Hospital and Internal Medicine Podcast

By Gil Porat, M.D., FACP, CPT

What's Hospital and Internal Medicine Podcast about?

Intended for the medical professional who enjoys learning for the sake of it. Dr. Porat is a practicing Colorado Hospitalist and Board Certified in Internal Medicine.

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Hospital and Internal Medicine Podcast episodes:

01.27.2022
Heart Failure with Preserved Ejection Fraction (Diastolic CHF) and SGLT-2 Inhibitor Therapy
The double-blind, randomized phase III EMPEROR-Preserved trial showed a benefit of the sodium-glucose cotransporter-2 (SGLT2) inhibitor empagliflozin in patients with heart failure with preserved ejection fraction (HFpEF). Now let us dig a bit more into those headlines.
10.18.2021
Should You Postpone Interventions for INFECTED Necrotizing Pancreatitis?
An important recently published randomized control trial provides guidance on this controversy.
06.27.2021
Spontaneous Bacterial Peritonitis - Unique Infections in Cirrhosis part 2
06.15.2021
Unique Infectious Considerations in Cirrhosis - part 1
05.09.2021
Diabetic Gastric Emptying Abnormalities (and sometimes normal) - Part 1
Almost nobody feels comfortable managing DELAYED gastric emptying (gastroparesis) and very few medical providers even think about RAPID gastric emptying in their diabetic patients. Even if you send these patients to GI specialists, your blood sugar co-management of these patients...
05.08.2021
Gastric Emptying Abnormalities - Part 2
Can we trust a nuclear study to nail the diagnosis? Are motor abnormalities really the cause of symptoms? What is a POP procedure?
04.09.2021
Morphine for later stage COPD patients not on hospice
Does regular, low-dose, oral sustained-release morphine improve disease-specific health status or cause respiratory adverse effects in patients with moderate to very severe chronic breathlessness due to advanced chronic obstructive pulmonary disease? Digging in on the latest study.
04.05.2021
The JAMA controversy and loss of conversation in medicine
My take on what went down at the Journal of the American Medical Association. I disagree with the comment there isn't "structural racism in health care", but was the backlash against the Editor who didn't say it (and actually opposed...
03.06.2021
Cows Milk - Healthy or Not?
02.19.2021
Psilocybin Mushrooms - will they become an accepted medicine?
02.04.2021
Understand Basic Epigenetic Changes in Medicine and Everyday Life
This lecture provides a basic understanding of how epigenetic changes influence infections/sepsis, vaccinations, cancer, future generations, your muscles, and (of course) those sweet tan-lines you are rocking. Every day you are living through epigenetic changes that have huge implications on your...
12.23.2020
Hyponatremia etiology by history and physical
Hyponatremia remains a challenging topic for many because they are trying to memorize algorithms and numbers. You can usually nail the etiology by history & physical and a brief chart review.
12.02.2020
Cytokine Storm - part 1
If you use the term 'cytokine storm' and don't really know what you mean by it, you are far from unique. Let me help to try and clarify it for you just a bit.
12.02.2020
Cytokine Storm - part 2
Do you know what CRP is (other than saying it is an inflammatory marker)? Should we always shut down cytokines? If so, how? Why should we avoid giving a glucocorticoid to a COVID patient before they develop an elevated CRP...
11.30.2020
Covid Treatment (for Hospitalized Patients) Update
Dealing with hypoxia, anticoagulation, steroids, Remdesivir, VTE, self-proning, labs, plasma, etc. I do not get into the epidemic numbers or politics or vaccines or outpatient treatments (this is really a HOSPITALIZED TREATMENT discussion for frontline providers in hospitals). Some of what...
11.28.2020
The Most Important Person That Lived For Our Health and Wellbeing
Hint: That person died in 2017
08.13.2020
An (old) New Weapon to Fight Leg Cellulitis
04.28.2020
Acute Severe Hypertension - part 1
04.28.2020
Acute Severe Hypertension - part 2
Multiple treatment issues are discussed. This includes theoretical ideal blood pressure lowering rates, oral options (for hypertensive urgency and specific populations), intravenous options (for hypertensive emergency or NPO patients), specific issues with aortic dissection, coronary syndromes, acute pulmonary edema &...
04.27.2020
Acute Severe Hypertension - part 3
Did you know that intravenous labetalol and oral labetalol are not really similar? The great hydralazine debate. Things you must know about Clevidipine if you are going to use it.
04.25.2020
Acute Severe Hypertension - part 1
04.25.2020
Acute Severe Hypertension - part 4
Did you know systolic and diastolic blood pressure are NOT measured by automated BP cuffs? PRES (Posterior Reversible Encephalopathy Syndrome), also known as RPLS (Reversible Posterior Leukoencephalopathy Syndrome), is something you should recognize when you see it. Brief mentions of...
04.24.2020
A Plea For The Middle Ground With Covid19
04.23.2020
Interesting Studies, Facts, & Opinions - April 2020 edition
If you wonder why good food is more important than mortality and why ordering too many unnecessary consults worsens the food and doesn't impact mortality - this episode is for you. Tramadol is not well understood by many prescribers and...
04.23.2020
Balkan Reflections Forged By A Virus Lockdown
World War I was partly triggered by powerful allies of various nationalities being dragged into a Balkan conflict (nationalism, of course, was another major factor). The more recent Balkan conflict is even more preposterous - and here is my attempt...
12.10.2019
Recent Interesting Internal Medicine Studies and Facts - December 2019
Correcting Hypernatremia in adults (finally, a real study!). An option for that scary patient with hemoptysis. How many nephrons you have (and your patient has) - it matters.
09.30.2019
Anemia of Inflammation - finally understand this common anemia that accomplished doctors often can't explain
Anemia of Inflammation is also often referred to as Anemia of Chronic Disease. It is one of the most common anemias, yet often challenging to comprehend. This is an attempt is to try and simplify it.
09.30.2019
Anemia of Inflammation - part 2
If you know why red blood cells survive less (and are made less) during inflammatory conditions, and already know why ferritin increases in inflammation, and don't want to hear a lousy Iron Man plot idea - then you are good...
09.30.2019
Anemia of Inflammation - part 3
08.20.2019
Creatine - part 1
It occurs naturally in the body (because we synthesize it), it is in meat, and it is frequently used as a supplement. Since it is in you, why not understand what it is and what it does? Advice is provided...
08.06.2019
Creatine - part 2
The replenishing of muscle ATP is one (of the several) mechanisms that creatine helps with when it comes to heavy anaerobic exercise. Other topics discussed are things to know about lab testing the kidneys while taking creatine. Thoughts on why...
08.05.2019
Creatine - part 3
Is there a specific type of creatine to buy? What is creatine monohydrate? What is Creapure? What do some professional organizations have to say about the safety of creatine? The loading dose debate. Also dives into the several mechanisms of...
07.01.2019
Medicare for All? (or maybe you call it Universal Healthcare or Single-Payer)
Are you surprised that GoFundMe and crowdfunding are not the solution to a family healthcare crisis? How about Medicare for All? Hmmmm.....
04.08.2019
Part 5 of Muscle and Strength Gaining Tips - The Emotional Connection and Overcoming Temporary Pain
01.25.2019
Clostridium Difficile - part 1
A deceivingly difficult topic. Not so obvious points are made about asymptomatic carriers, transmission, and who to test.
01.23.2019
Clostridium Difficile - part 2
Specific initial treatment regimens are discussed. Topics include fulminant disease, Vancomycin, Fidaxomicin, Metronidazole, and recurrence rates/regimens.
01.23.2019
Clostridium Difficile - part 3
Many of the latest studies in the 2017-2018 timeframe are reviewed. The importance of looking at the eosinophil count on the CBC, probiotic future directions, microbiome transplant options, antibody treatment (bezlotoxumab), "penicillin allergic" patients, and a brief mention of available...
12.24.2018
Live From My Basement Bathroom
Experiences that taught me some lessons.
12.17.2018
Type 2 Diabetes Treatment - Part 7 - GLP-1 Agonists and DPP-4 Inhibitors
Glucagon-Like Peptide 1 (GLP-1) mimetics are also referred to as the GLP-1 receptor agonists. While this talk mostly focuses on GLP-1 mechanisms and actions, the hope is you will also better understand The Dipeptidyl Peptidase-4 (DPP-4) inhibitors The current GLP-1 Agonists...
09.26.2018
Type 2 Diabetes Treatment - Part 6 - SGLT2 Inhibitors
Sodium-Glucose Transporter 2 Inhibitors decrease glucose re-absorbtion. The diuretic effect, weight loss, DKA, cardiac outcomes, blood pressure, genital infections and a whole bunch of other information is discussed. SGLT2s include Canagliflozin (Invokana), Dapagliflozin (Farxiga), Empagliflozin (Jardiance), Ertagliflozin (Steglatro), with more to...
08.26.2018
Type 2 Diabetes Treatment - Part 5 - HgA1C
There is a lot more to understanding HgA1C then most realize (particularly the quality industry and big corporations).
05.27.2018
Type 2 Diabetes Treatment - Part 4 - Metformin
Tackles - Vitamin B12, kidney disease, CHF, cancer, Impaired Glucose Tolerance (IGT), dosing, side-effects, lactic acidosis, cost, drinkers, hypoxic patients, glucose lowering, and a few other moments of erudation.
05.16.2018
Type 2 Diabetes Treatment - Part 3 Glucagon
If you want to understand drug classes like DPP-4 inhibitors, GLP-1 (GLUCAGON-like peptide) therapies, treating hypoglycemia, and an important player among the many etiologies of Type 2 diabetes - then you must understand the basics about glucoagon.
05.16.2018
Tye 2 Diabetes Treatment - Part 3 Glucagon
If you want to understand drug classes like DPP-4 inhibitors, GLP-1 (GLUCAGON-like peptide) therapies, treating hypoglycemia, and an important player among the many etiologies of Type 2 diabetes - then you must understand the basics about glucoagon.
05.01.2018
Type 2 Diabetes Treatment - Part 2 - Reversing The Disease With Lifestyle Changes
05.01.2018
Type 2 Diabetes Treatment - Part 1
04.03.2018
Internal Medicine Pearls #5
Diuretic therapy for congestive heart failure treatment, antibiotics for diabetic osteomyelitis after foot surgery, and practical tips with new-onset seizures - is among the knowledge dropped (because, after all, school can't teach us everything).
02.01.2018
Some Recent Studies Worth Knowing About - February 2018
Some new stuff about Vitamin D & Calcium supplementation, another about the timing of hip fracture surgery, etc
12.22.2017
Forcing Atheist Doctors to Play With God
11.14.2017
Internal Medicine Pearls #4
Checking glucose levels in Type 2 Diabetes, ACE Inhibitors for women, and using Azithromycin in Asthma.

What's Hospital and Internal Medicine Podcast about?

Download our free app to listen on your phone

Hospital and Internal Medicine Podcast episodes:

Heart Failure with Preserved Ejection Fraction (Diastolic CHF) and SGLT-2 Inhibitor Therapy

Should You Postpone Interventions for INFECTED Necrotizing Pancreatitis?

Spontaneous Bacterial Peritonitis - Unique Infections in Cirrhosis part 2

Unique Infectious Considerations in Cirrhosis - part 1

Diabetic Gastric Emptying Abnormalities (and sometimes normal) - Part 1

Gastric Emptying Abnormalities - Part 2

Morphine for later stage COPD patients not on hospice

The JAMA controversy and loss of conversation in medicine

Cows Milk - Healthy or Not?

Psilocybin Mushrooms - will they become an accepted medicine?

Understand Basic Epigenetic Changes in Medicine and Everyday Life

Hyponatremia etiology by history and physical

Cytokine Storm - part 1

Cytokine Storm - part 2

Covid Treatment (for Hospitalized Patients) Update

The Most Important Person That Lived For Our Health and Wellbeing

An (old) New Weapon to Fight Leg Cellulitis

Acute Severe Hypertension - part 1

Acute Severe Hypertension - part 2

Acute Severe Hypertension - part 3

Acute Severe Hypertension - part 1

Acute Severe Hypertension - part 4

A Plea For The Middle Ground With Covid19

Interesting Studies, Facts, & Opinions - April 2020 edition

Balkan Reflections Forged By A Virus Lockdown

Recent Interesting Internal Medicine Studies and Facts - December 2019

Anemia of Inflammation - finally understand this common anemia that accomplished doctors often can't explain

Anemia of Inflammation - part 2

Anemia of Inflammation - part 3

Creatine - part 1

Creatine - part 2

Creatine - part 3

Medicare for All? (or maybe you call it Universal Healthcare or Single-Payer)

Part 5 of Muscle and Strength Gaining Tips - The Emotional Connection and Overcoming Temporary Pain

Clostridium Difficile - part 1

Clostridium Difficile - part 2

Clostridium Difficile - part 3

Live From My Basement Bathroom

Type 2 Diabetes Treatment - Part 7 - GLP-1 Agonists and DPP-4 Inhibitors

Type 2 Diabetes Treatment - Part 6 - SGLT2 Inhibitors

Type 2 Diabetes Treatment - Part 5 - HgA1C

Type 2 Diabetes Treatment - Part 4 - Metformin

Type 2 Diabetes Treatment - Part 3 Glucagon

Tye 2 Diabetes Treatment - Part 3 Glucagon

Type 2 Diabetes Treatment - Part 2 - Reversing The Disease With Lifestyle Changes

Type 2 Diabetes Treatment - Part 1

Internal Medicine Pearls #5

Some Recent Studies Worth Knowing About - February 2018

Forcing Atheist Doctors to Play With God

Internal Medicine Pearls #4

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