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AGACNP-BC
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Knowledgeable Provider
Healthcare Under Trump 2.0
Jody reviews the changes to healthcare policy made by the Trump administration so far.References:1) Grossi, G. et al. Health policy in flux: Trump administration updates. AJMC. Published online March 28, 2025. https://www.ajmc.com/view/health-policy-in-flux-trump-administration-updates2) Kates, J., Michaud, J., Moss, K., & Dawson, L. Overview of President Trump's executive actions on global health. KFF. Published online January 28, 2025. https://www.kff.org/global-health-policy/fact-sheet/overview-of-president-trumps-executive-actions-on-global-health/Whitehouse.gov fact sheets:https://www.whitehouse.gov/fact-sheets/2025/02/fact-sheet-president-donald-j-trump-establishes-the-make-america-healthy-again-commission/https://www.whitehouse.gov/fact-sheets/2025/02/fact-sheet-president-donald-j-trump-announces-actions-to-make-healthcare-prices-transparent/
2025-04-07
39 min
The Full Code Podcast
Ep. 19: Alcohol Withdrawal Fundamentals
Welcome back to another episode of the full code podcast! Today will be the first entry in our discussion of alcohol withdrawal and the various concomitant issues which may arise. In this episode we talk the basics of physiology, evaluation, diagnosis, and treatment.
2025-04-02
1h 11
Knowledgeable Provider
#NephMadness 2025 Bracket Submission
Jody submits his bracket for #NephMadness 2025 at the last minute! A true buzzer beater!
2025-03-31
06 min
Knowledgeable Provider
Brugada Syndrome
B is for Brugada! Jody reviews this important cause of ventricular arrhythmias and sudden cardiac arrest.References & Resources:1) Medications to Avoid (Brugadadrugs.org)2) Brugada Syndrome (Life In The Fastlane)3) Wylie, J. V. Brugada syndrome: Epidemiology and pathogenesis. UpToDate. https://www.uptodate.com/ contents/brugada-syndrome-epidemiology-and-pathogenesis4) Wylie, J. V. Brugada syndrome: Clinical presentation, diagnosis, and evaluation. UpToDate. https://www. uptodate.com/contents/brugada-syndrome-clinical-presentation-diagnosis-and-evaluation5) Wyle, J. V. Brugada syndrome or pattern: Management and approach to screening of relatives. UpToDate. https://www. uptodate.com/contents/brugada-syndrome-or-pattern-management-and-approach-to-screening-of-relatives
2025-03-17
12 min
The Full Code Podcast
Ep. 18: Anesthesia and Airway Management with David Reavis, CRNA
Today we welcome another very special guest - David Reavis, CRNA. In this episode we discuss the road to becoming a CRNA, the basics of anesthesia going into the OR, and strategies to managing a difficult airway.
2025-03-14
1h 27
Knowledgeable Provider
Alpha-1-Antitrypsin Deficiency
A is for alpha-1-antitrypsin! Jody reviews this maybe-not-so-rare genetic disorder that is an important and often overlooked cause of mostly lung and liver disease.References:1) Stoller, J.K. Clinical manifestations, diagnosis, and natural history of alpha-1-antitrypsin deficiency. UpToDate. https://www.uptodate.com/contents/clinical-manifestations-diagnosis-and-natural-history-of-alpha-1-antitrypsin-deficiency2) Hogarth, D. K. Alpha-1-antitrypsin deficiency. Epocrates. https://www.epocrates.com/online/diseases/1075/alpha-1-antitrypsin-deficiency#highlights-basics3) Alpha-1-antitrypsin level test. Lippincott Advisor. https://advisor.lww.com/lna/document.do?bid=5&did=1336317&searchTerm=alpha-1-antitrypsin&hits=antitrypsin,alpha4) Endobronchial Valve Therapy (American Lung...
2025-03-10
16 min
Knowledgeable Provider
Updated Medical Malpractice Standards
Jody reviews a recent Special Communication from JAMA about a 2024 update of medical malpractice standards from the American Law Institute.Reference:Aaron DG, Robertson CT, King LP, Sage WM. A New Legal Standard for Medical Malpractice. JAMA. Published online February 26, 2025. doi:10.1001/jama.2025.0097
2025-03-03
22 min
The Full Code Podcast
Ep. 17: Aneurysmal Subarachnoid Hemorrhage
In this episode we cover the basics of assessment, diagnosis, and management of aneurysmal subarachnoid hemorrhage. Thank you for tuning in and your continued support!
2025-02-28
1h 26
Knowledgeable Provider
Huntsville Hospital Cardiology Update 2025 Recap
Jody shares what he learned at this year's Huntsville Hospital Cardiology Update, held on Saturday, February 8th, 2025 at the UA Huntsville College of Nursing.Links:1) UA Huntsville CON Golden Gala2) WHO 2003 Pulmonary Hypertension Guidelines3) BMPR2 Gene Mutations4) 2022 ESC/ERS 3 Strata Risk Score Calculator for Pulmonary Hypertension
2025-02-24
25 min
Knowledgeable Provider
More On Death
Jody shares some gruesome details of his professional encounters with death.
2025-02-17
38 min
The Full Code Podcast
Ep. 16: Critical Care Pharmacology and Pain Management with Dr. Kristen Butler, PharmD
Today we are talking all things pharmacy in the critical care setting with our special guest Dr. Kristen Butler, PharmD. Have you ever wondered exactly what it takes to be a pharmacist? In this episode we discuss this and more. Join us for a discussion around pain control and ICU medicine as we revisit PADIS, among other topics.
2025-02-15
1h 22
Knowledgeable Provider
Death & Dying with Justin Gallien
Justin Gallien is an oncology nurse at Tristar Centennial Medical Center in Nashville, Tennessee. He and Jody discuss how we deal with death as healthcare providers and human beings.
2025-02-10
1h 07
Knowledgeable Provider
Things Patients Say (Volume 1)
Sometimes patients say things that really make you think.
2025-02-03
16 min
Knowledgeable Provider
ADPH Substance Misuse Summit 2025 Recap
The ADPH Substance Misuse Summit was held on January 14th, 2025 at Frazier Church in Montgomery, AL. The event was sponsored by Alabama Department of Public Health, Auburn University, COACH, and University of South Alabama. The keynote speaker was Dr. Ben Carson (yes...THAT Dr. Ben Carson). References & Links: Auburn University COACH Center CDC OD2A Program Alabama Department of Public Health Alabama Department of Mental Health National Opioid Settlement Inside a Sinaloa Cartel Fentanyl Lab in Mexico (NYT) Acetyl Fentanyl Information Document (DEA)
2025-01-20
31 min
The Full Code Podcast
Ep. 15: Sedation, Analgesia, and Delirium Prevention
Welcome back and thanks for joining us again! In this episode we talk about the principles of sedation and analgesia in the intubated patient. This session provides a practical and evidence-based approach to managing sedation and pain control in intubated patients. Learn how to select the appropriate agents, titrate medications effectively, and avoid complications like oversedation or delirium.
2025-01-17
1h 24
Knowledgeable Provider
Innovation In Nursing Education with Alaina Peterson
Alaina Peterson is a nursing instructor at Calhoun Community College. She talks with Jody about implementing change in an educational setting and her philosophy about education in general.
2025-01-13
49 min
The Full Code Podcast
Ep. 14: Blood Banking and Transfusion Medicine with Erin Westby
Welcome back! Please join us in learning about the nuances of blood transfusion medicine and let's get to the bottom of who is actually hemolyzing your samples (It might just be you). On this episode we are talking all things lab with our special guest Erin Westby who is a medical laboratory scientist and trained in blood banking and transfusion medicine. Tag a long while we answer some of your burning questions about the lab and get absolutely mystified by the magic that is blood transfusion medicine.
2025-01-10
1h 35
Educational Landscapes
Lessons from Camille Brockett, DNP, FNP-BC, AGACNP
Camille Brockett, DNP, FNP-BC, AGACNP is a Clinical Associate Professor at the Nell Hodgson-Woodruff School of Nursing and the Interim Specialty Director for the Adult-Gerontology Acute Care Nurse Practitioner program. In this episode, Camille talks about her journey into academia (from senior clinical instructor through to a ranked faculty member) and how serving as an education leader requires skills that are a combination of leadership, mentorship, and collaboration in order to support both faculty and students. Her words of wisdom include "leadership, to me, is less about managing tasks and more about really connecting with people, whether those people...
2025-01-08
25 min
Knowledgeable Provider
Health Insurance In Primary Care
Jody discusses (mostly rants about) how health insurance influences the US healthcare system from a primary care perspective.
2025-01-06
31 min
Knowledgeable Provider
Police Stories with Mary McCulloch
Mary McCulloch returns to share memorable stories from her career in law enforcement.
2024-12-30
16 min
Knowledgeable Provider
Diabetes Management In A Nutshell
Jody reviews diabetes management in primary care. ADA Standards of Care in Diabetes 2025
2024-12-23
30 min
The Full Code Podcast
Ep. 13: The Neurological Exam for Beginners
Welcome back! Please join us for our intro to the neurological exam series and find out how to perform what some clinicians consider to be borderline witchcraft. In all seriousness, we're going to break down some of the basics of the neurological exam and 'bro out' over some of our favorite studies from the past year. Also, GCS is a psyop - tell your friends.
2024-12-21
1h 15
Knowledgeable Provider
Book Review: Emergency Capnography by Hugh Greenbaum
Jody's review of this short critical care guidebook focused on using capnography as part of patient assessment and management.
2024-12-16
13 min
Knowledgeable Provider
Knee Replacement Gone Wrong with Mary McCulloch
Mary McCulloch shares the story of how she was left with debilitating chronic pain and few answers after enduring multiple knee surgeries over several years. When they say there's a chance of having a bad outcome even from a routine surgery, this is what they're talking about.
2024-12-02
59 min
The Full Code Podcast
Ep. 12: Critical Airway Series: Angioedema
In this episode, we dive into the urgent world of critical airways, focusing on the life-threatening challenge of angioedema. Learn how to recognize early warning signs, differentiate between types of angioedema, and navigate airway management strategies.
2024-11-19
1h 05
Knowledgeable Provider
Politics & Medicine
Jody discusses how politics and medicine are intertwined and how he deals with political issues in the context of individual patient encounters.
2024-11-11
15 min
Knowledgeable Provider
Oops
Medical errors are a common cause of harm to patients. In this episode of Critical Incident from Knowledgeable Provider, Jody recalls some of his own errors in the hope of encouraging all medical professionals to be honest and transparent about mistakes. References: 1) Rodziewicz TL, Houseman B, Vaqar S, et al. Medical Error Reduction and Prevention. [Updated 2024 Feb 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499956/ 2) Kimberly N. Williams, Crystal M. Fausett, Elizabeth H. Lazzara, Yuval Bitan, Anthony Andre, Joseph R. Keebler, Investigative a...
2024-10-21
30 min
The Full Code Podcast
Ep. 11: The Hyperglycemia Chronicles: DKA & HHS
Is that a new cologne, or is your bowel dying? Join us for this week's discussion on the perils of of the dreaded sugar blood syndromes and how to tell if it's dead bowel or just gas.
2024-10-18
1h 12
Knowledgeable Provider
Living With Lupus with Cindy Hutchens
Cindy Hutchens describes her experiences living with SLE and her interactions with the healthcare system along the way. Resources & References 1) Lupus Foundation of America (LFA) 2) The Lupus Book by Daniel Wallace 3) LFA Mid-South Chapter, Nashville, TN 4) LFA Walk to End Lupus Now 5) Jog NR, James JA. Epstein Barr Virus and Autoimmune Responses in Systemic Lupus Erythematosus. Front Immunol. 2021 Feb 3;11:623944. doi: 10.3389/fimmu.2020.623944. PMID: 33613559; PMCID: PMC7886683. 6) Ünlü O, Zuily S, Erkan D. The clinical significance of antiphospholipid antibodies in systemic lupus erythematosus. Eur J Rheumatol. 2016 Jun;3(2):75-84. do...
2024-10-14
29 min
Knowledgeable Provider
How To Save A Life
No matter what area of medicine you work in, you are saving lives and improving your patients' quality of life. Sometimes that happens in dramatic fashion and sometimes you might not even notice it happening at all. In this episode, Jody recalls his experiences on the ambulance, in the hospital, and in the primary care clinic.
2024-10-07
18 min
The Full Code Podcast
Ep. 10: Sepsis Fundamentals: Assessment, Diagnosis, and Treatment Considerations
Thanks for tuning in to episode 10 of The Full Code Podcast where we talk surviving sepsis, bleeding cirrhotics, and canine diarrhea.
2024-09-28
1h 06
Knowledgeable Provider
Charcot-Marie-Tooth Disease with Dr. Todd Oyen
Dr. Todd Oyen returns to discuss his personal experience living with CMT. As it happens, September is CMT awareness month so this is the perfect time to share this special conversation. Links: 1) Charcot Marie Tooth Association 2) Hereditary Neuropathy Foundation 3) Muscular Dystrophy Association 4) World Tang Soo Do Association 5) Oyen's North Alabama Tang Soo Do 6) Dr. Oyen's YouTube Channel
2024-09-16
43 min
Knowledgeable Provider
I'm Still Mad About It
Apparently Jody doesn't know how to let it go. Listen as he rants about incidents from the distant past that still get under his skin. If you observe Festivus, consider this an early airing of grievances. Sound effects by Voicemod.
2024-09-09
40 min
The Full Code Podcast
Ep. 9: Thyrotoxicosis and Thyroid Storm
In this episode of The Full Code Podcast we discuss thyrotoxicosis and thyroid storm! Join us for a brief news update as we review AI in end of life, amino acids for AKI, and genital herpes.
2024-09-06
1h 04
Knowledgeable Provider
A New(-ish) Antacid Medication
The new PCAB Voquenza (vonoprazan) is being marketed as a superior alternative to PPI therapy for acid-related conditions (GERD with or without erosive esophagitis, H. pylori eradication). Are these two mechanisms of action really that different? Jody investigates. References: 1) Prescriber information: https://www.phathompharma.com/wp-content/uploads/VOQUEZNA-tablets-Prescriber-Information.pdf 2) György Miklós Buzás, Dual acid-pump blocking as novel therapeutic approach to treatment of acid-related diseases, Medical Hypotheses, Volume 187, 2024, 111338, ISSN 0306-9877, https://doi.org/10.1016/j.mehy.2024.111338. 3) Katzka DA, Kahrilas PJ. Potassium-Competitive Acid Blocker Suppression of Gastric Acid in Erosive Esophagitis: Is...
2024-09-02
11 min
Knowledgeable Provider
Disaster Response: Hurricane Ike
During the week prior to Hurricane Ike making landfall in Texas, paramedics from all over the country helped evacuate patients from the storm's path. In this episode of Critical Incident from Knowledgeable Provider, Jody shares his personal experiences from that response.
2024-08-26
16 min
The Full Code Podcast
Ep. 8: Calcium Channel Blocker Overdose
In this epidsode of The Full Code Podcast we discuss treatment of both calcium channel blocker and beta blocker overdose including the underlying pathophysiology and treatment options.
2024-08-23
53 min
Knowledgeable Provider
Secrets of Academic Success: Test-Taking Strategy
It's back-to-school time! Are you ready? Jody shares his suggestions for passing those exams with flying colors. How To Study A Textbook by Tom Meyer
2024-08-19
43 min
Knowledgeable Provider
Undiagnosed
The sad story of a patient whose diagnosis was delayed until it was too late.
2024-08-12
18 min
The Full Code Podcast
Ep. 7: IV Fluids and Clinical Myths
In this episode we revisit components of the previous bicarbonate discussion as well as reviewing some clinical myths and controversies.
2024-08-10
54 min
Knowledgeable Provider
Request Line: Prostate Cancer Screening
Requested by KP listeners! An update on a patient from the previous prostate cancer episode and a deep dive into the history of prostate cancer screening. References: Kazuto, I. et al. Screening for prostate cancer: History, evidence, controversies and future perspectives toward individualized screening. International journal of urology. 2019; 26(10). doi:10.1111/iju.14039 Albertsen PC. The Evolving Paradigm of Prostate Cancer Screening. JAMA Netw Open. 2019;2(8):e198392. doi:10.1001/jamanetworkopen.2019.8392 USPSTF Final Recommendation Statement: Prostate Cancer Screening, 2018. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening Wei JT, Barocas D, Carlsson S, et al. Early detection...
2024-08-05
21 min
The Full Code Podcast
Ep. 6: Clinical Considerations for the use of Sodium Bicarbonate
In this episode we review recent news in medicine followed by a clinical case scenario for DKA and consideration for the administration of bicarbonate.
2024-07-26
54 min
Knowledgeable Provider
Silent Voices: The Role of Sign Language Interpreters with Angie Carmody
Angie Carmody is an American Sign Language interpreter with Huntsville City Schools in Huntsville, Alabama. She talks with Jody about her years of experience in the field and offers some helpful insights about communicating with deaf people. Links: Alabama Institute for the Deaf and Blind Deaf Access Solutions Stayawhile Cabin Rental (Vrbo) Stayawhile Cabin Rental (airbnb)
2024-07-22
1h 00
Knowledgeable Provider
Lipid Management In A Nutshell
Jody reviews lipid management for primary care. Sources & Links: Pignone, M. & Cannon, C.P. Low-density lipoprotein cholesterol-lowering therapy in the primary prevention of cardiovascular disease. UpToDate. AHA/ACC 2018 Cholesterol Management Guidelines Canadian PEER Lipid Practice Guidelines Triglycerides (Mayo Clinic) Cholesterol Basics (Johns Hopkins) Good vs Bad Cholesterol (AHA) Don't Be Afraid of Statins (Harvard Health) Cholesterol Too Low? (Mayo Clinic)
2024-07-01
22 min
The Full Code Podcast
Ep: 5: Hemodynamic Parameters and Monitoring Techniques
In this episode we dive into the nuts and bolts of hemodynamics, the parameters we use, and both invasive and non-invasive monitoring modalities.
2024-06-29
1h 08
Knowledgeable Provider
Story Time with Dr. Todd Oyen
Dr. Oyen and Jody swap "war stories" from their EMS careers. Crazy codes, celebrity encounters, the Olympics, hurricanes, non-human patients; you really never know what you're going to run into out in the field.
2024-06-24
41 min
Knowledgeable Provider
Hypertension Management In A Nutshell
Jody shares his general approach to managing hypertension in primary care. Links: 2020 IHS Hypertension Guidelines 2023 EHS Hypertension Guideline Update Racial & Ethnic Disparities in Hypertension
2024-06-17
29 min
Young Dad Podcast
121: Advocating for Special Needs Children The Importance of Physical, Mental, and Spiritual Health- Peter Marusca (MSN, NP, AGACNP-BC)
Summary In this episode of the Young Dad Podcast, host Jay interviews Peter, an oncology nurse and a dad. Peter shares his journey as a special needs dad and the challenges he faced when his daughter was diagnosed with a rare condition. He emphasizes the importance of advocating for your child and finding support in the special needs community. The conversation also touches on the need for acceptance and inclusion of special needs children in society. Peter highlights the role of fathers in setting an example for their children and being intentional in their actions and behaviors...
2024-06-12
1h 20
Knowledgeable Provider
Emergency Management with Michael David Smith
Michael David Smith is the former director of the Colbert County, AL Emergency Management Agency. He speaks with Jody about the agency's role during both day-to-day operations and large-scale disasters.
2024-06-10
1h 13
The Full Code Podcast
Ep. 4: Intro to Hemodynamics and Vasopressors
On this episode we begin the first of our hemodynamic series where we cover the basic principles that guide our understanding of physiologic shock states and how to treat them.
2024-06-08
1h 19
Knowledgeable Provider
Unpaid Adventures
Uncle Jody is talking about the good ol' days again.
2024-06-03
24 min
Knowledgeable Provider
Effective Teaching with Dr. Todd Oyen
Dr. Oyen discusses what he has learned about teaching and connecting with students over his long career in EMS education. Dr. Oyen's YouTube Channel Northwest-Shoals Community College EMS Department
2024-05-28
1h 20
Knowledgeable Provider
Happy Anniversary!
On the one-year anniversary of Knowledgeable Provider Jody reflects on the past, looks to the future, and discusses the current state of affairs at KP Pod HQ. Huge thanks to everyone who has listened!
2024-05-20
07 min
Knowledgeable Provider
The Crash of Air Evac 16 with Michael David Smith
Recently retired Colbert County, AL EMA director Michael David Smith discusses the medical helicopter crash that claimed the lives of crew members Allan Bragwell, Tiffany Miles, and Michael Baker on December 30th, 2007.
2024-05-13
14 min
Knowledgeable Provider
Impostor Syndrome
Jody (or someone who sounds suspiciously like him) discusses the phenomenon of impostor syndrome and how it affects medical professionals. References: 1) Chen C. Doctor who? Reflecting on impostor syndrome in medical learners. Can Fam Physician. 2020 Oct;66(10):e268-e269. PMID: 33077468; PMCID: PMC7571643. 2) Wikipedia. Impostor syndrome. Retrieved from https://en.wikipedia.org/wiki/Impostor_syndrome. 3) Wikipedia. Dunning-Kruger effect. Retrieved from https://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect.
2024-05-06
32 min
The Full Code Podcast
Ep. 3: Anisocoria and the Rapid Neurological Assessment
In this episode we discuss rapid neurological assessment of the critically-ill patient with Anisocoria and managing life in Medicine.
2024-05-04
1h 02
Knowledgeable Provider
Monoclonal Antibodies
Monoclonal antibodies are used to treat cancer. Or is it asthma? Skin conditions? Wait, didn't we use those for covid, too?? The answer is yes! Jody reviews the basic mechanism of these versatile medications as well as their naming conventions and a bit about how they are discovered. References: 1) Manis, J. Overview of therapeutic monoclonal antibodies. UpToDate. 2) Mayo Clinic Staff. Monoclonal antibody drugs for cancer: How they work. Retrieved from https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/monoclonal-antibody/art-20047808
2024-04-29
22 min
Knowledgeable Provider
April 27th, 2011 Tornadoes with Paramedic Rob Gaffin
Rob recalls his experiences working in Madison County, AL during the tornado outbreak on April 27th, 2011. This interview was recorded in 2011, about a month after the storms hit. It was done using a handheld recorder with the intention of producing a written account, so the audio quality is not great. Rob mentioned that meteorologist Gary Dobbs was injured during the storm while broadcasting live from his home. You can find the full story of that incident here: https://www.al.com/news/2021/04/alabama-forecaster-gary-dobbs-got-the-ride-of-his-life-from-an-f-5-tornado-on-april-27-2011.html
2024-04-22
40 min
The Full Code Podcast
Ep. 2: Acute Pancreatitis, Intra-abdominal Hypertension, and when to consult.
In this episode we talk about the many facets of acute pancreatitis in the ICU setting.
2024-04-20
1h 04
Knowledgeable Provider
The Tuskegee Syphilis Study & Vaccine Hesitancy with Dr. John Gaines, Dr. Thalia Love, and Mark Moore
In this episode of Calhoun's Crossing The Streams podcast, Jody participates in a panel discussion about whether or not teaching students about the Tuskegee syphilis study might contribute to vaccine hesitancy.
2024-04-15
57 min
The Full Code Podcast
Ep. 1: Introductions
Here we have a little (LONG) discussion about our origins, goals, and a touch of medicine.
2024-04-14
1h 12
Knowledgeable Provider
Let's Play A Game
An update on #NephMadness 2024 standings and Jody's recollection of participating in the 2011 ITLS competition.
2024-04-08
16 min
Knowledgeable Provider
#NephMadness 2024 Recap
Jody summarizes all of the information in this year's #NephMadness from AJKD. The topics are: Animal House: Gila Monster vs Mourning Dove Preeclampsia: Diagnosis & Treatment vs Risk Factors, Prevention, & Long-Term Sequelae Toxicology: Supportive Care & Antidotes vs Extracorporeal Therapies Hyponatremia Correction: Rapid Correction vs Slow Correction Things We Do For No Reason: Inpatient Use of Phosphate Binders in AKI vs Urine Anion Gap Metabolic Acidosis: CKD/Outpatient vs AKI/ICU Dual Organ Transplant: Simultaneous Liver-Kidney vs Simultaneous Pancreas-Kidney Peritoneal Dialysis: PD First vs Beyond Kt/V AJKD Blog Books by Dr. Joel Topf
2024-04-01
56 min
Knowledgeable Provider
Out of My Element with April Klar
Medical professionals don't go looking for trouble as a general rule but sometimes it finds us. We frequently encounter medical situations outside the familiar environments we work in and have to decide whether or not to get involved. Please enjoy this previously unheard conversation from my interview with super NP April Klar.
2024-03-25
21 min
Knowledgeable Provider
Narrow Complex Tachycardia with Luke Pike
Luke Pike is a civilian paramedic, a combat medic in the AL National Guard, and a patient living with paroxysmal atrial fibrillation. He discusses diagnosis and treatment of narrow complex tachycardia from both sides of the electric fence. References & Resources: AHA Tachycardia With A Pulse Algorithm (2020) Ruan CH. Instantly Converting Atrial Fibrillation into Sinus Rhythm by a Digital Rectal Exam on a 29-year-Old Male. Clin Med Insights Case Rep. 2010;3:51-4. Epub 2010 Aug 13. PMID: 21769254; PMCID: PMC3046006. Raymond Roberge, Eric Anderson, Terry MacMath, John Rudoff, Robert Luten,Termination of paroxysmal supraventricular tachycardia by digital rectal massage, Annals of...
2024-03-18
51 min
Knowledgeable Provider
Case Study: Amiodarone Pneumonitis
Case records of the New Decatur Clinic: Amiodarone-induced interstitial pneumonitis. References: Amiodarone Wikipedia Page Borghi C, Cicero AF, Agnoletti D, Fiorini G. Pathophysiology of cough with angiotensin-converting enzyme inhibitors: How to explain within-class differences? Eur J Intern Med. 2023 Apr;110:10-15. doi: 10.1016/j.ejim.2023.01.005. Epub 2023 Jan 8. PMID: 36628825. Clarke B, Ward DE, Honey M. Pneumonitis with pleural and pericardial effusion and neuropathy during amiodarone therapy. Int J Cardiol. 1985 May;8(1):81-8. doi: 10.1016/0167-5273(85)90266-9. PMID: 3997294. UpToDate Article: Chan, ED, & Talmadge, EK, Jr. Amiodarone pulmonary toxicity.
2024-03-11
35 min
Knowledgeable Provider
Huntsville Hospital Cardiology Update 2024 Recap
Jody summarizes what he learned recently at the HH Cardiology Update 2024, held at UA Huntsville College of Nursing. Resources: UAH Kinesiology CPET Nunn AVW, Guy GW, Brysch W, Bell JD. Understanding Long COVID; Mitochondrial Health and Adaptation-Old Pathways, New Problems. Biomedicines. 2022 Dec 2;10(12):3113. doi: 10.3390/biomedicines10123113. PMID: 36551869; PMCID: PMC9775339 2022 ACC/AHA Aortic Disease Guidelines StatPearls Water Hammer Pulse Article Water Hammer Toy Demo (YouTube) StatPearls COX Inhibitor Article AHA Anticoagulation Strategies for PCI Bivalirudin vs Heparin in STEMI Glycoprotein IIA/IIIB Inhibitors P2Y12 Inhibitors McLaughlin K, Rimsans J, Sylvester KW, Fanikos J, Dorfman DM, Senna P, Connors...
2024-03-04
26 min
Knowledgeable Provider
Critical Incident: Don't Go Near The Water
Jody shares his most memorable water-related incidents.
2024-02-26
12 min
Knowledgeable Provider
Avoidant Restrictive Food Intake Disorder with David Heinen, Jr.
David discusses living with ARFID, a relatively new diagnosis that healthcare professionals may not be familiar with. After a lifetime of navigating the challenges of being a "picky eater," receiving a diagnosis and structured treatment has been extremely rewarding. ARFID Resources: 1. ARFID Support Group for Adults (Facebook) 2. The Picky Eater's Recovery Book: Overcoming ARFID (Amazon) 3. CBT for ARFID (Amazon) 4. ARFID Subreddit References: 1. Lau-Zhu A, Fritz A, McLoughlin G. Overlaps and distinctions between attention deficit/hyperactivity disorder and autism spectrum disorder in young adulthood: Systematic review and guiding framework for...
2024-02-19
43 min
Knowledgeable Provider
Emergent Surgical Cricothyrotomy with Dylan Kessler
Paramedic Dylan Kessler shares the story of performing his first surgical cricothyrotomy on a (barely) live patient under less than ideal circumstances. Live Demo of Cricothyrotomy Procedure (YouTube) Cadaver Demo of Cricothyrotomy Procedure (YouTube) KP Website Support the Show Credits Intro music: "Amazing Grace" Performed by USAF Band, Air Force Strings Ensemble International Mosaic Outro music: "That's Why" Composed by SMSgt John Henley Performed by USAF Concert Band Heritage to Horizons
2024-02-12
33 min
Knowledgeable Provider
Smoking Cessation with Carloss Bauer
Carloss Bauer recently stopped smoking after decades of varsity-level tobacco use. She talks with Jody about her long history of smoking, her decision to stop, and how she managed to pull it off. Contact Ms. Bauer via email at carlossbauer@bellsouth.net. Resources: Help.org addiction resources Mayo Clinic Nicotine Dependence Center University of Rochester Tobacco Cessation Program Podcast links: KP Website (non-Spotify) Support the show Get in touch any time by email at thekppod@gmail.com
2024-02-05
55 min
Knowledgeable Provider
Critical Incident: Why Are You Sweating?
A man codes unexpectedly then just as unexpectedly...uncodes? Credits Intro music: "Amazing Grace" Performed by USAF Band, Air Force Strings Ensemble International Mosaic Outro music: "That's Why" Composed by SMSgt John Henley Performed by USAF Concert Band Heritage to Horizons Podcast Links: Support the show Visit our website Got a critical incident you want to share? Email it to thekppod@gmail.com.
2024-01-29
07 min
Knowledgeable Provider
EMS Mixtape (J-Card Only)
For non-Spotify listeners, here is the commentary portion of this week's musical episode without any of the songs included. Here's the playlist: 100 in a 55 by Pop Evil Hero by Chad Kroeger feat. Josey Scott Smokin' & Ridin' by Ja Rule Downfall by Matchbox 20 So Right by Dave Matthews Band Lessons in Love, Hope, and Faith - Part 1 The Road by Sister Hazel The Artist in the Ambulance by Thrice Lose Yourself by Eminem Race Against Time II by Ja Rule On the Grind by Nelly feat. King Jacob What I Learned Out On the Road by Kid Rock Tonight...
2024-01-25
25 min
Knowledgeable Provider
Trailer: Jody's EMS Mixtape
The next episode is a super fun musical journey. Unfortunately if you want to ride the bus you'll have to get your ticket from Spotify.
2024-01-20
01 min
Knowledgeable Provider
What's The Worst Thing You've Ever Seen? Introducing "Critical Incident"
This new segment is all about sharing the stories we collect throughout our medical careers. The ones we tell at parties, the ones we only talk about with our colleagues, and the ones we would prefer to forget. In this episode Jody shares a heartbreaking tragedy from early in his EMS career. Got a story you want to share? Email it to thekppod@gmail.com. You can write it out, send a high-quality recording to be played, or record it with the host live. All good stories are welcome! Sadness is not required! Credits
2024-01-15
22 min
Knowledgeable Provider
The Art of Medicine with Dr. Brian James
Brian James, MD is a family physician in Decatur, Alabama. He and Jody discuss the many nuances of practicing medicine in the real world. Topics include strategies for patient interaction, off-label prescribing, and the business side of managing a medical practice. Support the show
2024-01-08
1h 02
Knowledgeable Provider
University of Type 1 Diabetes with Joshua Palmer
Joshua Palmer is a college student living with type 1 diabetes since age 17. Here he shares the story of his diagnosis and how he has dealt with the challenges of managing his condition. Contact Joshua by email at palmerjg59@gmail.com.Resources:Beyond Type 1She's Diabetic YouTube ChannelUC Anschutz Medical Campus Barbara Davis Center Support the showWant to get in touch? Email any time at thekppod@gmail.com.
2023-12-25
41 min
Knowledgeable Provider
Diagnosis of Prostate Cancer
Jody reviews the process of diagnosing prostate cancer including screening considerations, diagnostic modalities, and calculating prognosis.SourcesUSPSTF Prostate Cancer Screening RecommendationUpToDate Articles:Benway, B & Andriole, G. Prostate biopsyFreedland, S. Measurement of prostate-specific antigenPreston, M. Screening for prostate cancerRichie, J. Localized prostate cancer: Risk stratification and choice of initial treatmentRoss, A, D'Amico, A, & Freedland, S. Molecular prognostic tests for prostate cancerTaplin, M & Smith, J. Clinical presentation and diagnosis of prostate cancerTaplin, M & Smith, J. Initial staging and evaluation of males with newly diagnosed prostate cancerTempany, C, Carroll, P, & Leapman, M. The...
2023-12-11
23 min
Knowledgeable Provider
Back to Basics, FEaturing Iron
Jody reviews iron physiology, interpretation of iron studies, and treatment of iron imbalance.References:Abbaspour N, Hurrell R, Kelishadi R. Review on iron and its importance for human health. J Res Med Sci. 2014 Feb;19(2):164-74. PMID: 24778671; PMCID: PMC3999603Mobarra N, Shanaki M, Ehteram H, Nasiri H, Sahmani M, Saeidi M, Goudarzi M, Pourkarim H, Azad M. A Review on Iron Chelators in Treatment of Iron Overload Syndromes. Int J Hematol Oncol Stem Cell Res. 2016 Oct 1;10(4):239-247. PMID: 27928480; PMCID: PMC5139945Treating Anemia with Iron Infusions, https://www.hemoncnc.com/hematology/treating-anemia-with-iron-infusionsUpToDate ArticlesAeurbach M. Causes...
2023-11-27
35 min
Knowledgeable Provider
Hospital Information Technology with Rob Daniels
Former IT guy Rob Daniels discusses what it takes to keep a hospital's technology infrastructure running, the eye-opening nature of doing a non-clinical job in a clinical setting, and why it's a bad idea to watch porn while you should be taking care of patients.A.J. Jacobs: My Journey to Thank All the People Responsible for My Morning Coffee Support the showWant to get in touch? Email any time at thekppod@gmail.com.
2023-11-13
53 min
Knowledgeable Provider
Notes on Mursing
Jody shares more about his personal experience being a male nurse. Support the showWant to get in touch? Email any time at thekppod@gmail.com.
2023-10-30
28 min
Knowledgeable Provider
History of Gender Issues in Nursing with Dr. Sheila Byrd, Dr. John Gaines, & Dr. Stacy Powell
Nursing hasn't always been a female dominated profession. Prior to the Civil War, most nurses were men. We discuss the cultural issues that pushed women out of nursing during the antebellum period as well as the relatively recent increase in the number of male nurses. Jody participates in this panel discussion with other faculty members of Calhoun Community College on the CCC podcast Crossing The Streams (Season 3, Episode 3).Dr. Sheila Byrd, PhD, is a professor of English.Dr. John Gaines, PhD, is a professor of history.Dr. Stacy Powell, DNP, is a professor...
2023-10-16
1h 07
Knowledgeable Provider
Tidbit: Freestyle Libre 2 Sensor Application with Katie Glenn
Medical assistant Katie Glenn takes us through the surprisingly simple process of applying the sensor of the Freestyle Libre 2 continuous glucose monitor.Link:YouTube video demonstration (not us) Support the showWant to get in touch? Email any time at thekppod@gmail.com.
2023-10-09
06 min
Knowledgeable Provider
Is Long-Term Stimulant Laxative Use Safe?
We review the evidence, or rather the lack thereof. We also review the recently updated ACG/AGA guidelines for management of chronic idiopathic constipation in adults.Links:AGA/ACG Guideline on Chronic Idiopathic Constipation Management in AdultsAFP Article on Pediatric Constipation ManagementEffect of Irritant Purgatives on the Myenteric Plexus in Man and the Mouse by Dr. Barbara SmithPathology of Cathartic Colon by Dr. Barbara SmithStimulant Laxatives for the Treatment of Chronic Constipation: Is It Time to Change the Paradigm? by Dr. Darren Brenner
2023-10-02
22 min
Knowledgeable Provider
Paperwork Purgatory
Why did no one teach us how to fill out all these forms?! Jody goes through the tedious process of trying to get an imaging study covered by a patient's insurance company. After the effort (SPOILER ALERT) fails, he reviews what could have been done differently. He also discusses ACR Appropriateness Criteria for determining which imaging studies to order.ACR Appropriateness Criteria Website Support the showWant to get in touch? Email any time at thekppod@gmail.com.
2023-09-18
36 min
Knowledgeable Provider
ER Survival Guide with April Klar, CRNP
April Klar is a nurse practitioner in the emergency room of a busy level 1 trauma center in Huntsville, AL. She has worked in emergency medicine for over 20 years. On today's episode she discusses how she has managed to have such a long career in such a stressful environment. Also we have a special cameo appearance of KP's canine correspondent, Bentley Sivak-Marks.Links:Kenya Relief WebsiteKenyan Regulation of Iodine Levels in SaltEmergency Nurses Association Staffing Report, 2022Kenya's Goal of Providing Universal Health Coverage (US Dept. of Commerce)Kenya's Path to...
2023-09-04
1h 09
Knowledgeable Provider
Diabetes Master Class with Mark Moore
Mark discusses living with and managing type 2 diabetes. He also shares how being both Black and gay has influenced his interactions with the healthcare system and offers his insights into the larger issue of healthcare disparity in the United States.Thrive Alabama WebsiteSupporting Articles:1) Maternal Mortality Rates in the United States, 20212) Racial Bias in the Treatment and Management of Pain3) Paying for PrEP4) US Government Lawsuit Against Gilead5) Legal Battle Over ACA PrEP Coverage6) Prediabetes: Opportunity or Overdiagnosis?7) Cancer Facts for Lesbian & Bisexual Women8) HPV...
2023-08-14
1h 04
Knowledgeable Provider
Deep Dive: Hyperparathyroidism
Jody reviews hyperparathyroidism including the underlying pathophysiology, diagnosis, and treatment.Sources:Sternlicht H, Glezerman IG. Hypercalcemia of malignancy and new treatment options. Ther Clin Risk Manag. 2015 Dec 4;11:1779-88. doi: 10.2147/TCRM.S83681. PMID: 26675713; PMCID: PMC4675637Overbaugh, J.L.H.K.H.C. K. (2021). Lippincott CoursePoint Enhanced for Brunner & Suddarth's Textbook of Medical-Surgical Nursing (15th ed.). Wolters Kluwer Health. https://coursepoint.vitalsource.com/books/9781975186722Nussey S, Whitehead S. Endocrinology: An Integrated Approach. Oxford: BIOS Scientific Publishers; 2001. Chapter 5, The parathyroid glands and vitamin D. Available from: https://www...
2023-07-31
29 min
Knowledgeable Provider
It's A Bird! It's A Plane! It's Flight Paramedic Alex Gallenstein!
Alex Gallenstein, NRP, FP-C talks with Jody about his experience doing perhaps the most glamorous and coveted job in EMS.Links:MedicTests.com Article On Gas LawsGMR Membership InformationErlanger Life Force WebsiteNewsweek Article About the Cost of Air Medical ServicesSupport the showWant to get in touch? Email any time at thekppod@gmail.com.
2023-07-17
52 min
Knowledgeable Provider
Searching for Knowledge with Dr. Google
Jody delves into his recent Google searches to share what he learned. Topics include: Adult RSV vaccines, HPV testing & cervical cancer screening, transdermal testosterone therapy, fluid resuscitation for major burns, CT myelography, acute blood loss, and terminology for abnormal uterine bleeding. Stick around for fun with ICD codes!Links:CDC Evidence to recommend for RSV vaccinesAubrey Gordon's website "Your Fat Friend"Mongoose rescue story & imagesCDC National Center for Health Statistics ICD-10 Database"Royalty Free News Intro Music" by Music for Video News broadcast A...
2023-07-03
24 min
Knowledgeable Provider
Pediatric Acute Care with Patti Meiers-Singleton, CRNP, PNP-AC
Patti offers tips for taking care of kids in non-pediatric settings, dealing with parents of sick kids, and discusses the emotional impact of her work. Patti is a former PICU RN and current PICU NP with over 20 years of experience in pediatric acute care. The interview was conducted via Skype on June 7th, 2023. Support the showWant to get in touch? Email any time at thekppod@gmail.com.
2023-06-23
59 min
Knowledgeable Provider
2011 Alabama Tornadoes with Paramedics Terrie Armstrong & Tina Lansaw
An interview with paramedics Terrie Armstrong and Tina Lansaw about their experiences during the unprecedented storms that hit Alabama on April 27th, 2011, recorded about a month after the incident occurred.Terrie & Tina's disaster area photos:https://drive.google.com/drive/folders/1bN0x73NJZG3KBnW5SmSJeGSzaZQHKZ1Q?usp=drive_linkAL.com article about the death of paramedic Vickie McKee:https://www.al.com/pr/2011/05/vicki_mckee_hackleburg_alabama.htmlAL.com article about the tornado outbreak:https://www.al.com/news/2023/04/remembering-the-april-27-2011-tornado-super-outbreak.htmlSiren sound...
2023-06-13
45 min
Knowledgeable Provider
To Refer Or Not To Refer?
How do you decide when to refer a patient to a specialist? Jody discusses his thoughts about and experiences with patient referrals. Support the showWant to get in touch? Email any time at thekppod@gmail.com.
2023-06-03
44 min
Knowledgeable Provider
Bias In Medicine
Jody discusses how bias affects us as individuals as well as the medical field in general. Stick around to earn your wings fighting the GLP-1 craze and review the link between metformin and B12 deficiency.Harvard Implicit Association Test:https://implicit.harvard.edu/implicit/takeatest.htmlSmithsonian Bias Exhibit:https://www.sites.si.edu/s/topic/0TO1Q000000MBBrWAO/the-bias-inside-usUnequal Treatment:https://www.ncbi.nlm.nih.gov/books/NBK220358/Journal of the American Board of Family Medicine Article: https://www.jabfm.org/content/jabfp/35/1/26...
2023-05-25
24 min
Knowledgeable Provider
Screening & Vaccine Recommendations
A quick overview of those super easy to remember, never-changing recommendations for screening and vaccination!Support the showWant to get in touch? Email any time at thekppod@gmail.com.
2023-05-15
19 min
Knowledgeable Provider
Introduction
Welcome to Knowledgeable Provider, a podcast about medicine!
2023-05-14
03 min
Mobility Minute Podcast
Kali Dayton, AGACNP-BC, DNP: Walking Home From The ICU
Today we speak with Kali Dayton.Kali Dayton (AGACNP-BC, DNP) is a nurse practitioner from Utah with experience both as a traveling nurse, and in her hospital's 'Awake and Walking' ICU. She noticed some major differences with how patient sedation was handled based on the hospital system and this revelation has led her to start a podcast of her own, called Walking Home from the ICU. Her goal is to discover the true impacts of sedation in the ICU and how many times patients are unnecessarily administered drugs that lead to more harm than good. On her...
2021-05-11
24 min
The Cellfie Show
Kori Johnston AGACNP-BC, Blonde Bombshell, CVICU / Rapid Response RN turned Acute Care NP. Frontline COVID provider. RN to NP #realtea. If you want it, go for it attitude!
Kori Johnston AGACNP-BC, Blonde Bombshell Frontline COVID provider. CVICU Nurse, Rapid Response, turned NP. The #RealTea here! Talking RN to NP route. Ups & downs of working frontline as an ICU nurse. Today we are going to deep dive into her experiences with COVID frontline & getting real here! Kori became a frontline provider in March and has been fighting this virus both clinically & socially here in the media space. She is making waves and really a strong representation of our modern day nurse. Thank you Kori for coming on the show today! Follow her on Instagram @korianncakes Kori’s first COVID-19 Pati...
2020-08-18
1h 14
The Cellfie Show
Kori Johnston AGACNP-BC, Blonde Bombshell, CVICU / Rapid Response RN turned Acute Care NP. Frontline COVID provider. RN to NP #realtea. If you want it, go for it attitude!
Kori Johnston AGACNP-BC, Blonde Bombshell Frontline COVID provider. CVICU Nurse, Rapid Response, turned NP. The #RealTea here! Talking RN to NP route. Ups & downs of working frontline as an ICU nurse. Today we are going to deep dive into her experiences with COVID frontline & getting real here! Kori became a frontline provider in March and has been fighting this virus both clinically & socially here in the media space. She is making waves and really a strong representation of our modern day nurse. Thank you Kori for coming on the show today! Follow her on Instagram @korianncakes Kori’s first COVID-19 Pati...
2020-08-18
1h 14
Medic Class Citizen
|8| WTF Part 2 - Hemorrhagic Shock (Dr. Nathan Creel & Kyle Gibson, AGACNP)
Join us in Episode 8, as we sit down (on location) with Dr. Nathan Creel and Kyle Gibson, AGACNP (Northeast Georgia Medical Center: Trauma and Acute Care Surgery), and discuss the importance of blood product replacement in resuscitation of traumatic patients. In this episode, we discuss how we (EMS) have been giving crystalloid fluids for treatment during hemorrhagic shock, leading to the detriment of our trauma patients. In the words of Dr. Creel - "If the patient is losing blood, the best fluid replacement is blood." Join us as we discuss the pathophysiology of hemorrhagic shock, the history...
2020-01-09
36 min