Gout: Acute and Long-Term Management

In part 2 of our series on gout, Dr. Michael Pillinger is back to talk about treatment strategies in the acute setting, as well as how to approach urate-lowering therapies in the outpatient setting. He and Dr. Gutowski discuss the impact of lifestyle changes on gout control, and review the elements that may trigger a gout attack.

Dr. Emily Gutowski interviews Dr. Michael Pillinger, NYU rheumatologist and gout expert, about the initial presentation and workup of a patient with this gout. This is the first episode of a two-part series on gout. Join us for the next episode where we'll dive into acute management and long-term outpatient treatment strategies for this chronic condition.

Dr. Greg Katz, a cardiologist at NYU Langone Health, takes us through a comprehensive approach to preventing cardiovascular disease in a patient with multiple risk factors. Using a patient case, Dr. Katz explains how to balance lifestyle changes with medical interventions and the role of imaging in risk assessment. He also discusses advanced lipid testing including Apolipoprotein B (apoB) and lipoprotein(a) (Lp(a)), and the evolving use of medications like statins and GLP-1 agonists.

Here’s a quick update on some exciting changes at RTL and a look towards the future! Our goal is to deliver more consistent content with a continued focus on internal medicine, covering both inpatient and outpatient topics. Moving forward, rather than releasing episodes by organ system or specialty, we’ll be prioritizing episodes based on when we interview excellent guests for expert interviews. We are so grateful for your continued support and listenership! Feel free to email us at [email protected] with any comments, suggestions, or questions.

Dr. Navin Kumar and Dr. Walker Redd discuss their approach to dyspepsia in the outpatient setting. They walk through key symptoms, when to consider H. pylori testing, and how to think about PPI trials. They explore the role of functional dyspepsia, the impact of medications like GLP-1 agonists, and navigating the delicate balance of avoiding unnecessary invasive tests while still ensuring thorough care.

Dr. Joyce Zhou, hospitalist at BIDMC, interviews Dr. Emily Gutowski, rheumatology fellow at NYU, about rheumatoid arthritis. They discuss a case of early RA, as well as important diagnostic considerations and first steps in managing this chronic condition.

In the third episode of our series on GERD, Dr. Navin Kumar and Dr. Emily Gutowski do a deep dive into the role of endoscopy and pH monitoring for patients with GERD. They discuss the indications for these diagnostic tests, as well as their limitations.

Dr. Navin Kumar and Dr. Emily Gutowski continue their discussion of gastroesophageal reflux disease (GERD) and tackle the core elements of treatment in the outpatient setting. They go over initial management for milder disease and more aggressive strategies for severe cases. They also go over how to ramp up and taper down PPI treatment, as well as some of the side effects of this commonly prescribed class of medications. This is the second of three episodes on GERD.

Dr. Navin Kumar, gastroenterologist at Brigham and Women's Hospital, discusses an approach to GERD with Dr. Emily Gutowski, rheumatology fellow at NYU. Together, they discuss "can't-miss diagnoses" on the differential, as well as the pathophysiology and potential etiologies of GERD. Check back in for another episode focusing on endoscopy findings and treatment for GERD!

Dr. Leslie Chang, a hospitalist at Massachusetts General Hospital (MGH), discusses an approach to diuresis with host Dr. Joyce Zhou, a resident at MGH and core Run the List podcast member. Together, they discuss determining a patient's volume status via history, physical exam, and labs in order to guide inpatient diuresis decision-making.