Outpatient Episodes

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 care for p...

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. 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. 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? Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia.aspx#1460

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. 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 episode of Run the List, Walker Redd (host) and Jordan Said (case presenter) talk with Dr. Matthew Weinstock, a hematologist/oncologist at Beth Israel Deaconess Medical Center, about the causes and workup of lymphadenopathy. We learn about how to stratify lymphadenopathy into less and more serious cases based on the physical exam, and review the wide differential of generalized and diffuse lymphadenopathy. The episode closes with clinical pearls from both Dr. Weinstock and Jordan about t...

In this episode of Run the List, Joyce Zhou (host) and Blake Smith (case presenter) talk with Dr. Jean Connors, a hematologist at Brigham and Women’s Hospital and Dana Farber Cancer Institute, about the causes of thrombophilia (congenital and acquired) and its management in the acute care setting. We learn about common risk factors and how these can be both additive and synergistic with inherited causes of thrombophilia. The episode closes with Dr. Connors’ discussion of both when to order lab t...

In this episode of Run the List, Joyce Zhou (host) and Katie Kester (case presenter) discuss sickle cell disease and the management of acute chest syndrome with Dr. Maureen Achebe, a hematologist at Brigham and Women’s Hospital and Dana Farber Cancer Institute. We learn not only about the management and common complications of sickle cell but also some of the challenges that patients with sickle cell face in accessing care and how best to advocate for these patients.

Dr. Aric Parnes, a hematologist at Brigham and Women’s Hospital and the Dana-Farber Cancer Institute, joins host Joyce Zhou and case presenter Sarah Onorato to talk through a case of a patient presenting with new onset pancytopenia. Throughout the case, they discuss a framework for thinking through the major causes of pancytopenia. In addition, they consider the steps in emergent management of severe pancytopenia and an approach to history taking, physical examination, and data interpretation fo...

Dr. Robert Stern, a hematologist at Brigham and Women's Hospital, discusses thrombocytopenia with Dr. Navin Kumar (host) and Sarah Onorato (script writer and case presenter). He discusses a clinical framework to diagnosis, initial considerations on management, and key considerations and management points for the patient case. They wrap up with high yield clinical pearls.

Dr. Arielle Langer, a hematologist at Brigham and Women's Hospital, discusses her approach to diagnosing anemia and applies it to clinical cases with Joyce Zhou (host) and Jordan Said (scriptwriter and case presenter). They step through the important history-taking and lab findings necessary to evaluate a patient with anemia and discuss how to bring these elements together to inform a wide differential diagnosis. The group also offers some high-yield points to consider for the treatment of speci...

Dr. OP Hamnvik, an endocrinologist and the Director of the Center for Oncoendocrinology at Brigham and Women's Hospital, discusses transgender health from the endocrinologist’s perspective with Joyce Zhou (host) and Jordan Said (script writer and case presenter). They discuss the central tenets of caring for a transgender patient, the agents used for gender-affirming hormone therapy, and the long-term monitoring and management of these patients. The episode ends with some clinical pearls from bo...

Dr. Anand Vaidya, an endocrinologist and the director of the Center for Adrenal Disorders at Brigham and Women's Hospital, discusses adrenal insufficiency with Dr. Navin Kumar (host) and Bina Kassamali (script writer and case presenter). They discuss the presentation of adrenal insufficiency (AI) and its triggers, a framework for primary vs. secondary causes of AI, an endocrine work-up for AI and related diseases, and the management of AI with steroids and patient education. Dr. Vaidya also make...

Dr. Anna Goldman, an endocrinologist and medical educator at Brigham and Women’s Hospital, talks with Joyce Zhou (host) and Dr. Emily Gutowski (case presenter) to discuss diagnosis, management, and lifestyle considerations in patients with diabetes mellitus. They talk through a case of a patient with hypertension, hyperlipidemia, and a family history of T2DM. Dr. Goldman presents her framework for type 1 vs. type 2 DM and how to diagnose T2DM based on labs, physical exam findings, and clinical h...

Dr. OP Hamnvik, an endocrinologist and medical educator at Brigham and Women’s Hospital, joins Joyce Zhou (host) and Dr. Emily Gutowski (case presenter) to discuss hypocalcemia. They run through a case of a patient with a recent thyroidectomy who presents with perioral paresthesia and hypocalcemia. Dr. Hamnvik takes us through the many causes of hypocalcemia, from the PTH-dependent to the PTH-independent causes, in addition to ways in which we can test for hypocalcemia at the bedside through Chv...

Dr. OP Hamnvik, an endocrinologist and medical educator at Brigham and Women’s Hospital, joins Emily Gutowski (host) and Joyce Zhou (case presenter) to discuss hypercalcemia. Through a case of an outpatient presenting with incidental hypercalcemia and no symptoms, Dr. Hamnvik walks through ways to differentiate the various causes of hypercalcemia, from primary hyperparathyroidism to non-PTH-mediated sources such as malignancy. Together, they discuss the normal regulation of calcium in the body a...

Dr. Rachel Blair, an endocrinology fellow at Brigham and Women’s Hospital, joins Emily Gutowski (host) and Katie Kester (case presenter) to discuss hyperthyroidism. Together, they walk through a case of a young patient with suspected thyrotoxicosis and discuss the diagnostic workup, from physical exam and labs to radioactive iodine uptake studies. They talk through causes of primary and secondary hyperthyroidism, when thyrotoxicosis is considered an endocrine emergency, and how to provide initia...

Dr. Rachel Blair, an endocrinology fellow at Brigham and Women’s Hospital, joins Dr. Navin Kumar (host) and Sarah Onorato (case presenter) to discuss hypothyroidism. Together, they use a sample case of a patient with hypothyroidism as a framework to guide discussion about primary vs. secondary hypothyroidism, associated lab findings, and management of unambiguous hypothyroidism vs. subclinical hypothyroidism. They wrap up their discussion with several clinical pearls, advocating for both a broad...