The Generalist Medicine - GeM - Podcast – Détails, épisodes et analyse

This episode of my new Let's Talk Now LTN project is relevant to Generalist Medicine.

I really enjoy talking and being inspired with Marc-David Munk MD, a Canadian-American physician with a recent book release:  Urgent Calls from Distant Places: An Emergency Doctor's Notes About Life and Death on the Frontiers of East Africa.

We get to talk about writing the book, his work in East Africa with AMREF Flying Doctors, challenges working in the ER in North American health care system, and his retraining in Palliative Care Medicine. He has also worked as an innovator in health care delivery with, for example, CVS pharmacy and Iora Health, and he mentions some alternative ways of approaching primary care delivery.

Questions or comments? Email pleaseletstalknow@gmail.com

It is with a poignant sadness that I close the GeM Generalist Medicine Podcast - a project which has been filled with fun, learning and memories over the past 9 years.

If you have any feedback, please email me at gempodcast@gmail.com

I am moving on to a new podcast project - Lets Talk Now  (LTN)

Thank you so kindly for listening - it has been a true joy and pleasure to make these and be on this learning journey with you,

Aaron Rothstein

We are joined by local family and ER physician Jesse Zroback to discuss his passion and excitement for Space! We talk about his recent work with Canadian Space Agency, becoming one of the final candidates to become Canada's 4th generation of astronaut, as well as more generally the concept of Space Medicine -  medical considerations in space, application to life on Earth, and a bit on the current climate around Space travel! 

I had the opportunity to talk to Tonya Caylor, a family physician from Anchorage, Alaska with an inspiring interest in physician health. We talk about the important topic of Burnout as well as her interest in Coaching to help physicians in both their personal and professional lives. For more information on her, check out her site! https://www.joyinfamilymedicine.com/.

Lyrics:

Necrotizing Fasciitis/Necrotizing Fasciitis/So much pain/ React or be slain/ Necrotizing Fasciitis

Necrotizing Fasciitis/Dissolving don’t delight us/Pain out of proportion

I need a limb abortion/All from a sore shin!

I’m on the lookout when I see soft tissue/Is it going fast? Are you sick? I asked.

It feels like’s it’s a shark beneath the surface/The fascia elevator is at their service!

Oh no doc, is it do or die!?Why yes, TBH, lucky I’m your guy

Piptazo, Vanco, Clinda after cultures/ toxins swarming like in, like mini super vultures

What kinda mean bug got me through this wound?/First type’s a party cracking bubbly; stay tuned

Type two a hitman - strep pyogenes on your knees/ Or maybe Vibrio from the ocean seas!

<>

Call the surgeon in the middle of the night/Hey good sir could you join the fight?

What is the meaning of disturbing my slumber?/To Save a life. Glad you had my number!

CHORUS

When the surgeon arrives patient has less pain (of course)/ Is it effects of sepsis to the brain?

When I push he jumps not off the stretcher/Cutaneous anaesthesia is a late sign, I conjecture!

Youre a genius, hah, to the OR tomorrow!/Uhh good sir, but that could end in sorrow

Perhaps you could deign to operate stat/Steel and faciotimy would save him like that (snap)

We wheel him quickly down the hall/A little levofed makes his pressure not stall

Cut the leg theres necrotic goo/ compartments are relieved two by two

Thank you docs for saving my life/Everyone lauds you cept the ex-wife

No problem, mr patient, thats what we do/Watch for nec fash with soft tissue!

Ohhhh you got to save the day save the day save the day

Ohhh do serial exams you ll save the save the day

Ohhhh mr doctor got to save the day save the day save the day

Ohhhh give good discharge instructions for red flagsssssss and you will save the day

CHORUS!

Let's talk about Necrotizing Soft Tissue Infections, including primarily the really scary one - Necrotizing Fasciitis!  This is a topic to constantly keep in the back of your head... to really save some lives.

Update Sept 7th: Made some modifications to the surgical segment thanks to Dr. Matt Strickland

A conversation with Dr. Adam Moir, a generalist physician in Dryden, Ontario and a personal mentor about Teaching in medicine. We have an off the cuff conversation on our experience in teaching, the reciprocity of teaching, some pearls, and what can be learned and gained doing it!

Discussion with our local GP Anaesthetist Dr. Cory McFarlane around the Covid situation in Northern Ontario, oxygen delivery in Covid, Airway considerations, approaches to various critical scenarios and a bit on treatment

An unscripted, zany conversation with rural legend Mike Kirlew about airway and breathing ; ideas around who and how to intubate, who can be managed with Non-Invasive or High Flow, and about Ventilators

We talk to rural family medicine resident Dr. Tiffany Desruisseaux about the new IDSA 2019 guidelines on community acquired pneumonia, atypical pneumonias, some great pharmacology and a brief tidbit on VAPI (vaping-associated pulmonary injury)