An important recently published randomized control trial provides guidance on this controversy.

Hospital and Internal Medicine Podcast

Should You Postpone Interventions in INFECTED Necrotizing Pancreatitis?

Spontaneous Bacterial Peritonitis - Unique Infections in Cirrhosis part 2

Unique Infectious Considerations in Cirrhosis - part 1

Can we trust a nuclear study to nail the diagnosis? Are motor abnormalities really the cause of symptoms? What is a POP procedure? 

Gastric Emptying Abnormalities - Part 2

Almost nobody feels comfortable managing DELAYED gastric emptying (gastroparesis) and very few medical providers even think about RAPID gastric emptying in their diabetic patients. Even if you send these patients to GI specialists, your blood sugar co-management of these patients can be heavily impacted by these issues. Is delayed gastric emptying always a bad thing? When your patient has upper GI symptoms, how often is it a gastric emptying abnormality? Time for some answers.

Diabetic Gastric Emptying Abnormalities (and sometimes normal) - Part 1

Does regular, low-dose, oral sustained-release morphine improve disease-specific health status or cause respiratory adverse effects in patients with moderate to very severe chronic breathlessness due to advanced chronic obstructive pulmonary disease? Digging in on the latest study.

Morphine for later stage COPD patients not on hospice

My take on what went down at the Journal of the American Medical Association. I don't support the comment there isn't "structural racism in health care", but the backlash was an over-reaction. Can we have discussions about the controversial issues that affect healthcare (like gun violence or abortion) without cancel culture cancelling the people who want to have nuanced discussions? The backlash should have been productive dialogue in a field where every MD/DO/PA/NP by definition has an advanced degree. Nowadays the reaction is to go after the jobs of people that didn't even make the comment (even if they came out with statements opposing the comment).

The JAMA controversy and loss of conversation in medicine

Cows Milk - Healthy or Not?

Psilocybin Mushrooms - will they become an accepted medicine?

This lecture provides a basic understanding of how epigenetic changes influence infections/sepsis, vaccinations, cancer, future generations, your muscles, and (of course) those sweet tan-lines you are rocking. Every day you are living through epigenetic changes that have huge implications on your health and who you are.

Understand Basic Epigenetic Changes in Medicine and Everyday Life

Hyponatremia remains a challenging topic for many because they are trying to memorize algorithms and numbers. You can usually nail the etiology by history & physical and a brief chart review. 

Hyponatremia etiology by history and physical

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 just a bit.

Cytokine Storm - part 1

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 a glucocorticoid to a COVID patient before they develop an elevated CRP or hypoxia? So many questions! A few answers are provided. 

Cytokine Storm - part 2

Dealing with hypoxia, anticoagulation, steroids, Remdesivir, VTE, self-proning, labs, plasma, etc. I do not get into the epidemic numbers or politics or vaccines or outpatient treatments (this is really a HOSPITALIZED TREATMENT discussion for frontline providers in hospitals). Some of what is discussed is likely going to change over the next months, as has often been the case with COVID19.

Covid Treatment (for Hospitalized Patients) Update

Intended for the medical professional who enjoys learning for the sake of it. Dr. Porat is a practicing Colorado Hospitalist and Board Certified in Internal Medicine.

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Hospital and Internal Medicine Podcast

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