The Generalist Medicine - GeM - Podcast

Let's Talk Now with Marc-David Munk MD

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 hi...

Closing Remarks

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 [email protected] 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

GeM 67 Clinical ECGs

A discussion through the challenging topic of ECGs - how to put it in clinical context, some key pearls and approaches. If you find this hard, you are not alone!

GeM 66 Finding Meaning in Medicine

We're back! After a year sabbatical, Dr Rogy Masri and Dr Aaron Rothstein discuss finding meaning in medicine.  This talk deals with how to cope with the current challanges, finding purpose and how two people are navigating their medical careers. We hope this will give you food for thought on building and enriching your own career.

GeM 65 Ultrasound Basics ft. Dr Blake MacKay

I'm here with Dr. Blake MacKay to discuss the basics of ultrasound. Blake is a generalist with a strong interest in ultrasound and training through CPoCUS.  We discuss ultrasound basics including an array of clinical uses which can help guide management. Motivates me to do more ultrasound!

GeM 64 Psychedelic Medicine ft. Dr Ryan Patchett-Marble

This is a discussion on the resurgent topic of Psychedelic Medicine. I talk with Dr. Ryan Patchett-Marble, a generalist physician with strong interest in addictions and mindfulness who has recently become interested in this emerging field.  Additional Info: Ryan and a patient he treated with Psilocybin:  https://nosm.brightspacestreaming.com/1/Watch/660834.aspx Resources PDF - https://genmed.libsyn.com/

GeM 63 Fever

Let's talk about the hot topic of fever! We'll talk about why we get fevers, whether we should treat them, and different causes of fever including forms of hyperthermia. We'll also touch on special populations such as febrile neutropenia and febrile infants.

GeM 62 Interventional Cardiology ft. Dr Eric Rothstein

I am very excited to discuss Interventional Cardiology with my cousin Eric Rothstein who works at Dartmouth-Hitchcock Medical Centre in New Hampshire. We discuss the field of Interventional as well as some STEMI/Acute Coronary Syndrome insights, with a bit on stable ischemic heart disease and mechanical circulatory support.

GeM 61 Food and Nutrition ft. Dr Larry Willms

I speak to Dr. Larry Willms about a very fundamental topic that doesn't get much discussion in medical learning - Food and Nutrition. We discuss the things that are well-established consensus in the field, why we get so confounded by nutrition research and fads, how to communicate the information to patients as well as some thoughts and ideas we have on the subject!  

GeM 60 ER Principles ft. Dr Josh Smith

I am joined by Dr. Josh Smith, an EM registrar in Dunedin, New Zealand, who discusses with me a basic approach to patients in the ER.  We talk about key principles including that patients often require early treatment before we have much information, that a disposition is often more important than a definitive diagnosis and that we should be considering life threatening diagnoses early in our assessment. We also touch on identifying sick patients, how patient scenarios can evolve, and ways...

GeM 59 Space Medicine ft. Dr Jesse Zroback

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! 

GeM 58 Burnout and Coaching ft. Dr Tonya Caylor

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/.

Bonus Song! Necrotizing Fasciitis

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 ...

GeM 57 Necrotizing Infections

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

GeM 56 Teaching in Medicine ft. Dr Adam Moir

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!

GeM 55 Covid Airway in Rural Medicine ft. Dr. McFarlane

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

GeM 54 Airway Round 2 ft. Dr Mike Kirlew

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

GeM 53 Pneumonia Round 2 ft. Dr Tiffany Desruisseaux

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)

GeM 52 AKI - Acute Kidney Injury

Let's talk about AKI and what it means, how it is diagnosed, some key points and pitfalls, and also some focus on key diagnoses.  Also: check out www.worrykit.com for our new Mental Health App. We are always looking for feedback and ways to improve it -- email me at [email protected]

GeM 51 ER Procedures - Fast Facts

Fast Facts about Procedures Including: Pericentesis Thoracentesis Pericardiocentesis Lumbar Puncture Seldinger Technique eg: for Central Lines/ Pigtails Peri-Mortem C- Section ED Thoracotomy  

GeM 50 Sick Kids - Fast Facts

Fast Facts about Sick Kids including: Key Kid Concepts Febrile Neonates Bronchiolitis Croup Epiglottitis Sepsis/Septic Shock

GeM 49 Vasculitis ft. Dr Brodie Marshall

GeM 48 Trauma - Key Concepts ft. Dr. Dale Edwards

GeM 47 A Fib (Level Two) ft. Dr. Mike Kirlew

Mike Kirlew returns to have an energetic conversation about some clinical considerations in Atrial Fibrillation.

GeM 46 Anemia

GeM 45 LGBT2SQ Health ft. Dr. Justin Bell

Dr. Justin Bell gives the basics of LGBT2SQ definitions and what our role is as health care providers for this diverse population. Resource: https://www.rainbowhealthontario.ca/TransHealthGuide/

GeM 44 Neonatal Jaundice ft. Dr Gal Barbut

GeM 43 Approach to Pneumonia ft. Dr Yoko Schreiber

Dr. Schreiber is an Infectious Disease specialist based in Sioux Lookout Ontario to shed some light on pneumonia. The focus is community acquired pneumonia (CAP) in adults.

GeM 42 Endocarditis ft. Dr. Nick Fortino

GeM 41 Rural Medicine ft. Dr Lucy Manchester

Learn about the ins-and-outs of adapting to various rural medical environments.  

GeM 40 Meditation ft. Amar Singh

A discussion on the in vogue topic of meditation.

GeM 39 Diabetes in Pregnancy ft. Dr Megan Bollinger

GeM 38 Labour and Delivery ft. Carolyn Travers and Ben Langer

We get to have a discussion about  some of the evidence for care around a healthy delivery. Much of the discussion is taken from the SOGC (Society of Obstetricians and Gynaecologists of Canada) guidelines. 

GeM 37 Obstetrics: Prenatal Care ft. Dr Ben Langer

Discussion around essentials of Prenatal care and some of the current practices that are changing!

GeM 36 Rheumatic Fever ft. Dr. Mike Kirlew

Discussion on the background, diagnosis and treatment of rheumatic fever - and also the public health aspects of the disease.

GeM 35 Sepsis: Overview and Updates

Full review of Sepsis integrating new Sepsis 3 guidelines. No need to listen to last episode on Sepsis to follow!

Bonus Song! Jump Again - Resilience

Here is a bit of a refresher on some resilient concepts!  Also feel free to check out the new website at : growingresilient.com More episodes to follow soon!

GeM 34 HIV Basics ft. Dr. Lucy Manchester

Learn about the basics of HIV medicine from Lucy Manchester, a family doctor with fellowship training in HIV medicine! Perfect for anyone wondering how to treat the rare patient with HIV in their practice, or just anybody interested. Check out the website at: www.gempodcast.ca

GeM 33 Mindfulness ft. Dr Patchett-Marble

So much talk on it but ... What the heck is it really? We continue our Psychology Binge.

GeM 32 Resilience ft. Amar Singh (Discussion)

General conversation on the concept of resilience, and whether it is relevant and learnable. Some back and forth banter! Check out our new site: growingresilient.com. It's aimed at growing resilience through mini-interventions. We are passionate about this subject!

GeM 31 Biases and Decision Making

Cognitive Biases and Heuristics and how these fold into the complex world of decision making and learning.

GeM 30 CASES! First Year Out ft. Dr. Dale Edwards

Starting practice can be scary and exciting. Let's hear from Generalist and Emerge focused Dale Edwards on his first year in practice!

GeM 29 Habits ft. Amar Singh (TT)

Habits are fundamental to tasks performed everyday - they drive routines, addictions, work flow and productivity, and many other things in the day to day. This is a recorded conversation of Amar Singh and myself having an off the cuff conversation about habits.

GeM 28 Psychology of Medicine

Importance of psychology with respect to patient health and well... our health. Appreciate any Feedback at : [email protected] , thanks!

GeM 27 Hyponatremia

GeM 26 Restrictive Lung Disease

GeM 25 Skin/Soft Tissue Infections - ft. Dr Mike Kirlew

GeM 24 Mountain Med - ft. Dr Eric Contant

Dr. Eric Contant CCFP and EM doc shares his passion and knowledge of High Altitude Medicine

GeM 23 Stroke

Acute Stroke - Microphone troubles; working on it sorry about the clicks in the background

GeM 22 DKA (Short)

A Short on Diabetic Ketoacidosis and a Smidge of HHS