Everyday Medicine

In this episode, Christopher Chiu speaks with Dr. Duncan Campbell, a Med-Peds trained primary care physician at Ohio State. They dive into Celiac disease with comprehensive insights into its diagnosis, prevalence, symptoms, and treatment. Learn about the recommended screening tests, the importance of a gluten-free diet, and how to manage and monitor patients effectively. This episode is perfect for medical professionals aiming to deepen their understanding of Celiac disease and provide better care to their patients.

00:00 Introduction to Everyday Medicine Podcast

00:42 Meet Dr. Duncan Campbell

01:19 Personal Connection to Celiac Disease

02:07 Understanding Celiac Disease

03:13 Prevalence and Risk Factors

04:23 Symptoms in Children and Adults

08:29 Diagnostic Testing for Celiac Disease

13:17 Treatment and Dietary Management

15:22 Monitoring and Follow-Up

17:43 Complications of Untreated Celiac Disease

22:00 Final Thoughts and Resources

In this episode of Everyday Medicine, host Dr. Christopher Chiu speaks with Dr. Dan Jonas, the Division Director of General Internal Medicine at Ohio State University, about screening for alcohol use disorder. The discussion covers the prevalence and impact of unhealthy alcohol use in the U.S., the importance of screening in primary care, and effective screening tools like the single alcohol screening question and the AUDIT-C. They also delve into the STUN (Stop Unhealthy Alcohol Use Now) trials, which explore strategies to improve the implementation of screening and brief counseling for alcohol use in primary care settings. Dr. Jonas emphasizes the significant benefits of these interventions and offers practical advice for integrating screening into routine patient visits.

00:00 Introduction to Everyday Medicine

00:32 Meet Dr. Dan Jonas

00:41 Understanding Alcohol Use Disorder

02:28 Screening Tools and Recommendations

06:25 Implementing Screening in Primary Care

08:24 The STUN Trials

13:33 Key Takeaways and Resources

16:42 Conclusion and Farewell

In this episode Christopher Chiu speaks with Dr. Harrison Jackson about diabetic retinopathy. The discussion focuses on the importance of screening for diabetic retinopathy to prevent vision loss, emphasizing ADA guidelines for patients with type 1 and type 2 diabetes. Dr. Jackson outlines common barriers to screening adherence and proposes solutions, including in-office retinal photography and artificial intelligence as promising tools to improve screening rates. The conversation provides insights on integrating these technologies into primary care to enhance patient outcomes.

00:00 Introduction to Everyday Medicine Podcast

00:36 Guest Introduction: Dr. Harrison Jackson

01:28 Understanding Diabetic Retinopathy

02:41 Screening Guidelines for Diabetic Retinopathy

03:55 Barriers to Screening Compliance

05:28 Effective Strategies for Screening

07:33 In-Office Retinal Photography

09:14 Cost and AI in Retinal Photography

10:15 Future of Retinal Screening and AI

15:15 Key Takeaways and Conclusion

In this episode of Everyday Medicine, Christopher Chiu is joined by clinical pharmacist Lindsey Lee, who provides an in-depth overview of PrEP (Pre-Exposure Prophylaxis), its effectiveness in preventing HIV, the populations that should be considered for PrEP, and the disparities in its usage. They discuss various PrEP medications, including oral options like Truvada and Descovy, and the injectable Apretude, addressing their indications, side effects, and monitoring requirements. Lee also talks about prescribing practices, counseling patients, and ensuring adherence to PrEP regimens, as well as resources for patients who face financial barriers to accessing PrEP. The episode highlights the importance of primary care physicians in managing and discussing PrEP with eligible patients.

00:00 Introduction to Everyday Medicine

00:53 Guest Introduction: Pharmacist Lindsey Lee

01:10 Understanding PrEP Therapy

01:34 Who Should Consider PrEP?

04:30 Oral Medications for PrEP

06:34 Injectable PrEP: Apretude

08:06 Baseline Labs and Monitoring

10:04 Counseling Patients on PrEP

15:11 Intermittent PrEP: The 2-1-1 Method

18:04 Affordability and Assistance Programs

19:03 Conclusion and Final Thoughts

In this episode of Everyday Medicine, hosted by Christopher Chiu, Dr. Paul Shaniuk discusses Point of Care Ultrasound (POCUS) during the Ohio chapter of the American College of Physicians' Annual Conference. Dr. Shaniuk, a hospitalist at the VA Northeast Ohio Healthcare System, explains POCUS, which is performed by clinicians at the bedside for real-time diagnostic interpretation. He describes the evolution and significance of POCUS compared to the traditional stethoscope. The conversation covers practical applications, including assessing dyspneic patients, cardiac evaluation, and volume status assessment, as well as the differences between POCUS and formal ultrasounds. Dr. Shaniuk also talks about how clinicians can obtain training and credentialing in POCUS, the integration of POCUS into daily practice, and the importance of developing robust POCUS programs within medical institutions.

00:00 Introduction to Everyday Medicine

00:37 Introducing Dr. Paul Shaniuk and POCUS

04:04 Practical Uses of POCUS in Hospital Medicine

08:05 POCUS in Outpatient and Primary Care

10:57 Training and Credentialing in POCUS

15:07 Building a POCUS Program

19:54 Final Thoughts and Takeaways

20:45 Closing Remarks

In this follow-up episode to ADHD diagnosis, Dr. Christopher Chiu interviews Dr. Stephen Koesters about treatment approaches for ADHD in both children and adults. They discuss pre-treatment assessments, non-medication strategies, medication options including stimulants and non-stimulants, and practical approaches to monitoring and managing treatment.

[00:01:24] - Discussion of pre-treatment assessments

[00:03:59] - Overview of non-medication treatment options

[00:08:24] - Introduction to medication categories (stimulant vs. non-stimulant)

00:09:00] - Detailed discussion of non-stimulant medications

[00:11:54] - Overview of stimulant medications

[00:17:07] - Discussion of medication formulations for young children

[00:20:44] - Follow-up care and monitoring

[00:23:16] - Discussion of drug screening and monitoring

[00:26:02] - Managing medication side effects

[00:29:27] - Discussion of drug holidays

[00:31:08] - Final management tips and pearls

Dr. Christopher Chiu interviews Dr. Stephen Koesters, an experienced internal medicine and pediatrics physician at Ohio State University, about ADHD diagnosis in both children and adults. They discuss the prevalence of ADHD, diagnostic criteria, assessment tools, and practical approaches to diagnosis in primary care settings.

[00:00:30] - Introduction of Dr. Stephen Koesters 

[00:01:40] - Discussion of what ADHD is and its neurochemical basis 

[00:02:44] - Overview of ADHD prevalence in children and adults

[00:04:14] - Discussion of adult ADHD recognition and diagnosis challenges 

[00:05:24] - Impact of undiagnosed ADHD on patients 

[00:06:37] - Core symptoms and diagnostic criteria 

[00:07:18] - Approach to diagnosis in children 

[00:09:57] - Overview of diagnostic tools and rating scales 

[00:12:18] - Detailed discussion of Vanderbilt forms 

[00:15:29] - Adult ADHD assessment tools (ASRS) 

[00:16:49] - Discussion of comorbid conditions 

[00:18:04] - Guidelines for referrals and neuropsychological testing

Dr. Christopher Chiu interviews Dr. Laura Bridge, a general internal medicine physician at Ohio State University with expertise in eating disorders, about weight stigma in healthcare and weight-inclusive medical care. They discuss the impact of weight stigma on patient health outcomes, the relationship between weight and health, and practical approaches to providing weight-inclusive care in primary care settings.

Time-Stamped Show Notes:

[00:00:39] - Introduction of Dr. Laura Bridge 

[00:02:07] - Beginning discussion of weight stigma 

[00:03:24] - Examination of correlation vs. causation in weight and health 

[00:05:59] - Discussion of effects of weight stigma on patients 

[00:07:50] - Explanation of weight cycling and its impacts 

[00:10:16] - Connection between weight stigma and disordered eating 

[00:11:59] - Healthcare providers' role in addressing weight stigma 

[00:17:03] - Overview of Health at Every Size (HAES) movement 

[00:19:46] - Final discussion of healthcare provider biases and impact

Dr. Christopher Chiu interviews Dr. Richard Wardrop III, a distinguished medical educator and immediate past program director at Cleveland Clinic, at the Ohio ACP regional meeting. They discuss the concept of high-value medical education, examining traditional practices, evidence-based approaches, and future directions for medical education. The conversation explores how to maximize educational value while considering resources, outcomes, and patient care.

[00:00:21] - Introduction at Ohio ACP regional meeting 

[00:02:26] - Discussion of high-value medical education concept 

[00:04:09] - Framework for assessing educational value 

[00:07:19] - Examples of low vs high-value educational practices 

[00:09:43] - Discussion of "zombie practices" in medical education 

[00:11:22] - Overview of Wardrop's Maxims 

[00:14:01] - Analysis of "Choosing Wisely" campaign effectiveness

[00:16:40] - Discussion of successful system-level changes 

[00:18:15] - Future priorities for medical education

In this episode of Everyday Medicine, Dr. Christopher Chiu discusses The Ohio State University's Internal Medicine Primary Care Track with Dr. Mark Troyer, Associate Program Director. They explore the unique aspects of the primary care track, its curriculum structure, training opportunities, and how it differs from the categorical residency program. Dr. Troyer shares insights about the program's emphasis on outpatient care, community building, and preparation for various career paths in medicine.

[00:00:29] - Introduction and context of primary care track discussion 

[00:01:10] - Dr. Troyer's background and experience in global health 

[00:02:59] - Explanation of primary care track structure 

[00:04:39] - Comparison with categorical residency program schedule 

[00:07:11] - Discussion of training experiences and opportunities 

[00:10:59] - Overview of scholarly work and academic opportunities 

[00:13:10] - Special training opportunities (gender affirming care, women's health) 

[00:15:35] - Discussion of urban, suburban, and rural health experiences 

[00:17:36] - Career paths and achievements of program graduates 

[00:21:05] - Program's approach to patient care and decision-making 

[00:22:06] - Flexibility in career choices for track graduates 

[00:23:57] - Closing thoughts and resources for prospective students