Science vs. Hospital Habit: Why We Ignore the Data on Salt, Fluids, and Metformin
More trials show low-salt diets and restrictive fluid strategies do not improve heart-failure outcomes, while another shows continuing metfo...
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Hospital and Internal Medicine Podcast
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.
Episodes
20 of 135 episodesElevated Lactate vs Lactic Acidosis: Words That Change Care And Outcomes
This episode clarifies the difference between an elevated lactate level (hyperlactatemia) and true lactic acidosis, which requires evidence...
When Stool Turns to Stone: Manually Disimpact Again or Buy Coca Cola? Fecalomas, Risks, and Treatments
Fecalomas—rock‑hard impacted stool that cause obstruction, stercoral colitis, perforation, and even death—most often in immobile elderly pat...
Does Mouthwash Cause Oral Cancer? Does Mouthwash Eliminate The Benefits of Exercise?
This episode examines the concerns about mouthwash and oral cancer. While ethanol can form the carcinogen acetaldehyde, how worried should w...
Recent Hyponatremia Correction Rate Data Is Becoming Harder to Ignore
Multiple studies in multiple journals are going against the norms and previous guidelines. The times they are a changing.
In the COBRRA Trial Apixaban Kicked The Asssssth of Rivaroxaban
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
The double-blind, randomized phase III EMPEROR-Preserved trial showed a benefit of the sodium-glucose cotransporter-2 (SGLT2) inhibitor empa...
Should You Postpone Interventions for INFECTED Necrotizing Pancreatitis?
An important recently published randomized control trial provides guidance on this controversy.
Spontaneous Bacterial Peritonitis - Unique Infections in Cirrhosis part 2
Intended for the medical professional who enjoys learning for the sake of it. Dr. Porat is a practicing Colorado Hospitalist and Board Certi...
Unique Infectious Considerations in Cirrhosis - part 1
Intended for the medical professional who enjoys learning for the sake of it. Dr. Porat is a practicing Colorado Hospitalist and Board Certi...
Diabetic Gastric Emptying Abnormalities (and sometimes normal) - Part 1
Almost nobody feels comfortable managing DELAYED gastric emptying (gastroparesis) and very few medical providers even think about RAPID gast...
Gastric Emptying Abnormalities - Part 2
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
Does regular, low-dose, oral sustained-release morphine improve disease-specific health status or cause respiratory adverse effects in patie...
The JAMA controversy and loss of conversation in medicine
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...
Cows Milk - Healthy or Not?
Intended for the medical professional who enjoys learning for the sake of it. Dr. Porat is a practicing Colorado Hospitalist and Board Certi...
Psilocybin Mushrooms - will they become an accepted medicine?
Intended for the medical professional who enjoys learning for the sake of it. Dr. Porat is a practicing Colorado Hospitalist and Board Certi...
Understand Basic Epigenetic Changes in Medicine and Everyday Life
This lecture provides a basic understanding of how epigenetic changes influence infections/sepsis, vaccinations, cancer, future generations,...
Hyponatremia etiology by history and physical
Hyponatremia remains a challenging topic for many because they are trying to memorize algorithms and numbers. You can usually nail the etiol...
Cytokine Storm - part 1
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 f...
Cytokine Storm - part 2
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 av...