Run the List

Latest Episodes:

Alcohol-Associated Liver Disease Oct 24, 2022

Show notes

Dr. Sasha-Deutsch Link, a Gastroenterology and Hepatology fellow at the University of North Carolina (UNC), joins host her co-fellow Dr. Walker Redd, co-founder and host of RTL, to discuss Alcohol-Associated Liver Disease. Through a case discussion of a patient with acute alcohol-associated hepatitis, they review patient-centered terminology, the relevant diagnostic workup, and how to think both acute and chronic alcohol-associated liver disease. They also cover important principles of management, including supportive care, nutrition, pyschosocial support, pharmacotherapy for alcohol cessation, and consideration of early liver transplant, as well as the importance of longitudinal follow-up.

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Approach to Abnormal LFTs Oct 10, 2022

Show notes

Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and host Blake Smith discuss how to approach a patient presenting with acute right-upper quadrant (RUQ) pain. Together, they discuss the various causes of RUQ pain, in addition to how to approach a set of liver function tests (LFTs), differentiating hepatocellular injury from a cholestatic pattern. They then discuss how various forms of imaging (RUQUS, CT) can guide diagnosis and management, leading to a discussion about the use of ERCP and cholecystectomy in such cases. Lastly, the episode closes with a diagnosis and three clinical pearls about RUQ pain and abnormal LFTs.

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IBD Management Sep 26, 2022

Show notes

Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss Inflammatory Bowel Disease. Building on the prior episode covering an approach to diarrhea, they first discuss diagnosing IBD and distinguishing between ulcerative colitis (UC) and Crohn's disease (CD). Through a case discussion of a patient with UC, they provide an overview the initial management options for lower risk patients with mild to moderate UC and then review how to manage an acute, severe UC flare.

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Approach to Diarrhea Sep 12, 2022

Show notes

Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and host Blake Smith discuss how to approach a patient presenting with diarrhea. In this episode, Navin discusses his framework for thinking through these cases, from patient history to chronicity and quality. Through a case discussion, they review the definition of diarrhea, the broad types of diarrhea (watery, fatty, and inflammatory), and how to further workup these cases using colonoscopy and biopsy. The episode closes with a diagnosis and three clinical pearls, setting the stage for RTL's next episode dedicated to IBD management.

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Biliary Tract Stone Disease Aug 29, 2022

Show notes

Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss biliary tract stone disease. In this episode, Navin and Walker share how they approach common presentations of gallstone pathology. Through a case discussion, they review the terminology used to distinguish the different conditions, initial management steps, further workup including appropriate imaging studies, and the role of the Advanced Endoscopy and general surgery teams.

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Lower GI Bleeding Aug 15, 2022

Show notes

Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss lower GI bleeding. In this episode, Navin and Walker share how they approach lower GI bleeding. Through a case discussion, they review strategies for localizing the source of bleeding, initial management steps, the approach to endoscopic evaluation, and how to effectively communicate with the GI consult team.

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Upper GI Bleeding (Variceal Bleeding) Aug 01, 2022

Show notes

Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast, and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss variceal upper GI bleeding to build upon the principles discussed in the non-variceal UGIB episode. In this episode, Navin and Walker use a case discussion to emphasize the importance of recognizing which patients are at risk for variceal bleeding, what distinguishes variceal GI bleeding from other sources of GIB, initial steps in management, and additional considerations to keep in mind when caring for these patients.

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Upper GI Bleeding (Non-Variceal) Jul 18, 2022

Show notes

Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast continues Season 2 of RTL’s partnership with McGraw Hill Medical by discussing upper GI bleeding with Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL. In this episode, Navin and Walker share how they approach non-variceal upper GI bleeding. Through a case discussion of this common presentation, they review how to localize the potential source, frame the differential diagnosis, initially manage these patients, how to effectively communicate with the GI consult team, and the role of endoscopy.

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Pancreatitis Jul 01, 2022

Show notes

Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast kicks off Season 2 of RTL’s partnership with McGraw Hill Medical by chatting with RTL host Blake Smith about pancreatitis. In this episode, Navin brings new content, new pearls, and new tips for trainees (especially for newly-minted interns!) as they approach a case of acute pancreatitis. Together, they walk through the criteria for diagnosing acute pancreatitis: from clinical signs to laboratory and radiographic findings. Navin discusses risk stratification, early management - including aggressive fluid resuscitation and pain control - and etiologies of acute pancreatitis. Lastly, the episode closes with Navin’s pearls about the pillars of pancreatitis management and when to call a consult.

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Med Ed for Residents, Fellows, and Faculty (Part 2) May 31, 2022

Show notes

Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast talks with RTL host Blake Smith in a two-part series focused on Med Ed. This second episode caters to later trainees - residents, fellows, and new attendings/faculty - as they seek out opportunities in Med Ed. Navin offers some pearls for listeners - to diversify your educational portfolio, strive to be scholarly, take on formal learning opportunities, and seek out opportunities to become a more effective teacher with avenues for feedback and evaluation. The episode closes with a focus on digital medical education and the role of #MedTwitter and podcasting in teaching.

Navin's famous SIBO (small intestinal bacterial overgrowth) tweetorial: https://twitter.com/navinkumarmd/status/1270014308701831168

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