Knowledgeable Provider

An update on #NephMadness 2024 standings and Jody's recollection of participating in the 2011 ITLS competition.

Jody summarizes all of the information in this year's #NephMadness from AJKD. The topics are: Animal House: Gila Monster vs Mourning Dove Preeclampsia: Diagnosis & Treatment vs Risk Factors, Prevention, & Long-Term Sequelae Toxicology: Supportive Care & Antidotes vs Extracorporeal Therapies Hyponatremia Correction: Rapid Correction vs Slow Correction Things We Do For No Reason: Inp...

Medical professionals don't go looking for trouble as a general rule but sometimes it finds us. We frequently encounter medical situations outside the familiar environments we work in and have to decide whether or not to get involved. Please enjoy this previously unheard conversation from my interview with super NP April Klar.

Luke Pike is a civilian paramedic, a combat medic in the AL National Guard, and a patient living with paroxysmal atrial fibrillation. He discusses diagnosis and treatment of narrow complex tachycardia from both sides of the electric fence. References & Resources: AHA Tachycardia With A Pulse Algorithm (2020) Ruan CH. Instantly Converting Atrial Fibrillation into Sinus Rhythm by a Digital Recta...

Case records of the New Decatur Clinic: Amiodarone-induced interstitial pneumonitis. References: Amiodarone Wikipedia Page Borghi C, Cicero AF, Agnoletti D, Fiorini G. Pathophysiology of cough with angiotensin-converting enzyme inhibitors: How to explain within-class differences? Eur J Intern Med. 2023 Apr;110:10-15. doi: 10.1016/j.ejim.2023.01.005. Epub 2023 Jan 8. PMID: 36628825. Clarke B, Ward...

Jody summarizes what he learned recently at the HH Cardiology Update 2024, held at UA Huntsville College of Nursing. Resources: UAH Kinesiology CPET Nunn AVW, Guy GW, Brysch W, Bell JD. Understanding Long COVID; Mitochondrial Health and Adaptation-Old Pathways, New Problems. Biomedicines. 2022 Dec 2;10(12):3113. doi: 10.3390/biomedicines10123113. PMID: 36551869; PMCID: PMC9775339 2022 ACC/AHA Aort...

Jody shares his most memorable water-related incidents.

David discusses living with ARFID, a relatively new diagnosis that healthcare professionals may not be familiar with. After a lifetime of navigating the challenges of being a "picky eater," receiving a diagnosis and structured treatment has been extremely rewarding. ARFID Resources: 1.      ARFID Support Group for Adults (Facebook) 2.      The Picky Eater's Recovery Book: Overcoming...

Paramedic Dylan Kessler shares the story of performing his first surgical cricothyrotomy on a (barely) live patient under less than ideal circumstances. Live Demo of Cricothyrotomy Procedure (YouTube) Cadaver Demo of Cricothyrotomy Procedure (YouTube) KP Website Support the Show Credits Intro music: "Amazing Grace" Performed by USAF Band, Air Force Strings Ensemble International Mosaic O...

Carloss Bauer recently stopped smoking after decades of varsity-level tobacco use. She talks with Jody about her long history of smoking, her decision to stop, and how she managed to pull it off. Contact Ms. Bauer via email at carlossbauer@bellsouth.net. Resources: Help.org addiction resources Mayo Clinic Nicotine Dependence Center University of Rochester Tobacco Cessation Program Podcast links: K...

A man codes unexpectedly then just as unexpectedly...uncodes? Credits Intro music: "Amazing Grace" Performed by USAF Band, Air Force Strings Ensemble International Mosaic Outro music: "That's Why" Composed by SMSgt John Henley Performed by USAF Concert Band Heritage to Horizons Podcast Links: Support the show Visit our website Got a critical incident you want to share? Emai...

For non-Spotify listeners, here is the commentary portion of this week's musical episode without any of the songs included. Here's the playlist: 100 in a 55 by Pop Evil Hero by Chad Kroeger feat. Josey Scott Smokin' & Ridin' by Ja Rule Downfall by Matchbox 20 So Right by Dave Matthews Band Lessons in Love, Hope, and Faith - Part 1 The Road by Sister Hazel The Artist in the Ambu...

The next episode is a super fun musical journey. Unfortunately if you want to ride the bus you'll have to get your ticket from Spotify.

This new segment is all about sharing the stories we collect throughout our medical careers. The ones we tell at parties, the ones we only talk about with our colleagues, and the ones we would prefer to forget. In this episode Jody shares a heartbreaking tragedy from early in his EMS career. Got a story you want to share? Email it to thekppod@gmail.com. You can write it out, send a high-quality re...

Brian James, MD is a family physician in Decatur, Alabama. He and Jody discuss the many nuances of practicing medicine in the real world. Topics include strategies for patient interaction, off-label prescribing, and the business side of managing a medical practice. Support the show

Joshua Palmer is a college student living with type 1 diabetes since age 17. Here he shares the story of his diagnosis and how he has dealt with the challenges of managing his condition. Contact Joshua by email at palmerjg59@gmail.com. Resources: Beyond Type 1 She's Diabetic YouTube Channel UC Anschutz Medical Campus Barbara Davis Center Support the show Want to get in touch? Email any time a...

Jody reviews the process of diagnosing prostate cancer including screening considerations, diagnostic modalities, and calculating prognosis. Sources USPSTF Prostate Cancer Screening Recommendation UpToDate Articles: Benway, B & Andriole, G. Prostate biopsy Freedland, S. Measurement of prostate-specific antigen Preston, M. Screening for prostate cancer Richie, J. Localized prostate cancer: Risk...

Jody reviews iron physiology, interpretation of iron studies, and treatment of iron imbalance. References: Abbaspour N, Hurrell R, Kelishadi R. Review on iron and its importance for human health. J Res Med Sci. 2014 Feb;19(2):164-74. PMID: 24778671; PMCID: PMC3999603 Mobarra N, Shanaki M, Ehteram H, Nasiri H, Sahmani M, Saeidi M, Goudarzi M, Pourkarim H, Azad M. A Review on Iron Chelators in Treat...

Former IT guy Rob Daniels discusses what it takes to keep a hospital's technology infrastructure running, the eye-opening nature of doing a non-clinical job in a clinical setting, and why it's a bad idea to watch porn while you should be taking care of patients. A.J. Jacobs:  My Journey to Thank All the People Responsible for My Morning Coffee Support the show Want to get in touch? Email...

Jody shares more about his personal experience being a male nurse. Support the show Want to get in touch? Email any time at thekppod@gmail.com.

Nursing hasn't always been a female dominated profession. Prior to the Civil War, most nurses were men. We discuss the cultural issues that pushed women out of nursing during the antebellum period as well as the relatively recent increase in the number of male nurses. Jody participates in this panel discussion with other faculty members of Calhoun Community College on the CCC podcast Crossing...

Medical assistant Katie Glenn takes us through the surprisingly simple process of applying the sensor of the Freestyle Libre 2 continuous glucose monitor. Link: YouTube video demonstration (not us) Support the show Want to get in touch? Email any time at thekppod@gmail.com.

We review the evidence, or rather the lack thereof. We also review the recently updated ACG/AGA  guidelines for management of chronic idiopathic constipation in adults. Links: AGA/ACG Guideline on Chronic Idiopathic Constipation Management in Adults AFP Article on Pediatric Constipation Management Effect of Irritant Purgatives on the Myenteric Plexus in Man and the Mouse by Dr. Barbara Smith Patho...

Why did no one teach us how to fill out all these forms?! Jody goes through the tedious process of trying to get an imaging study covered by a patient's insurance company. After the effort (SPOILER ALERT) fails, he reviews what could have been done differently. He also discusses ACR Appropriateness Criteria for determining which imaging studies to order. ACR Appropriateness Criteria Website S...

April Klar is a nurse practitioner in the emergency room of a busy level 1 trauma center in Huntsville, AL. She has worked in emergency medicine for over 20 years. On today's episode she discusses how she has managed to have such a long career in such a stressful environment. Also we have a special cameo appearance of KP's canine correspondent, Bentley Sivak-Marks. Links: Kenya Relief We...