This is a discussion on the resurgent topic of Psychedelic Medicine. I talk with Dr. Ryan Patchett-Marble, a generalist physician with strong interest in addictions and mindfulness who has recently become interested in this emerging field.  Additional Info: Ryan and a patient he treated with Psilocybin:  https://nosm.brightspacestreaming.com/1/Watch/660834.aspx Resources PDF - https://genmed.libsyn.com/

Generalist Medicine Podcast (GEM) by Dr. Aaron Rothstein

GeM 64 Psychedelic Medicine ft. Dr Ryan Patchett-Marble

Let's talk about the hot topic of fever! We'll talk about why we get fevers, whether we should treat them, and different causes of fever including forms of hyperthermia. We'll also touch on special populations such as febrile neutropenia and febrile infants.

GeM 63 Fever

I am very excited to discuss Interventional Cardiology with my cousin Eric Rothstein who works at Dartmouth-Hitchcock Medical Centre in New Hampshire. We discuss the field of Interventional as well as some STEMI/Acute Coronary Syndrome insights, with a bit on stable ischemic heart disease and mechanical circulatory support.

GeM 62 Interventional Cardiology ft. Dr Eric Rothstein

I speak to Dr. Larry Wilms about a very fundamental topic that doesn't get much discussion in medical learning - Food and Nutrition. We discuss the things that are well established consensus in the field, why we get so confounded by nutrition research and fads, how to communicate the information to patients as well as some thoughts and ideas we have on the subject!  

GeM 61 Food and Nutrition ft. Dr Larry Wilms

I am joined by Dr. Josh Smith, an EM registrar in Dunedin, New Zealand, who discusses with me a basic approach to patients in the ER.  We talk about key principles including that patients often require early treatment before we have much information, that a disposition is often more important than a definitive diagnosis and that we should be considering life threatening diagnoses early in our assessment. We also touch on identifying sick patients, how patient scenarios can evolve, and ways to deal with uncertainty in medicine.    

GeM 60 ER Principles ft. Dr Josh Smith

We are joined by local family and ER physician Jesse Zroback to discuss his passion and excitement for Space! We talk about his recent work with Canadian Space Agency, becoming one of the final candidates to become Canada's 4th generation of astronaut, as well as more generally the concept of Space Medicine -  medical considerations in space, application to life on Earth, and a bit on the current climate around Space travel! 

GeM 59 Space Medicine ft. Dr Jesse Zroback

I had the opportunity to talk to Tonya Caylor, a family physician from Anchorage, Alaska with an inspiring interest in physician health. We talk about the important topic of Burnout as well as her interest in Coaching to help physicians in both their personal and professional lives. For more information on her, check out her site! https://www.joyinfamilymedicine.com/.

GeM 58 Burnout and Coaching ft. Dr Tonya Caylor

Lyrics: Necrotizing Fasciitis/Necrotizing Fasciitis/So much pain/ React or be slain/ Necrotizing Fasciitis Necrotizing Fasciitis/Dissolving don’t delight us/Pain out of proportion I need a limb abortion/All from a sore shin! I’m on the lookout when I see soft tissue/Is it going fast? Are you sick? I asked. It feels like’s it’s a shark beneath the surface/The fascia elevator is at their service! Oh no doc, is it do or die!?Why yes, TBH, lucky I’m your guy Piptazo, Vanco, Clinda after cultures/ toxins swarming like in, like mini super vultures What kinda mean bug got me through this wound?/First type’s a party cracking bubbly; stay tuned Type two a hitman - strep pyogenes on your knees/ Or maybe Vibrio from the ocean seas! Call the surgeon in the middle of the night/Hey good sir could you join the fight? What is the meaning of disturbing my slumber?/To Save a life. Glad you had my number! CHORUS When the surgeon arrives patient has less pain (of course)/ Is it effects of sepsis to the brain? When I push he jumps not off the stretcher/Cutaneous anaesthesia is a late sign, I conjecture! Youre a genius, hah, to the OR tomorrow!/Uhh good sir, but that could end in sorrow Perhaps you could deign to operate stat/Steel and faciotimy would save him like that (snap) We wheel him quickly down the hall/A little levofed makes his pressure not stall Cut the leg theres necrotic goo/ compartments are relieved two by two Thank you docs for saving my life/Everyone lauds you cept the ex-wife No problem, mr patient, thats what we do/Watch for nec fash with soft tissue! Ohhhh you got to save the day save the day save the day Ohhh do serial exams you ll save the save the day Ohhhh mr doctor got to save the day save the day save the day Ohhhh give good discharge instructions for red flagsssssss and you will save the day CHORUS!  

Bonus Song! Necrotizing Fasciitis

Let's talk about Necrotizing Soft Tissue Infections, including primarily the really scary one - Necrotizing Fasciitis!  This is a topic to constantly keep in the back of your head... to really save some lives.   Update Sept 7th: Made some modifications to the surgical segment thanks to Dr. Matt Strickland

GeM 57 Necrotizing Infections

A conversation with Dr. Adam Moir, a generalist physician in Dryden, Ontario and a personal mentor about Teaching in medicine. We have an off the cuff conversation on our experience in teaching, the reciprocity of teaching, some pearls, and what can be learned and gained doing it!

GeM 56 Teaching in Medicine ft. Dr Adam Moir

Discussion with our local GP Anaesthetist Dr. Cory McFarlane around the Covid situation in Northern Ontario, oxygen delivery in Covid, Airway considerations, approaches to various critical scenarios and a bit on treatment

GeM 55 Covid Airway in Rural Medicine ft. Dr. McFarlane

An unscripted, zany conversation with rural legend Mike Kirlew about airway and breathing ; ideas around who and how to intubate, who can be managed with Non-Invasive or High Flow, and about Ventilators

GeM 54 Airway Round 2 ft. Dr Mike Kirlew

We talk to rural family medicine resident Dr. Tiffany Desruisseaux about the new IDSA 2019 guidelines on community acquired pneumonia, atypical pneumonias, some great pharmacology and a brief tidbit on VAPI (vaping-associated pulmonary injury)

GeM 53 Pneumonia Round 2 ft. Dr Tiffany Desruisseaux

Let's talk about AKI and what it means, how it is diagnosed, some key points and pitfalls, and also some focus on key diagnoses.  Also: check out www.worrykit.com for our new Mental Health App. We are always looking for feedback and ways to improve it -- email me at gempodcast@gmail.com

GeM 52 AKI - Acute Kidney Injury

Fast Facts about Procedures Including: Pericentesis Thoracentesis Pericardiocentesis Lumbar Puncture Seldinger Technique eg: for Central Lines/ Pigtails Peri-Mortem C- Section ED Thoracotomy  

GeM 51 ER Procedures - Fast Facts

Generalist Med Podcast is an homage to the scope of practice in family/general practice. We will be trying to hit big topics so we can get a solid grasp as a learning resource.

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Generalist Medicine Podcast (GEM) by Dr. Aaron Rothstein

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