation of the hydrostatic pressure, such as in CHF, or the oncotic pressure, like in cirrhosis or nephrotic syndrome. Imaging and thoracentesis are part of the management of most pleural …13minAdrien Selim, MD, Neda Frayha, MD, and Vanessa Gervais, MD
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