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Reza

๐Ÿ‘ค Speaker
392 total appearances

Appearances Over Time

Podcast Appearances

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

It's crazy.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

That's what I think.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

But here's the real tension.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

Now we have to focus on the patient, right?

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

I don't know what I would do in this situation, Prof. Reyes, because I think that in order to get methemoglobinemia from raspberry case, you have a high pretest probability of being G6PD deficient.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

And methylene blue, which would be the treatment for methemoglobinemia, is contraindicated in patients with G6PD because they can actually make it worse.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

So I don't envy the situation that Dan is in because I think you have to decide, do you give this person methylene blue if they're at a high level or not?

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

And I think I'm crossing my fingers hoping the methemoglobinemia is less than 10% and we can just support this patient.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

But know in your back pocket, our favorite substance is the treatment for methemoglobinemia.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

But yeah, any thoughts or reflections on that, Professor, before we hand the mic to the guru here?

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

All right, Dan, tell us how wrong we are, please.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

uh i mean it uh this is you know a double trap like this so accurate so uh uh so presented that that you essentially brought us to the scene in a rapid response hectic situation ultimately teaching us i think in reinforcing the key principle which is like focus on the patient slow down don't go bonkers i think is uh just yeah it was a special hour i think this is unfortunately very counterproductive to the ultimate goal which is to try to inspire other people to join because i don't

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

think anybody cannot do this case.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

Mic to you, Dan.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

peak that was unbelievable i think you got your rheumatology wife like uh uh vying for a case of this uh cognitive magnitude that was really special uh thank you so much and i will cherish this for a long long long time and i'll be reading about two hours uh tomorrow morning because of you so thank you that was awesome

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

Probably two Middle Eastern hours.

The Clinical Problem Solvers
Episode 458 โ€“ A Case & The Book โ€“ Rabih and Reza discuss with Dr. Daniel Kelmenson, a patient with severe hypoxemia

Come up with whatever you want, man.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

Clinical Problem Solvers, our new book, will be out in a few weeks.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

There's three clinical problem solvers right now.

The Clinical Problem Solvers
Episode 456 โ€“ RLR โ€“ A moving target

Three of them.