#424 Hotcakes: Transfusion in Acute MI, COVID-19 Rebound after Paxlovid, Every-other-day Iron Revisited, Oral Phenylephrine Doesn’t Work, and Stop Correcting Serum Calcium

Join us as we review recent practice-changing articles on transfusion thresholds in acute MI, COVID-19 rebound after treatment with ritonavir-boosted nirmatrelvir (PaxlovidTM), the prevalence of iron deficiency, as well as the debut of our new “corrections and omissions” section, in which we cover important knowledge updates on oral iron dosing and correcting serum calcium. And, find out why oral phenylephrine does not work and what you should prescribe instead for upper respiratory symptoms. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).

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Credits

Written, Produced, and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP

Cover Art: Matthew Watto MD, FACP

Reviewer: Rahul Ganatra MD, MPH

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

00:00 Introduction and Calcium Puns

03:11 Iron Deficiency and Iron Supplementation

12:20 Corrected Calcium

18:09 Virologic Rebound after nirmatrelvir/ritonavir (Paxlovid™)

32:09 Phenylephrine and its Ineffectiveness

37:00 Restrictive vs. Liberal Transfusion Strategy in MI (MINT trial)

49:20 Outro

Transcript Disclaimer

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