Shows
Run the ListRheumatoid ArthritisDr. Joyce Zhou, hospitalist at BIDMC, interviews Dr. Emily Gutowski, rheumatology fellow at NYU, about rheumatoid arthritis. They discuss a case of early RA, as well as important diagnostic considerations and first steps in managing this chronic condition.
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2024-12-2320 min
Run the ListApproach to DiuresisDr. Leslie Chang, a hospitalist at Massachusetts General Hospital (MGH), discusses an approach to diuresis with host Dr. Joyce Zhou, a resident at MGH and core Run the List podcast member. Together, they discuss determining a patient's volume status via history, physical exam, and labs in order to guide inpatient diuresis decision-making.
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2023-11-0627 min
Run the ListRenal Replacement TherapiesDr. Staci Leisman, Associate Professor of Medicine and Medical Education at the Icahn School of Medicine at Mount Sinai, joins us to discuss renal replacement therapies. With host Dr. Emily Gutowski, she works through several cases that highlight the different types of RRT, advantages and disadvantages of each, as well as clinical pearls to consider when treating patients with end stage renal disease (ESRD).
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2023-03-1327 min
Run the ListInterpretation of Urine StudiesDr. Samira Farouk discusses her approach to interpreting urine studies. Together with host Dr. Emily Gutowski, she teaches listeners about the plethora of information that can be obtained from this simple lab test. This episode covers a review of the basics, as well as important caveats to keep in mind.
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2023-02-2723 min
Run the ListAcid-Base DisordersDr. Alexis "AC" Gomez, a second year fellow at the combined MGH, Brigham and Women's, and Boston Children's nephrology program, discusses acid-base disorders with Dr. Joyce Zhou, a RTL host. She defines acid-base disorders, shares common etiologies, and offers a 5-step approach to characterizing these abnormalities.
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2023-02-1319 min
Run the ListHypernatremiaDr. Alexis "AC" Gomez, a second year fellow in the combined MGH, Brigham and Women's, and Boston Children's nephrology fellowship, continues a discussion of sodium disorders with a conversation about hypernatremia with Dr. Joyce Zhou, a RTL host and internal medicine resident. She shares her approach to high sodium disorders and pearls on diagnostics and management of this disorder.
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2023-01-3017 min
Run the ListHyponatremiaDr. Alexis "AC" Gomez, a second year fellow at the combined MGH, Brigham and Women's, and Boston Children's nephrology program, discusses her approach to hyponatremia with host Dr. Joyce Zhou. She shares the pathophysiology behind her diagnostic framework for hyponatremia and her systematic approach, and discusses pearls such as how to use ddAVP clamps in treating this disorder.
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2023-01-1627 min
Run the ListHypokalemiaDr. Samira Farouk, transplant nephrologist at the Mount Sinai Hospital in New York, continues our nephrology series with a discussion of hypokalemia. She and Dr. Emily Gutowski, RTL host, cover the potential causes of low potassium and important concepts to keep in mind while treating this electrolyte disturbance.
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2023-01-0223 min
Run the ListHyperkalemiaDr. Rahul Maheshwari, second year nephrology fellow at the Mount Sinai Hospital in New York, discusses hyperkalemia with Dr. Emily Gutowski, a RTL host and internal medicine resident. They cover the potential causes of elevated potassium, how to think about acuity, and treatment guidelines to correct this electrolyte disturbance.
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2022-12-1922 min
Run the ListAcute Kidney InjuryDr. Rahul Maheshwari, second year nephrology fellow at the Mount Sinai Hospital in New York, discusses acute kidney injury with Dr. Emily Gutowski, a RTL host and internal medicine resident. Together, they discuss the presentation, differential diagnosis, and treatment considerations of AKI.
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2022-12-0518 min
Run the ListAcute Liver FailureDr. Raymond Chung, a gastroenterologist and Transplant Hematologist who is the Director of the Hepatology and Liver Center at MGH and a Professor of Medicine at Harvard Medical School, discusses acute liver failure with Dr. Joyce Zhou, a RTL host and internal medicine resident. In the episode, he defines acute liver failure (ALF) and discusses pathophysiology, etiologies of ALF, complications by system, and tenets of management. He also discusses new treatments for liver failure in the developmental pipeline.
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2022-11-2232 min
Run the ListCirrhosisDr. Raymond Chung, a Gastroenterologist and Transplant Hepatologist who is the Director of the Hepatology and Liver Center at MGH and a Professor of Medicine at Harvard Medical School, joins host of RTL and internal medicine resident, Dr. Joyce Zhou, to discuss an approach to decompensated cirrhosis. In the episode, the two cover underlying pathophysiology, complications, and management of patients with cirrhosis from oral medications through transplant consideration. Their discussion touches on ascites, esophageal varices, hepatic encephalopathy, SBP diagnosis, TIPS use, hepato-renal syndrome, and more. The episode closes with Dr. Chung’s big picture pearls for thinking about and ca...
2022-11-0735 min
Run the ListAlcohol-Associated Liver DiseaseDr. Sasha-Deutsch Link, a Gastroenterology and Hepatology fellow at the University of North Carolina (UNC), joins host her co-fellow Dr. Walker Redd, co-founder and host of RTL, to discuss Alcohol-Associated Liver Disease. Through a case discussion of a patient with acute alcohol-associated hepatitis, they review patient-centered terminology, the relevant diagnostic workup, and how to think both acute and chronic alcohol-associated liver disease. They also cover important principles of management, including supportive care, nutrition, pyschosocial support, pharmacotherapy for alcohol cessation, and consideration of early liver transplant, as well as the importance of longitudinal follow-up.
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2022-10-2427 min
Run the ListApproach to Abnormal LFTsDr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and host Blake Smith discuss how to approach a patient presenting with acute right-upper quadrant (RUQ) pain. Together, they discuss the various causes of RUQ pain, in addition to how to approach a set of liver function tests (LFTs), differentiating hepatocellular injury from a cholestatic pattern. They then discuss how various forms of imaging (RUQUS, CT) can guide diagnosis and management, leading to a discussion about the use of ERCP and cholecystectomy in such...
2022-10-1022 min
Run the ListIBD ManagementDr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss Inflammatory Bowel Disease. Building on the prior episode covering an approach to diarrhea, they first discuss diagnosing IBD and distinguishing between ulcerative colitis (UC) and Crohn's disease (CD). Through a case discussion of a patient with UC, they provide an overview the initial management options for lower risk patients with mild to moderate UC and then...
2022-09-2632 min
Run the ListApproach to DiarrheaDr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and host Blake Smith discuss how to approach a patient presenting with diarrhea. In this episode, Navin discusses his framework for thinking through these cases, from patient history to chronicity and quality. Through a case discussion, they review the definition of diarrhea, the broad types of diarrhea (watery, fatty, and inflammatory), and how to further workup these cases using colonoscopy and biopsy. The episode closes with a diagnosis and three clinical pearls, setting the...
2022-09-1231 min
Run the ListBiliary Tract Stone DiseaseDr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss biliary tract stone disease. In this episode, Navin and Walker share how they approach common presentations of gallstone pathology. Through a case discussion, they review the terminology used to distinguish the different conditions, initial management steps, further workup including appropriate imaging studies, and the role of the Advanced Endoscopy and general surgery teams.
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2022-08-2921 min
Run the ListLower GI BleedingDr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss lower GI bleeding. In this episode, Navin and Walker share how they approach lower GI bleeding. Through a case discussion, they review strategies for localizing the source of bleeding, initial management steps, the approach to endoscopic evaluation, and how to effectively communicate with the GI consult team.
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2022-08-1534 min
Run the ListUpper GI Bleeding (Variceal Bleeding)Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast, and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss variceal upper GI bleeding to build upon the principles discussed in the non-variceal UGIB episode. In this episode, Navin and Walker use a case discussion to emphasize the importance of recognizing which patients are at risk for variceal bleeding, what distinguishes variceal GI bleeding from other sources of GIB, initial steps in management, and additional considerations...
2022-08-0129 min
Run the ListUpper GI Bleeding (Non-Variceal)Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast continues Season 2 of RTL’s partnership with McGraw Hill Medical by discussing upper GI bleeding with Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL. In this episode, Navin and Walker share how they approach non-variceal upper GI bleeding. Through a case discussion of this common presentation, they review how to localize the potential source, frame the differential diagnosis, initially manage these patients, how to effectively communicate wi...
2022-07-1831 min
Run the ListPancreatitisDr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast kicks off Season 2 of RTL’s partnership with McGraw Hill Medical by chatting with RTL host Blake Smith about pancreatitis. In this episode, Navin brings new content, new pearls, and new tips for trainees (especially for newly-minted interns!) as they approach a case of acute pancreatitis. Together, they walk through the criteria for diagnosing acute pancreatitis: from clinical signs to laboratory and radiographic findings. Navin discusses risk stratification, early management - including aggressive fluid resuscitation an...
2022-07-0131 min
Run the ListMed Ed for Residents, Fellows, and Faculty (Part 2)Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast talks with RTL host Blake Smith in a two-part series focused on Med Ed. This second episode caters to later trainees - residents, fellows, and new attendings/faculty - as they seek out opportunities in Med Ed. Navin offers some pearls for listeners - to diversify your educational portfolio, strive to be scholarly, take on formal learning opportunities, and seek out opportunities to become a more effective teacher with avenues for feedback and evaluation. The...
2022-05-3125 min
Run the ListMed Ed for Medical Students (Part 1)Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast talks with RTL host Blake Smith in a two-part series focused on Med Ed. This first episode caters to early trainees and Navin takes listeners through his journey with medical education from his early days as a medical student. The episode walks through Navin's many pearls on becoming involved in Med Ed, including: 1) start early & often, 2) say yes, and 3) practice your skills (informally & formally). Stay tuned for part 2, which will focus on later trainees!
2022-05-2022 min
Run the ListCareers in Pulmonary and Critical Care Medicine - with Dr. Daniela LamasDr. Daniela Lamas, an Instructor in Medicine at Harvard Medical School and an attending physician in Pulmonary and Critical Care Medicine at Brigham and Women’s Hospital chats with Blake Smith (host) about a career in Pulm/CCM. They talk together about the field of Pulm/CCM at large - from outpatient pulmonary clinic (COPD, asthma) to the ICU - in addition to sub-specializing in specific genetic diseases (CF), lung transplants, or interstitial lung diseases. They also talk about what it's been like to be an intensivist during the pandemic as a clinician at the bedside, navigating difficult conversations wi...
2022-04-0430 min
Run the ListHypoxemic Respiratory Failure/ARDSDr. Morgan Soffler, a Pulmonologist and ICU intensivist at Beth Israel Deaconess Medical Center (BIDMC), and an Assistant Professor at Harvard Medical School, continue a discussion of a patient with hypoxia in the setting of acute respiratory distress (from Ep. 73) with RTL host, Dr. Navin Kumar. Together, they talk through ARDS definition, etiology, pathophysiology, and ventilatory support.
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2022-03-1423 min
Run the ListRespiratory SupportDr. Morgan Soffler, a Pulmonologist and ICU intensivist at Beth Israel Deaconess Medical Center (BIDMC), and an Assistant Professor at Harvard Medical School, discusses a case of a patient with hypoxia in the setting of acute respiratory distress with RTL host, Dr. Navin Kumar. Dr. Soffler begins with a broad differential and provides a framework of timing, tempo, and medical history, along with labs and imaging, to sift through the myriad causes of hypoxia. Together, they walk through different forms of respiratory support and when to escalate this support for patients on the wards.
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2022-02-2823 min
Run the ListPressorsDr. Brady, an ICU intensivist and the director of the critical care medicine clerkship at Beth Israel Deaconess Medical Center (BIDMC), discusses vasopressors and inotropes with RTL host, Dr. Navin Kumar. Together, they use the previous episode's (Ep. 71: Approach to Shock) case of an elderly patient with suspected distributive shock secondary to urosepsis as a framework to approach pressor requirements. Dr. Brady walks through establishing access, how to choose a pressor based on adrenergic physiology, and emphasizes when to take a diagnostic timeout in the ICU.
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2022-02-1414 min
Run the ListApproach to ShockDr. Brady, an ICU intensivist and the director of critical care medicine at Beth Israel Deaconess Medical Center (BIDMC), explains how to categorize the four major types of shock with RTL host, Dr. Navin Kumar. Together, they discuss a case of an elderly patient with suspected urosepsis and walk through how to reconcile a patient’s history, physical exam, and lab findings along with the ongoing clinical picture. They touch on key decision points for patients in the ICU and end with some clinical pearls on shock management.
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2022-01-3114 min
Run the ListCOPDDr. Walker, a Pulmonologist and Critical Care specialist at Brigham and Women's Hospital, explains how she diagnoses and manages COPD. They help breakdown a number of topics, including PFTs, severity classification, principles of outpatient and inpatient management, and how to talk about prognosis with your patients.
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2022-01-1725 min
Run the ListAsthma & Social Determinants of HealthDr. Jefferson, an Assistant Professor of Pediatrics in the division of Allergy & Immunology and bioethicist at the University of Arkansas for Medical Sciences, discusses the care of both pediatric and adult patients with asthma with host Dr. Walker Redd. Together, they define asthma and cover its triggers, diagnosis, and stepwise therapy plans. They also discuss how upstream factors - from environmental exposures to housing issues - can both exacerbate and affect access to appropriate care for patients with asthma.
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2022-01-0324 min
Run the ListApproach to DyspneaIn this episode, host Joyce Zhou speaks with Dr. Jeremy Richards, a pulmonologist and critical care physician at the Beth Israel Deaconness Medical Center (BIDMC) and a medical educator who teaches the introduction to cardiopulmonary physiology course at Harvard Medical School. He grounds his framework for this common presenting concern in physiology and uses a case to discuss his take on diagnostic approaches.
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2021-12-2222 min
Run the ListCareers in Infectious DiseasesDr. Sigal Yawetz, an infectious disease attending physician and medical educator at Brigham and Women’s Hospital chats with Blake Smith (host) about a career in infectious diseases. They talk together about the field of ID at large, in addition to sub-specializing, with a focus on the HIV patient population. Dr. Yawetz also comments on what it has been like living through two viruses that have shaped the globe - HIV and COVID - all through the lens of being an ID physician. The episode closes with Dr. Yawetz's pearls on how to think about choosing a medical specialty and why...
2021-12-0726 min
Run the ListHIVDr. Michelle Cespedes, an infectious disease attending physician at Mount Sinai Hospital, is interviewed by host Emily Gutowski about the diagnosis of patients with HIV. They talk about both the acute presentation as well as the management of a patient with uncontrolled HIV.
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2021-11-2219 min
Run the ListHospital-Acquired InfectionsDr. Mikyung Lee, an infectious disease attending physician and program director for the ID fellowship at Mount Sinai Hospital, discusses hospital-acquired infections, including ventilator-acquired pneumonias and catheter-associated UTIs.
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2021-11-0816 min
Run the ListCellulitisDr. Sal Cilmi, an infectious disease attending physician and IM program director at Mount Sinai Hospital, discusses cellulitis and common culprits of soft tissue infections.
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2021-10-2517 min
Run the ListApproach to PneumoniaDr. Mary Montgomery, an Infectious Diseases specialist at Brigham and Women's Hospital, teaches host Walker Redd how she diagnoses and manages pneumonia. They discuss IDSA guidelines, classification, diagnostic studies, empiric antibiotics, complications, pathophysiology, and more.
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2021-10-1121 min
Run the ListApproach to FeverDr. Solomon, an Infectious Diseases specialist at Brigham and Women's Hospital, discusses his approach to fever with host, Walker Redd. In discussing Dr. Solomon's framework for clinical reasoning in infectious diseases and applying it to a case of fever of unclear etiology, they ask: Who is the host? What are the notable exposures? What is the syndrome? What doesn't fit?Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia.aspx#1460
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2021-09-2720 min
Run the ListGoals of Care ConversationsDr. Andy Lawton, a palliative care physician at Brigham and Women's Hospital shares with host, Joyce Zhou, the REMAP framework for having effective goals of care conversations with patients with serious illness. Dr. Lawton offers sample language on key components of goals of care conversations such as how to discuss prognoses, respond to emotions, and ask about values. He also reflects on how to best strike a balance between paternalism and patient autonomy during serious illness conversations.
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2021-09-1528 min
Run the ListGeriatrics OverviewDr. Schwartz, a geriatrician at the VA Boston, gives an overview of Geriatric Medicine in this discussion with host, Walker Redd. They discuss how a systematic approach called the "5Ms of Geriatrics" - which includes mind, mobility, medications, multi-complexity, and matters most - can help us take better care of our older patients.
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2021-08-3029 min
Run the ListCareers in RheumatologyDr. Eli Miloslavsky, a rheumatologist and medical educator at Massachusetts General Hospital, chats with Blake Smith (host) about a career in rheumatology. They talk about subspecialties within rheumatology, in addition to the changing landscape of the field. The episode closes with Dr. Miloslavksy's pearls on how to think about choosing a medical specialty - rheumatology or other - and how to keep perspective when making the decision.
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2021-08-1620 min
Run the ListApproach to Acute Back PainDr. Andrew Coyle, primary care physician formerly at Mount Sinai Hospital and current Program Director of the IM residency at the University of Wisconsin-Madison, gives an overview of a common issue in outpatient medicine: acute back pain. In this conversation with host, Emily Gutowski, Dr. Coyle discusses the broad differential diagnosis of back pain, red flags to look out for, and therapeutic options for patients.
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2021-08-0219 min
Run the ListApproach to Joint PainDr. Eli Miloslavsky, a rheumatologist and medical educator at Massachusetts General Hospital, shares an approach to joint pain with Joyce Zhou (host).
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2021-07-1921 min
Run the ListApproach to Rheumatologic DiseasesDr. Eli Miloslavsky, a rheumatologist and medical educator at Massachusetts General Hospital, shares an approach to rheumatologic diseases with Joyce Zhou (host).
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2021-07-0520 min
Run the ListRTL UpdateIn this short segment, the RTL podcast team - Dr. Emily Gutowski, Dr. Navin Kumar, Dr. Joyce Zhou, Dr. Walker Redd, and Blake Smith - discuss their recent partnership with AccessMedicine / McGraw Hill Medical and how this ties into their exciting plans for the coming year. The team thanks the devoted RTL listenership and mentions ways for continued engagement via handouts and the RTL Twitter page.
Stay tuned for our first Rheumatology series episode next week!
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Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia...
2021-06-2804 min
Run the ListDiagnostic Uncertainty in MedicineIn this episode, Dr. Daniel Motta-Calderon chats with Dr. Anuj Dalal, an academic hospitalist at Brigham and Women's Hospital, and Dr. Lindsey Wu, teaching hospitalist at the Durham VA Medical Center. The discussion begins with a case of a patient presenting with atypical chest pain at the time of admission. Dr. Wu shares her degree of certainty about the case, and she teaches us about the causes and consequences of not addressing diagnostic uncertainty in the hospital setting. We later learn about the patient's hospital course and find out that the patient experienced a delayed diagnosis. Dr. Dalal walks...
2021-05-1120 min
Run the ListFinancial Literacy for Medical TraineesIn this episode, Emily Gutowski (host) interviews Dr. William Bernstein, a neurologist, financial theorist, and author. They speak about the importance of learning to manage finances early on in one’s medical career, as well as some of the hurdles faced specifically by young trainees. Lastly, Dr. Bernstein provides suggestions for individuals looking to start investing.Linked resources:https://www.amazon.com/White-Coat-Investor-Personal-Investing/dp/0991433106https://www.etf.com/docs/IfYouCan.pdf
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2021-03-1515 min
Run the ListUnderstanding the Latinx Culture in MedicineIn this episode, Dr. Daniel Motta-Calderon (host) talks with Raquel Sofía Sandoval (invited student), a fourth-year MD/MPP student at Harvard, and Dr. Pilar Ortega (discussant), author, researcher, and expert on health communication, multilingualism, and equity. First, they shed light on the differences between race and ethnicity and defined identifiers like “Latinx” and “Latine” that some of our patients use to self-identify. They then focused in explaining some cultural themes and barriers that Latinx patients experience when accessing the healthcare system. The episode closes with some recommendations for listeners on best practices to establish linguistically and culturally competent care when...
2021-03-0131 min
Run the ListDiversity and Inclusion in MedicineIn this episode, Jordan Petersen (audio editor, host) speaks with Dr. Valerie Stone, the Vice Chair for Diversity, Equity and Inclusion at Brigham and Women’s Hospital, and Lash Nolen, a 2nd year Harvard medical student and the first black woman to serve as student council president at HMS. Together, they discuss the importance of diversity and inclusion in the classroom, on the wards, and within medical institutions at large. They take a historical approach to their discussion and provide perspective on ways to prioritize diversity and inclusion in order to engender belonging for both patients and trainees going fo...
2021-02-1532 min
Run the ListAddressing Implicit Bias and MicroaggressionsIn “Addressing Implicit Bias and Microaggressions,” Jordan Petersen (audio editor, host) speaks with two leaders in diversity, equity, and inclusion: Titi Afolabi, a 4th year Harvard medical student, and Dr. Sherri-Ann Burnett-Bowie, the Director of Multicultural Affairs and an endocrinologist at Massachusetts General Hospital. They explore their definitions for implicit bias and microaggressions, the contexts in which they emerge in medicine, and their own perspectives experiencing and witnessing the harms of them in the hospital and in medical school. They also discuss frameworks for acknowledging and reducing implicit bias and microaggressions and end with key takeaways for listeners.
2021-01-2534 min
Run the ListCareers in Hematology/OncologyIn this episode of Run the List, Blake Smith (host) talks with Dr. David Steensma, a hematologist/oncologist at Dana-Farber Cancer Institute, about his career path, the changing landscape of the field, and how to immerse oneself in new disease indications within an already-established division of medicine. They talk about Dr. Steensma’s impressive writing career, scientific and clinical research, and his budding interest in clonal hematopoiesis. The episode closes with a retrospective discussion of hematology/oncology, how the field has changed over time, and a look to the future.
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2020-11-1319 min
Run the ListSolid Oncologic EmergenciesIn this episode of Run the List, Walker Redd (host) and Jakub Glowala (case presenter) talk with Dr. Rebecca Zon, a hematology/oncology fellow in the Dana-Farber/Mass General Brigham program, about solid oncologic emergencies. We learn to think anatomically about where tumors arise, where they may subsequently present, and how that can clinically manifest in an emergent situation. They then focus in on neurologic complications of solid malignancies and discuss how to triage, manage, and consult with other medical and surgical teams to provide rapid care to these patients. The episode then closes with clinical pearls from Dr...
2020-10-3016 min
Run the ListLymphadenopathyIn this episode of Run the List, Walker Redd (host) and Jordan Said (case presenter) talk with Dr. Matthew Weinstock, a hematologist/oncologist at Beth Israel Deaconess Medical Center, about the causes and workup of lymphadenopathy. We learn about how to stratify lymphadenopathy into less and more serious cases based on the physical exam, and review the wide differential of generalized and diffuse lymphadenopathy. The episode closes with clinical pearls from both Dr. Weinstock and Jordan about the differential diagnosis and management of lymphadenopathy.
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2020-10-2419 min
Run the ListThrombophilia and AnticoagulationIn this episode of Run the List, Joyce Zhou (host) and Blake Smith (case presenter) talk with Dr. Jean Connors, a hematologist at Brigham and Women’s Hospital and Dana Farber Cancer Institute, about the causes of thrombophilia (congenital and acquired) and its management in the acute care setting. We learn about common risk factors and how these can be both additive and synergistic with inherited causes of thrombophilia. The episode closes with Dr. Connors’ discussion of both when to order lab tests and how to interpret them in the setting of VTE, in addition to important clinical pearls to c...
2020-10-0219 min
Run the ListSickle Cell DiseaseIn this episode of Run the List, Joyce Zhou (host) and Katie Kester (case presenter) discuss sickle cell disease and the management of acute chest syndrome with Dr. Maureen Achebe, a hematologist at Brigham and Women’s Hospital and Dana Farber Cancer Institute. We learn not only about the management and common complications of sickle cell but also some of the challenges that patients with sickle cell face in accessing care and how best to advocate for these patients.
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2020-09-1818 min
Run the ListFebrile NeutropeniaDr. Marlise Luskin, a hematologist/oncologist at the Dana-Farber Cancer Institute, joins host Walker Redd and case presenter Jakub Glowala to discuss a case of a febrile neutropenia (FN) in a patient with AML. Dr. Luskin first defines neutropenia, then fever, and moves to the chronicity of FN. Using these definitions, Dr. Luskin talks about ways to identify which pathogens are more likely associated with acute vs. chronic FN presentations. They then walk through the standard workup of a patient with FN, talk about which tests/procedures to avoid, and which to later include when fevers do not resolve...
2020-09-1118 min
Run the ListPancytopeniaDr. Aric Parnes, a hematologist at Brigham and Women’s Hospital and the Dana-Farber Cancer Institute, joins host Joyce Zhou and case presenter Sarah Onorato to talk through a case of a patient presenting with new onset pancytopenia. Throughout the case, they discuss a framework for thinking through the major causes of pancytopenia. In addition, they consider the steps in emergent management of severe pancytopenia and an approach to history taking, physical examination, and data interpretation for patients with pancytopenia. Tune in to hear their discussion, including the patient’s final diagnosis and Dr. Parnes’ three clinical pearls for pancyt...
2020-08-2816 min
Run the ListThrombocytopeniaDr. Robert Stern, a hematologist at Brigham and Women's Hospital, discusses thrombocytopenia with Dr. Navin Kumar (host) and Sarah Onorato (script writer and case presenter). He discusses a clinical framework to diagnosis, initial considerations on management, and key considerations and management points for the patient case. They wrap up with high yield clinical pearls.
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2020-08-2119 min
Run the ListAnemiaDr. Arielle Langer, a hematologist at Brigham and Women's Hospital, discusses her approach to diagnosing anemia and applies it to clinical cases with Joyce Zhou (host) and Jordan Said (scriptwriter and case presenter). They step through the important history-taking and lab findings necessary to evaluate a patient with anemia and discuss how to bring these elements together to inform a wide differential diagnosis. The group also offers some high-yield points to consider for the treatment of specific causes of anemia. The episode concludes with clinical pearls from Dr. Langer and final tips from Jordan.
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2020-08-1417 min
ChowTime ChatsS1E69: Yunzhe Zhou (Business + Creative Career Coach)Yunzhe Zhou is a business and creative career coach who helps Asian Americans start their own creative businesses. She graduated from the University of Virginia in 2015. Check out her podcast “Asians Redefining Their Success” @theartspodcast and how she's helped her coaching clients design their lives at yunzhezhou.com.
2020-08-0726 min
Run the ListCareers in EndocrinologyDr. OP Hamnvik, an endocrinologist and the Director of the Center for Oncoendocrinology at Brigham and Women's Hospital (BWH), discusses his career to becoming an endocrinologist with Blake Smith (host). Originally from Norway, Dr. Hamnvik takes us around the globe as he began his journey as a medical student in Ireland, followed by residency and fellowship at BWH in Boston. He now runs the endocrinology fellowship at BWH, in addition to educating thousands of students and faculty through his role as the Education Editor at the New England Journal of Medicine (NEJM). Outside of education, he has a particular i...
2020-07-3118 min
Run the ListTransgender HealthDr. OP Hamnvik, an endocrinologist and the Director of the Center for Oncoendocrinology at Brigham and Women's Hospital, discusses transgender health from the endocrinologist’s perspective with Joyce Zhou (host) and Jordan Said (script writer and case presenter). They discuss the central tenets of caring for a transgender patient, the agents used for gender-affirming hormone therapy, and the long-term monitoring and management of these patients. The episode ends with some clinical pearls from both Jordan and Dr. Hamnvik.
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2020-07-2419 min
Run the ListAdrenal InsufficiencyDr. Anand Vaidya, an endocrinologist and the director of the Center for Adrenal Disorders at Brigham and Women's Hospital, discusses adrenal insufficiency with Dr. Navin Kumar (host) and Bina Kassamali (script writer and case presenter). They discuss the presentation of adrenal insufficiency (AI) and its triggers, a framework for primary vs. secondary causes of AI, an endocrine work-up for AI and related diseases, and the management of AI with steroids and patient education. Dr. Vaidya also makes a brief note on adrenal crises. The episode ends with some clinical pearls from both Bina and Dr. Vaidya.
Ou...
2020-07-1719 min
Run the ListAcute Hyperglycemic EpisodesDr. Nadine Palermo, an endocrinologist and the Associate Director of the Acute Diabetes Care program at Brigham and Women’s Hospital, talks with Joyce Zhou (host) and Jakub Glowala (case presenter) to discuss acute hyperglycemic episodes. The discussion begins with a case of a patient presenting with dehydration, altered mental status, emesis, and suspected symptomatic hyperglycemia. Dr. Palermo then brings us up to speed on the pathophysiology behind diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS), underscoring the role of osmotic diuresis and counter-regulatory hormones in exacerbating the two conditions. Dr. Palermo instructs us on the “classic” signs of a patient...
2020-07-1011 min
Run the ListInpatient Diabetes ManagementDr. Nadine Palermo, an endocrinologist and the Associate Director of the Acute Diabetes Care program at Brigham and Women’s Hospital, talks with Joyce Zhou (host) and Jakub Glowala (case presenter) to discuss the management of inpatient diabetes patients. Dr. Palermo begins by discussing the way to think about hyperglycemic patients in the hospital, how we can arrive at new diagnoses of diabetes, in addition to why treating inpatient dysglycemia matters. Dr. Palermo provides us with a brief detour on non-insulin agents, their associated side effects, and their potential use in particular hospitalized patients in the future. We are then t...
2020-06-2616 min
Run the ListOutpatient Type 2 Diabetes ManagementDr. Anna Goldman, an endocrinologist and medical educator at Brigham and Women’s Hospital, talks with Joyce Zhou (host) and Dr. Emily Gutowski (case presenter) to discuss diagnosis, management, and lifestyle considerations in patients with diabetes mellitus. They talk through a case of a patient with hypertension, hyperlipidemia, and a family history of T2DM. Dr. Goldman presents her framework for type 1 vs. type 2 DM and how to diagnose T2DM based on labs, physical exam findings, and clinical history. Moreover, Dr. Goldman teaches us about the various pharmacologic agents used in T2DM treatment (metformin, sulfonylureas, DPP4i, GL...
2020-06-1919 min
Run the ListHypocalcemiaDr. OP Hamnvik, an endocrinologist and medical educator at Brigham and Women’s Hospital, joins Joyce Zhou (host) and Dr. Emily Gutowski (case presenter) to discuss hypocalcemia. They run through a case of a patient with a recent thyroidectomy who presents with perioral paresthesia and hypocalcemia. Dr. Hamnvik takes us through the many causes of hypocalcemia, from the PTH-dependent to the PTH-independent causes, in addition to ways in which we can test for hypocalcemia at the bedside through Chvostek's & Trousseau's signs. Dr. Hamnvik gives us a quick refresher on calcium homeostasis, vitamin D metabolism, and the various ways in wh...
2020-06-1217 min
Run the ListIntroduction to Health InequitiesRun the List dedicates this episode to George Floyd, Ahmaud Arbery, Breonna Taylor, and others that have been tragically lost due to structural racism within our society.In this important episode, Dr. Navin Kumar talks with Dr. Utibe Essien, an Assistant Professor of Medicine at the University of Pittsburgh School of Medicine and a researcher who dedicates much of his time to racial and ethnic health disparities. In it, Dr. Essien educates us on the discipline of health disparities, talking about its early history from 1899 through today, and advocates for its place in medical school curricula, as...
2020-06-0319 min
Run the ListHypercalcemiaDr. OP Hamnvik, an endocrinologist and medical educator at Brigham and Women’s Hospital, joins Emily Gutowski (host) and Joyce Zhou (case presenter) to discuss hypercalcemia. Through a case of an outpatient presenting with incidental hypercalcemia and no symptoms, Dr. Hamnvik walks through ways to differentiate the various causes of hypercalcemia, from primary hyperparathyroidism to non-PTH-mediated sources such as malignancy. Together, they discuss the normal regulation of calcium in the body and explore the ways in which various labs can be used in conjunction to pinpoint the diagnosis, paying attention to possible laboratory artifacts. The conversation closes with ways to ma...
2020-05-2918 min
Run the ListHyperthyroidismDr. Rachel Blair, an endocrinology fellow at Brigham and Women’s Hospital, joins Emily Gutowski (host) and Katie Kester (case presenter) to discuss hyperthyroidism. Together, they walk through a case of a young patient with suspected thyrotoxicosis and discuss the diagnostic workup, from physical exam and labs to radioactive iodine uptake studies. They talk through causes of primary and secondary hyperthyroidism, when thyrotoxicosis is considered an endocrine emergency, and how to provide initial empiric management of patients with suspected hyperthyroidism while awaiting thyroid antibody tests. The conversation closes with Dr. Blair’s three major clinical takeaways, but you’ll have t...
2020-05-2219 min
Run the ListHypothyroidismDr. Rachel Blair, an endocrinology fellow at Brigham and Women’s Hospital, joins Dr. Navin Kumar (host) and Sarah Onorato (case presenter) to discuss hypothyroidism. Together, they use a sample case of a patient with hypothyroidism as a framework to guide discussion about primary vs. secondary hypothyroidism, associated lab findings, and management of unambiguous hypothyroidism vs. subclinical hypothyroidism. They wrap up their discussion with several clinical pearls, advocating for both a broad differential and panel of lab studies, assessed over time, to cinch the diagnosis.
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2020-05-1517 min
Run the ListICU Management of COVID-19Dr. Ari Moskowitz, the Associate ICU Director in the division of pulmonary and critical care medicine at Beth Israel Deaconess Medical Center, talks with Dr. Navin Kumar about the management of patients with severe COVID-19. The two examine which patients require escalation to ICU-level care, in addition to the complications of severe COVID-19 and which organ systems can be affected. They discuss how to identify hypoxemic respiratory failure, the utility of the physical exam in the process, and the need to avoid anchoring bias during diagnostic work-up. Lastly, Dr. Moskowitz covers the mainstays of ICU care in ARDS and seve...
2020-05-0817 min
Run the ListVirtual Learning During COVID-19Moses Murdock, a 5th year medical student at the Perelman School of Medicine at the University of Pennsylvania, is interviewed by Blake Smith, a 2nd year medical student at Harvard Medical School, about virtual learning during the COVID-19 pandemic. Together, they talk about what virtual learning means to medical students both now and in the future, in addition to ways to take charge of independent learning through identification of diverse learning formats that best suit oneself. In the episode, Moses offers a number virtual learning resources and breaks them down into three major categories: content, community building, and active le...
2020-05-0113 min
Run the ListStarting Intern Year During a PandemicWalker Redd, an internal medicine resident at Brigham and Women’s Hospital, chats with Emily Gutowski, a 4th year medical student at Harvard Medical School, about what to expect as an incoming intern amidst the current COVID-19 pandemic. They talk through adjustments that interns may be expected to make as part of the care team, in addition to mindset changes that can be adopted early on during this state of flux. Moreover, they discuss virtual learning opportunities that rising interns - as well as current residents and attending physicians - can use to think through and practice end of li...
2020-04-2418 min
Run the ListNon-ICU Inpatient Management of COVID-19Dr. Mary Montgomery, an infectious disease physician at Brigham and Women’s Hospital, talks with Dr. Navin Kumar about the current COVID-19 pandemic. The two focus their discussion on inpatient diagnosis and management, covering the disease’s variable presentation, optimal time to test via nasopharyngeal swab, and current treatment paradigm from initial hospitalization to ICU. Possible therapeutic candidates, such as remdesivir, hydroxychloroquine, and IL-6 inhibitors, are also discussed.
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2020-04-0717 min
Run the ListCareers in CardiologyDr. Lisa Rosenbaum, a cardiologist at Brigham and Women's Hospital speaks to Emily Gutowski, a 4th year medical student at Harvard Medical School, about her unique career as a clinician and physician-writer for the New England Journal of Medicine (NEJM) as the National Correspondent. They also shed light on aspects of gender disparity in medicine, finding role models, and avoiding burnout in the ever-changing field of cardiology.
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2020-03-2015 min
Run the ListInpatient ProceduresDr. Joshua Lang, cardiology fellow at Brigham and Women’s Hospital, joins us in this episode of Run the List to discuss common inpatient procedures on the wards. He is interviewed by Dr. Walker Redd and together they walk us through placing central/arterial lines, paracentesis & thoracentesis, ultrasound-guided procedures, and more! They emphasize the importance of doing dry runs early on, talking patients through the intended plan, and conclude with pro tips on becoming more comfortable with doing procedures at the bedside.
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2020-03-1317 min
Run the ListTachyarrhythmiasDr. Victor Nauffal, cardiology fellow at Brigham and Women's Hospital, is interviewed by Dr. David Wang about tachyarrhythmias. They work through a case and general approach to this topic, including a discussion about when to use electricity, distinguishing rhythms on an EKG, and treatment considerations. The case concludes with clinical pearls to take with you on the wards.
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2020-03-0615 min
Run the ListAtrial FibrillationBalim Senman, second-year internal medicine resident at Brigham and Women’s Hospital, interviews Zaid Almarzooq, cardiology fellow, about atrial fibrillation. They work through a case presentation and talk about common precipitants and risks of this arrhythmia. This episode also includes a discussion about when to pursue cardioversion, how to decide on anticoagulation therapy, as well as rate versus rhythm control. The episode concludes with a helpful mnemonic and three take-home points.
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2020-02-2813 min
Run the ListChest Pain, Part 2In Part 2, Emily Gutowski continues her interview with Dr. Zaid Almarzooq, cardiology fellow at Brigham and Women’s Hospital, about evaluating a patient with chest pain. They discuss diagnostic testing and management, include a helpful mnemonic, and conclude the episode with a few clinical pearls.
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2020-02-0714 min
Run the ListChest Pain, Part 1In Part 1 of this topic, Emily Gutowski interviews Dr. Zaid Almarzooq, cardiology fellow at Brigham and Women's Hospital, about the evaluation of a patient with chest pain. They discuss a case of a woman in the emergency room with chest pain, important questions to ask on history, physical exam findings to look out for, as well as the differential diagnosis for chest pain. In Part 2, the topic will conclude with a discussion about diagnostic testing, management, and clinical pearls.
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2020-01-3114 min
Run the ListNon-Invasive Evaluation of Chest PainIn this episode, Dr. Navin Kumar interviews Dr. Sanjay Divakaran, cardiology fellow at Brigham and Women's Hospital, about his approach to a non-invasive evaluation of chest pain. They discuss how to think about a patient's pre-test probability to help guide diagnostic testing, as well as guidelines in interpreting reports and how to counsel patients about chest pain. As always, the episode concludes with a few clinical pearls to take with you.
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2020-01-1715 min
Run the ListCardiac Causes of Syncope - with Dr. Jason RyanDr. Jason Ryan, creator and CEO of Boards and Beyond, joins us in this episode to discuss cardiac causes of syncope. He is interviewed by Emily Gutowski and takes listeners through the diagnosis of syncope and features that should alert clinicians to a potential cardiac etiology. They work through important diagnostic measures, indications for AICD placement, and when to consult cardiology. The episode concludes with a few clinical pearls.
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2019-12-1319 min
Run the ListHeart Failure ManagementIn this episode, Dr. Walker Redd interviews Dr. Emily Lau about the general management of stable patients with heart failure when they are not in an acute exacerbation. They discuss the mnemonic “PANIC DR. AIR,” which reminds clinicians of all the important aspects of caring for patients with heart failure. They also include advice that physicians can provide patients while living a life with heart failure at home.
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2019-12-0619 min
Run the ListAcute Decompensated Heart FailureDr. Emily Lau, cardiologist and chief resident at Brigham and Women’s Hospital, is interviewed by Dr. Walker Redd about the management of a patient with acute decompensated heart failure. They work through the general framework for thinking about potential etiologies and triggers of heart failure exacerbations, as well as key points in the management of these patients. The episode concludes with three clinical pearls to bring with you to the wards.
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2019-11-2919 min
Run the ListCareers in NephrologyIn our final nephrology episode, Dr. Sushrut Waikar talks with Emily Gutowski about his own journey to nephrology. He discusses its multiple career paths, what he loves about the field, as well as what makes nephrology unique.
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2019-11-0807 min
Run the ListApproach to UrinalysisIn this episode, Dr. Sushrut Waikar takes us through his approach to interpreting a urinalysis. We work through classic patterns, caveats, and discuss when to consider a further workup. This episode is a helpful review of some of the basics with the addition of helpful clinical pearls that will help you on the wards.
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2019-11-0116 minRun the ListAcid-Base DisordersDr. Ankit Patel takes us through his approach to working through acid-base disorders. The episode begins with a general framework and concludes with four case vignettes, each describing a different physiology: metabolic acidosis, metabolic alkalosis, respiratory acidosis and respiratory alkalosis.
2019-10-2519 minRun the ListHypernatremiaEmily Gutowski interviews Dr. Ankit Patel about the workup and management of a patient with hypernatremia. They break down this complex problem into four simple categories and work through the treatment of patients with elevated sodium levels.
2019-10-1814 minRun the ListHyponatremiaDr. Ankit Patel is interviewed by MS4 Emily Gutowski about the management of a patient with hyponatremia. They talk through a framework for thinking about potential etiologies, and delve into the range of treatments depending on symptoms and chronicity.
2019-10-1119 minRun the ListHypokalemiaIn this episode, Emily Gutowski interviews Dr. Ankit Patel about hypokalemia. They discuss a patient case, as well as the framework for thinking about the potential etiologies of low potassium.
2019-10-0413 minRun the ListHyperkalemiaDr. Ankit Patel is interviewed by Emily Gutowski about hyperkalemia. They discuss a framework to determine potential etiologies, and work through the steps to stabilize and treat patients with elevated potassium. The episode concludes with a few clinical pearls.
2019-09-2719 minRun the ListAcute Kidney InjuryIn our first nephrology episode, MS4 Emily Gutowski interviews Dr. Sushrut Waikar about acute kidney injury. They discuss a broad differential for AKI, as well as the workup and management of various causes.
2019-09-2014 min
Run the ListCareers in GastroenterologyIn the final episode of our GI chapter, Dr. Navin Kumar is interviewed by Dr. Walker Redd about career options in gastroenterology. Dr. Kumar discusses what got him interested in GI, his own path, and the diversity of options available through a gastroenterology career. He concludes with advice for medical students and early residents considering gastroenterology.
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2019-09-1310 min
Run the ListBiliary DiseaseDr. Navin Kumar is interviewed by Dr. Walker Redd about the workup, diagnosis, and management of a patient with acute cholecystitis. We discuss an overview of the types and terminology of biliary pathology, and conclude with a few clinical pearls you can take with you to the wards.
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2019-09-0613 min
Run the ListCirrhosisIn this episode, our guest is Dr. Navin Kumar, attending gastroenterologist at Brigham and Women’s Hospital. We discuss the workup, diagnosis, and management of a patient with cirrhosis. We conclude with a few clinical pearls you can take with you to the wards.
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2019-08-3018 min
Run the ListPancreatitisIn this episode, Dr. Walker Redd interviews Dr. Navin Kumar, attending gastroenterologist at Brigham and Women's Hospital. He takes us through the workup, diagnosis, and management of a patient with pancreatitis.
Our Sponsors:* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Truelearn and use my code runthelist for a great deal: https://Truelearn.comAdvertising Inquiries: https://redcircle.com/brands
2019-08-2314 minRun the ListLower GI BleedDr. Navin Kumar, attending gastroenterologist at Brigham and Women's Hospital, speaks with Dr. Walker Redd as he takes us through the workup, diagnosis, and management of a patient with lower GI bleeding.
2019-08-1515 minRun the ListVariceal Upper GI BleedIn this episode, Dr. Walker Redd speaks with Dr. Navin Kumar, attending gastroenterologist at Brigham and Women’s Hospital, about the workup, diagnosis, and management of a patient with variceal upper GI bleeding. We conclude with a few clinical pearls you can take with you to the wards.
2019-08-1514 minRun the ListNon-Variceal Upper GI BleedDr. Walker Redd speaks with Dr. Navin Kumar, attending gastroenterologist at Brigham and Women's Hospital, as he takes us through the workup, diagnosis, and management of a patient with non-variceal upper GI bleeding.
2019-08-1517 min
Run the ListWelcome to Run the List!A short introductory episode introducing you to the members of our team, and explaining a bit about our new podcast.
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2019-08-0301 min