On Medical Grounds

Today On Medical Grounds, we will be speaking with Dr. Matt Binnicker, Director of Clinical Virology at Mayo Clinic about bird flu. Highly pathogenic avian influenza viruses have been detected in wild aquatic birds, commercial poultry, and backyard flocks beginning around January 2022 in the U.S. To date, over 100,700,000 birds have been affected. Recently, cases of bird flu have been detected in 171 dairy herds, and there have been 13 reported human cases in the U.S. There have also been human cases reported overseas. Dr. Binnicker joins us to share his knowledge of bird flu, vaccines, and whether we need to be concerned about a new pandemic.

(00:09) Introduction to Dr. Binnicker
(01:12) Introduction to bird flu
(03:57) Morphology and rapid mutation of avian influenza
(06:47) The problem with pigs
(09:23) Human concerns
(11:11) Transmission through raw milk
(13:33) Developing a lab test for H5 avian influenza
(17:15) H5 vaccinations and vaccine availability
(20:33) Role of climate change in a future avian influenza pandemic
(22:27) What keeps Dr. Binnicker up at night

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Today On Medical Grounds, we will be speaking with Dr. Jon Temte about the alarming rise in measles infections in the United States. Dr. Temte is Professor of Family Medicine at the University of Wisconsin School of Medicine and Public Health. Back in 2000, he was part of an expert panel that concluded that measles were eliminated in the United States. That same expert panel recertified measles elimination in 2011. Dr. Temte also chaired the advisory committee on immunization practices, which issued a report in 2013 for the prevention of measles, rubella, congenital rubella syndrome, and
mumps.

We will discuss the current measles outbreak in the U.S., the scarcity of healthcare providers that have actually seen a case of measles, short and long-term complications, and some interesting information about the measles vaccine. Dr. Temte also shares his personal worries as someone who has seen both the elimination of measles and its rampant spread.

(00:12) Introduction
(01:16) CDC measles emergency warning
(02:35) Measles symptoms
(06:42) Short and long-term effects
(08:27) Children and adult vaccination status
(09:49) U.S. measles elimination status
(10:42) Eradication vs. elimination
(14:38) Herd immunity
(17:17) False sense of security
(18:23) Vaccine hesitancy and autism
(19:48) How to address vaccine hesitant patients
(21:21) Older adults needing boosters
(24:19) Dr. Temte's worries and closing thoughts

Visit us at OnMedicalGrounds.com for more podcasts or download our app! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.
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Today On Medical Grounds, we are speaking with Dr. Mona Sarfaty, founding Executive Director and now Emeritus Executive Director of the Medical Society Consortium on Climate and Health. Dr. Sarfaty is with us to discuss the effects of climate change on health. Importantly, she provides information and resources for healthcare providers, hospitals, and individuals to combat climate change both within the realm of healthcare and individually.

(01:13) Introduction to Dr. Sarfaty
(02:48) Climate change and disparities
(03:46) Individual and societal changes that can impact health
(07:51) Legislative efforts for climate change
(12:27) Medical Society Consortium on Climate and Health 
(16:46) Hospital and institutional resources
(22:26) What can we do right now?

Visit us at OnMedicalGrounds.com for more podcasts or download our app! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.
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Today On Medical Grounds, we will be speaking with return guest Dr. Christopher Colbert, Emergency Medicine physician with the University of Illinois at Chicago, about sexually transmitted infections (STIs), diagnostics in the emergency department (ED), and healthcare disparities. 

Active in all forms of digital media, Dr. Colbert also shares his thoughts on having a digital presence as a physician, and the use of new forms of media for medical education. In his many roles at UIC, as an Assistant Program Director for the Emergency Medical Residency Program and Professor of Clinical Emergency Medicine, and as Chairperson of Continuing Medical Education at the American College of Osteopathic Emergency Physicians participating in the Virtual Grand Rounds program, Dr. Colbert has direct insight into the use of digital media to educate and raise public awareness about healthcare.

(00:07) Introduction to Dr. Colbert
(01:36) ACOEP Virtual Grand Rounds
(03:37) Osteopathic and allopathic medicine
(06:39) STIs on the rise
(08:06) STIs in the ED
(09:42) STI standards of care
(10:33) STI resistance
(13:28) STI diagnostics
(18:02) Disparities in the ED
(19:53) Role of education in STI prevention and treatment
(20:49) Role of digital media in medical education
(21:31) What is a "digital presence" for a physician?
(23:17) Staying positive in an online world
(24:50) Role of podcasts and other digital media in education
(25:38) Emerging trends in the ED, the silver lining of misinformation
(27:20) Dr. Colbert's upcoming panel on healthcare messaging

Visit us at OnMedicalGrounds.com for more podcasts or download our app! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.
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In the words of our host, Dr. Jane Caldwell, "If I were to choose two words to describe medicine in 2023, they would be REMOTE and FAST."

New drugs to slow Alzheimer’s progression, mRNA technology used in cancer vaccines, rapid point-of-care molecular testing—tests which give results while the patient is still in the clinic, and diabetes medications turned into weight loss drugs. These are some of the topics we’ll be discussing today as the top medical stories of 2023.

Visit us at OnMedicalGrounds.com for more podcasts or download our app! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.
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Today On Medical Grounds we will be speaking with Dr. Heather Whitley for part two of our discussion. Dr. Whitley is a Clinical Professor in the Department of Pharmacy Practice at the Auburn University Harrison College of Pharmacy. She is a Board Certified Pharmacotherapy Specialist and a Certified Diabetes Educator. Earlier this year, Dr. Whitley spoke with us about screening for diabetes in high-risk individuals. Dr. Whitley is well published—predominantly in diabetes related research.

In part 1 we explored options for patients with diabetes who can’t obtain their GLP-1 receptor agonist drugs due to a nationwide storage. In part 2 we expand this conversation by bringing in the concept of pharmacy deserts and the pharmacist’s role in patient care.

Dr. Whitley has provided us with two websites that can be used by patients to determine whether there is a shortage of their medications:

FDA Drug Shortages
https://www.fda.gov/drugs/drug-safety-and-availability/drug-shortages

 ASHP Current Drug Shortages
https://www.ashp.org/drug-shortages/current-shortages

(00:22) General drug shortages
(03:09) What drugs are currently in short supply?
(04:46) What can patients do about shortages?
(07:40) Ideas to boost supply
(09:34) Pharmacy deserts
(14:23) Amazon Pharmacy: friend or foe
(15:40) What can pharmacists do for patient care?

Visit us at OnMedicalGrounds.com for more podcasts or download our app! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.
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Today On Medical Grounds, we will be speaking with Dr. Heather Whitley. Dr. Whitley is a clinical professor in the Department of Pharmacy Practice at the Auburn University Harrison College of Pharmacy. She is a board certified pharmacotherapy specialist and a certified diabetes educator.

 Earlier this year, Dr. Whitley spoke with us about screening for diabetes in high-risk individuals. Today, she is back to talk about some new things going on in the diabetes and pharmacy world. This is part 1 of a two part series. In Part 1, Dr. Whitley will be discussing shortages in GLP-1 agonist drugs for diabetes and what pharmacists can do to address those shortages.

Dr. Whitley recently published a paper in Clinical Diabetes about this topic:
Special Report: Potential Strategies for Addressing GLP-1 and Dual GLP-1/GIP Receptor Agonist Shortages

(00:09) Introduction to Dr. Whitley
(01:08) Publication on strategies for GLP-1 and GLP-1/GIP shortages
(02:36) GLP-1 and GLP-1/GIP agonists, names, and dosing
(04:15) Why are there shortages?
(08:52) Alternatives
(10:11) What happens if a patient misses a dose?
(12:19) Re-initiation of medications
(14:51) GLP-1 agonist equivalency
(15:31) Substituting SGLT2s
(17:16) Self-sourcing or online sourcing problems
(21:51) Managing patient expectations and concerns

Visit us at OnMedicalGrounds.com for more podcasts or download our app! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.
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Wondering why you have symptoms but are still testing negative for COVID?

Today On Medical Grounds, we are speaking with Dr. Jennifer Frediani. Dr. Frediani is an assistant professor at the Nell Hodgson's Woodruff School of Nursing at Emory University in Atlanta, Georgia. She is the lead author on a recent article published in Clinical Infectious Diseases entitled, “The New Normal: Delayed Peak SARS-CoV-2 Viral Loads Relative to Symptom Onset and Implications for COVID-19 Testing Programs.” Dr. Frediani is going to explain her findings and how the changes in COVID viral loads may be affecting home COVID tests. She will also tell us her ideas about what we can do to make sure we are testing the right way to catch positives.

(00:12) Introduction to Dr. Jennifer Frediani
(00:58) Dr. Frediani's study hypothesis
(01:48) Study testing
(03:08) Study population
(04:28) Study results
(05:28) Low viral loads and contagious period
(06:52) Do we need to change how we test at home?
(07:42) Expense of home tests
(08:58) Public education on viral delay and testing
(09:36) Is COVID the new normal?
(10:13) Can we handle the next pandemic?
(11:17) Lifestyle factors that affect infectious diseases

Visit us at OnMedicalGrounds.com for more podcasts or download our app! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.
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Welcome to OMG Medical History, a short podcast from On Medical Grounds where we talk about interesting topics and events in medical history. Today's episode covers the dreaded flu, also known as influenza, Plu, the Cough of Pernithus, and a pestilential catarrh, among other names over the centuries. We will discuss the earliest possible mentions of the flu all the way through the great 1918 Spanish Flu pandemic and beyond. Join us to learn about how the flu was seen throughout history and how it was first discovered to be a contagious virus.

Voice/Host:
Hyda-James Hill

Visit us at OnMedicalGrounds.com for more podcasts or download our app! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.
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Joe Sutter, an 82 year old widower, cancer survivor, and avid bird watcher, collapses at home. His daughter and son-in-law find him on the floor, mumbling, with changes to his vision. Using lab results and patient presentation, can you figure out what is wrong with Joe before the doctor does? A word of warning... it may not be as simple as you think.

This Medical Mystery Case is accredited for one hour of FREE continuing education credit for physicians, nurses, respiratory therapists, and laboratory professionals. To recieve credit for this program, please visit the link below, review the additional material, and then click CME/CE to fill out an evaluation and get your certificate.

https://www.onmedicalgrounds.com/PremiumContent/ABirdsEyeView

This continuing medical education program is supported by Siemens Healthineers. 

Content was developed by Medavera, Inc. for distribution on the On Medical Grounds podcast.

Voice actors
Narrator: Carrie Vause
Joe Sutter:  Mark Gideon
Sue Franklin:  Annie Crumbaugh
Mike Franklin: Hyda-James Hill
Dr. Chen, ED physician: Keong Sim
Mia, ED Nurse: Beth Domann

Visit us at OnMedicalGrounds.com for more podcasts or download our app! You can subscribe through your podcast platform, our website, or follow us on social media for podcast updates and medical news. Some of our podcasts offer FREE CME/CE credits.
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