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Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast talks with RTL host Blake Smith in a two-part series focused on Med Ed. This first episode caters to early trainees and Navin takes listeners through his journey with medical education from his early days as a medical student. The episode walks through Navin's many pearls on becoming involved in Med Ed, including: 1) start early & often, 2) say yes, and 3) practice your skills (informally & formally). Stay tuned for part 2, which will focus on later trainees!
Dr. Daniela Lamas, an Instructor in Medicine at Harvard Medical School and an attending physician in Pulmonary and Critical Care Medicine at Brigham and Women’s Hospital chats with Blake Smith (host) about a career in Pulm/CCM. They talk together about the field of Pulm/CCM at large - from outpatient pulmonary clinic (COPD, asthma) to the ICU - in addition to sub-specializing in specific genetic diseases (CF), lung transplants, or interstitial lung diseases. They also talk about what it's been like to be an intensivist during the pandemic as a clinician at the bedside, navigating difficult conversations with families in new formats. They discuss Dr. Lamas’
love of writing as an outlet for patient care in the hospital, and how she serves as a guest contributor to prominent publications, is a writer on the medical TV show “The Resident”, and author of a newly-published book.
You can find some of her guest essays in the New York Times here: https://www.nytimes.com/by/daniela-j-lamas
Dr. Morgan Soffler, a Pulmonologist and ICU intensivist at Beth Israel Deaconess Medical Center (BIDMC), and an Assistant Professor at Harvard Medical School, continue a discussion of a patient with hypoxia in the setting of acute respiratory distress (from Ep. 73) with RTL host, Dr. Navin Kumar. Together, they talk through ARDS definition, etiology, pathophysiology, and ventilatory support.
Dr. Morgan Soffler, a Pulmonologist and ICU intensivist at Beth Israel Deaconess Medical Center (BIDMC), and an Assistant Professor at Harvard Medical School, discusses a case of a patient with hypoxia in the setting of acute respiratory distress with RTL host, Dr. Navin Kumar. Dr. Soffler begins with a broad differential and provides a framework of timing, tempo, and medical history, along with labs and imaging, to sift through the myriad causes of hypoxia. Together, they walk through different forms of respiratory support and when to escalate this support for patients on the wards.
Dr. Brady, an ICU intensivist and the director of the critical care medicine clerkship at Beth Israel Deaconess Medical Center (BIDMC), discusses vasopressors and inotropes with RTL host, Dr. Navin Kumar. Together, they use the previous episode's (Ep. 71: Approach to Shock) case of an elderly patient with suspected distributive shock secondary to urosepsis as a framework to approach pressor requirements. Dr. Brady walks through establishing access, how to choose a pressor based on adrenergic physiology, and emphasizes when to take a diagnostic timeout in the ICU.
Dr. Brady, an ICU intensivist and the director of critical care medicine at Beth Israel Deaconess Medical Center (BIDMC), explains how to categorize the four major types of shock with RTL host, Dr. Navin Kumar. Together, they discuss a case of an elderly patient with suspected urosepsis and walk through how to reconcile a patient’s history, physical exam, and lab findings along with the ongoing clinical picture. They touch on key decision points for patients in the ICU and end with some clinical pearls on shock management.
Dr. Walker, a Pulmonologist and Critical Care specialist at Brigham and Women's Hospital, explains how she diagnoses and manages COPD. They help breakdown a number of topics, including PFTs, severity classification, principles of outpatient and inpatient management, and how to talk about prognosis with your patients.
Dr. Jefferson, an Assistant Professor of Pediatrics in the division of Allergy & Immunology and bioethicist at the University of Arkansas for Medical Sciences, discusses the care of both pediatric and adult patients with asthma with host Dr. Walker Redd. Together, they define asthma and cover its triggers, diagnosis, and stepwise therapy plans. They also discuss how upstream factors - from environmental exposures to housing issues - can both exacerbate and affect access to appropriate care for patients with asthma.
In this episode, host Joyce Zhou speaks with Dr. Jeremy Richards, a pulmonologist and critical care physician at the Beth Israel Deaconness Medical Center (BIDMC) and a medical educator who teaches the introduction to cardiopulmonary physiology course at Harvard Medical School. He grounds his framework for this common presenting concern in physiology and uses a case to discuss his take on diagnostic approaches.
Dr. Sigal Yawetz, an infectious disease attending physician and medical educator at Brigham and Women’s Hospital chats with Blake Smith (host) about a career in infectious diseases. They talk together about the field of ID at large, in addition to sub-specializing, with a focus on the HIV patient population. Dr. Yawetz also comments on what it has been like living through two viruses that have shaped the globe - HIV and COVID - all through the lens of being an ID physician. The episode closes with Dr. Yawetz's pearls on how to think about choosing a medical specialty and why ID is a wonderful choice for students interested in continually thinking about all fields of medicine.
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