Hospital and Internal Medicine Podcast
Episodes
Recent Hyponatremia Correction Rate Data Is Becoming Harder to Ignore
20 Apr 2026
Contributed by Lukas
Multiple studies in multiple journals are going against the norms and previous guidelines. The times they are a changing.
In the COBRRA Trial Abixaban Kicked The Asssssth of Rivaroxaban
12 Apr 2026
Contributed by Lukas
For acute treatment of Venous Thromboembolism the debate of which direct oral anticoagulant to use appears to now be settled.
Heart Failure with Preserved Ejection Fraction (Diastolic CHF) and SGLT-2 Inhibitor Therapy
27 Jan 2022
Contributed by Lukas
The double-blind, randomized phase III EMPEROR-Preserved trial showed a benefit of the sodium-glucose cotransporter-2 (SGLT2) inhibitor empagliflozi...
Should You Postpone Interventions for INFECTED Necrotizing Pancreatitis?
18 Oct 2021
Contributed by Lukas
An important recently published randomized control trial provides guidance on this controversy.
Spontaneous Bacterial Peritonitis - Unique Infections in Cirrhosis part 2
27 Jun 2021
Contributed by Lukas
Unique Infectious Considerations in Cirrhosis - part 1
15 Jun 2021
Contributed by Lukas
Diabetic Gastric Emptying Abnormalities (and sometimes normal) - Part 1
09 May 2021
Contributed by Lukas
Almost nobody feels comfortable managing DELAYED gastric emptying (gastroparesis) and very few medical providers even think about RAPID gastric emptyi...
Gastric Emptying Abnormalities - Part 2
08 May 2021
Contributed by Lukas
Can we trust a nuclear study to nail the diagnosis? Are motor abnormalities really the cause of symptoms? What is a POP procedure?
Morphine for later stage COPD patients not on hospice
09 Apr 2021
Contributed by Lukas
Does regular, low-dose, oral sustained-release morphine improve disease-specific health status or cause respiratory adverse effects in patients with m...
The JAMA controversy and loss of conversation in medicine
05 Apr 2021
Contributed by Lukas
My take on what went down at the Journal of the American Medical Association. I disagree with the comment there isn't "structural racism in health car...
Cows Milk - Healthy or Not?
06 Mar 2021
Contributed by Lukas
Psilocybin Mushrooms - will they become an accepted medicine?
19 Feb 2021
Contributed by Lukas
Understand Basic Epigenetic Changes in Medicine and Everyday Life
04 Feb 2021
Contributed by Lukas
This lecture provides a basic understanding of how epigenetic changes influence infections/sepsis, vaccinations, cancer, future generations, your musc...
Hyponatremia etiology by history and physical
23 Dec 2020
Contributed by Lukas
Hyponatremia remains a challenging topic for many because they are trying to memorize algorithms and numbers. You can usually nail the etiology by his...
Cytokine Storm - part 1
02 Dec 2020
Contributed by Lukas
If you use the term 'cytokine storm' and don't really know what you mean by it, you are far from unique. Let me help to try and clarify it for you jus...
Cytokine Storm - part 2
02 Dec 2020
Contributed by Lukas
Do you know what CRP is (other than saying it is an inflammatory marker)? Should we always shut down cytokines? If so, how? Why should we avoid giving...
The Most Important Person That Lived For Our Health and Wellbeing
28 Nov 2020
Contributed by Lukas
Hint: That person died in 2017
An (old) New Weapon to Fight Leg Cellulitis
13 Aug 2020
Contributed by Lukas
Acute Severe Hypertension - part 1
28 Apr 2020
Contributed by Lukas
Acute Severe Hypertension - part 2
28 Apr 2020
Contributed by Lukas
Multiple treatment issues are discussed. This includes theoretical ideal blood pressure lowering rates, oral options (for hypertensive urgency and spe...
Acute Severe Hypertension - part 3
27 Apr 2020
Contributed by Lukas
Did you know that intravenous labetalol and oral labetalol are not really similar? The great hydralazine debate. Things you must know about Clevidipin...
Acute Severe Hypertension - part 4
25 Apr 2020
Contributed by Lukas
Did you know systolic and diastolic blood pressure are NOT measured by automated BP cuffs? PRES (Posterior Reversible Encephalopathy Syndrome), also k...
Interesting Studies, Facts, & Opinions - April 2020 edition
23 Apr 2020
Contributed by Lukas
If you wonder why good food is more important than mortality and why ordering too many unnecessary consults worsens the food and doesn't impact mortal...
Balkan Reflections Forged By A Virus Lockdown
23 Apr 2020
Contributed by Lukas
World War I was partly triggered by powerful allies of various nationalities being dragged into a Balkan conflict (nationalism, of course, was another...
Recent Interesting Internal Medicine Studies and Facts - December 2019
10 Dec 2019
Contributed by Lukas
Correcting Hypernatremia in adults (finally, a real study!). An option for that scary patient with hemoptysis. How many nephrons you have (and your pa...
Anemia of Inflammation - finally understand this common anemia that accomplished doctors often can't explain
30 Sep 2019
Contributed by Lukas
Anemia of Inflammation is also often referred to as Anemia of Chronic Disease. It is one of the most common anemias, yet often challenging to comprehe...
Anemia of Inflammation - part 2
30 Sep 2019
Contributed by Lukas
If you know why red blood cells survive less (and are made less) during inflammatory conditions, and already know why ferritin increases in inflammati...
Anemia of Inflammation - part 3
30 Sep 2019
Contributed by Lukas
Creatine - part 1
20 Aug 2019
Contributed by Lukas
It occurs naturally in the body (because we synthesize it), it is in meat, and it is frequently used as a supplement. Since it is in you, why not unde...
Creatine - part 2
06 Aug 2019
Contributed by Lukas
The replenishing of muscle ATP is one (of the several) mechanisms that creatine helps with when it comes to heavy anaerobic exercise. Other topics dis...
Creatine - part 3
05 Aug 2019
Contributed by Lukas
Is there a specific type of creatine to buy? What is creatine monohydrate? What is Creapure? What do some professional organizations have to say about...
Medicare for All? (or maybe you call it Universal Healthcare or Single-Payer)
01 Jul 2019
Contributed by Lukas
Are you surprised that GoFundMe and crowdfunding are not the solution to a family healthcare crisis? How about Medicare for All? Hmmmm.....
Part 5 of Muscle and Strength Gaining Tips - The Emotional Connection and Overcoming Temporary Pain
08 Apr 2019
Contributed by Lukas
Clostridium Difficile - part 1
25 Jan 2019
Contributed by Lukas
A deceivingly difficult topic. Not so obvious points are made about asymptomatic carriers, transmission, and who to test.
Clostridium Difficile - part 2
23 Jan 2019
Contributed by Lukas
Specific initial treatment regimens are discussed. Topics include fulminant disease, Vancomycin, Fidaxomicin, Metronidazole, and recurrence rates/regi...
Clostridium Difficile - part 3
23 Jan 2019
Contributed by Lukas
Many of the latest studies in the 2017-2018 timeframe are reviewed. The importance of looking at the eosinophil count on the CBC, probiotic future dir...
Live From My Basement Bathroom
24 Dec 2018
Contributed by Lukas
Experiences that taught me some lessons.
Type 2 Diabetes Treatment - Part 7 - GLP-1 Agonists and DPP-4 Inhibitors
17 Dec 2018
Contributed by Lukas
Glucagon-Like Peptide 1 (GLP-1) mimetics are also referred to as the GLP-1 receptor agonists. While this talk mostly focuses on GLP-1 mechanisms and a...
Type 2 Diabetes Treatment - Part 6 - SGLT2 Inhibitors
26 Sep 2018
Contributed by Lukas
Sodium-Glucose Transporter 2 Inhibitors decrease glucose re-absorbtion. The diuretic effect, weight loss, DKA, cardiac outcomes, blood pressure, genit...
Type 2 Diabetes Treatment - Part 5 - HgA1C
26 Aug 2018
Contributed by Lukas
There is a lot more to understanding HgA1C then most realize (particularly the quality industry and big corporations).
Type 2 Diabetes Treatment - Part 4 - Metformin
27 May 2018
Contributed by Lukas
Tackles - Vitamin B12, kidney disease, CHF, cancer, Impaired Glucose Tolerance (IGT), dosing, side-effects, lactic acidosis, cost, drinkers, hypoxic p...
Type 2 Diabetes Treatment - Part 3 Glucagon
16 May 2018
Contributed by Lukas
If you want to understand drug classes like DPP-4 inhibitors, GLP-1 (GLUCAGON-like peptide) therapies, treating hypoglycemia, and an important playe...
Type 2 Diabetes Treatment - Part 2 - Reversing The Disease With Lifestyle Changes
01 May 2018
Contributed by Lukas
Type 2 Diabetes Treatment - Part 1
01 May 2018
Contributed by Lukas
Internal Medicine Pearls #5
03 Apr 2018
Contributed by Lukas
Diuretic therapy for congestive heart failure treatment, antibiotics for diabetic osteomyelitis after foot surgery, and practical tips with new-onset ...
Some Recent Studies Worth Knowing About - February 2018
01 Feb 2018
Contributed by Lukas
Some new stuff about Vitamin D & Calcium supplementation, another about the timing of hip fracture surgery, etc
Forcing Atheist Doctors to Play With God
22 Dec 2017
Contributed by Lukas
Internal Medicine Pearls #4
14 Nov 2017
Contributed by Lukas
Checking glucose levels in Type 2 Diabetes, ACE Inhibitors for women, and using Azithromycin in Asthma.
Medical Podcasts, Skiing, and Imperfect Relationship Advice
04 Oct 2017
Contributed by Lukas
Patent Foramen Ovale Evaluation and Closure After a Stroke - part 2
26 Sep 2017
Contributed by Lukas
Patent Foramen Ovale Evaluation and Closure After a Stroke - part 1
22 Sep 2017
Contributed by Lukas
The Overhead Airplane Request for Medical Assistance - A No Win Situation
20 Sep 2017
Contributed by Lukas
A Severe Case of Healthcare Violence 2 Years Later
31 Aug 2017
Contributed by Lukas
Bedbugs 4 The Dark Night Returns
31 Aug 2017
Contributed by Lukas
Bedbugs 3 Live Free and Die Hard
10 Aug 2017
Contributed by Lukas
Bedbugs 2 Fast and 2 Furious
30 Jul 2017
Contributed by Lukas
Bedbugs - part 1
15 Jul 2017
Contributed by Lukas
Urine Drug Testing - Misinterpretation is Very Common
28 May 2017
Contributed by Lukas
You know all those people on social media wanting mandatory drug testing for welfare recipients? Perhaps, reasonable in theory, if the test wasn't fre...
The death of Chris Cornell and calling my doctor
22 May 2017
Contributed by Lukas
Internal Medicine Pearls #3
11 May 2017
Contributed by Lukas
A look at some new data: COPD and Oxygen use - low serum creatinine levels - BMI considerations - the RDW - the age of blood.
Let's do this! Simple changes to healthcare that nearly everyone can agree on.
30 Apr 2017
Contributed by Lukas
Vocational Confrontation and Political Rumination
05 Apr 2017
Contributed by Lukas
I'm a nerd looking at the world and shamelessly speaking my mind
07 Mar 2017
Contributed by Lukas
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 4
22 Feb 2017
Contributed by Lukas
Oxalate intake reduction, thiazide diuretics, and tamsulosin are some of the therapies discussed in this lecture.
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 3
15 Feb 2017
Contributed by Lukas
Stone analysis, labs, calcium & fluid intake, sodium in the diet, and beverage choices.
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 2
13 Feb 2017
Contributed by Lukas
A few words about the proximal ureter, I.V. Fluids, colic, and hematuria.
Renal and Ureteral Stones (Nephrolithiasis - Kidney Stones) - part 1
01 Feb 2017
Contributed by Lukas
This episode discusses symptoms, the importance of size, and a few other pearls.
Part 4 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners
29 Dec 2016
Contributed by Lukas
Lifestyle, carbohydrates, protein, and eccentric weight training are part of the focus of this sermon.
Part 3 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners
24 Dec 2016
Contributed by Lukas
This episode is part philosophy, part motivation, and a discussion of some traps men and women get caught in.
Part 2 of Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners
26 Oct 2016
Contributed by Lukas
Muscle and Strength Gaining Tips for Men, Women, Bodybuilders, and Beginners - part 1
21 Oct 2016
Contributed by Lukas
Pulmonary Embolism - Part 4
10 Oct 2016
Contributed by Lukas
The use of Inferior Vena Cava (IVC) filters and the length of anticoagulation in unprovoked DVT/PE are considered. A rant about hyper-coagulable panel...
Pulmonary Embolism - part 3 - Massive PE
29 Aug 2016
Contributed by Lukas
Understanding what causes hypotension in PE is essential to understanding the severity of the situation. The relevance of the stressed right ventricle...
Pulmonary Embolism - part 2
24 Jul 2016
Contributed by Lukas
The treatment challenges of subsegmental pulmonary embolism, with emphasis on the 2016 guidelines are reviewed. Ventilation/perfusion (V/Q) scan inter...
Pulmonary Embolism - part 1
03 Jun 2016
Contributed by Lukas
The topics covered are D-Dimer testing, false positive over-diagnosis of PE on CT scanning, the ADJUST-PE study, and clinical signs and symptoms of a ...
The Healthcare Consumer in a Fictitious Market
26 May 2016
Contributed by Lukas
A commentary.
Iron Deficiency Anemia - part 3
15 May 2016
Contributed by Lukas
Various topics regarding intravenous iron are pondered, especially some of the new data available that has not yet seemed to obtain the influence that...
Iron Deficiency Anemia - part 2
28 Apr 2016
Contributed by Lukas
This episode mostly centers around oral iron replacement.
Iron Deficiency Anemia - etiology and diagnosis
03 Mar 2016
Contributed by Lukas
Natriuretic Peptides in Congestive Heart Failure
14 Jan 2016
Contributed by Lukas
BNP use as a lab and therapeutic are discussed. The episode also explores the PARADIGM-HF trial and Neprilysin inhibition. The novel combination medic...
Healthcare Mergers and Acquisitions
08 Dec 2015
Contributed by Lukas
If you think the seismic shift in U.S. healthcare is all a result of the Affordable Care Act, you may not be seeing a large part of the picture. This ...
Acute Pancreatitis (part 3) - Pseudocysts, Pain Control, and a few other pearls
01 Oct 2015
Contributed by Lukas
This episode offers some advice in thinking about the very difficult topic of pancreatic pseudocysts. Some philosophical waxing about pain control and...
Acute Pancreatitis (part 2) - Severe Pancreatitis, Pancreatic Necrosis, Antibiotic & Surgical Considerations
23 Aug 2015
Contributed by Lukas
Imaging, fluid resuscitation, fine needle aspiration, determining sterile vs infected necrosis, and suggestions from the guidelines are discussed.
Acute Pancreatitis - part 1
29 Jul 2015
Contributed by Lukas
This episode addresses some of the debates regarding nutrition timing in acute pancreatitis. Methods such as nasogastric, nasojejunal, and oral feedin...
Hypercalcemia Treatment
08 Jun 2015
Contributed by Lukas
Treatments that include hydration, cinacalcet, calcitonin, bisphosphonate, denosumab, and other options are reviewed.
Hyperparathyroidism - Hypercalcemia part 3
06 Jun 2015
Contributed by Lukas
Indications for parathyroidectomy, pre-operative localization issues, diagnosing hyperparathyroidism, and a brief summary of the guidelines are among ...
Hypercalcemia - Clinical Symptoms and Diagnostic Testing
31 Mar 2015
Contributed by Lukas
Special attention is paid to gastrointestinal, bone, and cardiovascular disease as a result of hypercalcemia. Laboratory interpretation of calcium and...
Hypercalcemia etiology - Vitamin D, Calcium Supplements, Diuretics, Malignancy, Sarcoidosis, and other causes
10 Mar 2015
Contributed by Lukas
Memory - part 2 - Memory in disease and health
29 Dec 2014
Contributed by Lukas
Memory - part 1 - Memory in disease and health
21 Dec 2014
Contributed by Lukas
Ebola Virus Disease - part 3
31 Oct 2014
Contributed by Lukas
Ebola Virus Disease - part 2
30 Oct 2014
Contributed by Lukas
Ebola Virus Disease - part 1
29 Oct 2014
Contributed by Lukas
Hospital Credentialing
05 Oct 2014
Contributed by Lukas
Pneumonia part 5- Treatment of Healthcare Associated Pneumonia
14 Aug 2014
Contributed by Lukas
Pneumonia part 4 - Ventilator Associated Pneumonia Prevention
03 Aug 2014
Contributed by Lukas
Pneumonia- part 3- Legionella & Pseudomonas
18 Jun 2014
Contributed by Lukas
Pseudomonas aeruginosa and Legionella pneumophila bacterial lower respiratory tract disease are explored in depth.
Pneumonia - Part 2 - Pneumococcal Pneumonia
04 May 2014
Contributed by Lukas
Streptococcus pneumoniae is a frequent cause of pneumonia. What makes this organism unique? Listen and find out.
Pneumonia - Part 1
26 Apr 2014
Contributed by Lukas
Does the patient really have pneumonia? Differential diagnosis and mimics are considered in this common clinical problem. Dive deeper into how microb...
Acute Liver Injury From Drugs (other than acetaminophen)
06 Apr 2014
Contributed by Lukas
Hepatotoxicity from antibiotics, NSAIDs, dietary supplements and other sources are explored. Idiosyncratic drug induced immune related and non-immune ...