Everyday Medicine

Episode 16 - Celiac Disease

In this episode, Christopher Chiu speaks with Dr. Duncan Campbell, a Med-Peds trained primary care physician at Ohio State. They dive into Celiac disease with comprehensive insights into its diagnosis, prevalence, symptoms, and treatment. Learn about the recommended screening tests, the importance of a gluten-free diet, and how to manage and monitor patients effectively. This episode is perfect for medical professionals aiming to deepen their understanding of Celiac disease and provide better care to their patients. 00:00 Introduction to Everyday Medicine Podcast 00:42 Meet Dr. Duncan Campbell 01:19 Personal Connection to Celiac Disease 02:07 Understanding Celiac Disease 03:13 Prevalence and Risk Factors 04:23 Symptoms in Children and Adults 08:29 Diagnostic Testing for Celiac Disease 13:17 Treatment and Dietary Management 15:22 Monitoring and Follow-Up 17:43 Complications of Untreated Celiac Disease 22:00 Final Thoughts and Resources

Episode 15 - Alcohol Use Disorder (Screening)

In this episode of Everyday Medicine, host Dr. Christopher Chiu speaks with Dr. Dan Jonas, the Division Director of General Internal Medicine at Ohio State University, about screening for alcohol use disorder. The discussion covers the prevalence and impact of unhealthy alcohol use in the U.S., the importance of screening in primary care, and effective screening tools like the single alcohol screening question and the AUDIT-C. They also delve into the STUN (Stop Unhealthy Alcohol Use Now) trials, which explore strategies to improve the implementation of screening and brief counseling for alcohol use in primary care settings. Dr. Jonas emphasizes the significant benefits of these interventions and offers practical advice for integrating screening into routine patient visits. 00:00 Introduction to Everyday Medicine 00:32 Meet Dr. Dan Jonas 00:41 Understanding Alcohol Use Disorder 02:28 Screening Tools and Recommendations 06:25 Implementing Screening in Primary Care 08:24 The STUN Trials 13:33 Key Takeaways and Resources 16:42 Conclusion and Farewell

Episode 14 - Diabetic Retinopathy (LIVE at Ohio ACP)

In this episode Christopher Chiu speaks with Dr. Harrison Jackson about diabetic retinopathy. The discussion focuses on the importance of screening for diabetic retinopathy to prevent vision loss, emphasizing ADA guidelines for patients with type 1 and type 2 diabetes. Dr. Jackson outlines common barriers to screening adherence and proposes solutions, including in-office retinal photography and artificial intelligence as promising tools to improve screening rates. The conversation provides insights on integrating these technologies into primary care to enhance patient outcomes. 00:00 Introduction to Everyday Medicine Podcast 00:36 Guest Introduction: Dr. Harrison Jackson 01:28 Understanding Diabetic Retinopathy 02:41 Screening Guidelines for Diabetic Retinopathy 03:55 Barriers to Screening Compliance 05:28 Effective Strategies for Screening 07:33 In-Office Retinal Photography 09:14 Cost and AI in Retinal Photography 10:15 Future of Retinal Screening and AI 15:15 Key Takeaways and Conclusion

Episode 13 - HIV Pre-exposure Prophylaxis (PrEP)

In this episode of Everyday Medicine, Christopher Chiu is joined by clinical pharmacist Lindsey Lee, who provides an in-depth overview of PrEP (Pre-Exposure Prophylaxis), its effectiveness in preventing HIV, the populations that should be considered for PrEP, and the disparities in its usage. They discuss various PrEP medications, including oral options like Truvada and Descovy, and the injectable Apretude, addressing their indications, side effects, and monitoring requirements. Lee also talks about prescribing practices, counseling patients, and ensuring adherence to PrEP regimens, as well as resources for patients who face financial barriers to accessing PrEP. The episode highlights the importance of primary care physicians in managing and discussing PrEP with eligible patients. 00:00 Introduction to Everyday Medicine 00:53 Guest Introduction: Pharmacist Lindsey Lee 01:10 Understanding PrEP Therapy 01:34 Who Should Consider PrEP? 04:30 Oral Medications for PrEP 06:34 Injectable PrEP: Apretude 08:06 Baseline Labs and Monitoring 10:04 Counseling Patients on PrEP 15:11 Intermittent PrEP: The 2-1-1 Method 18:04 Affordability and Assistance Programs 19:03 Conclusion and Final Thoughts

Episode 12 - Point of Care Ultrasound (LIVE at Ohio ACP)

In this episode of Everyday Medicine, hosted by Christopher Chiu, Dr. Paul Shaniuk discusses Point of Care Ultrasound (POCUS) during the Ohio chapter of the American College of Physicians' Annual Conference. Dr. Shaniuk, a hospitalist at the VA Northeast Ohio Healthcare System, explains POCUS, which is performed by clinicians at the bedside for real-time diagnostic interpretation. He describes the evolution and significance of POCUS compared to the traditional stethoscope. The conversation covers practical applications, including assessing dyspneic patients, cardiac evaluation, and volume status assessment, as well as the differences between POCUS and formal ultrasounds. Dr. Shaniuk also talks about how clinicians can obtain training and credentialing in POCUS, the integration of POCUS into daily practice, and the importance of developing robust POCUS programs within medical institutions. 00:00 Introduction to Everyday Medicine 00:37 Introducing Dr. Paul Shaniuk and POCUS 04:04 Practical Uses of POCUS in Hospital Medicine 08:05 POCUS in Outpatient and Primary Care 10:57 Training and Credentialing in POCUS 15:07 Building a POCUS Program 19:54 Final Thoughts and Takeaways 20:45 Closing Remarks