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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:
    Toxic Shock Syndrome Apr 12, 2019
    Show notes

    Today, we're going to talk about toxic shock syndrome.

    You're probably thinking this is the disease associated with tampons and menstrual cycles.

    Well, let me tell you it's not just menstrual cycle related. In fact, half of the reported case are not menstrual related.

    Regardless, when you hear toxic shock syndrome, get concerned and get worried. Hopefully, you won't ever have to make this diagnosis, as it's quite lethal.

    I've seen in one time so far in my career and the case didn't end well.

    So, let's get started!

    -

    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 Agitated Patient Apr 07, 2019
    Show notes

    You have a 54 year old male patient with a past medical history of schizophrenia, ETOH abuse, drug abuse (crack cocaine), hypertension, hyperlipidemia, and diabetes.

    He was brought in by police for aggressive behavior in public. The patient was roaming the street, yelling and banging on restaurant windows.

    Upon police arrival, the patient was awake and alert. However, he wasn't calm or cooperative; ultimately he required restraints by EMS.

    You're unable to get his vital signs due to his agitation.

    So, what would you do?

    Today, I want to discuss the agitated patient and how we should approach this scenario.

    -

    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.


    Tumor Lysis Syndrome Mar 28, 2019
    Show notes

    So, today's podcast topic is not a common one, but definitely an emergency when it walks through the door.

    I actually recently admitted a patient with tumor lysis syndrome to the ICU. This was a very interesting case because it was spontaneous and not following chemotherapy treatment.

    So, I thought it would be appropriate to touch on this and break the case down in today's podcast.

    -

    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.


    Managing Vaginal Bleeding Mar 22, 2019
    Show notes

    As I pick up more per diem shifts in the ER, I've been seeing more and more complaints of the dreaded vaginal bleeding.

    At first, I avoided these patients as much as I could, because this isn't your every day complaint in the ICU.

    I had no idea how to approach these patients - I mean the last time I did a speculum exam was when I was a student. So, I challenged myself to see more of these patients so that I could develop a good diagnostic algorithm and management plan.

    So now I wouldn't say I'm a pro, but at least I know the right history questions to ask, the correct exams to perform, and the diagnostics to order as to not miss any life threatening problems.

    Today, I want to discuss the approach to the vaginal bleeding patient:

    • What's normal bleeding?
    • What are the red flags for emergencies you don't want to miss?
    • What are the common causes?
    • What diagnostics are we ordering?

    Let's get into today's podcast!

    -

    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.


    Syncope: what is the approach? Mar 18, 2019
    Show notes

    Lately, I've been seeing a ton of patient's coming into the ER with a chief complaint of syncope.

    Today, I want to discuss an approach to the syncopal patient.

    I also want to get into:

    • Identifying the red flag emergencies
    • Common causes of syncope
    • What diagnostics need to be ordered

    Today, we have a 75 year old female with a past medical history of hypertension, hyperlipidemia, aortic stenosis, and diabetes.

    She comes in with a chief complaint of passing out suddenly as she was walking to the bathroom. She fell to the ground. But, luckily her son was there to help her before she did more damage.

    This was followed by immediate recover to her mental status baseline. Her son noticed she was in a normal state of healthy prior.

    No other associated symptoms.

    Today, let's get into how we would approach this patient.

    -

    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.


    Serotonin Syndrome Mar 07, 2019
    Show notes

    Today, we're going to discuss the last topic of the toxicology series and that's going to be serotonin syndrome.

    We have a 32 year old male with a past medical history of depression who presents with an intentional overdose of Zoloft.

    Per the family, the patient was found in his bedroom acting abnormal, and an empty bottle of Zoloft was found on the floor. His last known normal was when he got home at 3pm, which was about 4 hours prior to arriving to the ER.

    Vitals: 103.9 F, 130 HR, 110/78, and 96% O2 RA.

    On exam he was agitated and irritable. He was flushed and sweaty with dilated pupils. He also had this inducible ankle clonus along with hyperreflexia of the lower extremities.

    Serotonin Syndrome can be fatal, therefore you never want to miss this, and this should always be on the differential when a patient presents with altered mental status, agitation, and/or with some neuromuscular abnormality.

    So, let's dive in to todays lecture!

    -

    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.


    Anticholinergic Toxicity Feb 28, 2019
    Show notes

    Today, we're going to discuss anticholinergic toxicity.

    This is an important one as there are a ton of medications out there that have anticholinergic properties.

    We have a 75 year old female with a past medical history of Parkinsons, COPD, hypertension, and hyperlipidemia.

    She presents from a skilled nursing facility with altered mental status. Per the SNF, the patients baseline is alert and oriented x4 but does need assistance with ADLs.

    This morning the patient had intermittent agitation and was disoriented to self, place, and time.

    Patient had a temp of 102.3, HR 120, BP 130/89, RR 16, and 98% O@ RA.

    Of note, the patient has not urinated in over 12 hours. Per staff, she was seen yesterday for a low back musculoskeletal strain and was given flexeril and ibuprofen.

    Let's finish walking through this case together and discuss anticholinergic toxicity.

    -

    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.


    Tylenol Overdose Feb 21, 2019
    Show notes

    We have an 18 year old male with a past medical history of depression and anxiety who presents with remorse following an intentional ingestion of anything he could find in his parents medicine cabinet.

    He believes he took about a handful of tylenol tablets and thinks they were about 10 pills of 500 mg extended release tablets.

    It's the most commonly used fever reducing and pain control agent on the market.

    The most common cause of liver injury is drug induced, and half the cases, are due to Tylenol.

    This is why it's so important to know what to how to identify and manage these patients.

    So, let's dive in on learning about Tylenol overdose.

    -

    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.


    Acute Opioid Overdose Feb 15, 2019
    Show notes

    Over the next few weeks, I want to do a mini toxicology series. With the amount of new drugs and the amount of overdoses which are occurring, I think it's important for providers to know...

    • The clinical presentation
    • Diagnosis
    • Differential Diagnosis
    • Workup
    • Management

    ...for these critical patients.

    Today, we'll be discussing the acute opioid overdose. We'll go over a case, break it down by intro, etiology, clinical presentation, workup, diagnosis, differentials, and management.

    So, let's dive in!

    -

    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.


    Acute Pancreatitis Feb 08, 2019
    Show notes

    We have a 32 year old male with a past medical history of ETOH abuse (1 pint of vodka daily), ETOH related seizures, and hypertension.

    He presents with a complaint of severe epigastric pain and tenderness which started about a day ago and has progressively worsened over the day.

    The patient said he attempted to eat and drink this morning, but became nauseous and had one episode of non-bloody vomiting.

    The patient's last alcoholic drink was the night prior. He has no new medications.

    Vitals: 101.1F, HR 110, BP 89/68, 98% O2 sat RA.

    On exam, there is significant epigastric tenderness. But, no rebound or gaurding or peritoneal signs.

    Labs: WBC 15.4, H/H 15.7/43.5, platelets 188, BUN:Cr 10:1, Lipase is 2,806, and lactate of 10.3

    Electrolytes, bilirubin, LFT, triglycerides normal.

    Today, we'll be breaking down acute pancreatitis.

    -

    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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