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Knowledgeable ProviderKnowledgeable ProviderHealthcare Under Trump 2.0Jody 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/2025-04-0739 minThe Full Code PodcastThe Full Code PodcastEp. 19: Alcohol Withdrawal FundamentalsWelcome 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.2025-04-021h 11Knowledgeable ProviderKnowledgeable Provider#NephMadness 2025 Bracket SubmissionJody submits his bracket for #NephMadness 2025 at the last minute! A true buzzer beater!2025-03-3106 minKnowledgeable ProviderKnowledgeable ProviderBrugada SyndromeB 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-relatives2025-03-1712 minThe Full Code PodcastThe Full Code PodcastEp. 18: Anesthesia and Airway Management with David Reavis, CRNAToday 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. 2025-03-141h 27Knowledgeable ProviderKnowledgeable ProviderAlpha-1-Antitrypsin DeficiencyA 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...2025-03-1016 minKnowledgeable ProviderKnowledgeable ProviderUpdated Medical Malpractice StandardsJody 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.2025.00972025-03-0322 minThe Full Code PodcastThe Full Code PodcastEp. 17: Aneurysmal Subarachnoid HemorrhageIn this episode we cover the basics of assessment, diagnosis, and management of aneurysmal subarachnoid hemorrhage. Thank you for tuning in and your continued support!2025-02-281h 26Knowledgeable ProviderKnowledgeable ProviderHuntsville Hospital Cardiology Update 2025 RecapJody 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 Hypertension2025-02-2425 minKnowledgeable ProviderKnowledgeable ProviderMore On DeathJody shares some gruesome details of his professional encounters with death.2025-02-1738 minThe Full Code PodcastThe Full Code PodcastEp. 16: Critical Care Pharmacology and Pain Management with Dr. Kristen Butler, PharmDToday 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. 2025-02-151h 22Knowledgeable ProviderKnowledgeable ProviderDeath & Dying with Justin GallienJustin 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.2025-02-101h 07Knowledgeable ProviderKnowledgeable ProviderThings Patients Say (Volume 1)Sometimes patients say things that really make you think.2025-02-0316 minKnowledgeable ProviderKnowledgeable ProviderADPH Substance Misuse Summit 2025 RecapThe 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)2025-01-2031 minThe Full Code PodcastThe Full Code PodcastEp. 15: Sedation, Analgesia, and Delirium PreventionWelcome 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. 2025-01-171h 24Knowledgeable ProviderKnowledgeable ProviderInnovation In Nursing Education with Alaina PetersonAlaina 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.2025-01-1349 minThe Full Code PodcastThe Full Code PodcastEp. 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. 2025-01-101h 35Educational LandscapesEducational LandscapesLessons from Camille Brockett, DNP, FNP-BC, AGACNPCamille 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...2025-01-0825 minKnowledgeable ProviderKnowledgeable ProviderHealth Insurance In Primary CareJody discusses (mostly rants about) how health insurance influences the US healthcare system from a primary care perspective.2025-01-0631 minKnowledgeable ProviderKnowledgeable ProviderPolice Stories with Mary McCullochMary McCulloch returns to share memorable stories from her career in law enforcement.2024-12-3016 minKnowledgeable ProviderKnowledgeable ProviderDiabetes Management In A NutshellJody reviews diabetes management in primary care. ADA Standards of Care in Diabetes 20252024-12-2330 minThe Full Code PodcastThe Full Code PodcastEp. 13: The Neurological Exam for BeginnersWelcome 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.2024-12-211h 15Knowledgeable ProviderKnowledgeable ProviderBook Review: Emergency Capnography by Hugh GreenbaumJody's review of this short critical care guidebook focused on using capnography as part of patient assessment and management.2024-12-1613 minKnowledgeable ProviderKnowledgeable ProviderKnee Replacement Gone Wrong with Mary McCullochMary 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.2024-12-0259 minThe Full Code PodcastThe Full Code PodcastEp. 12: Critical Airway Series: AngioedemaIn 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. 2024-11-191h 05Knowledgeable ProviderKnowledgeable ProviderPolitics & MedicineJody discusses how politics and medicine are intertwined and how he deals with political issues in the context of individual patient encounters.2024-11-1115 minKnowledgeable ProviderKnowledgeable ProviderOopsMedical 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...2024-10-2130 minThe Full Code PodcastThe Full Code PodcastEp. 11: The Hyperglycemia Chronicles: DKA & HHSIs 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.2024-10-181h 12Knowledgeable ProviderKnowledgeable ProviderLiving With Lupus with Cindy HutchensCindy 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...2024-10-1429 minKnowledgeable ProviderKnowledgeable ProviderHow To Save A LifeNo 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.2024-10-0718 minThe Full Code PodcastThe Full Code PodcastEp. 10: Sepsis Fundamentals: Assessment, Diagnosis, and Treatment ConsiderationsThanks for tuning in to episode 10 of The Full Code Podcast where we talk surviving sepsis, bleeding cirrhotics, and canine diarrhea.2024-09-281h 06Knowledgeable ProviderKnowledgeable ProviderCharcot-Marie-Tooth Disease with Dr. Todd OyenDr. 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 Channel2024-09-1643 minKnowledgeable ProviderKnowledgeable ProviderI'm Still Mad About ItApparently 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.2024-09-0940 minThe Full Code PodcastThe Full Code PodcastEp. 9: Thyrotoxicosis and Thyroid StormIn 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.2024-09-061h 04Knowledgeable ProviderKnowledgeable ProviderA New(-ish) Antacid MedicationThe 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...2024-09-0211 minKnowledgeable ProviderKnowledgeable ProviderDisaster Response: Hurricane IkeDuring 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.2024-08-2616 minThe Full Code PodcastThe Full Code PodcastEp. 8: Calcium Channel Blocker OverdoseIn 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.2024-08-2353 minKnowledgeable ProviderKnowledgeable ProviderSecrets of Academic Success: Test-Taking StrategyIt'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 Meyer2024-08-1943 minKnowledgeable ProviderKnowledgeable ProviderUndiagnosedThe sad story of a patient whose diagnosis was delayed until it was too late.2024-08-1218 minThe Full Code PodcastThe Full Code PodcastEp. 7: IV Fluids and Clinical MythsIn this episode we revisit components of the previous bicarbonate discussion as well as reviewing some clinical myths and controversies. 2024-08-1054 minKnowledgeable ProviderKnowledgeable ProviderRequest Line: Prostate Cancer ScreeningRequested 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...2024-08-0521 minThe Full Code PodcastThe Full Code PodcastEp. 6: Clinical Considerations for the use of Sodium BicarbonateIn this episode we review recent news in medicine followed by a clinical case scenario for DKA and consideration for the administration of bicarbonate.2024-07-2654 minKnowledgeable ProviderKnowledgeable ProviderSilent Voices: The Role of Sign Language Interpreters with Angie CarmodyAngie 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)2024-07-221h 00Knowledgeable ProviderKnowledgeable ProviderLipid Management In A NutshellJody 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)2024-07-0122 minThe Full Code PodcastThe Full Code PodcastEp: 5: Hemodynamic Parameters and Monitoring TechniquesIn this episode we dive into the nuts and bolts of hemodynamics, the parameters we use, and both invasive and non-invasive monitoring modalities. 2024-06-291h 08Knowledgeable ProviderKnowledgeable ProviderStory Time with Dr. Todd OyenDr. 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.2024-06-2441 minKnowledgeable ProviderKnowledgeable ProviderHypertension Management In A NutshellJody shares his general approach to managing hypertension in primary care. Links: 2020 IHS Hypertension Guidelines 2023 EHS Hypertension Guideline Update Racial & Ethnic Disparities in Hypertension2024-06-1729 minYoung Dad PodcastYoung Dad Podcast121: 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...2024-06-121h 20Knowledgeable ProviderKnowledgeable ProviderEmergency Management with Michael David SmithMichael 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.2024-06-101h 13The Full Code PodcastThe Full Code PodcastEp. 4: Intro to Hemodynamics and VasopressorsOn 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.2024-06-081h 19Knowledgeable ProviderKnowledgeable ProviderUnpaid AdventuresUncle Jody is talking about the good ol' days again.2024-06-0324 minKnowledgeable ProviderKnowledgeable ProviderEffective Teaching with Dr. Todd OyenDr. 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 Department2024-05-281h 20Knowledgeable ProviderKnowledgeable ProviderHappy 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!2024-05-2007 minKnowledgeable ProviderKnowledgeable ProviderThe Crash of Air Evac 16 with Michael David SmithRecently 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, 2007.2024-05-1314 minKnowledgeable ProviderKnowledgeable ProviderImpostor SyndromeJody (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.2024-05-0632 minThe Full Code PodcastThe Full Code PodcastEp. 3: Anisocoria and the Rapid Neurological AssessmentIn this episode we discuss rapid neurological assessment of the critically-ill patient with Anisocoria and managing life in Medicine.2024-05-041h 02Knowledgeable ProviderKnowledgeable ProviderMonoclonal AntibodiesMonoclonal 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-200478082024-04-2922 minKnowledgeable ProviderKnowledgeable ProviderApril 27th, 2011 Tornadoes with Paramedic Rob GaffinRob 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.html2024-04-2240 minThe Full Code PodcastThe Full Code PodcastEp. 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.2024-04-201h 04Knowledgeable ProviderKnowledgeable ProviderThe Tuskegee Syphilis Study & Vaccine Hesitancy with Dr. John Gaines, Dr. Thalia Love, and Mark MooreIn 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.2024-04-1557 minThe Full Code PodcastThe Full Code PodcastEp. 1: IntroductionsHere we have a little (LONG) discussion about our origins, goals, and a touch of medicine.2024-04-141h 12Knowledgeable ProviderKnowledgeable ProviderLet's Play A GameAn update on #NephMadness 2024 standings and Jody's recollection of participating in the 2011 ITLS competition.2024-04-0816 minKnowledgeable ProviderKnowledgeable Provider#NephMadness 2024 RecapJody 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 Topf2024-04-0156 minKnowledgeable ProviderKnowledgeable ProviderOut of My Element with April KlarMedical 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.2024-03-2521 minKnowledgeable ProviderKnowledgeable ProviderNarrow Complex Tachycardia with Luke PikeLuke 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...2024-03-1851 minKnowledgeable ProviderKnowledgeable ProviderCase Study: Amiodarone PneumonitisCase 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. 2024-03-1135 minKnowledgeable ProviderKnowledgeable ProviderHuntsville Hospital Cardiology Update 2024 RecapJody 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...2024-03-0426 minKnowledgeable ProviderKnowledgeable ProviderCritical Incident: Don't Go Near The WaterJody shares his most memorable water-related incidents.2024-02-2612 minKnowledgeable ProviderKnowledgeable ProviderAvoidant 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...2024-02-1943 minKnowledgeable ProviderKnowledgeable ProviderEmergent Surgical Cricothyrotomy with Dylan KesslerParamedic 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 Horizons2024-02-1233 minKnowledgeable ProviderKnowledgeable ProviderSmoking Cessation with Carloss BauerCarloss 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.com2024-02-0555 minKnowledgeable ProviderKnowledgeable ProviderCritical 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.2024-01-2907 minKnowledgeable ProviderKnowledgeable ProviderEMS 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...2024-01-2525 minKnowledgeable ProviderKnowledgeable ProviderTrailer: Jody's EMS MixtapeThe 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.2024-01-2001 minKnowledgeable ProviderKnowledgeable ProviderWhat'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 2024-01-1522 minKnowledgeable ProviderKnowledgeable ProviderThe Art of Medicine with Dr. Brian JamesBrian 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 show2024-01-081h 02Knowledgeable ProviderKnowledgeable ProviderUniversity of Type 1 Diabetes with Joshua PalmerJoshua 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.2023-12-2541 minKnowledgeable ProviderKnowledgeable ProviderDiagnosis of Prostate CancerJody 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...2023-12-1123 minKnowledgeable ProviderKnowledgeable ProviderBack to Basics, FEaturing IronJody 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...2023-11-2735 minKnowledgeable ProviderKnowledgeable ProviderHospital Information Technology with Rob DanielsFormer 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.2023-11-1353 minKnowledgeable ProviderKnowledgeable ProviderNotes on MursingJody shares more about his personal experience being a male nurse. Support the showWant to get in touch? Email any time at thekppod@gmail.com.2023-10-3028 minKnowledgeable ProviderKnowledgeable ProviderHistory of Gender Issues in Nursing with Dr. Sheila Byrd, Dr. John Gaines, & Dr. Stacy PowellNursing 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...2023-10-161h 07Knowledgeable ProviderKnowledgeable ProviderTidbit: Freestyle Libre 2 Sensor Application with Katie GlennMedical 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.2023-10-0906 minKnowledgeable ProviderKnowledgeable ProviderIs 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 Brenner2023-10-0222 minKnowledgeable ProviderKnowledgeable ProviderPaperwork PurgatoryWhy 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.2023-09-1836 minKnowledgeable ProviderKnowledgeable ProviderER Survival Guide with April Klar, CRNPApril 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...2023-09-041h 09Knowledgeable ProviderKnowledgeable ProviderDiabetes Master Class with Mark MooreMark 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...2023-08-141h 04Knowledgeable ProviderKnowledgeable ProviderDeep Dive: HyperparathyroidismJody 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...2023-07-3129 minKnowledgeable ProviderKnowledgeable ProviderIt'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.2023-07-1752 minKnowledgeable ProviderKnowledgeable ProviderSearching for Knowledge with Dr. GoogleJody 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...2023-07-0324 minKnowledgeable ProviderKnowledgeable ProviderPediatric Acute Care with Patti Meiers-Singleton, CRNP, PNP-ACPatti 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.2023-06-2359 minKnowledgeable ProviderKnowledgeable Provider2011 Alabama Tornadoes with Paramedics Terrie Armstrong & Tina LansawAn 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...2023-06-1345 minKnowledgeable ProviderKnowledgeable ProviderTo 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.2023-06-0344 minKnowledgeable ProviderKnowledgeable ProviderBias In MedicineJody 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...2023-05-2524 minKnowledgeable ProviderKnowledgeable ProviderScreening & Vaccine RecommendationsA 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.2023-05-1519 minKnowledgeable ProviderKnowledgeable ProviderIntroductionWelcome to Knowledgeable Provider, a podcast about medicine!2023-05-1403 minMobility Minute PodcastMobility Minute PodcastKali Dayton, AGACNP-BC, DNP: Walking Home From The ICUToday 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...2021-05-1124 minThe Cellfie ShowThe Cellfie ShowKori 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...2020-08-181h 14The Cellfie ShowThe Cellfie ShowKori 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...2020-08-181h 14Medic Class CitizenMedic 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...2020-01-0936 min