Dr. Morgan Soffler, a Pulmonologist and ICU intensivist at Beth Israel Deaconess Medical Center (BIDMC), and an Assistant Professor at Harvard Medical School, continue a discussion of a patient with hypoxia in the setting of acute respiratory distress (from Ep. 73) with RTL host, Dr. Navin Kumar. Together, they talk through ARDS definition, etiology, pathophysiology, and ventilatory support.

Dr. Morgan Soffler, a Pulmonologist and ICU intensivist at Beth Israel Deaconess Medical Center (BIDMC), and an Assistant Professor at Harvard Medical School, discusses a case of a patient with hypoxia in the setting of acute respiratory distress with RTL host, Dr. Navin Kumar. Dr. Soffler begins with a broad differential and provides a framework of timing, tempo, and medical history, along with labs and imaging, to sift through the myriad causes of hypoxia. Together, they walk through...

Dr. Brady, an ICU intensivist and the director of the critical care medicine clerkship at Beth Israel Deaconess Medical Center (BIDMC), discusses vasopressors and inotropes with RTL host, Dr. Navin Kumar. Together, they use the previous episode's (Ep. 71: Approach to Shock) case of an elderly patient with suspected distributive shock secondary to urosepsis as a framework to approach pressor requirements. Dr. Brady walks through establishing access, how to choose a pressor based on adrenergic...

Dr. Brady, an ICU intensivist and the director of critical care medicine at Beth Israel Deaconess Medical Center (BIDMC), explains how to categorize the four major types of shock with RTL host, Dr. Navin Kumar. Together, they discuss a case of an elderly patient with suspected urosepsis and walk through how to reconcile a patient’s history, physical exam, and lab findings along with the ongoing clinical picture. They touch on key decision points for patients in the ICU and end with some...

Dr. Walker, a Pulmonologist and Critical Care specialist at Brigham and Women's Hospital, explains how she diagnoses and manages COPD. They help breakdown a number of topics, including PFTs, severity classification, principles of outpatient and inpatient management, and how to talk about prognosis with your patients.

Dr. Jefferson, an Assistant Professor of Pediatrics in the division of Allergy & Immunology and bioethicist at the University of Arkansas for Medical Sciences, discusses the care of both pediatric and adult patients with asthma with host Dr. Walker Redd. Together, they define asthma and cover its triggers, diagnosis, and stepwise therapy plans. They also discuss how upstream factors - from environmental exposures to housing issues - can both exacerbate and affect access to appropriate...

In this episode, host Joyce Zhou speaks with Dr. Jeremy Richards, a pulmonologist and critical care physician at the Beth Israel Deaconness Medical Center (BIDMC) and a medical educator who teaches the introduction to cardiopulmonary physiology course at Harvard Medical School. He grounds his framework for this common presenting concern in physiology and uses a case to discuss his take on diagnostic approaches.

Dr. Sigal Yawetz, an infectious disease attending physician and medical educator at Brigham and Women’s Hospital chats with Blake Smith (host) about a career in infectious diseases. They talk together about the field of ID at large, in addition to sub-specializing, with a focus on the HIV patient population. Dr. Yawetz also comments on what it has been like living through two viruses that have shaped the globe - HIV and COVID - all through the lens of being an ID physician. The episode closes...

Dr. Michelle Cespedes, an infectious disease attending physician at Mount Sinai Hospital, is interviewed by host Emily Gutowski about the diagnosis of patients with HIV. They talk about both the acute presentation as well as the management of a patient with uncontrolled HIV.

Dr. Mikyung Lee, an infectious disease attending physician and program director for the ID fellowship at Mount Sinai Hospital, discusses hospital-acquired infections, including ventilator-acquired pneumonias and catheter-associated UTIs.

Dr. Sal Cilmi, an infectious disease attending physician and IM program director at Mount Sinai Hospital, discusses cellulitis and common culprits of soft tissue infections.

Dr. Mary Montgomery, an Infectious Diseases specialist at Brigham and Women's Hospital, teaches host Walker Redd how she diagnoses and manages pneumonia. They discuss IDSA guidelines, classification, diagnostic studies, empiric antibiotics, complications, pathophysiology, and more.

Dr. Solomon, an Infectious Diseases specialist at Brigham and Women's Hospital, discusses his approach to fever with host, Walker Redd. In discussing Dr. Solomon's framework for clinical reasoning in infectious diseases and applying it to a case of fever of unclear etiology, they ask: Who is the host? What are the notable exposures? What is the syndrome? What doesn't fit?

Dr. Andy Lawton, a palliative care physician at Brigham and Women's Hospital shares with host, Joyce Zhou, the REMAP framework for having effective goals of care conversations with patients with serious illness. Dr. Lawton offers sample language on key components of goals of care conversations such as how to discuss prognoses, respond to emotions, and ask about values. He also reflects on how to best strike a balance between paternalism and patient autonomy during serious illness conversations.

Dr. Schwartz, a geriatrician at the VA Boston, gives an overview of Geriatric Medicine in this discussion with host, Walker Redd. They discuss how a systematic approach called the "5Ms of Geriatrics" - which includes mind, mobility, medications, multi-complexity, and matters most - can help us take better care of our older patients.

Dr. Eli Miloslavsky, a rheumatologist and medical educator at Massachusetts General Hospital, chats with Blake Smith (host) about a career in rheumatology. They talk about subspecialties within rheumatology, in addition to the changing landscape of the field. The episode closes with Dr. Miloslavksy's pearls on how to think about choosing a medical specialty - rheumatology or other - and how to keep perspective when making the decision.

Dr. Andrew Coyle, primary care physician formerly at Mount Sinai Hospital and current Program Director of the IM residency at the University of Wisconsin-Madison, gives an overview of a common issue in outpatient medicine: acute back pain. In this conversation with host, Emily Gutowski, Dr. Coyle discusses the broad differential diagnosis of back pain, red flags to look out for, and therapeutic options for patients.

Dr. Eli Miloslavsky, a rheumatologist and medical educator at Massachusetts General Hospital, shares an approach to joint pain with Joyce Zhou (host).

Dr. Eli Miloslavsky, a rheumatologist and medical educator at Massachusetts General Hospital, shares an approach to rheumatologic diseases with Joyce Zhou (host).

In this short segment, the RTL podcast team - Dr. Emily Gutowski, Dr. Navin Kumar, Dr. Joyce Zhou, Dr. Walker Redd, and Blake Smith - discuss their recent partnership with AccessMedicine / McGraw Hill Medical and how this ties into their exciting plans for the coming year. The team thanks the devoted RTL listenership and mentions ways for continued engagement via handouts and the RTL Twitter page. Stay tuned for our first Rheumatology series episode next...

In this episode, Dr. Daniel Motta-Calderon chats with Dr. Anuj Dalal, an academic hospitalist at Brigham and Women's Hospital, and Dr. Lindsey Wu, teaching hospitalist at the Durham VA Medical Center. The discussion begins with a case of a patient presenting with atypical chest pain at the time of admission. Dr. Wu shares her degree of certainty about the case, and she teaches us about the causes and consequences of not addressing diagnostic uncertainty in the hospital setting. We later learn...

In this episode, Emily Gutowski (host) interviews Dr. William Bernstein, a neurologist, financial theorist, and author. They speak about the importance of learning to manage finances early on in one’s medical career, as well as some of the hurdles faced specifically by young trainees. Lastly, Dr. Bernstein provides suggestions for individuals looking to start investing. Linked...

In this episode, Dr. Daniel Motta-Calderon (host) talks with Raquel Sofía Sandoval (invited student), a fourth-year MD/MPP student at Harvard, and Dr. Pilar Ortega (discussant), author, researcher, and expert on health communication, multilingualism, and equity. First, they shed light on the differences between race and ethnicity and defined identifiers like “Latinx” and “Latine” that some of our patients use to self-identify. They then focused in explaining some cultural themes and barriers...

In this episode, Jordan Petersen (audio editor, host) speaks with Dr. Valerie Stone, the Vice Chair for Diversity, Equity and Inclusion at Brigham and Women’s Hospital, and Lash Nolen, a 2nd year Harvard medical student and the first black woman to serve as student council president at HMS. Together, they discuss the importance of diversity and inclusion in the classroom, on the wards, and within medical institutions at large. They take a historical approach to their discussion and provide...

In “Addressing Implicit Bias and Microaggressions,” Jordan Petersen (audio editor, host) speaks with two leaders in diversity, equity, and inclusion: Titi Afolabi, a 4th year Harvard medical student, and Dr. Sherri-Ann Burnett-Bowie, the Director of Multicultural Affairs and an endocrinologist at Massachusetts General Hospital. They explore their definitions for implicit bias and microaggressions, the contexts in which they emerge in medicine, and their own perspectives experiencing and...