Knowledgeable Provider (Jody Marks, MSN, AGACNP-BC, FNP-BC)

Angie Carmody is an American Sign Language interpreter with Huntsville City Schools in Huntsville, Alabama. She talks with Jody about her years of experience in the field and offers some helpful insights about communicating with deaf people.

Links:

Alabama Institute for the Deaf and Blind

Deaf Access Solutions

Stayawhile Cabin Rental (Vrbo)

Stayawhile Cabin Rental (airbnb)

Case records of the New Decatur Clinic: Amiodarone-induced interstitial pneumonitis.

References:

1. Amiodarone Wikipedia Page
2. Borghi C, Cicero AF, Agnoletti D, Fiorini G. Pathophysiology of cough with angiotensin-converting enzyme inhibitors: How to explain within-class differences? Eur J Intern Med. 2023 Apr;110:10-15. doi: 10.1016/j.ejim.2023.01.005. Epub 2023 Jan 8. PMID: 36628825.
3. Clarke B, Ward DE, Honey M. Pneumonitis with pleural and pericardial effusion and neuropathy during amiodarone therapy. Int J Cardiol. 1985 May;8(1):81-8. doi: 10.1016/0167-5273(85)90266-9. PMID: 3997294.
4. UpToDate Article: Chan, ED, & Talmadge, EK, Jr. Amiodarone pulmonary toxicity.

On the one-year anniversary of Knowledgeable Provider Jody reflects on the past, looks to the future, and discusses the current state of affairs at KP Pod HQ. Huge thanks to everyone who has listened!

Dr. Oyen and Jody swap "war stories" from their EMS careers. Crazy codes, celebrity encounters, the Olympics, hurricanes, non-human patients; you really never know what you're going to run into out in the field.

Monoclonal antibodies are used to treat cancer. Or is it asthma? Skin conditions? Wait, didn't we use those for covid, too?? The answer is yes! Jody reviews the basic mechanism of these versatile medications as well as their naming conventions and a bit about how they are discovered.

References:

1) Manis, J. Overview of therapeutic monoclonal antibodies. UpToDate.

2) Mayo Clinic Staff. Monoclonal antibody drugs for cancer: How they work. Retrieved from https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/monoclonal-antibody/art-20047808

In this episode of Calhoun's Crossing The Streams podcast, Jody participates in a panel discussion about whether or not teaching students about the Tuskegee syphilis study might contribute to vaccine hesitancy.

Michael David Smith is the former director of the Colbert County, AL Emergency Management Agency. He speaks with Jody about the agency's role during both day-to-day operations and large-scale disasters.

Jody reviews diabetes management in primary care.

ADA Standards of Care in Diabetes 2025

Recently retired Colbert County, AL EMA director Michael David Smith discusses the medical helicopter crash that claimed the lives of crew members Allan Bragwell, Tiffany Miles, and Michael Baker on December 30th, 2007.

Jody discusses how politics and medicine are intertwined and how he deals with political issues in the context of individual patient encounters.

Dr. Oyen discusses what he has learned about teaching and connecting with students over his long career in EMS education.

Dr. Oyen's YouTube Channel

Northwest-Shoals Community College EMS Department

Jody summarizes all of the information in this year's #NephMadness from AJKD. The topics are:

1. Animal House: Gila Monster vs Mourning Dove
2. Preeclampsia: Diagnosis & Treatment vs Risk Factors, Prevention, & Long-Term Sequelae
3. Toxicology: Supportive Care & Antidotes vs Extracorporeal Therapies
4. Hyponatremia Correction: Rapid Correction vs Slow Correction
5. Things We Do For No Reason: Inpatient Use of Phosphate Binders in AKI vs Urine Anion Gap
6. Metabolic Acidosis: CKD/Outpatient vs AKI/ICU
7. Dual Organ Transplant: Simultaneous Liver-Kidney vs Simultaneous Pancreas-Kidney
8. Peritoneal Dialysis: PD First vs Beyond Kt/V

AJKD Blog

Books by Dr. Joel Topf

Medical errors are a common cause of harm to patients. In this episode of Critical Incident from Knowledgeable Provider, Jody recalls some of his own errors in the hope of encouraging all medical professionals to be honest and transparent about mistakes.

References:

1) Rodziewicz TL, Houseman B, Vaqar S, et al. Medical Error Reduction and Prevention. [Updated 2024 Feb 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499956/

2) Kimberly N. Williams, Crystal M. Fausett, Elizabeth H. Lazzara, Yuval Bitan, Anthony Andre, Joseph R. Keebler, Investigative approaches: Lessons learned from the RaDonda Vaught case, Human Factors in Healthcare, Volume 4, 2023, 100054, ISSN 2772-5014, https://doi.org/10.1016/j.hfh.2023.100054.

3) Newman-Toker DE, Nassery N, Schaffer AC, et alBurden of serious harms from diagnostic error in the USABMJ Quality & Safety 2024;33:109-120.

4) Makary M A, Daniel M. Medical error—the third leading cause of death in the US BMJ 2016; 353 :i2139 doi:10.1136/bmj.i2139

Cindy Hutchens describes her experiences living with SLE and her interactions with the healthcare system along the way.

Resources & References

1) Lupus Foundation of America (LFA)

2) The Lupus Book by Daniel Wallace

3) LFA Mid-South Chapter, Nashville, TN

4) LFA Walk to End Lupus Now

5) Jog NR, James JA. Epstein Barr Virus and Autoimmune Responses in Systemic Lupus Erythematosus. Front Immunol. 2021 Feb 3;11:623944. doi: 10.3389/fimmu.2020.623944. PMID: 33613559; PMCID: PMC7886683.

6) Ünlü O, Zuily S, Erkan D. The clinical significance of antiphospholipid antibodies in systemic lupus erythematosus. Eur J Rheumatol. 2016 Jun;3(2):75-84. doi: 10.5152/eurjrheum.2015.0085. Epub 2015 Dec 29. PMID: 27708976; PMCID: PMC5042235.

7) Benlysta prescribing information

8) Rexulti prescribing information

9) Aplenzin prescribing information

An update on #NephMadness 2024 standings and Jody's recollection of participating in the 2011 ITLS competition.

David discusses living with ARFID, a relatively new diagnosis that healthcare professionals may not be familiar with. After a lifetime of navigating the challenges of being a "picky eater," receiving a diagnosis and structured treatment has been extremely rewarding.

ARFID Resources:

1.      ARFID Support Group for Adults (Facebook)

2.      The Picky Eater's Recovery Book: Overcoming ARFID (Amazon)

3.      CBT for ARFID (Amazon)

4.      ARFID Subreddit

References:

1.      Lau-Zhu A, Fritz A, McLoughlin G. Overlaps and distinctions between attention deficit/hyperactivity disorder and autism spectrum disorder in young adulthood: Systematic review and guiding framework for EEG-imaging research. Neurosci Biobehav Rev. 2019 Jan;96:93-115. doi: 10.1016/j.neubiorev.2018.10.009. Epub 2018 Oct 24. PMID: 30367918; PMCID: PMC6331660.

2.      Parks & Recreation - April and Andy Are a Medical Mess (YouTube)

Podcast Links:

Knowledgeable Provider Website

Support the Show

Brian James, MD is a family physician in Decatur, Alabama. He and Jody discuss the many nuances of practicing medicine in the real world. Topics include strategies for patient interaction, off-label prescribing, and the business side of managing a medical practice.

Support the show

Jody (or someone who sounds suspiciously like him) discusses the phenomenon of impostor syndrome and how it affects medical professionals.

References:

1) Chen C. Doctor who? Reflecting on impostor syndrome in medical learners. Can Fam Physician. 2020 Oct;66(10):e268-e269. PMID: 33077468; PMCID: PMC7571643.

2) Wikipedia. Impostor syndrome. Retrieved from https://en.wikipedia.org/wiki/Impostor_syndrome.

3) Wikipedia. Dunning-Kruger effect. Retrieved from https://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect.

Jody shares his general approach to managing hypertension in primary care.

Links:

2020 IHS Hypertension Guidelines

2023 EHS Hypertension Guideline Update

Racial & Ethnic Disparities in Hypertension

Carloss Bauer recently stopped smoking after decades of varsity-level tobacco use. She talks with Jody about her long history of smoking, her decision to stop, and how she managed to pull it off. Contact Ms. Bauer via email at carlossbauer@bellsouth.net.

Resources:

Help.org addiction resources

Mayo Clinic Nicotine Dependence Center

University of Rochester Tobacco Cessation Program

Podcast links:

KP Website (non-Spotify)

Support the show

Get in touch any time by email at thekppod@gmail.com

The next episode is a super fun musical journey. Unfortunately if you want to ride the bus you'll have to get your ticket from Spotify.

Luke Pike is a civilian paramedic, a combat medic in the AL National Guard, and a patient living with paroxysmal atrial fibrillation. He discusses diagnosis and treatment of narrow complex tachycardia from both sides of the electric fence.

References & Resources:

1. AHA Tachycardia With A Pulse Algorithm (2020)
2. Ruan CH. Instantly Converting Atrial Fibrillation into Sinus Rhythm by a Digital Rectal Exam on a 29-year-Old Male. Clin Med Insights Case Rep. 2010;3:51-4. Epub 2010 Aug 13. PMID: 21769254; PMCID: PMC3046006.
3. Raymond Roberge, Eric Anderson, Terry MacMath, John Rudoff, Robert Luten,Termination of paroxysmal supraventricular tachycardia by digital rectal massage, Annals of Emergency Medicine, Volume 16, Issue 11,1987,Pages 1291-1293,ISSN 0196-0644
4. 998 Suicide & Crisis Lifeline

This new segment is all about sharing the stories we collect throughout our medical careers. The ones we tell at parties, the ones we only talk about with our colleagues, and the ones we would prefer to forget. In this episode Jody shares a heartbreaking tragedy from early in his EMS career.

Got a story you want to share? Email it to thekppod@gmail.com. You can write it out, send a high-quality recording to be played, or record it with the host live. All good stories are welcome! Sadness is not required!

Credits

Intro music:

"Amazing Grace"

Performed by USAF Band, Air Force Strings Ensemble

International Mosaic

Outro music:

"That's Why"

Composed by SMSgt John Henley

Performed by USAF Concert Band

Heritage to Horizons

https://www.music.af.mil/Multimedia/AF-Recordings/Public-Domain-Music/

Support the show

Apparently Jody doesn't know how to let it go. Listen as he rants about incidents from the distant past that still get under his skin. If you observe Festivus, consider this an early airing of grievances.

Sound effects by Voicemod.

Requested by KP listeners! An update on a patient from the previous prostate cancer episode and a deep dive into the history of prostate cancer screening.

References:

1. Kazuto, I. et al. Screening for prostate cancer: History, evidence, controversies and future perspectives toward individualized screening. International journal of urology. 2019; 26(10). doi:10.1111/iju.14039

2. Albertsen PC. The Evolving Paradigm of Prostate Cancer Screening. JAMA Netw Open. 2019;2(8):e198392. doi:10.1001/jamanetworkopen.2019.8392

3. USPSTF Final Recommendation Statement: Prostate Cancer Screening, 2018. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/prostate-cancer-screening

4. Wei JT, Barocas D, Carlsson S, et al. Early detection of prostate cancer: AUA/SUO guideline part I: prostate cancer screening. J Urol. 2023;210(1):45-53.

During the week prior to Hurricane Ike making landfall in Texas, paramedics from all over the country helped evacuate patients from the storm's path. In this episode of Critical Incident from Knowledgeable Provider, Jody shares his personal experiences from that response.

Welcome to Knowledgeable Provider, a podcast about medicine!

A quick overview of those super easy to remember, never-changing recommendations for screening and vaccination!

Want to get in touch? Email any time at thekppod@gmail.com.

Jody discusses how bias affects us as individuals as well as the medical field in general. Stick around to earn your wings fighting the GLP-1 craze and review the link between metformin and B12 deficiency.

Harvard Implicit Association Test:
https://implicit.harvard.edu/implicit/takeatest.html

Smithsonian Bias Exhibit:
https://www.sites.si.edu/s/topic/0TO1Q000000MBBrWAO/the-bias-inside-us

Unequal Treatment:
https://www.ncbi.nlm.nih.gov/books/NBK220358/

Journal of the American Board of Family Medicine Article:
https://www.jabfm.org/content/jabfp/35/1/26.full.pdf

NEJM Articles:
https://www.nejm.org/doi/full/10.1056/NEJMpv2301016
https://www.nejm.org/doi/full/10.1056/NEJMpv2214871

Preemptive Strike Segment

Music:
"Wings of Victory" performed by The Singing Sergeants USAF Concert Band (public domain)
https://www.music.af.mil/Multimedia/AF-Recordings/Public-Domain-Music/

Sound effects from Freesound.org, users:
Klankbeeld
Soundfxstudio
Soundlover16
Alxy
Smcameron

President Obama's Message to America's Students (public domain)
Recorded 09/08/2009
https://youtu.be/8ZZ6GrzWkw0

Want to get in touch? Email any time at thekppod@gmail.com.

How do you decide when to refer a patient to a specialist? Jody discusses his thoughts about and experiences with patient referrals.

Want to get in touch? Email any time at thekppod@gmail.com.

An interview with paramedics Terrie Armstrong and Tina Lansaw about their experiences during the unprecedented storms that hit Alabama on April 27th, 2011, recorded about a month after the incident occurred.

Terrie & Tina's disaster area photos:
https://drive.google.com/drive/folders/1bN0x73NJZG3KBnW5SmSJeGSzaZQHKZ1Q?usp=drive_link

AL.com article about the death of paramedic Vickie McKee:
https://www.al.com/pr/2011/05/vicki_mckee_hackleburg_alabama.html

AL.com article about the tornado outbreak:
https://www.al.com/news/2023/04/remembering-the-april-27-2011-tornado-super-outbreak.html

Siren sound effect from Freesound.org user vlammenos.

Want to get in touch? Email any time at thekppod@gmail.com.

Patti offers tips for taking care of kids in non-pediatric settings, dealing with parents of sick kids, and discusses the emotional impact of her work. Patti is a former PICU RN and current PICU NP with over 20 years of experience in pediatric acute care. The interview was conducted via Skype on June 7th, 2023.

Want to get in touch? Email any time at thekppod@gmail.com.

Jody delves into his recent Google searches to share what he learned. Topics include:  Adult RSV vaccines, HPV testing & cervical cancer screening, transdermal testosterone therapy, fluid resuscitation for major burns, CT myelography, acute blood loss, and terminology for abnormal uterine bleeding. Stick around for fun with ICD codes!

Links:

CDC Evidence to recommend for RSV vaccines

Aubrey Gordon's website "Your Fat Friend"

Mongoose rescue story & images

CDC National Center for Health Statistics ICD-10 Database

"Royalty Free News Intro Music" by Music for Video

News broadcast AI voiceover by Speechelo

Want to get in touch? Email any time at thekppod@gmail.com.

Alex Gallenstein, NRP, FP-C talks with Jody about his experience doing perhaps the most glamorous and coveted job in EMS.

Links:

MedicTests.com Article On Gas Laws

GMR Membership Information

Erlanger Life Force Website

Newsweek Article About the Cost of Air Medical Services

Want to get in touch? Email any time at thekppod@gmail.com.

Jody reviews hyperparathyroidism including the underlying pathophysiology, diagnosis, and treatment.

Sources:

Sternlicht H, Glezerman IG. Hypercalcemia of malignancy and new treatment options. Ther Clin Risk Manag. 2015 Dec 4;11:1779-88. doi: 10.2147/TCRM.S83681. PMID: 26675713; PMCID: PMC4675637

Overbaugh, J.L.H.K.H.C. K. (2021). Lippincott CoursePoint Enhanced for Brunner & Suddarth's Textbook of Medical-Surgical Nursing (15th ed.). Wolters Kluwer Health. https://coursepoint.vitalsource.com/books/9781975186722

Nussey S, Whitehead S. Endocrinology: An Integrated Approach. Oxford: BIOS Scientific Publishers; 2001. Chapter 5, The parathyroid glands and vitamin D. Available from: https://www.ncbi.nlm.nih.gov/books/NBK24/

Lippincott Advisor for Education

UpToDate Articles (multiple authors):

1) Etiology of Hypercalcemia
2) Kidney Transplantation in Adults - Persistent Hyperparathyroidism After Kidney Transplantation
3) Management of Secondary Hyperparathyroidism in Adult Dialysis Patients
4) Management of Secondary Hyperparathyroidism in Adult Non-Dialysis Patients with CKD
5) Overview of Chronic Kidney Disease - Mineral & Bone Disorder
6) Preoperative Localization for Parathyroid Surgery in Patients with Hyperparathyroidism
7) Primary Hyperparathyroidism - Diagnosis, Differential Diagnosis, & Evaluation
8) Primary Hyperparathyroidism - Management
9) Primary Hyperparathyroidism - Pathogenesis & Etiology
10)  Primary Hyperparathyroidism - Clinical Manifestations
11) Refractory Hyperparathyroidism and Indications for Parathyroidectomy in Adult Dialysis Patients

Want to get in touch? Email any time at thekppod@gmail.com.

Mark discusses living with and managing type 2 diabetes. He also shares how being both Black and gay has influenced his interactions with the healthcare system and offers his insights into the larger issue of healthcare disparity in the United States.

Thrive Alabama Website

Supporting Articles:

1) Maternal Mortality Rates in the United States, 2021
2) Racial Bias in the Treatment and Management of Pain
3) Paying for PrEP
4) US Government Lawsuit Against Gilead
5) Legal Battle Over ACA PrEP Coverage
6) Prediabetes: Opportunity or Overdiagnosis?
7) Cancer Facts for Lesbian & Bisexual Women
8) HPV Vaccine: What Age is Too Late?
9) Tuskegee Syphilis Study
10) AMA Opinion: Physician Exercise of Conscience
11) Women & PrEP
12) HIV Testing, Prevention, & Care for Transgender People
13) The Private Sector & Universal Health Coverage

Want to get in touch? Email any time at thekppod@gmail.com.

April Klar is a nurse practitioner in the emergency room of a busy level 1 trauma center in Huntsville, AL. She has worked in emergency medicine for over 20 years. On today's episode she discusses how she has managed to have such a long career in such a stressful environment. Also we have a special cameo appearance of KP's canine correspondent, Bentley Sivak-Marks.

Links:

Kenya Relief Website
Kenyan Regulation of Iodine Levels in Salt
Emergency Nurses Association Staffing Report, 2022
Kenya's Goal of Providing Universal Health Coverage (US Dept. of Commerce)
Kenya's Path to Universal Health Coverage (WHO)
Seeking Care in the Context of Social Health Insurance in Kenya and Ghana (BMC Public Health)
CBO Analysis of Commercial Insurance & Medicare Spending
How Polio Campaign Beat Vaccine Hesitancy (NPR)

Want to get in touch? Email any time at thekppod@gmail.com.

Why did no one teach us how to fill out all these forms?! Jody goes through the tedious process of trying to get an imaging study covered by a patient's insurance company. After the effort (SPOILER ALERT) fails, he reviews what could have been done differently. He also discusses ACR Appropriateness Criteria for determining which imaging studies to order.

ACR Appropriateness Criteria Website

Want to get in touch? Email any time at thekppod@gmail.com.

We review the evidence, or rather the lack thereof. We also review the recently updated ACG/AGA  guidelines for management of chronic idiopathic constipation in adults.

Links:

AGA/ACG Guideline on Chronic Idiopathic Constipation Management in Adults

AFP Article on Pediatric Constipation Management

Effect of Irritant Purgatives on the Myenteric Plexus in Man and the Mouse by Dr. Barbara Smith

Pathology of Cathartic Colon by Dr. Barbara Smith

Stimulant Laxatives for the Treatment of Chronic Constipation:  Is It Time to Change the Paradigm? by Dr. Darren Brenner

Myths & Misconceptions About Chronic Constipation by Dr. Steffan Mueller-Lissner et. al.

Is Chronic Use of Stimulant Laxatives Harmful to the Colon? by Dr. Arnold Wald

Boys of the Old Brigade performed by USAF Concert Band

Want to get in touch? Email any time at thekppod@gmail.com.

Medical assistant Katie Glenn takes us through the surprisingly simple process of applying the sensor of the Freestyle Libre 2 continuous glucose monitor.

Link:

YouTube video demonstration (not us)

Want to get in touch? Email any time at thekppod@gmail.com.

Nursing hasn't always been a female dominated profession. Prior to the Civil War, most nurses were men. We discuss the cultural issues that pushed women out of nursing during the antebellum period as well as the relatively recent increase in the number of male nurses. Jody participates in this panel discussion with other faculty members of Calhoun Community College on the CCC podcast Crossing The Streams (Season 3, Episode 3).

Dr. Sheila Byrd, PhD, is a professor of English.

Dr. John Gaines, PhD, is a professor of history.

Dr. Stacy Powell, DNP, is a professor of nursing.

Crossing The Streams Podcast Link (Spotify)

Want to get in touch? Email any time at thekppod@gmail.com.

Jody shares more about his personal experience being a male nurse.

Want to get in touch? Email any time at thekppod@gmail.com.

Former IT guy Rob Daniels discusses what it takes to keep a hospital's technology infrastructure running, the eye-opening nature of doing a non-clinical job in a clinical setting, and why it's a bad idea to watch porn while you should be taking care of patients.

A.J. Jacobs:  My Journey to Thank All the People Responsible for My Morning Coffee

Want to get in touch? Email any time at thekppod@gmail.com.

Jody reviews iron physiology, interpretation of iron studies, and treatment of iron imbalance.

References:

1. Abbaspour N, Hurrell R, Kelishadi R. Review on iron and its importance for human health. J Res Med Sci. 2014 Feb;19(2):164-74. PMID: 24778671; PMCID: PMC3999603
2. Mobarra N, Shanaki M, Ehteram H, Nasiri H, Sahmani M, Saeidi M, Goudarzi M, Pourkarim H, Azad M. A Review on Iron Chelators in Treatment of Iron Overload Syndromes. Int J Hematol Oncol Stem Cell Res. 2016 Oct 1;10(4):239-247. PMID: 27928480; PMCID: PMC5139945
3. Treating Anemia with Iron Infusions, https://www.hemoncnc.com/hematology/treating-anemia-with-iron-infusions
4. UpToDate Articles
   1. Aeurbach M. Causes of iron deficiency and iron deficiency anemia in adults
   2. Auerbach M, & DeLoughery T. Treatment of iron deficiency anemia in adults
   3. Camaschella C, & Weiss G. Regulation of iron balance
   4. Kwiatkowski J. Approach to the patient with suspected iron overload
   5. Liebelt E. Acute iron poisoning

Want to get in touch? Email any time at thekppod@gmail.com.

Jody reviews the process of diagnosing prostate cancer including screening considerations, diagnostic modalities, and calculating prognosis.

Sources

USPSTF Prostate Cancer Screening Recommendation

UpToDate Articles:

• Benway, B & Andriole, G. Prostate biopsy
• Freedland, S. Measurement of prostate-specific antigen
• Preston, M. Screening for prostate cancer
• Richie, J. Localized prostate cancer: Risk stratification and choice of initial treatment
• Ross, A, D'Amico, A, & Freedland, S. Molecular prognostic tests for prostate cancer
• Taplin, M & Smith, J. Clinical presentation and diagnosis of prostate cancer
• Taplin, M & Smith, J. Initial staging and evaluation of males with newly diagnosed prostate cancer
• Tempany, C, Carroll, P, & Leapman, M. The role of magnetic resonance imaging in prostate cancer
• Yang, X. Interpretation of prostate biopsy

Want to get in touch? Email any time at thekppod@gmail.com.

Joshua Palmer is a college student living with type 1 diabetes since age 17. Here he shares the story of his diagnosis and how he has dealt with the challenges of managing his condition. Contact Joshua by email at palmerjg59@gmail.com.

Resources:

Beyond Type 1
She's Diabetic YouTube Channel
UC Anschutz Medical Campus Barbara Davis Center

Want to get in touch? Email any time at thekppod@gmail.com.

Mary McCulloch shares the story of how she was left with debilitating chronic pain and few answers after enduring multiple knee surgeries over several years. When they say there's a chance of having a bad outcome even from a routine surgery, this is what they're talking about.

Dr. Todd Oyen returns to discuss his personal experience living with CMT. As it happens, September is CMT awareness month so this is the perfect time to share this special conversation.

Links:

1) Charcot Marie Tooth Association

2) Hereditary Neuropathy Foundation

3) Muscular Dystrophy Association

4) World Tang Soo Do Association

5) Oyen's North Alabama Tang Soo Do

6) Dr. Oyen's YouTube Channel

The new PCAB Voquenza (vonoprazan) is being marketed as a superior alternative to PPI therapy for acid-related conditions (GERD with or without erosive esophagitis, H. pylori eradication). Are these two mechanisms of action really that different? Jody investigates.

References:

1) Prescriber information: https://www.phathompharma.com/wp-content/uploads/VOQUEZNA-tablets-Prescriber-Information.pdf

2) György Miklós Buzás, Dual acid-pump blocking as novel therapeutic approach to treatment of acid-related diseases, Medical Hypotheses, Volume 187, 2024, 111338, ISSN 0306-9877, https://doi.org/10.1016/j.mehy.2024.111338.

3) Katzka DA, Kahrilas PJ. Potassium-Competitive Acid Blocker Suppression of Gastric Acid in Erosive Esophagitis: Is Stronger and Longer Better? Gastroenterology. 2023 Jan;164(1):14-15. doi: 10.1053/j.gastro.2022.10.022. Epub 2022 Oct 28. PMID: 36341738.

4) Shin JM, Sachs G. Pharmacology of proton pump inhibitors. Curr Gastroenterol Rep. 2008 Dec;10(6):528-34. doi: 10.1007/s11894-008-0098-4. PMID: 19006606; PMCID: PMC2855237.

5) Simadibrata DM, Syam AF, Lee YY. A comparison of efficacy and safety of potassium-competitive acid blocker and proton pump inhibitor in gastric acid-related diseases: A systematic review and meta-analysis. J Gastroenterol Hepatol. 2022 Dec;37(12):2217-2228. doi: 10.1111/jgh.16017. Epub 2022 Oct 26. PMID: 36181401; PMCID: PMC10092067.

6) Oshima T, Miwa H. Potent Potassium-competitive Acid Blockers: A New Era for the Treatment of Acid-related Diseases. J Neurogastroenterol Motil. 2018 Jul 30;24(3):334-344. doi: 10.5056/jnm18029. PMID: 29739175; PMCID: PMC6034668

Jody shares his most memorable water-related incidents.

For non-Spotify listeners, here is the commentary portion of this week's musical episode without any of the songs included. Here's the playlist:

1. 100 in a 55 by Pop Evil
2. Hero by Chad Kroeger feat. Josey Scott
3. Smokin' & Ridin' by Ja Rule
4. Downfall by Matchbox 20
5. So Right by Dave Matthews Band
6. Lessons in Love, Hope, and Faith - Part 1 The Road by Sister Hazel
7. The Artist in the Ambulance by Thrice
8. Lose Yourself by Eminem
9. Race Against Time II by Ja Rule
10. On the Grind by Nelly feat. King Jacob
11. What I Learned Out On the Road by Kid Rock
12. Tonight by Charlie Robison

Honorable mentions:

1. Last Kiss by Pearl Jam
2. How to Save a Life by The Fray
3. Superman (It's Not Easy) by Five for Fighting
4. The Change by Garth Brooks
5. Think of Me by Tracy Lawrence
6. Wherever You Will Go by The Calling
7. Hold My Hand by Hootie & The Blowfish
8. Ride Wit Me by Nelly
9. Utha Side by Nelly
10. Drivin' My Life Away by Eddie Rabbit
11. Can't Believe by Sister Hazel
12. Let the Fire Burn by Sister Hazel
13. Stairway to Heaven by Led Zepplin
14. Another One Bites the Dust by Queen
15. Stayin' Alive by the Bee Gees
16. Don't Fear the Reaper by Blue Oyster Cult
17. Rescue by Lauren Daigle

⁠Jody's YouTube Channel⁠

⁠Support the show⁠

⁠Check out our (non-Spotify) website⁠

What's on your mixtape? Email any time: thekppod@gmail.com

A man codes unexpectedly then just as unexpectedly...uncodes?

Credits

Intro music:

"Amazing Grace"

Performed by USAF Band, Air Force Strings Ensemble

International Mosaic

Outro music:

"That's Why"

Composed by SMSgt John Henley

Performed by USAF Concert Band

Heritage to Horizons

Podcast Links:

Support the show

Visit our website

Got a critical incident you want to share? Email it to thekppod@gmail.com.

Uncle Jody is talking about the good ol' days again.

No matter what area of medicine you work in, you are saving lives and improving your patients' quality of life. Sometimes that happens in dramatic fashion and sometimes you might not even notice it happening at all. In this episode, Jody recalls his experiences on the ambulance, in the hospital, and in the primary care clinic.

Jody summarizes what he learned recently at the HH Cardiology Update 2024, held at UA Huntsville College of Nursing.

Resources:

1. UAH Kinesiology CPET
2. Nunn AVW, Guy GW, Brysch W, Bell JD. Understanding Long COVID; Mitochondrial Health and Adaptation-Old Pathways, New Problems. Biomedicines. 2022 Dec 2;10(12):3113. doi: 10.3390/biomedicines10123113. PMID: 36551869; PMCID: PMC9775339
3. 2022 ACC/AHA Aortic Disease Guidelines
4. StatPearls Water Hammer Pulse Article
5. Water Hammer Toy Demo (YouTube)
6. StatPearls COX Inhibitor Article
7. AHA Anticoagulation Strategies for PCI
8. Bivalirudin vs Heparin in STEMI
9. Glycoprotein IIA/IIIB Inhibitors
10. P2Y12 Inhibitors
11. McLaughlin K, Rimsans J, Sylvester KW, Fanikos J, Dorfman DM, Senna P, Connors JM, Goldhaber SZ. Evaluation of Antifactor-Xa Heparin Assay and Activated Partial Thromboplastin Time Values in Patients on Therapeutic Continuous Infusion Unfractionated Heparin Therapy. Clin Appl Thromb Hemost. 2019 Jan Dec;25:10760296 19876030. doi: 10.1177/1076029619876030. PMID: 31530176; PMCID: PMC6829967.
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13. ESC Cardio-oncology Guidelines
14. 2022 ESC Guidelines Key Points (ACC)
15. ICOS Cardio-oncology Risk Assessment Tool
16. Ibrutinib Associated Cardiotoxicity
17. SPARC Tool
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21. UAB Cardio-oncology Program

Mary McCulloch returns to share memorable stories from her career in law enforcement.

Rob recalls his experiences working in Madison County, AL during the tornado outbreak on April 27th, 2011. This interview was recorded in 2011, about a month after the storms hit. It was done using a handheld recorder with the intention of producing a written account, so the audio quality is not great.

Rob mentioned that meteorologist Gary Dobbs was injured during the storm while broadcasting live from his home. You can find the full story of that incident here:

https://www.al.com/news/2021/04/alabama-forecaster-gary-dobbs-got-the-ride-of-his-life-from-an-f-5-tornado-on-april-27-2011.html

Jody's review of this short critical care guidebook focused on using capnography as part of patient assessment and management.

The sad story of a patient whose diagnosis was delayed until it was too late.

It's back-to-school time! Are you ready? Jody shares his suggestions for passing those exams with flying colors.

How To Study A Textbook by Tom Meyer

Paramedic Dylan Kessler shares the story of performing his first surgical cricothyrotomy on a (barely) live patient under less than ideal circumstances.

Live Demo of Cricothyrotomy Procedure (YouTube)

Cadaver Demo of Cricothyrotomy Procedure (YouTube)

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Credits

Intro music:

"Amazing Grace"

Performed by USAF Band, Air Force Strings Ensemble

International Mosaic

Outro music:

"That's Why"

Composed by SMSgt John Henley

Performed by USAF Concert Band

Heritage to Horizons