Scan First, Cut Less: Soft-Tissue POCUS for Everyday Lumps
Release Date: 07/18/2025
Southern Medicine Podcast
In this episode of the “Southern Medicine Podcast,” Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP explore a case involving a 56-year-old male who presented to his primary care provider with a two-day history of acute floaters and flashes of light in his left eye. They discuss the patient’s medical history, including hypertension and mild cataracts, review exam findings with preserved visual acuity and limited fundoscopic visualization, and detail how ocular point-of-care ultrasound (POCUS) was used to identify a retinal detachment at the bedside. The episode highlights how rapid...
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In this episode of the "Southern Medicine Podcast", J.P. Barta, CEO of Legacy Benefits Group, and Randy Glick, Executive Director of SMA, explore how Transperra is reimagining healthcare delivery in a system that has grown increasingly complex, costly, and opaque. They discuss how transparency, advocacy, data intelligence, and direct provider contracting can realign incentives, reduce barriers to care, and give both patients and employers greater control over costs. The conversation highlights Transperra’s waived out-of-pocket model, its partnership with Advisory Health Administrators, and...
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In this episode of the "Southern Medicine Podcast", Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP detail a case of a 27-year-old male who presented with hematuria and abdominal discomfort. What began as a routine point-of-care ultrasound (POCUS) exam to assess urinary retention and possible renal colic led to the unexpected discovery of a bladder mass, prompting urgent imaging and follow-up. They discuss how POCUS can reveal critical pathology, guide timely intervention, reduce unnecessary radiation exposure, and enhance diagnostic accuracy in urgent and primary care settings. Dr....
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"Processing Grief - Live by Letting Go" examines how emotional, psychological, and spiritual wounds don’t simply fade but build up over time, requiring intentional care. In this episode of Southern Medicine, Randy Glick and Rodney Overstreet, CRNA, discuss the stages of grief, treatment options, emerging research, and what a supportive care team looks like. They also explore how family and friends can help, along with practical tools and resources to move forward and release what keeps us stuck. A CRNA at UAB Medical West, in Bessemer, Alabama, Rodney felt called to heal from a young age. He...
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In this episode of the "Southern Medicine Podcast," Joseph Song, MD, and Randy Glick, BSB/PM, MCP discuss urolithiasis, commonly known as kidney stones, as well as environmental and dietary factors that increase stone risk particularly as it pertains to Southern living. In addition, they talk about treatments and new advancements in stone therapy. Dr. Joseph Song attended Emory University on a full Robert W. Woodruff Scholarship, graduating summa cum laude with a degree in biology, and went on to receive a full William A. Peck Scholarship to attend Washington University in St. Louis School of...
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In this episode of the "Southern Medicine Podcast", Richard Leggett, MD, and Randy Glick, BSB/PM, MCP discuss the impact of overdoses—including from fentanyl—on individuals, families, and communities. They explore the importance of raising awareness, reducing stigma, and expanding access to mental health and substance use treatment services. The conversation also highlights proactive strategies, community resources, and the critical role of support systems in helping those affected by addiction and loss. Dr. Richard Leggett currently serves as a core faculty member with the Lewis-Gale...
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In this episode of the "Southern Medicine Podcast", Richard Leggett, MD, and Randy Glick, BSB/PM, MCP explore the topic of grief. They discuss the mental health impact of grief, common signs that someone may be struggling, and strategies for supporting loved ones who may be in denial. The conversation also offers practical guidance on where to turn for help when someone needs support. Dr. Richard Leggett currently serves as a core faculty member with the Lewis-Gale Medical Center GME-Psychiatry program in Salem, Virginia, where he assists in the recruitment and training of general psychiatry...
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In this episode of the "Southern Medicine Podcast," Dr. Michael Angel, MA, MD, and Randy Glick, BSB/PM, MCP discuss how changes in the world have impacted medicine. They examine the traditional medical model, the evolution of health care, and the importance of standardizing medical education. The conversation also touches upon new medical model that designed to better meet the needs of medicine today. Dr. Michael F. Angel has been involved in academics and medicine for more than 40 years. He has broad training and interests in several fields crossing medicine, surgery, psychology and...
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In this episode of the "Southern Medicine Podcast," J. Quincy Brown, PhD, and Randy Glick, BSB/PM, MCP discuss the state of the art in next-generation surgical pathology imaging methods for fresh-tissue histology, as well as the need and requirements for intraoperative tumor margin imaging systems. Another topic detailed is the integration of imaging hardware and AI for clinical decision making. Dr. J. Quincy Brown is a Professor of Biomedical Engineering at Tulane University and is a biomedical engineer whose career has been focused on the development and translation of light-based sensing...
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In this episode of the "Southern Medicine Podcast", Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP explore how a quick bladder scan can streamline care, reduce costs, and improve patient comfort as they discuss a case in which a patient with BPH presented to his PCP with progressive urinary hesitancy and suprapubic pain. Using point-of-care ultrasound (POCUS), his provider identified a significant post-void residual volume and managed his condition on-site, saving him a trip to the emergency department. Dr. Tatiana Havryliuk is an emergency physician and founder of . With 15 years...
info_outlineIn this episode, Tatiana Havryliuk, MD, and Randy Glick, BSB/PM, MCP discuss how point-of-care ultrasound (POCUS) helped avoid an unnecessary procedure in a young athlete with axillary swelling. They walk through the case findings—including the classic “cobblestone” appearance on ultrasound—highlighting how POCUS distinguishes cellulitis from abscess at the bedside. Tune in to learn how this tool enhances care while minimizing disruption for both patients and providers.