Telepsychiatry and the Coronavirus Disease 2019 Pandemic—Outcomes of Rapid Virtualization of Psychiatric Care
Play episode · 24 min
Bedside Rounds
Bedside Rounds
Adam Rodman, MD, MPH, FACP
57 - The Second Wave
In August of 1918, a horrific second wave of the Spanish Flu crashed across the world. In this episode, the third of a four-part series exploring hydroxychloroquine and COVID-19, I’ll explore this single moment in time, through the mysterious origins of the Spanish Flu and historiographical controversies, scientific missions to mass burial sites in remote Alaskan villages, the ill-fated journey of the HMS Mantua, debates about how to count victims of a pandemic, and the mystery behind Pfeiffer’s bacillus. Plus a new #AdamAnswers about that annoying yellow on blue powerpoint template so common in the medical field! Sources: * Viboud, C. et al. Age- and Sex-Specific Mortality Associated With the 1918–1919 Influenza Pandemic in Kentucky. J Infect Dis 207, 721–729 (2013). * Oxford, J. S. & Gill, D. A possible European origin of the Spanish influenza and the first attempts to reduce mortality to combat superinfecting bacteria: an opinion from a virologist and a military historian. Hum Vacc Immunother 15, 2009–2012 (2019). * Epps, H. L. V. Influenza: exposing the true killer. J Exp Medicine 203, 803–803 (2006). * Patterson, S. W. & Williams, F. E. PFEIFFER’S BACILLUS AND INFLUENZA. Lancet 200, 806–807 (1922). * Taubenberger, J. K. & Morens, D. M. The 1918 Influenza Pandemic and Its Legacy. Csh Perspect Med a038695 (2019) doi:10.1101/cshperspect.a038695. * Trilla, A., Trilla, G. & Daer, C. The 1918 “Spanish Flu” in Spain. Clin Infect Dis 47, 668–673 (2008). * Taubenberger, J. K. The origin and virulence of the 1918 “Spanish” influenza virus. P Am Philos Soc 150, 86–112 (2006). * Heinz, E. The return of Pfeiffer’s bacillus: Rising incidence of ampicillin resistance in Haemophilus influenzae. Microb Genom 4, (2018). * Barry, J. M. The site of origin of the 1918 influenza pandemic and its public health implications. J Transl Med 2, 3 (2004). * Johnson, N. P. A. S. & Mueller, J. Updating the Accounts: Global Mortality of the 1918-1920 “Spanish” Influenza Pandemic. B Hist Med 76, 105–115 (2002). * Tomkins SM, Colonial Administration in British Africa during the Influenza Epidemic of 1918-19. Canadian Journal of African Studies / Revue Canadienne des Études Africaines. Vol. 28, No. 1 (1994), pp. 60-83 (24 pages) * Qiang Liu et al, The cytokine storm of severe influenza and development of immunomodulatory therapy. Cell Mol Immunol. 2016 Jan; 13(1): 3–10. * Spreeuwenberg et al. Reassessing the Global Mortality Burden of the 1918 Influenza Pandemic.Am J Epidemiol . 2018 Dec 1;187(12):2561-2567. doi: 10.1093/aje/kwy191. * R. F. J. Pfeiffer: Vorläufige Mittheilungen über den Erreger der Influenza. Deutsche medicinische Wochenschrift, Berlin, 1892, 18: 28. Die Aetiologie der Influenza. Zeitschrift für Hygiene und Infektionskrankheiten, 1893, 13: 357-386.
45 min
The Curbsiders Internal Medicine Podcast
The Curbsiders Internal Medicine Podcast
Matthew Watto MD, Stuart Brigham MD, Paul Williams MD
#237 Ophthalmology for Primary Care
Fun, fluorescein, and fundoscopy unite as our esteemed guest, Dr. Nisha Chadha @iEducatorMD (Mount Sinai School of Medicine) brings us ophthalmology for primary care! Dr. Chadha is a medical educator and the content creator of the med-ed simulation website 20/20 Sim. She teaches us the 3-vital signs of ophthalmology, how to recognize common diabetic eye diseases, how to explain diabetic retinopathy to our patients, how to optimize a patient for cataract surgery and so much more. This episode is truly vision-ary! Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits * Written, Produced, and Infographic by: Carolyn Chan, MD * Cover Art: Kate Grant * Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD * Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com * Guest: Dr. Nisha Chadha Sponsors: National Internal Medicine Day Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential. VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit. Time Stamps * Sponsor – National Internal Medicine Day, The American College of Physicians * Sponsor – VCU Health Continuing Education * 00:30 Intro, disclaimer, guest bio * 03:21 Guest one-liner, Carolyn’s Pick of the Week * 09:05 Picks of the Week* * 10:13 Case from Kashlak, 3 - Vital Signs of Ophthalmology * 17:09 Ocular complications of diabetes * 20:22 Screening for diabetic retinopathy; Reports and Abbreviations * 26:07 Counseling Patients: The eye is a camera; Clinical symptoms of ocular complications * 32:07 Fluorescein Stain; Treatment Options for Diabetic Eye Disease: NPDR, PDR, VH, and RD * 41:16 Eye Vitamins for Macular Edema * 43:35 Cataracts * 47:22 Missing Glaucoma Drops * 50:50 Periop Optimization for Cataract Surgery, Anticoagulation and Other Medical Management * 58:14 Take Home Points, Plug: 20/20 Sim; Outro * Sponsor – VCU Health Continuing Education Links* * Mindset: The New Psychology of Success by Carol S. Dwek * Crackdown Podcast * 20/20 Sim Site *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will discuss screening, counseling, and management of common ocular diseases seen within primary care. Learning objectives After listening to this episode listeners will… * Define and assess the three vital signs of ophthalmology. * List ocular complications of diabetes. * Counsel a patient on a new diagnosis of diabetic retinopathy. * Describe treatments for diabetic retinopathy. * Define proliferative retinopathy, non-proliferative retinopathy, and macular edema. * Compose a perioperative medication management plan for cataract surgery Disclosures Dr. Chadha reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Citation Chan C., Chadha N., Okamoto E., Watto MF. “#237 Ophthalmology for Primary Care”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date October 19, 2020. Tags Eye, ophthalmology, ophtho, optometry, glaucoma, diabetes, diabetic retinopathy, macular edema, cataracts, cataract surgery, perioperative management, physical exam, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student
1 hr 2 min
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