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    Health & Fitness

    Medgeeks with Andrew Reid

    Better health, with better science. Medgeeks teaches the mechanisms underlying chronic disease and the upstream drivers of health, translating the primary literature for clinicians and the curious.

    Subscribe for new podcasts covering nutrition, movement, sleep, mind-body health, metabolic medicine, and the systems approach to health optimization.

    Andrew Reid is the founder of Medgeeks, which has trained over 10,000 clinicians since 2013. This podcast is where his clinical work, primary literature deep dives, and self-experimentation become accessible to a broader audience.

    Andrew’s training:
    – Physician Assistant Program, University of California, Davis
    – MS in Physician Assistant Studies, AT Still University
    – MS in Personalized Nutrition, University of Connecticut
    – Graduate Certificate in Precision Nutrition, University of Connecticut
    – Didactics in Dietetics, California State University, Los Angeles

    Learn more about our resources at medgeeks.co

    Advertise
    • Apple Podcasts
    • Google Play
    • Spotify

    Latest Episodes:
    Orbital Cellulitis Oct 30, 2019
    Show notes

    Your next patient is an 8yo girl; her mother brought her to your office because she has a red painful left eye. Her mother believes this is "Pink Eye". There has been no drainage or any known exposure.

    On exam, you see a significant amount of edema and erythema of the upper and lower eyelids and the surrounding soft tissue. The patient's eye is effectively swollen shut and she is complaining of pain when you try to open the eye. However, you can see there is conjunctival injection.

    She has a low grade fever of 101.3, but otherwise she is non-toxic appearing and behaving normally.

    So what do you think is going on? How are you going to approach this patient's symptoms? Is the mother right about this being pink eye?

    Today, on the Medgeeks podcast, we'll be discussing acute eye complaints.

    We'll be discussing:

    • How to differentiate between Pre-septal and Periorbital Cellulitis.
    • What you'll see on your Physical Exam
    • How to treat orbital cellulitis

    -

    Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.

    This looks different to everyone, which is why we take such a personalized approach.

    Whether you want to ...

    • Stop taking your work home
    • Have the skillset to work autonomously
    • Improve your work life balance
    ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opportunities or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/application - Learn more about what we do here https://medgeeks.co/about-us

    - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

    https://www.facebook.com/groups/medgeeks

    - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.


    Approaching Vertigo! Oct 21, 2019
    Show notes

    A 43 year old male with a past medical history of hypertension, diabetes, and hyperlipidemia presents to the emergency department with dizziness that started 14 hours ago.

    He complains of nausea and vomiting.

    He denies recent trauma, fever, headache, visual disturbance, or weakness. He says he requires the assistance of his wife to walk because he feels unsteady.

    His symptoms are relieved when he sits down at rest, but they never fully resolve. When you speak to him, his symptoms looks a lot like vertigo.

    He tells you that his dad had vertigo and he would lay down and turn his head in different directions. But, you know this could be more serious than a simple case of BPPV.

    So, how are you going to approach this patient, to differentiate what's causing his symptoms?

    Today, on the Medgeeks podcast, we'll be discussing dizziness!

    -

    Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.

    This looks different to everyone, which is why we take such a personalized approach.

    Whether you want to ...

    • Stop taking your work home
    • Have the skillset to work autonomously
    • Improve your work life balance
    ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opportunities or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/application - Learn more about what we do here https://medgeeks.co/about-us

    - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

    https://www.facebook.com/groups/medgeeks

    - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.


    Mastoiditis Oct 16, 2019
    Show notes

    Ear pain!

    I see it almost every shift in the ED. Most of the time it is pretty routine stuff, otitis media, swimmer's ear, occasionally a foreign body in the case of some adventurous toddlers.

    Bottom line, not really emergencies, MOST OF THE TIME!

    But what happens when ear pain presents in a really sick patient, who's at risk for serious life threatening complications if they are not managed appropriately today, right now?

    Today on the Medgeeks podcast we're talking Mastoiditis!

    -

    Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.

    This looks different to everyone, which is why we take such a personalized approach.

    Whether you want to ...

    • Stop taking your work home
    • Have the skillset to work autonomously
    • Improve your work life balance
    ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opportunities or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/application - Learn more about what we do here https://medgeeks.co/about-us

    - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

    https://www.facebook.com/groups/medgeeks

    - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.


    Hypercalcemia Oct 07, 2019
    Show notes

    Your patient is furious!

    He showed up to your office this morning demanding to speak with you regarding his most recent lab results.

    You had seen him for a routine visit two days ago, and you haven't had a chance to review the results, that came in late last evening...

    ...but the patient had.

    While reviewing the labs through his patient portal, the patient noticed something that concerned him very much: he noted his calcium was elevated.

    Not knowing what that means, he did what any sensible person would do, he googled it and of course he found out that his high calcium is probably due to cancer.

    Yes, another diagnosis of cancer made by google!

    So, he's upset that he wasn't immediately called in for this, and instead had to figure this out on his own; this is no doubt driving much of his anger.

    Nonetheless, you better know what you're talking about, in this very important conversation you're about to have.

    So, today on the Medgeeks podcast, we'll be discussing hypercalcemia!

    -

    Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.

    This looks different to everyone, which is why we take such a personalized approach.

    Whether you want to ...

    • Stop taking your work home
    • Have the skillset to work autonomously
    • Improve your work life balance
    ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opportunities or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/application - Learn more about what we do here https://medgeeks.co/about-us

    - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

    https://www.facebook.com/groups/medgeeks - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.

    Ankle Injuries Sep 30, 2019
    Show notes

    Does every twisted ankle need to be imaged?

    Does a negative ankle x-ray mean there isn't any need for ortho followup?

    Does every ankle fracture need to be placed in a splint and made non-weight bearing?

    Today, we'll be discussing the high yield topics related to ankle injuries...as well as some clinical pearls, so you don't get burned!

    At the end, we'll be staring a question from one of our listeners, regarding thee DVT.

    -

    Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.

    This looks different to everyone, which is why we take such a personalized approach.

    Whether you want to ...

    • Stop taking your work home
    • Have the skillset to work autonomously
    • Improve your work life balance
    ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opportunities or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/application - Learn more about what we do here https://medgeeks.co/about-us

    - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

    https://www.facebook.com/groups/medgeeks

    - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.


    Croup Sep 23, 2019
    Show notes

    Your first patient of the morning is an 18 month year old female patient who's brought to the clinic by her mother.

    The chief complaint is cough and difficulty breathing. The patients mother states she was up all night due to the nearly constant coughing.

    On exam, the girl appears very fatigued. She has a pervasive non-productive barking cough. You also notice there is tachypnea and stridor.

    Her O2 saturation is 97% and her lungs are clear.

    So, what's the plan?

    Today on the Medgeeks podcast, we'll be discussing croup!

    If you work primary care, urgent care, pediatrics, or in the emergency departmeent, then you're bound to see this! It's common and most of the time it's not that big of a deal.

    But, when it is a big deal, it's a very big deal.

    Today we'll share:

    • How to recognize this disease process
    • How to know when it is a big deal

    At the end of the podcast we'll be answering a question from our listeners regarding hypertonic saline.

    -

    Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.

    This looks different to everyone, which is why we take such a personalized approach.

    Whether you want to ...

    • Stop taking your work home
    • Have the skillset to work autonomously
    • Improve your work life balance
    ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opportunities or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/application - Learn more about what we do here https://medgeeks.co/about-us

    - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

    https://www.facebook.com/groups/medgeeks

    - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.


    [part 2] Pulmonary Embolism Sep 17, 2019
    Show notes

    Today is part 2 of our discussion regarding pulmonary embolism!

    In part 1, we discussed the pathophysiology and presentation for pulmonary embolism. Today's episode will be focused more so on the workup of pulmonary embolism and how we're going to manage these patients.

    -

    Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.

    This looks different to everyone, which is why we take such a personalized approach.

    Whether you want to ...

    • Stop taking your work home
    • Have the skillset to work autonomously
    • Improve your work life balance
    ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opportunities or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/application - Learn more about what we do here https://medgeeks.co/about-us

    - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

    https://www.facebook.com/groups/medgeeks - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.

    [part 1] Pulmonary Embolism Sep 10, 2019
    Show notes

    A 29 year old female presents to the emergency room with chest pain and shortness of breath that started last night.

    The pain is located on her right anterior chest and she describes it as sharp and stabbing and is worse when she takes a deep breath.

    The EKG in triage shows she's in sinus rhythm at a rate of 114 without signs of ischemia.

    She appears anxious and when asked, she states she has a history of panic attacks. She denies cough, URI symptoms, back pain, fever, leg swelling. There has been no recent travel, no prolonged immobilization, but she does take birth control pills.

    How comfortable do you feel managing this patient?

    Today we'll be discussing pulmonary embolism!

    -

    Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.

    This looks different to everyone, which is why we take such a personalized approach.

    Whether you want to ...

    • Stop taking your work home
    • Have the skillset to work autonomously
    • Improve your work life balance
    ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opportunities or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/application - Learn more about what we do here https://medgeeks.co/about-us

    - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

    https://www.facebook.com/groups/medgeeks

    - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.


    Kidney stones Sep 04, 2019
    Show notes

    It's 7:30 am and a 55 year old male presents to your emergency department complaining of stabbing pain in his right side, which woke him up from sleep, about 20 minutes ago.

    As you walk into the room, you see him pacing around, clutching his side and slightly hunched over.

    He won't sit still and can barely complete a sentence before groaning from all the pain.

    He has a past medical history of hypertension and diverticulitis. He denies any associated symptoms and states yesterday he felt normal.

    The triage nurse obtained a urine sample showing hematuria. What do you do...?

    Today, we'll be discussing kidney stones and we will be answering a couple of your questions regarding acute kidney injury and post exposure prophylaxis after a needle stick.

    -

    Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.

    This looks different to everyone, which is why we take such a personalized approach.

    Whether you want to ...

    • Stop taking your work home
    • Have the skillset to work autonomously
    • Improve your work life balance
    ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opportunities or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/application - Learn more about what we do here https://medgeeks.co/about-us

    - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

    https://www.facebook.com/groups/medgeeks

    - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.


    The Neurological Exam Part 2 Aug 26, 2019
    Show notes

    Today, we'll be finishing up our discussion on the neurological exam. Last week, we talked about the cranial nerves and the motor exam.

    This week, for part 2, we'll be discussing reflexes and the sensory exam.

    At the end, I'll go over the flow I use in the emergency department. Afterwards, we'll be answering your questions about nystagmus and right ventricular MIs.

    -

    Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.

    This looks different to everyone, which is why we take such a personalized approach.

    Whether you want to ...

    • Stop taking your work home
    • Have the skillset to work autonomously
    • Improve your work life balance
    ...or anything in between, we can definitely help. We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here: https://www.medgeeksmentorship.co/opportunities or schedule a time to chat with our advisors here: https://www.medgeeksmentorship.co/application - Learn more about what we do here https://medgeeks.co/about-us

    - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:

    https://www.facebook.com/groups/medgeeks

    - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.


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