The Generalist Medicine - GeM - Podcast
This episode of my new project is relevant to Generalist Medicine. I really enjoy talking and being inspired with , a Canadian-American physician with a recent book release: . We get to talk about writing the book, his work in East Africa with , challenges working in the ER in North American health care system, and his retraining in Palliative Care Medicine. He has also worked as an innovator in health care delivery with, for example, CVS pharmacy and Iora Health, and he mentions some alternative ways of approaching primary care delivery. Questions or comments? Email...
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It is with a poignant sadness that I close the GeM Generalist Medicine Podcast - a project which has been filled with fun, learning and memories over the past 9 years. If you have any feedback, please email me at I am moving on to a new podcast project - Thank you so kindly for listening - it has been a true joy and pleasure to make these and be on this learning journey with you, Aaron Rothstein
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A discussion through the challenging topic of ECGs - how to put it in clinical context, some key pearls and approaches. If you find this hard, you are not alone!
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We're back! After a year sabbatical, Dr Rogy Masri and Dr Aaron Rothstein discuss finding meaning in medicine. This talk deals with how to cope with the current challanges, finding purpose and how two people are navigating their medical careers. We hope this will give you food for thought on building and enriching your own career.
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I'm here with Dr. Blake MacKay to discuss the basics of ultrasound. Blake is a generalist with a strong interest in ultrasound and training through CPoCUS. We discuss ultrasound basics including an array of clinical uses which can help guide management. Motivates me to do more ultrasound!
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This is a discussion on the resurgent topic of Psychedelic Medicine. I talk with Dr. Ryan Patchett-Marble, a generalist physician with strong interest in addictions and mindfulness who has recently become interested in this emerging field. Additional Info: Ryan and a patient he treated with Psilocybin: Resources PDF - https://genmed.libsyn.com/
info_outlineThe Generalist Medicine - GeM - Podcast
Let's talk about the hot topic of fever! We'll talk about why we get fevers, whether we should treat them, and different causes of fever including forms of hyperthermia. We'll also touch on special populations such as febrile neutropenia and febrile infants.
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I am very excited to discuss Interventional Cardiology with my cousin Eric Rothstein who works at Dartmouth-Hitchcock Medical Centre in New Hampshire. We discuss the field of Interventional as well as some STEMI/Acute Coronary Syndrome insights, with a bit on stable ischemic heart disease and mechanical circulatory support.
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I speak to Dr. Larry Willms about a very fundamental topic that doesn't get much discussion in medical learning - Food and Nutrition. We discuss the things that are well-established consensus in the field, why we get so confounded by nutrition research and fads, how to communicate the information to patients as well as some thoughts and ideas we have on the subject!
info_outlineThe Generalist Medicine - GeM - Podcast
I am joined by Dr. Josh Smith, an EM registrar in Dunedin, New Zealand, who discusses with me a basic approach to patients in the ER. We talk about key principles including that patients often require early treatment before we have much information, that a disposition is often more important than a definitive diagnosis and that we should be considering life threatening diagnoses early in our assessment. We also touch on identifying sick patients, how patient scenarios can evolve, and ways to deal with uncertainty in medicine.
info_outlineLyrics:
Necrotizing Fasciitis/Necrotizing Fasciitis/So much pain/ React or be slain/ Necrotizing Fasciitis
Necrotizing Fasciitis/Dissolving don’t delight us/Pain out of proportion
I need a limb abortion/All from a sore shin!
I’m on the lookout when I see soft tissue/Is it going fast? Are you sick? I asked.
It feels like’s it’s a shark beneath the surface/The fascia elevator is at their service!
Oh no doc, is it do or die!?Why yes, TBH, lucky I’m your guy
Piptazo, Vanco, Clinda after cultures/ toxins swarming like in, like mini super vultures
What kinda mean bug got me through this wound?/First type’s a party cracking bubbly; stay tuned
Type two a hitman - strep pyogenes on your knees/ Or maybe Vibrio from the ocean seas!
<<What to do!>>
Call the surgeon in the middle of the night/Hey good sir could you join the fight?
What is the meaning of disturbing my slumber?/To Save a life. Glad you had my number!
CHORUS
When the surgeon arrives patient has less pain (of course)/ Is it effects of sepsis to the brain?
When I push he jumps not off the stretcher/Cutaneous anaesthesia is a late sign, I conjecture!
Youre a genius, hah, to the OR tomorrow!/Uhh good sir, but that could end in sorrow
Perhaps you could deign to operate stat/Steel and faciotimy would save him like that (snap)
We wheel him quickly down the hall/A little levofed makes his pressure not stall
Cut the leg theres necrotic goo/ compartments are relieved two by two
Thank you docs for saving my life/Everyone lauds you cept the ex-wife
No problem, mr patient, thats what we do/Watch for nec fash with soft tissue!
Ohhhh you got to save the day save the day save the day
Ohhh do serial exams you ll save the save the day
Ohhhh mr doctor got to save the day save the day save the day
Ohhhh give good discharge instructions for red flagsssssss and you will save the day
CHORUS!