Outpatient Episodes

In this special episode, Dr. Mitchell Charap, longtime IM residency program director and master clinician at NYU Langone, walks us through a mystery case that defies expectations. Together, he and host Emily Gutowski explore how illness scripts can both guide and sometimes mislead our diagnostic reasoning, and why the physical exam remains an indispensable tool.

Dr. Matthew Pullen, infectious disease physician at the University of Minnesota, joins host Walker Redd to discuss blastomycosis, an often-overlooked endemic fungal infection. Through a case presentation, they explore epidemiology, classic histopathologic findings, and a variety of clinical manifestations, including pulmonary, cutaneous, CNS, and musculoskeletal. They also walk through diagnostic strategies and treatment approaches based on disease severity.

Dr. Walker Redd interviews Dr. Brooke Matson, endocrinologist at UNC Chapel Hill, about osteoporosis. Together, they review the diagnosis of osteoporosis and osteopenia, the use of the FRAX calculator, and the basics of antiresorptive and anabolic therapies. They also cover lifestyle changes that patients with osteoporosis can incorporate to prevent fractures. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

In this episode, Dr. Emily Gutowski interviews Dr. Michael Janjigian about preoperative assessment and perioperative medicine. They discuss the recent updates to perioperative management guidelines, the Revised Cardiac Risk Index (RCRI) and Gupta scores, and integration of laboratory data into preoperative visits. This episode also helps identify patients who may need additional testing prior to surgery. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle...

Dr. Ryan Bonner returns to explore cardiovascular-kidney-metabolic (CKM) syndrome and its clinical implications through the lens of chronic kidney disease. The discussion walks through atherosclerotic risk, weight management, hypertension, and heart failure, offering a multidisciplinary, practical approach to managing CKM. Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

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.

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.

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. Walker Redd, a gastroenterology fellow at the University of North Carolina and co-founder of the Run the List podcast, discusses his approach to dysphagia with host Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of RTL. Together, they discuss the meaning of dysphagia, its causes, and ways to manage it.

Dr. Rahul Maheshwari, second year nephrology fellow at the Mount Sinai Hospital in New York, discusses acute kidney injury with Dr. Emily Gutowski, a RTL host and internal medicine resident. Together, they discuss the presentation, differential diagnosis, and treatment considerations of AKI.

Dr. Raymond Chung, a Gastroenterologist and Transplant Hepatologist who is the Director of the Hepatology and Liver Center at MGH and a Professor of Medicine at Harvard Medical School, joins host of RTL and internal medicine resident, Dr. Joyce Zhou, to discuss an approach to decompensated cirrhosis. In the episode, the two cover underlying pathophysiology, complications, and management of patients with cirrhosis from oral medications through transplant consideration. Their discussion touches on...

Dr. Sasha-Deutsch Link, a Gastroenterology and Hepatology fellow at the University of North Carolina (UNC), joins host her co-fellow Dr. Walker Redd, co-founder and host of RTL, to discuss Alcohol-Associated Liver Disease. Through a case discussion of a patient with acute alcohol-associated hepatitis, they review patient-centered terminology, the relevant diagnostic workup, and how to think both acute and chronic alcohol-associated liver disease. They also cover important principles of managemen...

Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and host Blake Smith discuss how to approach a patient presenting with acute right-upper quadrant (RUQ) pain. Together, they discuss the various causes of RUQ pain, in addition to how to approach a set of liver function tests (LFTs), differentiating hepatocellular injury from a cholestatic pattern. They then discuss how various f...

Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and Dr. Walker Redd, a Gastroenterology fellow at the University of North Carolina and co-founder of RTL, discuss Inflammatory Bowel Disease. Building on the prior episode covering an approach to diarrhea, they first discuss diagnosing IBD and distinguishing between ulcerative colitis (UC) and Crohn's disease (CD). Through a case...

Dr. Navin Kumar, an attending Gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of the Run the List podcast and host Blake Smith discuss how to approach a patient presenting with diarrhea. In this episode, Navin discusses his framework for thinking through these cases, from patient history to chronicity and quality. Through a case discussion, they review the definition of diarrhea, the broad types of diarrhea (watery, fatty, and inflam...

Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast talks with RTL host Blake Smith in a two-part series focused on Med Ed. This second episode caters to later trainees - residents, fellows, and new attendings/faculty - as they seek out opportunities in Med Ed. Navin offers some pearls for listeners - to diversify your educational portfolio, strive to be scholarly, take on formal lear...

Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast talks with RTL host Blake Smith in a two-part series focused on Med Ed. This first episode caters to early trainees and Navin takes listeners through his journey with medical education from his early days as a medical student. The episode walks through Navin's many pearls on becoming involved in Med Ed, including: 1) start early & of...

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.