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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:
    Atrial Fibrillation with RVR Jul 05, 2018
    Show notes

    ​As you start to review your patients - you get your first page.

    So, you call stat, and on the other end, you hear a frantic nurse saying, "Bed 45. Heart rate 150s with an irregular rhythm."

    Your first thought should be AFIB with RVR until proven otherwise.

    Today, Zach will give you the run down on what to do with these patients...

    Click here to learn about the acute AFIB patient

    Zach drops a ton of practical clinical pearls in this 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.


    Acute Variceal Bleed (GI Bleed Part 3/3) Jun 28, 2018
    Show notes

    ​You're on the rapid response team and are called over to a patient presenting with hypotension.

    Per nursing, the patient is a 58 year old male with a PMH of:

    • ​ETOH abuse (1 pint of vodka daily)
    • Cirrhosis

    While in the room, the patient vomits a large amount of bright red blood, followed by a drop in the systolic blood pressure to the 70s.​

    The patient looks lethargic, unresponsive to verbal stimuli or a sternal rub. You see fresh blood in the oropharynx.

    What should you do next?

    We'll walk you through and answer that for you in today's podcast.

    p.s. this is part 3 of 3 for the GI bleed lecture series. Next week, we'll tackle a brand new topic.

    -

    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.


    Rectal Bleeding (GI Bleed Part 2/3) Jun 21, 2018
    Show notes

    Today, we have a 60 year old male patient, with a past medical history of:

    • Osteoarthritis
    • COPD
    • Atrial fibrillation
    • Hypertension
    • Hyperlipidemia
    • Diverticulosis
    • Rectal cancer

    Chief complaint: 1 day rectal bleeding (episodes every hour) causing them to spend the entire day in the bathroom.

    The patient states he's had a similar episode like this years ago. Before we see the patient, we should be asking...

    • What is the trend of our patient blood pressure since arrival?
    • Is the patient actively bleeding?
    • Are they symptomatic (weak, dizzy, lightheaded, etc)?
    • What is the access?

    We're going to walk through this patient's case together over on our 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.


    The GI Bleed Patient Part 1/3 Jun 14, 2018
    Show notes

    Over the next three weeks we are going to dive into the GI bleed patient. We're going to divide these lectures into: upper GI bleed (above the ligament of treitz), lower GI bleed (below the ligament of treitz), and the scary liver patient who has a GI bleed.

    Today, let's work through an upper GI bleed case presentation as we touch on the background, evaluation, and management of the patient.

    Today we're going to be discussing a 75 year male patient presenting with a chief complaint of 3 days of black stool.

    He came into the ED because he had a dark bowel movement and dizziness.

    Let's walk through this case together so you feel confident evaluating the upper GI bleed 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.


    Acute respiratory failure (what would you do) Jun 07, 2018
    Show notes

    A 65 year old female presents to your ER with difficulty breathing over the past 3 days, despite increasing her home oxygen tank to 3 liters. Her husband called 9-11 because she wasn't really acting herself.

    EMS arrived and found her sats in the 70s and put her on a non-rebreather mask and had an improvement in her sats to the low 90s.

    They also reported some wheezing on exam, so they gave her one duoneb prior to arrival.

    Per EMS she has a past medical history of COPD (on 3 liters around the clock), CHF with an EF of 40%, hypertension, hyperlipidemia, and type II DM.

    So, you walk into the hospital room and the first thing you notice is that the patient appears to be in respiratory distress. Shes' wearing a nasal canula which is set to 5 liters. She's breathing fast (belly breathing), her sternocleidomastoids are going to town, she has accessory muscle use.

    Her sats are at 82% with good wave form on the monitor. Heart rate is in the 80s. Systolic BP of 150. She's able to tell you her name and her story - but she's definitely having difficulty speaking due to the respiratory distress.

    You listen to her lungs and she's wheezing, but also hear some crackles at the base.

    What would you do?

    Today, we'll show you what to do next, so you don't freeze up should this patient ever walk into your hospital...

    -

    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.


    My most interesting cases of the week. Can you guess the diagnosis? Apr 11, 2018
    Show notes

    I just got off a long stretch of working 7 days in a row in the ER. Every time I finish a shift I like to replay in my mind every patient I saw and I ask myself:

    1. is there anything I could have done better? 2. were there any gaps in knowledge regarding any disease processes? 3. was I able to make a positive impact in my patients life?

    Working in emergency medicine, we often feel like we make the most impact when working on a code, and we are able to bring a patient back and/or taking care of a crashing patient.

    Well, this week I was reminded we can drastically improve the quality of there life.

    Today, I want to share my most interesting cases of the week.

    Case 1: 34 year old male c/o chest pain after cocaine use Case 2: 55 year old female complaining of cough following "failed" treatment for pneumonia Case 3: 58 year old male c/o SOB with a pulsating uvula Case 4: 24 year old female 5 weeks GA c/o vaginal bleeding and lower abdominal pain

    -

    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

    Beauty of the PA profession Mar 12, 2018
    Show notes

    ​Today, I want to share why I love being a PA. Specifically, an emergency medicine physician assistant. First off, I love the fact you can practice in a specific field for a given duration, and later transition to another down the road.

    As nice as this is for most, I don't see myself doing this. Reason being is I have such a love for emergency medicine! With that said, I do see myself working in trauma to hone my schools further. I recently switched hospitals, where I've been allowed to handle the more complicated patients (codes, intubations, etc). And let me tell you - I have learned a ton!

    I hope you enjoy this inside loo as to why I love being an emergency medicine physician assistant. -

    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.


    Do tetanus immunizations work? Mar 03, 2018
    Show notes

    First off, what is tetanus and clostridium tetani? Who's at risk? Is this fatal?

    We'll also explain who needs to be vaccinated and teach you how to handle clean and dirty wounds. We know this can get confusing - so we're going to make this as simple as possible! -

    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.


    Child refuses to move their arm Feb 09, 2018
    Show notes

    Today, we're going to discuss Nurse Maid Elbow. Specifically, we'll review:

    The anatomy of the elbow How this injury occurs How the patient presents Imaging studies to consider Treatment A case study of a patient he had presenting to the ER - I once had a mother who came into the ER with her two-year old son extremely upset with herself and very emotional.

    She was upset because she had just put her son in day care and gone back to work recently because she said money was really tight

    And that, something like this wouldn't have happened if she were still the one taking care of her son.

    The mother wasn't exactly sure what happened, but she was told that while at daycare someone stepped on her son's hand and then he wouldn't use his whole arm since.

    Now the mother could not believe that this is what actually happened and she sincerely asked me if I thought that someone could have physically assaulted her child.

    So, we'll go through this case in more detail. -

    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.


    My patient died (lessons learned) Jan 30, 2018
    Show notes

    There are certain things in medicine which simply can't be taught by reading a textbook.

    Not everything follows an algorithm.

    About one year ago I had an 80 year old patient who kept complaining of nausea and abdominal pain after having a cholecystectomy. The surgeons kept telling her this was normal following this type of procedure and prescribed Zofran.

    Well, she eventually came into my ER and she didn't look to good. She became septic.

    We followed the septic protocol - but she ended up dying.

    Today, I want to share a very important lesson I learned... -

    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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