Gout: Acute and Long-Term Management

Dr. Walker Redd interviews Dr. Ryan Bonner, nephrologist at UNC School of Medicine, about principles of managing a patient with CKD. They discuss best practices in assessing a patient's true renal function, review the major classes of medications in CKD, and go over some common pitfalls in treating these patients.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Dr. Allison Greco, pulmonary and critical care specialist at Bellevue Hospital, sits down with Dr. Emily Gutowski and discusses the initial presentation, workup, and management of a patient with a pulmonary embolism. They go through diagnostic modalities, scoring systems, and the various treatment options for patients depending on their risk profile. They discuss provoked vs. unprovoked PEs, and recommendations for longer term anticoagulation.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy