Explore every episode of the podcast Hippo Education Presents: The Monthly Rounds

Welcome to Hippo Education Presents: The Monthly Rounds, an open door to the expert-led learning behind Hippo Education’s podcasts. This month, we’re digging into some life-changing strategies to manage pain and anxiety with IUD placement. Dr. Matt Zeitler, a full-spectrum Family Medicine physician and educator at UNC sits down with host Dr. Neda Frayha to explore new recommendations from the CDC, evidence based options for pain and anxiety management, and a toolkit of strategies to make our patients as comfortable as possible. The video demonstrating the tampon + lidocaine hack can be found here. Our blog post with helpful resources and a great table can be found here. For more, visit us at hippoed.com/podcasts.

Welcome to Hippo Education Presents: The Monthly Rounds, an open door to the expert-led learning behind Hippo Education’s podcasts. This month, we’re sharing a pearl-packed conversation from ERcast on the most important updates in diverticulitis - a diagnosis that feels very bread-and-butter and yet actually has a lot of nuance to it. Should you order a CT? Should you prescribe antibiotics? EM physicians Dr. Matt DeLaney and Dr. Brit Long share tons of information here that any clinician in the ED, Urgent Care, or Primary Care setting should know. For more, visit us at hippoed.com/podcasts.

Welcome to Hippo Education Presents: The Monthly Rounds, an open door to the expert-led learning behind Hippo Education’s podcasts. In light of the current measles outbreak, we are bringing you a conversation from Hippo’s Peds RAP podcast in which pediatricians Drs. Liza Mackintosh and Mike Cosimini review the most important things front-line clinicians need to know about measles. They cover the clinical presentation, testing protocols, and strategies for minimizing community spread. For more, visit us at hippoed.com/podcasts.

Find our blog on measles, here: MMR Vaccines in the Time of Outbreak

Welcome to Hippo Education Presents: The Monthly Rounds, an open door to the expert-led learning behind Hippo Education’s podcasts. In this episode, Drs. Micaela Bowers and Neda Frayha from Hippo’s Primary Care RAP podcast tackle a clinical topic that has gained a lot of attention lately: menopausal hormone therapy. MHT has had a bad rap for years, but it’s time for clinicians to rethink what we were taught and feel confident prescribing MHT to the appropriate patients. Listen in as Micaela and Neda break down the who, when, why, and how of menopausal hormone therapy in an empowering way. For more, visit us at hippoed.com/podcasts.

Join Dr. Kelly Heidepriem and pharmacist Dr. Kyle Dvoracek as they dive into the growing concern around xylazine, also known as "Tranq," a potent substance increasingly being found in illicit drugs. In this discussion, they’ll unpack the latest developments surrounding this dangerous drug, its effects on the body, and what clinicians need to know to recognize and respond to cases of xylazine exposure. From its rising prevalence to its impact on treatment protocols, this discussion offers essential insights for healthcare professionals navigating the complexities of this emerging threat.

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The opioid epidemic is an ongoing crisis that devastates individuals and communities across the U.S. But did you know opioid use disorder dates back to the early 1800s? In this conversation, we’ll explore the history of this public health issue and then shift focus to how clinicians and lawmakers can collaborate on harm reduction and effective treatment strategies for OUD.

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Three months after Dr. Beth Weinstock’s 20-year-old son, Eli, tragically died in 2021, the coroner revealed that his body contained both kratom, a legal herbal supplement, and fentanyl—something Eli never intended to ingest. His death highlights the deadly rise of fentanyl, which contributed to over 107,000 drug overdose deaths in the U.S. in 2022, with synthetic opioids like fentanyl involved in 67% of those cases. In this conversation, Dr. Sol Behar and Neda Frayha speak with Dr. Weinstock, a Family Medicine physician and founder of BirdieLight, to discuss Eli’s story, the fentanyl crisis, and practical harm reduction strategies clinicians can use to prevent further loss.

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Artificial Intelligence (AI) in emergency medicine is here, particularly in the last several months and all of us will have our careers impacted by AI soon. There is a lot of computer science and jargon to understand, and Drew and Cam will help break down some of this nomenclature. Computers/AI are good at generating probabilities. But, making a diagnosis about a patient in front of you is more than understanding/predicting probabilities and is based on an understanding of human values and cause/effect.

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What do you do with the patient who arrives in the ED with an unreasonable request? DeLaney, Drew, and Andy discuss how to best handle this all-too-common occurrence.

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Drs. Matt Delaney and Kelly Heidepriem review a real-life urgent care case on testicular torsion and discuss the known malpractice data on torsion, ways to reduce our legal risk, and how this can be an easy miss by anyone.

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The terms vocation and profession are both commonly used to describe the practice of medicine. While these terms may seem interchangeable, there are subtle differences in their definitions that can make a big difference. DeLaney covers how we describe our lives in the emergency department and how what we say may make a difference.

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We so frequently see patients in the Urgent Care with complaints about their ears - everything from pain, to fullness, to hearing loss to “I’m all plugged up!”. Today Brett talks with Dr. Matthew DeLaney to cover strategies we can use to get these patients some relief.

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Ketorolac is our go-to UC workhorse for MSK pain, kidney stones, and so much more. But are you giving the right dose? We’ll dive into the literature.

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Parul and Sol review neuroendocrine causes of obesity, including some syndromes associated with obesity.

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Down Syndrome or Trisomy 21, is one of the most commonly encountered syndromes seen in the primary care office. Guidelines for the care of the patient with Down Syndrome has changed several times in the past couple of decades, and in keeping with this tradition, the AAP came out with yet another set of guidelines in May of 2022. This Clinical Report for the Health Supervision of Patients with Down Syndrome is packed with awesome updates and tips of how to successfully navigate the well child encounter, and is a must read for every primary care provider. Here to help us unpack this great bundle of information is Dr. Eyal Ben-Isaac, general pediatrician from CHLA.

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Nirsevimab - the new RSV monoclonal antibody has been FDA approved for use in infants. Parul and Sol review what it is, how effective it is in preventing severe RSV bronchiolitis, and who should receive it.

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Patients sometimes ask us about further testing for lipids beyond the standard lipid profile. Neda Frayha sits down with cardiologist, Dr. Stanley Liu, to dive into advanced testing for lipids and how to evaluate and treat the results of that testing.

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It's well-documented that the insertion of an IUD can be painful, sometimes excruciatingly so. But somehow it has taken a public outcry about this extreme discomfort to bring the issue to the forefront of the medical community. Neda sits down with Matt to explore new recommendations from the CDC, evidence-based options for pain and anxiety management, and a toolkit of strategies we can use when inserting IUDs to make our patients as comfortable as possible.

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Thyroid disorders can be confusing. In this episode, Neda Frayha, MD sits down with endocrinologist Rana Malek, MD for a thyroid Q&A lightning round. Listen as Dr. Malek answers our burning questions about T3, subclinical hypothyroidism, thyroid antibodies, levothyroxine formulations, and more.

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Primary Care RAP presents a segment on Hypogonadism Featuring Margaret Wierman, MD and Andrew Buelt, DO

Mike and Rob dive back in to give you some new finds on Smoking Cessation from the March 2016 Edition of Urgent Care RAP.

Dr. Ilene Claudius discusses the safety, risks and laws relating to hoverboards.

Solomon Behar, MD and Danelle Fisher, MD discuss the most common skin conditions in children and basic approaches to management.

Pearls:

• First line management of atopic dermatitis includes good skin hygiene and topical moisturizers; topical corticosteroids are often needed to control flares as well as help with relapses.

• Topical calcineurin inhibitors are used as second line treatment in children older than 2 years of age.

• Topical corticosteroids come in varying potencies and formulations and should be tailored to the specific clinical situation.

• Atopic Dermatitis (AD).  AD is one of the most common skin findings in the pediatric population.  AD can present in early infancy and with varying clinical presentation.

Mike Weinstock, MD and Mizuho Spangler, DO discuss fingernail pathologies, management of paronychia and risks for aggressive antibiotic usage in outpatient settings.

PEARLS:

• Fingertip lesions can be isolated injuries or evidence of more serious, systemic processes.

• Radiographs of fingertips are useful if there is a concern for a retained foreign body, underlying fracture or deep-space infection like osteomyelitis.

• It is important to remember that nothing we do in medicine, including writing prescriptions and admitting patients to the hospital, is without risk, and we need to consider these risks in determining the right course of action for our patients.  

More information on this topic can be found on the Hippo Education blog here.

A patient you’re caring for, but don’t know very well, dies in the hospital. You feel awkward about writing a condolence letter since there isn’t much of a relationship with the family. Should you write one? Will it bring up unpleasant memories for the family? Eric Lamotte and Susan Merel explore these questions and more (as well as brief how to guide) in this Primary Care RAP short.