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Rotations 2.0Rotations 2.0 Episode 58 AbcessesSend a textShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Sidewinder by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use. Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 57 CellulitisQuestion 1 A 68-year-old man is evaluated for recurrent lower extremity cellulitis. In counseling him about prognosis, you reference a 24-year CDC analysis of cellulitis-related mortality in U.S. adults aged ≥65 years...
2026-03-1644 minRotations 2.0Rotations 2.0 Episode 57 CellulitisSend a textEpisode 57 CellulitisShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Dark Countdown my Head in the Clouds by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Answers for Episode 56 Herpes SimplexQuestion 1A 58-year-old man who underwent allogeneic hematopoietic cell transplantation 3 months ago presents with painful vesicular lesions on...
2026-03-0945 minRotations 2.0Rotations 2.0 Episode 56 Herpes SimplexSend a textEpisode 56 Herpes SimplexShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Traces in Time by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 55 HIV AIDSQuestion 1 — Policy shock and key populationsA public health team in a sub‑Saharan African country reports that PrEP coverage among...
2026-03-0243 minRotations 2.0Rotations 2.0 Episode 55 HIV AIDSSend a textEpisode 55 HIV/AIDSShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Leap in the Dark by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 54 STIQuestion 1: Gonorrhea treatment and AMRA 22-year-old man presents with dysuria and purulent urethral discharge after unprotected sex. NAAT for ...
2026-02-2336 minRotations 2.0Rotations 2.0 Episode 54 STISend a textEpisode 54 STIShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Claim We Are Able by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSNot So Quiet on the Western Front- VDhttps://not-so-quiet.com/supporters/audio/193970?utm_medium=copy-share-link&utm_source=share-link&utm_campaign=post-share-supporterAnswers for Episode 53 UTI...
2026-02-1648 minRotations 2.0Rotations 2.0 Episode 53 UTISend a textEpisode 53 UTI (Now with Chapter Markers!)Shoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Fate Embrace by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Answers for Episode 52 Brain Immune Gut AxisQuestion 1Which of the following best describes the role of short-chain fatty acids (SCFAs) in...
2026-02-0949 minRotations 2.0Rotations 2.0 Episode 52 Brain Immune Gut AxisSend a textEpisode 52 Brain Immune Gut AxisShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Trap Beat (Dripin’ Sauce) by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 51 Sprains and Strains 1) Acute management and expected outcomeA 24‑year‑old recreational basketball player presents 36 hours after an inversion injury. E...
2026-02-0249 minRotations 2.0Rotations 2.0 Episode 51 Sprains and StrainsSend a textEpisode 51 Sprains and Strains Shoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Power of the Hero by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 50 TendonitisQuestion 1A 32-year-old marathon runner presents with chronic Achilles tendon pain for 3 months. He has tried rest and NSAIDs wit...
2026-01-2639 minRotations 2.0Rotations 2.0 Episode 50 TendonitisSend a textEpisode 50 TendonitisShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Operation Biscuit by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Answers for Episode 49 Carpal Tunnel SyndromeQuestion 1A 52-year-old woman presents with numbness and tingling in her thumb, index, and middle fingers. Physical exam shows a positive Pha...
2026-01-1933 minRotations 2.0Rotations 2.0 Episode 49 Carpal Tunnel SyndromeSend a textEpisode 49 Carpal Tunnel SyndromeShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: The New Awakening by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 48 Osteoporosis/RAQuestion 1A 64-year-old postmenopausal woman with rheumatoid arthritis presents after sustaining a vertebral fracture. Which factor most strongly contributes to...
2026-01-1230 minRotations 2.0Rotations 2.0 Episode 48 OsteoporosisSend a textEpisode 48 OsteoporosisShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: A Promise Kept by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 47 FibromyalgiaQuestion 1: PathophysiologyA 42-year-old woman presents with chronic widespread pain, fatigue, and cognitive difficulties. Functional MRI reveals increased activation in the posterior in...
2026-01-0534 minRotations 2.0Rotations 2.0 Episode 47 FibromyalgiaSend a textEpisode 47 Fibromyalgia Shoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Beats Through the Ashes by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Answers for Episode 46 GoutQuestion 1: Pathophysiology and Molecular MechanismsA 58-year-old male presents with recurrent gout flares. Genetic testing reveals a mutation in the NFAT5 gene...
2025-12-2939 minRotations 2.0Rotations 2.0 Episode 46 GoutSend a textEpisode 46 GoutShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Fall Dreaming (Chill Ambient) by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 45 Neck Pain Question 1A 35-year-old patient presents with chronic mechanical neck pain lasting 8 months. The physician considers dry needling (DN) as a tre...
2025-12-2334 minRotations 2.0Rotations 2.0 Episode 45 Neck PainSend a textEpisode 45 Neck Pain Shoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Through the Ashes by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 44 Low Back Pain Question 1A 45-year-old patient presents with chronic midline low back pain that worsens with sitting and forward flexion. MRI show...
2025-12-1535 minRotations 2.0Rotations 2.0 Point Episode 44.1 Medical Malpractice 2Send a textEpisode 44.1 Medical Malpractice with Johnathan Robe esq. Part 2Shoot me any comments or questions @Rotations2ptoh on XIntro/Outro: Night Detective by AmaksiCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSRotations 2.0 is copyrighted. But you can use any content from the podcast for non-commercial purposes under Creative Commons….BUT, BUT, BUT, you must cite Rotations 2.0 and Todd Fredricks DO MSS as the source of the materi...
2025-12-1046 minRotations 2.0Rotations Episode 44 Low Back PainSend a textEpisode 44 Low Back Pain Shoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Vision of Tomorrow by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 43 Rheumatoid Arthritis Question 1: Pathogenesis and Risk FactorsA 45-year-old woman with a family history of rheumatoid arthritis (RA) presents with fatigue and...
2025-12-0850 minRotations 2.0Rotations 2.0 Point Episode 43.1 Medical Malpractice 1Send a textEpisode 43.1 Johnathan Robe esq. Part 1Shoot me any comments or questions @Rotations2ptoh on XIntro/Outro: Night Detective by AmaksiCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSRotations 2.0 is copyrighted. But you can use any content from the podcast for non-commercial purposes under Creative Commons….BUT, BUT, BUT, you must cite Rotations 2.0 and Todd Fredricks DO MSS as the source of the material AND AND AND yo...
2025-12-0359 minRotations 2.0Rotations 2.0 Episode 43 Rheumatoid ArthritisSend a textEpisode 43 Rheumatoid ArthritisShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Upbeat Yacht Club Fashion House Lounge by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 42 Osteoarthritis Question 1: Epidemiology and Risk FactorsA 52-year-old woman presents with early-onset knee pain. She has a BMI of 32 and...
2025-12-0136 minRotations 2.0Rotations 2.0 Episode 42.1 Introduction to Medical MalpracticeSend a textEpisode 42.1 Intro to Medical MalpracticeShoot me any comments or questions @Rotations2ptoh on XIntro/Outro: Night Detective by AmaksiCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Rotations 2.0 is copyrighted. But you can use any content from the podcast for non-commercial purposes under Creative Commons….BUT, BUT, BUT, you must cite Rotations 2.0 and Todd Fredricks DO MSS as the source of the material AND AND AND you...
2025-11-2624 minRotations 2.0Rotations 2.0 Episode 42 OsteoarthritisSend a textEpisode 42 OsteoarthritisShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Hard Rock to Drive to Survive Adrenaline Sport by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use. Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 41 HemorrhoidsQuestion 1:A 45-year-old patient with grade III internal hemorrhoids is concerned about postoperative pain and urinary retention. The...
2025-11-2436 minRotations 2.0Rotations 2.0 Episode 41 HemorrhoidsSend a textEpisode 41 HemorrhoidsShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Mellow Future Bass (Bounce on it) by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 40 Diarrhea Paper for Next Week: Alice Courties, Inès Kouki, Nadine Soliman, Sylvain Mathieu, Jérémie Sellam, Osteoarthritis year in...
2025-11-1737 minRotations 2.0Rotations 2.0 Episode 40 DiarrheaSend a textEpisode 40 DiarrheaShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Endless Universe (Dreamy Summer) by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS“The Ghost Map” by Steven Berlin Johnson, Riverhead 2006Some good You Tube presentations on this.“Superiority” by Arthur C. Clarke https://nob.cs.ucdavis.edu...
2025-11-1048 minRotations 2.0Rotations 2.0 Episode 39 ConstipationSend a textEpisode 39 ConstipationShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: A Comedy Funny (Dream Lullaby) by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 38 Diverticulitis Question 1: Pathophysiology and Risk FactorsA 65-year-old male presents with left lower quadrant abdominal pain and fever. CT confirms acute unc...
2025-11-0334 minRotations 2.0Rotations 2.0 Episode 38 DiverticulitisSend a textEpisode 38 DiverticulitisShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Breaking Free by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 37 CholelithiasisQuestion 1: Pathophysiology and Risk FactorsA 45-year-old woman presents with intermittent right upper quadrant pain after meals. She has a BMI of 32 and is...
2025-10-2734 minRotations 2.0Rotations 2.0 Episode 37 CholelithiasisSend a textEpisode 37 GallstonesShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Abstract Future Bass Pursuit by QubesoundsCourtesy of Pixabay under Creative Commons non-commercial use. Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Answers for Episode 36 Hepatitis Question 1: Hepatitis A Prognosis and ManagementA 68-year-old man presents with fatigue, jaundice, and elevated liver enzymes. He is diagnosed with acute hepat...
2025-10-2037 minRotations 2.0Rotations 2.0 Episode 36 HepatitisSend a textEpisode 36 HepatitisShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Yearning by dferunCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 35 Inflammatory Bowel DiseaseQuestion 1: Diagnosis and BiomarkersA 35-year-old patient presents with chronic gastrointestinal symptoms. Endoscopic and histologic findings are inconclusive for either ulcerative colitis or Cr...
2025-10-1345 minRotations 2.0Rotations 2.0 Episode 35 Inflammatory Bowel DiseaseSend a textEpisode 35 Inflammatory Bowel DiseaseShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Comedy Quirky Funny Background Music by Background Music for VideosCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 34 Irritable Bowel SyndromeQuestion 1: PathophysiologyA 34-year-old woman presents with chronic abdominal pain and alternating bowel habits. Sh...
2025-10-0638 minRotations 2.0Rotations 2.0 Episode 34 Irritable Bowel SyndromeSend a textEpisode 34 Irritable Bowel SyndromeShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Slow Trap by Anton VlasovCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 33 Peptic Ulcer DiseaseQuestion 1: H. pylori Eradication TherapyA 45-year-old male patient is diagnosed with a peptic ulcer and tests positive for He...
2025-09-2941 minRotations 2.0Rotations 2.0 Episode 33 Peptic Ulcer DiseaseSend a textEpisode 33 Peptic Ulcer DiseaseShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Best Dramatic Music by OnoychenkoCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 32 GERDQuestion 1: Diagnostic StrategyA 45-year-old male presents with persistent heartburn and regurgitation despite an 8-week trial of single-dose PPI therapy. He de...
2025-09-2246 minRotations 2.0Rotations 2.0 Episode 32 GERDSend a textEpisode 32 GERD Shoot me any comments or questions @Rotation2ptoh on X Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Comedy Cartoon Funny Background Music by HitslabCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 31 Vitamin DQuestion 1: Vitamin D MetabolismA 45-year-old woman with chronic liver disease is found to have low serum 25-hydroxyvitamin D [25(OH)D] l...
2025-09-1540 minRotations 2.0Rotations 2.0 Episode 31 Vitamin DSend a textEpisode 31 Vitamin DShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Epic Dramatic Cinematic Mover Underscore by Aleksei BezruchkoCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Answers for Episode 30 Testosterone DeficiencyQuestion 1: Diagnosis and ManagementA 58-year-old male presents with fatigue, decreased libido, and erectile dysfunction. His total testosterone (TT...
2025-09-0833 minRotations 2.0Rotations 2.0 Episode 30 Testosterone DeficiencySend a textEpisode 30 Testosterone DeficiencyShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Flying Through the Valley an Epical TrailerCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 29 Gestational DiabetesQuestion 1: A 32-year-old Hispanic woman, G3P2, presents for her 28-week prenatal visit. Her 1-hour 50-g glucose challenge test is elevated, and...
2025-09-0142 minRotations 2.0Rotations 2.0 Episode 29 Gestational DiabetesSend a textEpisode 29 Gestational DiabetesShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Modern Classical Inspirational Cinematic Motivational MusicCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 28 Polycystic Ovarian syndromeQuestion 1: Diagnosis and PathophysiologyA 24-year-old woman presents with irregular menstrual cycles and concerns about excessive facial hair. Physical examination reveals mi...
2025-08-2541 minRotations 2.0Rotations 2.0 Episode 28 Polycystic Ovarian SyndromeSend a textEpisode 28 Polycystic Ovarian SyndromeShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Science Documentary by Lexin Music Courtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO Edited by: Todd Fredricks DOAnswers for Episode 27 Metabolic SyndromeQuestion 1: PathophysiologyA 52-year-old male with central obesity, elevated triglycerides, and hypertension is diagnosed with metabolic syndrome. Which of the following best des...
2025-08-1837 minRotations 2.0Rotations 2.0 Point Episode 23.1 Amber Healy DO DiabetologistSend a textEpisode 23.1 Amber Healy DO DiabetologistA fantastic conversation with one of my favorite colleagues. A lot to learn from Dr. Healy’s wisdom about a massive problem for American Medicine. I hope you enjoy the discussion as much as I did.Shoot me any comments or questions @Rotations2ptoh on X Intro/Outro: Night Detective by AmaksiCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Rotatio...
2025-08-131h 14Rotations 2.0Rotations 2.0 Episode 27 Metabolic SyndromeSend a textEpisode 27 Metabolic SyndromeShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Ki Instrumental Celtic Rock 357740 by Lyrium-2025Courtesy of Pixabay under Creative Commons non-commercial use. Produced by: Todd Fredricks DO Edited by: Todd Fredricks DOAnswers for Episode 26 ObesityQuestion 1: Clinical Decision-Making in Obesity PharmacotherapyA 45-year-old woman with a BMI of 34 kg/m² and type 2 diabetes has attempted multiple lifestyle interventions with...
2025-08-1138 minRotations 2.0Rotations 2.0 Episode 26 ObesitySend a textEpisode 26 ObesityShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Tree of Life by Alex GrohlCourtesy of Pixabay under Creative Commons non-commercial use.Produced by: Todd Fredricks DO Edited by: Todd Fredricks DOAnswers for Episode 25 HyperthyroidismQuestion 1: Diagnosis and PathophysiologyA 35-year-old woman presents with weight loss, palpitations, and heat intolerance. On examination, she has a diffusely enlarged thyroid with a...
2025-08-0439 minRotations 2.0Rotations 2.0 Episode 25 HyperthyroidismSend a textEpisode 25 HyperthyroidismShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: Blockbuster TrailerCourtesy of Pixabay under non-commercial creative commons useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSAnswers for Episode 24 HypothyroidismQuestion 1: Cardiovascular ComorbiditiesA 58-year-old woman with a 10-year history of subclinical hypothyroidism presents for routine follow-up. Her TSH is persistently 6.8 mIU/L. She reports no s...
2025-07-2835 minRotations 2.0Rotations 2.0 Episode 24 HypothyroidismSend a textEpisode 24 HypothyroidismShoot me any comments or questions @Rotation2ptoh on XIntro Music: KI Instrumental (Rock Celtic) by Lyrium-2025Outro Music: KI Instrumental Classic-Waltz by Lyrium-2025 Siggi Würtz Courtesy of Pixabay under non-commercial creative commons Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers for Episode 23 Type 1 DMQuestion 1: Clinical Application of Technology in Older AdultsA 75-year-old man with long-standing Type 1 diabetes is experiencing frequent episodes of sever...
2025-07-2131 minRotations 2.0Rotations 2.0 point Episode 12.1 VapingSend a textEpisode 12.1 Thoughts on VapingShoot me any comments or questions @Rotations2ptoh on X Intro/Outro: Night Detective by AmaksiCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSPapers referenced: Avian V.White, David W. Wambui, Lok R. Pokhrel, Risk assessment of inhaled diacetyl from electronic cigarette use among teens and adults, Science of the Total Environment 772 (2021) E Andrew L. Pipe and Hassan Mir, E...
2025-07-1729 minRotations 2.0Rotations 2.0 Episode 23 Type 1 DiabetesSend a textEpisode 23 Type 1 Diabetes Mellitus Shoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: KI Instrumental (Rock Celtic) by Lyrium-2025Courtesy of Pixabay for non-commercial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 22Question 1: A 45-year-old patient presents with polyuria, polydipsia, and unexplained weight loss. Laboratory tests reveal a fasting plasma glucose of 130 mg/dL and an HbA...
2025-07-1442 minRotations 2.0Rotations 2.0 Episode 22.1 Elizabeth Beverly PhD Diabetes ResearcherSend a textEpisode 22.1 Elizabeth Beverly PhD, Diabetes ResearcherShoot me any comments or questions @Rotations2ptoh on XIntro/Outro: Night Detective by AmaksiCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSRotations is produced using (and we always accept donations from any gear folks):Rode Podcaster ProRode NT1-A micsPolsen Studio HeadphonesKopul XLR cablesSanDisk med...
2025-07-091h 08Rotations 2.0Rotations 2.0 Episode 22 Type 2 DiabetesSend a textEpisode 22 Type 2 Diabetes Mellitus Shoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: KI Instrumental (Rock Malmsteen-Style) by Lyrium-2025Courtesy of Pixabay for non-commercial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 211. A 62-year-old man presents with fever, productive cough, and pleuritic chest pain. Chest X-ray reveals a moderate right-sided pleural effusion. Thoracentesis is performed, and pleural fluid analy...
2025-07-0737 minRotations 2.0Rotations 2.0 Episode 21 Pleural Space InfectionsSend a textEpisode 21 Pleural Space Infections Shoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: Survival by ikoliksCourtesy of Pixabay for non-commercial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 20Question 1: Cardiovascular Risk and OSA A 58-year-old man with a BMI of 36 kg/m² presents with excessive daytime sleepiness, loud snoring, and witnessed apneas during slee...
2025-06-3037 minRotations 2.0Rotations 2.0 Episode 20 Obstructive Sleep ApneaSend a textEpisode 20 OSAShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: Whip Afro Dance Hall Music by PrazkhanalCourtesy of Pixabay for non-commercial educational use Produced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 19 Question 1: Diagnosis and TestingA 28-year-old woman presents with a 2-year history of nasal congestion, sneezing, and watery eyes that worsen in the spring and fal...
2025-06-2338 minRotations 2.0Rotations 2.0 Episode 19 Allergic RhinitisSend a textEpisode 19 Allergic RhinitisShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: Tokyo Café by TVARICourtesy of Pixabay for non-commercial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 18 Question 1A 35-year-old male patient presents with newly diagnosed pulmonary tuberculosis (TB) confirmed to be drug-susceptible (DS-TB). The patient has non-cavitary disease and a low bacillary burden. Bas...
2025-06-1636 minRotations 2.0Rotations 2.0 Episode 18.1 More thoughts on TuberulosisSend a textEpisode 18.1 Thoughts on TBShoot me any comments or questions @Rotations2ptoh on XIntro/Outro: Night Detective by Amaksi Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSRotations is produced (bot not sponsored) using (and we always accept donations from any gear folks):Rode Podcasters (Pro and Duo)MacBook ProRode NT1-A micsPolsen Studio HeadphonesKo...
2025-06-1122 minRotations 2.0Rotations 2.0 Episode 18 TuberculosisSend a textEpisode 18 TuberculosisShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: Piano Inspiring by Paul YudinCourtesy of Pixabay for non-commercial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 17 Question 1: Antiviral Treatment for Elderly PatientA 65-year-old man with chronic obstructive pulmonary disease (COPD) presents with a 2-day history of fever, cough, and myalgia. He has be...
2025-06-0930 minRotations 2.0Rotations 2.0 Episode 17 InfluenzaSend a textEpisode 17 Influenza Shoot me any comments or questions @Rotation2ptoh on X Intro: Rock Christmas/ Christmas Music by tramp963Outro: Main Title Blockbuster by Mint Music Courtesy of Pixabay for non-commercial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 16 Question 1: Diagnosis of Bacterial Acute RhinosinusitisA 25-year-old male presents with a 7-day history of nasal congestion, rhinorrhea, and facial pressure. Initially, his symptoms improved after 3 days...
2025-06-0238 minRotations 2.0Rotations 2.0 Episode 16 Common ColdSend a textEpisode 16 Common ColdShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: Rainbow by Mood ModeCourtesy of Pixabay for non-commercial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSS“Who Moved my Cheese,” Spencer Johnson, 1998https://en.wikipedia.org/wiki/Who_Moved_My_Cheese%3FQuestions and Answers from Episode 15 Question 1: A 32-year-old healthy female presents to your cli...
2025-05-2632 minRotations 2.0Rotations 2.0 Episode 15 Treating Respiratory InfectionsSend a textEpisode 15 Treating Respiratory InfectionsShoot me any comments or questions @Rotation2ptoh on X Intro: Rock Christmas/ Christmas Music by tramp963Outro: You and Me by HitsLabCourtesy of Pixabay for non-commercial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 14 BronchitisQuestion 1: Diagnosis Scenario Question: A 35-year-old healthy patient presents with a two-week history of cough, mild fever (100.2°F), and normal lung auscultation. What is the...
2025-05-1936 minRotations 2.0Rotations 2.0 Episode 14 Acute BronchitisSend a textEpisode 14 Acute BronchitisShoot me any comments or questions @Rotation2ptoh on X Intro: Rock Christmas/ Christmas Music by tramp963Outro: You Can by Grand ProjectCourtesy of Pixabay for non-commericial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 13 Pneumonia Question 1: A 70-year-old man presents to your clinic with a 3-day history of cough productive of yellow sputum, fever, and shortness of breath. On examination, he a...
2025-05-1237 minRotations 2.0Rotations 2.0 Episode 13 PneumoniaSend a textEpisode 13 PneumoniaShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: Winner Main by Gand ProjectCourtesy of Pixabay for non-commercial educational use Produced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 12 COPDQuestion 1A 62-year-old male with a 40-pack-year smoking history presents to the primary care clinic complaining of progressive shortness of breath during exercise and a chronic co...
2025-05-0530 minRotations 2.0Rotations 2.0 Episode 12 COPDSend a textEpisode 12 COPDShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: The Ocean by Grand ProjectCourtesy of Pixabay for non-commercial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 11 AsthmaQuestion 1: Diagnosis of Asthma in Patients on Controller Treatment Question: A 35-year-old woman presents to your clinic with a history of recurrent wheezing and shortness of br...
2025-04-2845 minRotations 2.0Rotations 2.0 Episode11 AsthmaSend a textEpisode 11 AsthmaShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: Armageddon by Grabnd ProjectCourtesy of Pixabay for non-commericial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 10 Isolated Distal Deep Vein ThrombosisQuestion 1: Management for a Patient with IDDVT Post-FlightA 45-year-old woman presents with left calf pain and swelling after a recent long-haul flight. C...
2025-04-2153 minRotations 2.0Rotations 2.0 Episode 10 Isolated Distal Deep Vein Thrombosis (Peripheral Vascular Disease)Send a textShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: India Bollywood Hindi Song Background Jusic by ikoliksCourtesy of Pixabay for non-commercial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 9 Pulmonary EmbolismQuestion 1: Diagnosis in Non-Pregnant Patients with Elevated D-dimer A 45-year-old woman presents to the emergency department with acute onset of chest pain and shortness of breath. Sh...
2025-04-1454 minRotations 2.0Rotations 2.0 Episode 9 Pulmonary EmbolismSend a textShoot me any comments or questions @Rotation2ptoh on X Intro: Rock Christmas/ Christmas Music by tramp963Outro: Alone by BoDleasonsCourtesy of Pixabay for non-commericial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 8 Stroke1. Question: A patient presents with transient ischemic attack (TIA) symptoms that are triggered by physical activity or changes in blood pressure. Which type of stroke is most likely? C. Hemodynamic stroke 2 Question: A pa...
2025-04-0752 minRotations 2.0Rotations 2.0 Episode 8 StrokeSend a textShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: Eco Technology by Lexin MusicCourtesy of Pixabay for non-commericial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 7Question 1: Reperfusion Strategy in STEMI A 65-year-old man presents to a rural hospital with a 2-hour history of severe chest pain. His ECG shows ST-segment elevation in the anterior leads, co...
2025-03-3150 minRotations 2.0Rotations 2.0 Episode 7 Acute Myocardial InfarctionSend a textShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: Fast Chase Music Comedy Action by Omar FaruqueCourtesy of Pixabay for non-commericial educational use Produced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episode 6 Question 1A 62-year-old male with a 40-pack-year smoking history presents with complaints of leg pain during walking that resolves with rest. He is diagnosed with peripheral artery disease (PAD...
2025-03-2449 minRotations 2.0Rotations 2.0 Episode 6 Peripheral Arterial DiseaseSend a textEpisode 6 PADShoot me any comments or questions @Rotation2ptoh on XIntro: Rock Christmas/ Christmas Music by tramp963Outro: Waterfall by RomanSenykMusicCourtesy of Pixabay for non-commericial educational useProduced by: Todd Fredricks DO MSSEdited by: Todd Fredricks DO MSSQuestions and Answers from Episodes 4 and 5Week 4Question 1: Prevalence of AF in HFWhich of the following statements is true regarding the prevalence of atrial fibrillation (AF) in heart f...
2025-03-1744 minRotations 2.0Rotations 2.0 Episode 5 DyslipidemiaSend a textEpisode 5 Dyslipidemia Shoot me any comments or questions @Rotations2ptoh on X Intro: Rock Christmas/ Christmas Music by tramp963 Outro: Electronic Reggae by Fernando Dias SilvaCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSAnswers to Week 3 QuestionsQuestion 1:A 65-year-old patient presents with chronic fatigue and shortness of breath. The patient's NT-proBNP level is measured at 1800 ng/L. According to the U...
2025-03-1041 minRotations 2.0Rotations 2.0 Episode 4.1 Discipline, Empathy, World IntentionSend a textEpisode 4.1 Discipline Empathy and World IntentionErrata: I said "RK21" when referring to the Chernobyl reactor. It is an RBMK reactor and it is ironically, given the discussion, located in Pripyat, Kyiv Oblast, Ukraine.Shoot me any comments or questions @Rotations2ptoh on XIntro/Outro: Night Detective by AmaksiCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSRotations is produced using (and we always acc...
2025-03-0552 minRotations 2.0Rotations 2.0 Episode 4. Atrial FibrillationSend a textShoot me any comments or questions @Rotations2ptoh on X Music: Intro: Rock Christmas/ Christmas Music by tramp963 Outro: The Moment (Inspiring-Life) by AmaksiCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Rotations is produced using (and we always accept donations from any gear folks):Rode Podcaster ProRode NT1-A micsPolsen Studio HeadphonesKopul XLR cablesSanDisk m...
2025-03-0330 minRotations 2.0Rotations 2.0 Episode 3 CHFSend a textEpisode 3 Congestive Heart Failure Shoot me any comments or questions @Rotations2ptoh on X Intro: Rock Christmas/ Christmas Music by tramp963 Outro Music: Flying Through the Valley by Alex GrohlCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only. Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Rotations is produced using (and we always accept donations from any gear folks):Rode Podcaster ProRode NT1-A micsPolsen Studio...
2025-02-2427 minRotations 2.0Rotations 2.0 Episode 2 CADSend a textEpisode 2 CADShoot me any comments or questions @Rotations2ptoh on X Music: Intro: Rock Christmas/ Christmas Music by tramp963 Outro: Love Story by Alex GrohlCourtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Rotations is produced using (and we always accept donations from any gear folks): Rode Podcaster ProRode NT1-A micsPolsen Studio HeadphonesKopul XLR ca...
2025-02-1831 minRotations 2.0Rotations 2.0 Episode 1 HypertensionSend a textEpisode 1 HypertensionRobert M. Carey, Jackson T. Wright Jr., Sandra J. Taler, Paul K. Whelton, Guideline-Driven Management of Hypertension: An Evidence-Based Update, Circ. Res. 2021 Apr 02; 128(7): 827–846. To look at BP monitors for accuracy levels: https://www.validatebp.org/Shoot me any comments or questions @Rotations2ptOh on XIntro and Outro Music: Intro: Rock Christmas by tramp963 Outro: Alone by Futuro-Biaxo Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO Edited by: Todd Fredricks DORotat...
2025-02-1227 minRotations 2.0Rotations 2.0 Episode 0 IntroductionSend a textEpisode 0 IntroductionSubject: How Rotations 2.0 worksShoot me any comments or questions @Rotations2ptoh on XIntro and Outro Music: Rock Christmas/ Christmas Music by tramp963 Courtesy of Pixabay under Creative Commons for non-Commercial Educational use only.Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSSRotations is produced using (and we always accept donations from any gear folks):Rode Podcaster ProRode NT1-A micsPolsen Stu...
2025-02-0814 min
RotationsJohn Bowditch Mr. GridLab Episode 2Now we discuss the nature of gaming and how the GRID lab came to be. We discuss addiction and virtual reality and our consuming games can be.
Competitive Gaming/eSports
https://www.statista.com/markets/417/topic/478/video-gaming-esports/#overview
https://cod-esports.fandom.com/wiki/MLG_Orlando_Open_2016
High School Gaming
https://www.highschoolesportsleague.com/
GRID Lab
https://www.ohio.edu/scripps-college/mcclure/gridlab
Morelocks
https://en.wikipedia.org/wiki/Morlock
SOMA
https://en.wikipedia.org/wiki/Brave_New_World
Fortnight
https://www.epicgames.com/fortnite/en-US/home
Cleveland Clinic Augmented Reality
https://health.clevelandclinic.org/face-transplant-evolves-with-amazing-hologram-technology/
Marietta Memorial Ransomware
https://www...
2021-11-0136 min
RotationsJohn Bowditch, Mr. GRID LabJohn Bowditch Mr. GridLab
Science and Technology
This is gonna be long. It’s long because I needed to get a few things covered before we launch into John’s interview. If you are bored of me or just want to listen to John, fast forward to 17:30 and start listening.
Elon Musk meeting rules
https://thriveglobal.com/stories/elon-musks-top-9-meeting-rules-which-ones-do-you-need-to-adapt/
COVID Booster shots
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/booster-shot.html
https://www.cnn.com/2021/10/12/health/moderna-booster-fda-authorization-brief/index.html
Monoclonals
https://combatcovid.hhs.gov/available-covid-19-treatment-options
Traditional Vaccination Rates from the USA Facts
https://usafacts.org/articles/data-centric-look-vaccines-and-immunizations-united-states/
Linked In o...
2021-10-1458 minRotationsRotations Labor Day 2021…We are Back…Talk about inertia, as the saying goes, when I was young, I wanted to be old…I didn’t expect this.
It took a full month to get my head back on-line after the trip to the Middle East. But now the brain is working and so I’ll get started by bringing you up to speed. We have a new medical school. It’s very niiiiice. I also want to get some stuff out there about Afghanistan and the implications for medical care. Yes, there are very direct implications for how we do medicine in the USA.
So I am going...
2021-09-0632 min
RotationsBryant Giles DO , Ophthalmology Episode IIIYes, its long but not so long that I could have split this easily into 2 episodes.
The last episode of my conversation with Bryant Giles, DO. Today we are going to discuss EHRs and ophthalmology. Fun huh? Nope. But if you are considering a career in medicine you really need to think about how much of a headache you want in your daily work. It’s a Don Quixote task at this point because we have been complaining about them for nearly a decade now and crickets from the people who don’t care for patients but tell us this is a...
2021-03-3154 min
RotationsBryant Giles DO Ophthalmology Episode IIBryant Giles DO , Ophthalmology Episode II
Specialty Spotlight
Okay, let’s see if I can finish this series out of pure respect for you in the audience and for Bryant. In this episode we discuss the common diagnoses within the specialty and training. We also put a shout out (in?) for Brooke Army Medical Center and its world renowned burn center in good old San Antonio, Texas.
We finish up with a discussion of technology and advances.
Like this: https://apps.apple.com/us/app/ullman-indirect/id1243282866
http://www.ullmanindirect.com/
Ophthobook https://timroot.com/ophthobook/
I could ramble some mo...
2021-03-1639 minRotationsBryant Giles DO Ophthalmology Episode 1Bryant Giles DO is a senior Ophthalmology Resident and he never intended to be an ophthalmologist. In this series we are going to discuss how plans change and how life leads us to opportunities that we would never have considered without the serendipity of life.
Bryant focuses on his specialty but along the way we discuss life and different universities and how it all comes together. We also discuss Utah which is a place that everyone should experience.
It’s a Specialty Spotlight series but its valuable for any medical student, premed or older physicians who want to find something di...
2021-01-0538 minRotationsBryant Giles DO Intro and COVID Vaccine Status 20201224In order to properly frame the series coming up with Bryant Giles DO, I felt that it was appropriate to start with a Merry Christmas and Happy New Year wish for all of you.
I also got a lot of questions from various people about when they can get vaccinated for SARS CoV2. So I thought it reasonable to clarify where we are right now. It's an episode of various things and I am hopeful that next week, assuming I am not crashed from my own COVID-19 shot, that you will be hearing Episode 1 of Bryant Giles DO and that...
2020-12-2430 minRotationsDawn Graham PhD Episode 3Dawn Graham PhD is back for the last episode of this series on Psychology and its role in caring for patients.
We talk about how students are primed to live in the future and as a result we are not teaching our students to be in “the present”. That has direct implications for our patients and the quality of care that we give them.
We discuss the how “the next thing”, pursued from the silo of your own home, without true interpersonal communication, is affecting our psyches, our ability to have good in-person dialogue and ultimately suicide and burnout rates. Its conv...
2020-12-1744 min
RotationsTrauma Informed Care Episode 3This is the last of the episodes on Trauma Informed Care. Right up front, forgive the audio levels, that is on me, neither Lori or Jennifer like microphones and so it’s gonna be low levels. Had I been thinking I would have dropped my audio but hey, I am a family physician and not a genius audio engineer like one of my friends at OU who recently got married. Congratulations, Josh. I could have used you on this.
Anyway, Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are social workers who have a passion for looking at predictive outcomes in...
2020-09-2037 minRotationsTrauma Informed Care Episode 2Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are back. This week on Rotations we continue ou r discussion about Trauma Informed Care. ACES is used as a predictive tool for future health issues. It is not a tool to identify mental or behavioral health problems and it was not designed to identify people who are somehow damaged. It is a tool that allows clinicians to help people understand what their long-term health risks may be.
ACES is not a tool to look at social-economic status of childhood.
We also discuss a little of the history of ACES and how...
2020-09-0138 minRotationsTrauma Informed Care Episode 1Lori Brown LISW-S, LICDC and Jennifer Schwirian LISW-S are social workers. They are Licensed Clinical Social workers and they work with a population of patients who have significant mental illness. As part of their work they have developed a deep understanding of trauma. Not the crash your car into a bridge piling trauma, but trauma emotional trauma that occurs in childhood from neglect, un-met needs and other emotional insults that can significantly shape behavior in adulthood.
In this series we are going to look at the topic of Trauma Informed Care. This is a topic that is controversial. There are...
2020-08-2033 minRotationsMelissa Thomas PhD, Health Care and the Amish, Episode 3Wow, I took a hiatus…well not really. In this 3rd and final segment with Melissa Thomas, PhD we start with mindfulness. That’s apropos because the Amish deal with time in a different fashion than do the “English”.
BTW, I am “mindfully” giving you an extra-long episode…
Dr. Thomas also clearly lets us know that she can “unplug” with the Amish. She leaves the phone in the car. That’s an important concept in an age when more and more people seem to be incapable of actually being without their phone for more than 5 minutes.
The other thing we discuss is assumptio...
2020-08-1156 minRotationsMelissa Thomas PhD Health Care and the Amish Episode 2The continuation of our interview with Melissa Thomas PhD and her experiences with the Amish people of Ohio and studying their health care. Melissa has 20+ years of working with the Amish of Ohio and she has gathered so many experiences that she has also published an extremely unique boom of photographs that the Amish gave her permission to create to help people see into their lives.
Melissa makes nothing from this project and all proceeds go back into the care of Amish women and preventing deaths from breast cancer. Please consider donating to her project and you can find details...
2020-07-1345 minRotationsMelissa Thomas PhD Life Studying Amish Atmospherics Episode 1Sorry, but I do like reggae. Soooo, I gave you an ample dose of it. Frankly with all of the current kerfluffle I think a good chunk of one drop rhythm will make almost anyone happy…and cousin, we need some happy right now. So, there you are.
In this series we find out that would-be meteorologists can fall into things like health care disparity research in Amish communities in Geauga and Holmes County, Ohio. Melissa Thomas PhD has a doctorate in science (public health) and is super smart and as non-threatening as anyone you will ever meet. She is ju...
2020-07-0339 minRotationsJohn Bishara DO, Pediatric Pulmonologist in the time of COVID-19, Episode 3The last episode of our series with John Bishara DO. In this discussion we try and cover the most current developments in COVID and address some of the social media challenges in a public health crisis. It will probably run a little long but hey, you get what you pay for and in the case of Rotations you get a lot more than you pay for sometimes.
And as always…
Wear a mask in close and indoor public spaces. Period. Full stop.
Coagulopathy and COVID
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225095/
Management of Pregnancy with COVID-19
https://ww...
2020-06-231h 09RotationsWendy Dean MD and Simon Talbot MD; Moral Injury, Episode 2In this episode we continue with the discussion of moral injury. I can boil it down to a single concept:
If you are thinking that you are unsure of whether or not you can continue to remain moral and ethical in your current practice, you have moral injury.
The ideas in this episode are tough. How do we educate medical students to be aware of this concept? How do we empower physicians to deal with it? How do we work around administrations that are indifferent and only serve a spreadsheet? How do we work with sympathetic administrators who actually do...
2020-06-1642 minRotationsJohn Bishara DO; Pediatric Pulmonologist in the age of COVID-19, Episode 2The second of 3 episodes with John Bishara DO, Pediatric Pulmonologist. We get into the meat of COVID-19. Wonder why we are getting so concerned over this when we were not as concerned about SARS and MERS? We talk about it. Want to know how COVID-19 kills and maims people? We talk about it. Want to know the truth about this disease, specifically its affects on children? We talk about it.
Frankly I don’t mind the comments on social media about COVID-19, what I mind is that amateurs with a voice may influence people who then behave in a manner th...
2020-06-1547 minRotationsJohn Bishara DO: Pulmonologist in the Age of COVID-19 Episode 1This series is a little different. Obviously, a pulmonologist has something to say about COVID-19 these days. So, John and I decided to break it up. Episode 1 will deal with becoming a pulmonologist and what that is like. Episode 2 is all about COVID-19 and what it does what it does. Basically, what do we know about this disease as of 8 June 2020. Episode 3 is the catchall of questions and how the incredible blessing of the internet is also a major headache for people trying to care for the critically ill and also prevent people from actually getting COVID-19 and dying because...
2020-06-1140 minRotationsJohn Bishara DO; Pulmonologist. Episode 1This series is a little different. Obviously, a pulmonologist has something to say about COVID-19 these days. So, John and I decided to break it up. Episode 1 will deal with becoming a pulmonologist and what that is like. Episode 2 is all about COVID-19 and what it does what it does. Basically, what do we know about this disease as of 8 June 2020. Episode 3 is the catchall of questions and how the incredible blessing of the internet is also a major headache for people trying to care for the critically ill and also prevent people from actually getting COVID-19 and dying because...
2020-06-1140 minRotationsWendy Dean MD and Simon Talbot MD Moral InjurySooooo...we are just gonna dive in. Some of you may remember our discussion with Pamela Wible MD about physician suicide. It was compelling. Well suicides don’t happen in a vacuum and so speaking about things that might drive a physician to despair is a pretty important. So we are gonna discuss moral injury.
You can google that and get a definition for moral injury but I think that it is better to just get a couple of the folks who are deeply involved in this topic and trying to raise awareness of it. SO I was about to ge...
2020-06-1042 minRotationsTodd Jamrose DO, Psychiatrist, Physician Episodes 2/3 A TWOFER!We continue with the interview (actually 2) the long-lost interview, with Dr. Todd Jamrose, Psychiatrist extraordinaire, D & D Player and BlueJackets Hockey Fan. We hit on clinical operations and the spider sense of physicians caring for patients. If they look sick they are sick. If they don’t look sick but your gut is saying that they are; they are.
We get into the STAR*D study and talk about SSRIs and compliance and actually telling your patients about what you are prescribing for them. Adherence versus compliance is a distinction that all physicians should fully understand. It takes time, trust an...
2020-06-011h 18RotationsTodd Jamrose DO; Psychiatrist and Medicine Man Episode 1So this is the long lost Dr. Jamrose series. Basically we recorded this well over a year ago and Todd Jamrose was terrific about spending time speaking with us about why psychiatry matters. We examine all sorts of things in this series about psychopharmacology, clinical psychiatry, acute in-patient psychiatry, VA Health Care and all manner of other things.
Mara Leyendecker OMS II hosted this and now she is an OMS IV. So you will hear her voice in this as well. Psychiatry is an underserved specialty that has more spots available in the country than graduate residents to fill them...
2020-05-2435 minRotationsDavid Morton PhD, The Noted Anatomist, Episode 3The final part of our great visit with Dr. David Morton. In this episode we discuss the nature of editing and working with social media for education. We talk about Google and YouTube as vehicles for information exchange.
Then the wonk factor about education talk. Does the future of medical education come down to just 5 or 6 really excellent content producers that are paid a license fee by the schools? Well before you get worried, David doesn’t quite see the future looking like this. Our segment on MOOCs really got me rethinking about the actual value of the anatomy lab. It...
2020-05-1948 min
RotationsNisarg Bakshi DO Episode 2Our second episode with Nisarg Bakshi (now DO) OMS IV and cofounder of Rotations. We pick up where we left last week with Nisarg as he talks about moving on to begin his career as a pediatrician at Cook County Hospital in Chicago.
What’s involved in a big move to a big city with an entirely different set of medical issues than most small parts of American face? Well Nisarg tells us. In addition, he talks about his strategy (or lack thereof) in picking a residency location (we think he just turned it into a chance to see friends an...
2020-04-3043 minRotationsNisarg Bakshi OMS 4 Episode 1We found Nisarg. He was hunkered down weathering COVID-19 and we had a really nice chat about 4th year, matching and the trial of figuring out what he’s going to do for the rest of his life. Along the way we discussed his puzzling (not really) decision to go to Chicago.
It’s 2 sequential episodes that are very good for the current times and for any medical student who feels stressed about how you figure out what you want to do when you grow up. Let us know how the experience helped you…
We are seeing a decided emptiness in our...
2020-04-1339 minRotationsCOVID - 19 VSo for the 5th installment of COVID-19 are going to discuss supply chains and novel engineering and fired physicians and a really cool dude in Korea who gives us the play by play on why the South Korean numbers look so different from others.
We also talk about the reality of China and its optics issues
By the way, as soon as the hardware shows up, Nisarg is going to be back on. He found me so I think its worth giving him some airtime.
Below are the links.
James Gaskell MD is the Athens Co. Ohio Health Commissioner.
Mexican...
2020-03-3145 minRotationsCOVID - 19 IV I found some Students!!!So I have been very busy. First of all OUHCOM has been sterilized. I mean tape sealing the doors and the word STERILIZED on them. No monkey business. And then I have been running around like a 1 armed paper hanger trying to cover the military public health response and to add to all of that, I still am seeing patients in the clinic.
But today, after hours of briefings and policy memos and the nugwork of being a temporarily important person in a military response to a wicked little virus, I decided to do a podcast. SO I fetched all...
2020-03-231h 13RotationsCorona IIISomewhat rapid edit. I have to get back to clinic to help out but I am trying to keep this up as a reasonable update. A lot of thoughts. References below and seriously major apologies to the BBC.
It’s not 15 Minutes it’s 13 Minutes.
Seriously listen to it. I am working
In the meantime, WASH YOUR HANDS!
Update OU Shut down
https://www.ohio.edu/news/2020/03/president-nellis-provides-critical-update-about-ohios-response-coronavirus
https://www.ohio.edu/experts/ask-experts
WV NG Public Affairs Twitter
@WVNationalGuard
WV NG Facebook
https://www.facebook.com/WV.NationalGuard/
State of Ohio Governors Briefings
https://governor.ohio.gov/wps/portal/gov...
2020-03-1752 minRotationsCorona II: Or what I learned in OCP this week...Corona II
It is not the Coronapocalypse. IT IS NOT THE CORONAPOCALYPSE!!!
That said, it was time after some maturity of the situation to bring everyone up to date on a variety of issues that have occurred in the last few days.
So this is interactive and please click on the links as you listen. It’s gonna educate. Learning WILL occur.
I would also mention that this is practice for our next month or so here at OU where we are all going to have to become really good at online educational content generation.
Its lengthy and spans a lo...
2020-03-141h 19RotationsCorona UpdateIt’s been a long 10 days and let’s be honest, I have been very busy between the AMOPS conference, clinic, nearly hourly updates in my alternate role as a military guy and then working on the continuous demands of academics at the most awesomest university in the world, Ohio University.
If you don’t want to hear my take on movies, then just fast forward to from 14:49 through 21:10.
We talk about the following and you will notice that I have considerately provided references for everything I speak about. You’re welcome.
I’ll get new Rotations Content up next Monday.
In...
2020-03-1137 minRotationsJason McMullan MD Emergency Medicine Physician in the Field, Episode 3This episode went long because, well frankly, I got excited about the topic and had to pontificate. Jason was very patient with me. This is the last of our 3 part series about Pre-hospital medicine. It is a good one and again I cannot thank Jason enough got doing this with us.
We talk about Haiti, disasters, what post-fellowship docs in pre-hospital medicine think of their experience and a variety of other interesting things in this realm.
In the latter part of the interview we try to crack the nut as to how to get a spot in a fellowship program...
2020-03-0249 minRotationsJason McMullan MD: Emergency Medicine Physician in the Field, Episode 2Round 2 with Jason McMullan. In this episode we discuss what Pre-Hospital Fellowship training looks like and what do fellowship trained Pre-Hospitalist physicians do. Its academically wonkish but it is very informative.
Let’s just say that if I had it to do over again I would have tried to get accepted into his program at UC…
Catch us on twitter at @RotationsPcast
Look for more Rotations Content at mediainmedicine.com Rotations
and on
iTunes at Rotations Podcast.
Intro and Outro Music:
On Air by Assaf Ayalon
My Heart was Breaking by John Isaac
Courtesy of artlist.io
Produced by: Todd Fred...
2020-02-2433 minRotationsJason McMullan MD: Emergency Medicine Physician in the Field, Episode 1Hey, right up front, forgive me for the clipping. I had just gotten the Rodecaster and so levels were an issue.
Dr. Jason McMullan has an incredible path through medicine. He started as a Paramedic and now works at University of Cincinnati as an Emergency Room Physician and a director of the pre-hospital fellowship at University of Cincinnati. He is widely published, He’s an editor on the New England Journal of Medicine Journal Watch and has some ties to NIH and Department of Defense as well.
In this series we are going to talk about Pre-Hospital Medicine fellowships. There ar...
2020-02-1729 min