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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:
    Peritonsillar Abscess Nov 23, 2018
    Show notes

    I was doing some moonlighting the other week, and I had a textbook case walk through the door. However, it's a case that doesn't walk through the door all too often.

    I had a 63 year old male with a history of hypertension and type 2 DM who presented with sore throat x 5 days. He denies shortness of breath and chest pain.

    Vitals revealed normal temperature, HR 95, BP 145/80, and O2 sat 98% RA.

    At first, I was thinking this is likely a simple URI and was ready to give tylenol for pain coupled with a prescription for rest and fluids.

    As I walked in to greet the patient, I noticed there was clearly something wrong. He responded with a muffled voice as if he had a potato in his mouth.

    So I did my exam...

    ...I'm excited to share this case with everyone and I hope you enjoy!

    -

    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.


    Influenza: just the facts Nov 15, 2018
    Show notes

    It's that time of year ago and our little viral friend is quickly gracing us with it's presence.

    As of November 2nd, the CDC informed the community that influenza activity is low, however there have been small increases of activity seen over the prior week.

    So, it's coming...

    The three main strains seen are influenza A H1N1, influenza A H3N2, and influenza B.

    We'll do a quick review in just 5 minutes. Nothing but the facts today.

    -

    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.


    Hyperparathyroidism Nov 08, 2018
    Show notes

    Hyperparathyroidism is one of those topics that is confusing, as it has primary, secondary, or tertiary causes.

    There are PTH, phosphate, calcium, and vitamin D levels.

    To be honest, it can get confusing. But, if you can understand the pathophysiology behind it all, then it will help you understand the labs and will help you come to the diagnosis.

    So, let's dive right 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.


    Hyponatremia Nov 01, 2018
    Show notes

    Today, we're going to do a quick systematic review of hyponatremia.

    If you're one of the few who know all the causes and correlating serum osmolality, urine osmolality, urine sodium values, and corresponding treatments - then this podcast is not for you lol.

    But, for those who struggle with hyponatremia, like I do at times, then have a listen as I break this down this complicated topic for you.

    After this podcast, you'll feel a lot more comfortable when a patient comes in with hyponatremia.

    -

    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.


    Hypertensive crisis Oct 25, 2018
    Show notes

    It's Monday morning and your first patient on your schedule comes in with one day of shortness of breath.

    The MA checks the vitals and says, "the patient's blood pressure is a little high at 220/110".

    The patient is a 55 year old male with a history of hypertension, hyperlipidemia, and heart failure with a preserved EF.

    So, what would be your next step?

    Today, we're going to talk hypertensive urgency and the management of 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.


    Lymphomas Oct 18, 2018
    Show notes

    Today, we are going to do a quick systematic review of lymphomas: Hodgkin and non-Hodgkin lymphomas.

    I'm pretty sure after school, all I knew about this topic was that reed sternberg cells were associated with Hodgkin lymphoma.

    Maybe you're in the same boat. But, hopefully after todays podcast, you'll feel much more comfortable with this.

    -

    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 video 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.


    Pain, anxiety, agitation, and delirium Oct 11, 2018
    Show notes

    One of the most common issues I face are patients who have pain, anxiety, agitation, and delirium; sometimes all of them at once.

    Let's say we have a 75 year old female patient with a past medical history of dementia, chronic back pain with radiculopathy, CAD status post CABG, heart failure with a reduced EF, and ESRD on hemodialysis.

    She's on opiates, as well as on a neuropathic pain medication.

    The patient was brought into the ICU for septic shock due to UTI. She required pressors and also has acute decompensated CHF and acute on chronic renal failure due to the infection.

    Today we are going to discuss the pharmacology of medications used for pain, anxiety, agitation, and delirium.

    We'll touch on:

    • Fentanyl
    • Dilaudid
    • Morphine
    • Propofol
    • Dexmedetomidine
    • Benzodiazepines
    • Haloperidol
    • Quetiapine

    -

    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 video 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.


    Altered mental status Oct 04, 2018
    Show notes

    Lets talk about the approach to the patient that presents to the hospital with altered mental status.

    This is a very common presentation that I see often - whether I'm in the emergency room, step down, or ICU.

    The etiologies can be endless. But, the goal after today's podcast, is to arm you with an algorithm to narrow in on that etiology.

    Enjoy!

    -

    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 video 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.


    Intubating the asthmatic Sep 20, 2018
    Show notes

    You're asked to see a 22 year old female with a past medical history of asthma who presents to the emergency room with increasing shortness of breath, chest tightness, and wheezing.

    Over the past 24 hours she's been non-responsive to her home nebulizer treatment every 4 hours.

    A quick chart review allows you to see the patient has required ICU admission and mechanical ventilation last year due to an asthma exacerbation.

    As you walk into the room, you notice the patient can only speak one word at a time before taking deep breaths. She's in respiratory distress with an O2 sat of 88% on 2L NC.

    What would you do next?

    Today, we'll show you the next best steps!

    -

    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 video 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.


    Treating Pulmonary Embolism Sep 13, 2018
    Show notes

    Last week we presented a patient presenting with signs and symptoms of a PE and CTA confirmed saddle pulmonary embolism.

    So, now the questions is, what type of PE is this?

    • Massive
    • Submassive
    • Non-massive (low risk)

    It's important we separate patients into different categories, because each category will have different adverse outcomes, and more importantly, differences in mortality risk.

    Therefore, if we can group these patients into a category, then this is the first step in identifying the best course of action.

    Today, we'll walk you through this every step of the way!

    -

    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 video 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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