Gastroenterologist Dr. Sith Sekar joins Navin Kumar to review the management of celiac disease, including tips on the gluten-free diet, the need to check for micronutrient deficiencies, and how to approach the patient with celiac disease who is not responding to a gluten-free diet.

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Gastroenterologist Dr. Sith Sekar joins Navin Kumar to review the diagnosis of celiac disease, including the presenting signs and symptoms, the optimal serology screening approach, the role of celiac genetic testing, and how to confirm the diagnosis.

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Gastroenterologist Dr. Sith Sekar joins Navin Kumar to review the important topic of colon cancer screening, including how to calculate individual risk based on family history, options for screening, and some tips to ensure high-quality colonoscopy.

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Endocrinologist Brooke Matson joins Walker Redd to outline a practical framework for obesity management, including patient-centered counseling, lifestyle interventions, the use of GLP-1 receptor agonists, as well as when to consider bariatric surgery.

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Dr. Navin Kumar, gastroenterologist and RTL co-founder, joins guest-host Ally Scheve to discuss how to treat Small Intestinal Bacterial Overgrowth (SIBO). In this final episode of the three part series, they discuss the approach to antibiotic therapy for SIBO, the importance of understanding the subtype of SIBO when determining a treatment plan, and conclude with non-antibiotic approaches to treatment.

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Dr. Navin Kumar, gastroenterologist and RTL co-founder, joins guest-host Ally Scheve to discuss how to diagnose Small Intestinal Bacterial Overgrowth (SIBO). In this episode, they discuss the diagnostic tools for SIBO, how the lactulose breath test works, and important precautions patients should take prior to the breath test to ensure an accurate reading.

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Dr. Navin Kumar, gastroenterologist and RTL co-founder, joins guest-host Ally Scheve to discuss the clinical presentation of Small Intestinal Bacterial Overgrowth (SIBO) in this three-part series. In this episode, they discuss the pathophysiology of SIBO, how bacteria in the small intestine lead to GI symptoms, and the risk factors for developing SIBO.

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In this special episode, Dr. Mitchell Charap, longtime IM residency program director and master clinician at NYU Langone, walks us through a mystery case that defies expectations. Together, he and host Emily Gutowski explore how illness scripts can both guide and sometimes mislead our diagnostic reasoning, and why the physical exam remains an indispensable tool.

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Critical care attending Dr. Maria Sunseri and critical care pharmacist Dr. Brynna Crovetto join Emily Gutowski for a deep dive into sedation and analgesia in the ICU. They explain how to assess agitation, titrate sedation depth using the RASS scale, compare analgesia vs. anesthesia, and choose between agents like fentanyl, propofol, dexmedetomidine, and ketamine. They also share practical pearls for safe weaning from sedation and interdisciplinary extubation planning.

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Dr. Matthew Pullen, infectious disease physician at the University of Minnesota, joins host Walker Redd to discuss blastomycosis, an often-overlooked endemic fungal infection. Through a case presentation, they explore epidemiology, classic histopathologic findings, and a variety of clinical manifestations, including pulmonary, cutaneous, CNS, and musculoskeletal. They also walk through diagnostic strategies and treatment approaches based on disease severity.

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Dr. Vikramjit Mukherjee, critical care physician at NYU and Bellevue, joins Dr. Emily Gutowski for a review of septic shock management. They first review the diagnosis of SIRS vs. sepsis vs. severe sepsis vs. septic shock. Additional topics include identifying possible sources of infection, recognizing red flags, and initiating timely, adequate fluid resuscitation, including in special patient populations (e.g., CKD and CHF). Lastly, they briefly review the use of vasopressors in septic shock.

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